Permit CITY OF TIGARD
!� MECHANICAL PERMIT
`� ' COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00029
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/21/2009
PARCEL: 2 S 115AD -02000
SITE ADDRESS: 10400 SW TUALATIN DR ZONING: R-4.5
SUBDIVISION: DOVER LANDING LOT: 001 JURISDICTION: TIG
PROJECT: LUTGE
Project Description: Replace gas furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
•
Owner: FEES
MICHAEL LUTGE Description Date Amount
10400 TUALATIN DR
TIGARD, OR 97223 [MECH] Permit Fee 1/21/2001: $72.50
[TAX] 12% State Surch 1/21/200C. $8.70
Phone: Total $81.20
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. 209
TIGARDRD, , OR 8 97281
REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 624 -2704
FAX 503 -598 -0270
Reg #: LIC 76359
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Vain() At \litt'v" Permittee Signature: Q Q Arat, q (7A/CLW
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatio>ECEIVED FOR 011 :1( t si o'I.t
City of Tigard B l 2 t �•� 4b1c _
II • 13125 SW Hall Blvd , Tigard, OR 97223 JAN 2.1 2009 Plan Review Other Permit:
Phone 503.639.4171 Fax: 503.598.1960 DatelBy: i
T I GA It I�
Inspection Line: 503.639 �± D � p Re lugs. 21 Sec Page 2 for
Internet: www.tigard- or.gov CITY O F TIGARD NolifiectMethod: 'I�1 a l Supplemental information
BUILDING DIVISION I " I
TYPE OF WORK COMMERCIAL FEE* SCHEDULE . USE CHECKLIST
❑ New construction [) dition/altetation/replaeemertt Mechanical permit fee? arc based on the value of the work
performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials equipment, labor, overhead, and' profit_
CATEGORY OF CONSTRUCTION ; Value: S
RESIDENTIAL EQUIPMENT ! SYSTEMS FEES"
and 2- family dwelling ['Commercial/industrial ❑ Accessory building For sped ia! information use cherlclisr.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 I Qty. r Ea. 1 Total
JOB SITE INFORMATION AND LOCATION I Heattmg/cooling t
Air conditioning or heat pump
Job site address: /O [/ 00 S.J (fALJ T / t.) D , (requires site plan showing placement) 14.00
City/State/ZIP: l 7'•J (?A Q J G t 9'122 .3 Furnace 100,000 BTU, (ducts/vents) ✓ 14.00 • ,
•
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: ,p l Project name: /ipKF / FL C. • Gas heat pump 14.00
Cross street/directions to job site: /(J.1 4 , j 0AL AT 7" ER. Duct work i 14.001
Hydronic hot water system 1400.
Residential boiler (radiator or
' hydronic) I 14.00.
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00:
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other. I 10.00
•
Tax map `parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
' Gas fireplace 10.00 J
ZEPI, 6A3 FVENAC c" Flue vent for waver heater or gas 1
fireplace I 10.00
Log fighter (gas) 10.00
Wood/pellet stove 1 1 D 00 ,
Wood fireplace/insert , 10 00
Chimney/liner/flue/vent 1000
��ROPERTY OWNER I CI TENANf Other: I 10.00
Name: ,7/ \ 6 — Environmental exhaust and ventilation
/ Range hood/other kitchen '
Address: /O C70 5 J / 6/A L A f / AJ 0 . equipment I 10.00
City /StateTZIP: � p E C ) a3 Clothes dryer exhaust 10 00
I C7 R Single -duct exhaust (bathrooms.
Phone: ( ) Fax: ( ) toilet compartments. :utility rooms) , 6.80 I
❑ APPLICANT ❑ CONTACT PERSON Attic/esawlspace fans 1000
Other. I 10.00 1
Business name: Fuel piping
Contact name ` -'D p / I, Y $5.40 for first four; 51.00 for each additional
Furnace, etc
1 I r
Address: Gas heat pump I '
City/State/ZIP: Wall/suspended/unit heater I
Water heater
Phone: �3 ) (� D Lr Fax.. )S �'� 62'20 Fireplace
E -mail: Range I '
CONTRACTOR Barbecue I I
,� 6 i I ` y/
Business name: ( 1, ,/l n _ r Clothes dryer (gas)
� l (�/�'7 !'►�.Get/I o�1''t� O t h er: I
Address: q . 3 o X ..2-3 0 3 % -7 MECHANLCAL PERMIT FEES•
n � Subtotal
City/State/MP: P 2.t0 ' 2 2,P1 I I Minimum permit fee ($72.50) I 7 2 - SO
(S5
Phone: 3) (o r / D ? `i —) 7) Fax: (513 ) S ? O) Plan review (25% of permit fee)
CCB lie.: 74 3 , s - - 1 r State surcharge (l of permit fee) g.7 O
1 I TOTAL PERMIT FEE 1 t. 2.0 I
///ttt
This permit application expires if a permit is not obtained within 180
Authorized signature: <74 426, days a ter it has been accepted as cotvpleie.
Print name: ® ems/ Date: / / 4~`Q 9 • Fee methodotogy tel by Tri- County Building Industry S ervic i
d Board
_ .._. _. daa6t 7T f 11107/COo,t 1
Z'd OLZ0 969 JNLLV3H V19Wl1OO B9Z :01. 60 LZ Uef
CIS' �. QF TIGARD
BUIL I IsG DIVISION PERMIT #: MEC2009 00023
13125 S Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/21/2Q09
Phone: (503) 639 -4171 AA fl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/73/200 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 14100 SIN TUALATIN DR CLASS OF WORK:
SUBDIVISION: DOVER LANDING LOT #: 001 _ . TYPE OF USE:
PROJECT NAME: L.UT
DESCRIPTION: Replace gas furnace
OWNER: LUTGE, MICHAEL PHONE #:
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 603- 624 -2/04
Inspection Request Scheduled For: Date: 2/23/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0E30681 -01 503-9M-7157 N
Corrections /Comments /Instructions:
0 0 69 - '46174A E
BP i i
j
- ce41 - t4)
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 23 Phone #: (503) 718 2 4 --- (%)
_ _ _ _2W . )_ _
INSPECTOR'S SIGNATURES ARE NOT = - _:
1nspecti ns Required for: fr E 7 q, Oc'QZct REQUIRED ON GREEN INSPECTION CARD.
j ✓ Code InspectioriDescription • • PASS Date B ✓ Code •Inspection Description • ''PASS Date B
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage '
220 Slab 140 Sign installation
j 310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
,
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final _ 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
}C 699 Mechanical final
BUP - Fire-Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc:.inspection: 320 Plumbing rough -in
• 998 Alarm final
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
• 205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: _ ,505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
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