Permit IN CITY OF TIGARD MECHANICAL PERMIT
: .
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00074
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/23/2009
PARCEL: 2S 111 AD - 11300
SITE ADDRESS: 15025 SW 88TH AVE ZONING: R -4.5
SUBDIVISION: SCHECKLA PARK ESTATES LOT: 046 JURISDICTION: TIG
PROJECT: DALE
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
JEANNENE DALE Description Date Amount
15025 SW 88TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 2/23/200 $72.50
[TAX] 12% State Surch 2/23/200c $8.70
Phone: Total $81.20
Contractor:
FOUR SEASONS HEATING & NC INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -1950
FAX 503 -538 -0165
Reg #: LIC 97152
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 . alai (lg Permittee Signature: Sz9 -7 k C �rn
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 A licatio EC lVE E t .l: , ll „( 1 1 ‘ O \1.1
City of Tigard FEB 2 0 2009 y . • ..' _ � �` •��
III
13123 SW Hall Blvd., Tigard, OR 97223
Plan Review Received
al Phone: 501639.4171
503 639,4175 s9s.1960 CITY OF TIGARD Dine �ey.By.
Other t:
- Internet: www.tigerd or.gov BUILDING DIVISION Noriited/Matb d:
TYPE OF WQH ( ...: �,i:c. ' VOMMEIVaikt PEE* SCHEKHE`- USE GUMMI-IST
[] New construction Addition /alteratianhteplacetlnent Mechanical permit fees* are 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 CONSTRik* ' Value: $
1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building ES*
For special information use checklist,
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. leis Total
tiW ,I QRIMA`l" f Akit f+ z Heating/cooling
Job site address: / ("as S K) " ZItittli _ _ _,Q Air conditioning or heat pump
(^+squires sire Plea ehowinfi Plaeenraat) 14.00
City /State(ZIP: 6 Gam'-- -oft O (y --)- 4 Furnace 100,000 BTU (duets/vents) 17 14.00 (.1„"
Sui / ap t, no.: Pro ject Wan t_: v Furnace 100,000+ BTU (ducts/vents) 17.90
� a � e Gas heat pump . 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14,00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended etc. 14.00
Lot : Flue/vent for any of above 6.80
Subdivision: Other: 10 -00
Tax map/parcel no.: Other filet appliances
t 'OE il"" ik .. . '; ,4 , ,. . : .; — at r hater 10.00
- Gas fireplace 10,00
g , . 4 ► °l� Ai # Flue vent for water heater or gas
4 fireplace __ 10.00
Log lighter (ens) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
� V __ ; ., Chimney/liner/flue/vent 10.00
Other: 10.00
Name: cploaVN VV , 1 ,. e lib a. -e Environmental exhaust and ventilation . _
• • Range hood /other kitchen
Address: `"
y _ 4, 4 V - equipment 10.00
City /State/ZIP: - n, ' two I Q q ? 2 J' Clothes dryer exhaust 10.00
1 Single-duct exhaust (bathrooms,
Phone: (, ' r - ., S+ Fax: . :. 0 • �. toilet compartments, utility rooms) 6.80
ti m ' r« , ,',,. . , , ,� Attic/crawtspace fans _ 10.00
r.. .. Other: 10.00
Business name: POUR let■ miONR-HIA' --.. Fuel piping
Contact name: AND AIR CONDITIONING INC. _ S5,40 for Brat four; $1.00 for each additional
1005 INDUSTRIAL. PKWY FirrlaCe, etc.
_ .■ . J _ r e - . Gas heat pump
City /State/ZIP: _ - Wall/suspended/unit heater .
p �, Water heater
^ Phone: ( ) g = - 9 St) Fax:: ( ) 10- 4 M • Fireplace
E -mail: Range
i s ' Barbecue
C'UQ!il TING , cu
Clothes dryer (ass)
Business name: UR , A H� H 1 [
Other;
Address: AND AIR CONDITION! _ , ! Il +• CHANICAL r Few
City /state/Z1P:
• •,. • A �± 97132 snb>aotxl
NEWRF v, Minimum permit fee ($72.50) _74 r 60
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lic.: ". State surcharge (12% of permit fee) f}', 7r
r
T_________ OT PERMIT FEE
L. - 0 This perk application expires If a permit is sot obtained witkia lea
Authorized signature: day► after It has been accepted as template.
Print name: Date: ,). - 2d . j ' Fee methodology set by 7ri Building Industry Service Bond
i Buidingwrmtgv�c evmuApp. otnam ssw617r(lttaal�C Ba)
C00 /COOfj XVJ C0 91 600E /OZ /Z0
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: Qf--j_q REQUIRED ON GREEN INSPECTION CARD.
Code Inspection Description PASS.Date_.I'By .1 `Code Inspection Description'' • :PASS Date.'I By
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
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
j 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:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbin Permit
910 Sprinkler rough -in Plumbing
915 Fire alarm rough -in 305 Plumbing underslab
•
920 Suppression trip test 310 Crawl drain
315 Post /beam plumbing
995 Misc. inspection: 320 Plumbing rough-in
998 Alarm final g rou g
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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