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Permit CITY OF TIGARD • MECHANICAL PERMIT • 5 q COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00579 .13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/24/2008 PARCEL: 2S112CA-06900 SITE ADDRESS: 15365 SW 79TH AVE ZONING: R -7 SUBDIVISION: ASHFORD OAKS LOT: 023 • JURISDICTION: TIG PROJECT: LEVIGNE • Project Description: Replacing gas furnace and heat pump. • • CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS:. OCCUPANCY GRP: R3 VENTS W/O APPL: • VENT SYSTEMS: STORIES: • BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 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 i EDWARD & DEBRA LEVIGNE Description . Date Amount . 15365 SW 79TH AVE TIGARD, OR 97224 [MECH] Permit Fee 11/24/20( $72.50 [TAX] 12% State Surch 11/24/20( $8.70 • Phone: 503 620 - 9478 Total $81.20 • • Contractor: SHAMBURG HEATING LLC PO BOX 829 • • TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 692 -5563 • FAX 503- 691 -6855 Reg #: LIC 126881 • • • 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: . Permittee Signature: 5�.2 2j/! Ord Cali 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. INSPECTOR'S SIGNATURES ARE NOT ,v ' Inspections Required for: r .... ,5 71 REQUIRED ON GREEN INSPECTION CARD. Code I Inspection Description I PASS Date By I Code I Inspection Description • 1 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 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 - 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 322 Shower pan 999 Sprinkler final 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 I: Building \Fomu \InspCard- AOP- Blank.doc 02/02/07 11/24/2008 11:09 5036916855 5) SHAMBURG HEATING LLC PAGE 01,!03 ecbanical Perin t App nation 0 wit 0111( t l til ()'\l v ; ` City of Tigard 13 T> y: ji Pmt rro.: m Rscmed a 13125 SW Halt B1v0... Timed, OR P. , ' Y '-(f A 771, : ' d : Phonc: 303.639.4171 Fax: 503 `III • N e ctInn tieview 4 . Othor nii; T 1 c •; ,.' I) Impaction Lien: 501.639-4175 ` �` + 9 �� f � e Ady /9 !aria', Sec F 21br TTt¢m � et: www- tigard- or,gov � �``° 1 fl (ttbod: y, ®� � `` '' _ s 9opplem*ntai Information TYPE OF W, : c _. \."'" \ co14L'VIERCIAL PEZ* SCI LE - 111SE CHECIO T ❑ New construction ► AdditionAftration!' �; ant �feclTanj - .& perm «ere bused on nun vefue Of the wont performed. Indicate the value (rounded to the ncama dollar) of all © Demolition © Other: mechaole+J materiate -. I•rnctn, labor overhead aid . rest CATEGORY OF CONST1 jCTioN Value! S 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building R>�$I10EN7f1<At EQUIPMENT '&• ' © Mulct family 0 Mast r builder • El Other; For special tfornrq @prT ckeck!> E Description Qty. Ea Total JOB 5rrr rNP'ORMATifON AND LOCATION Head ; coolie_ Job site address; i ( Air cttnditiontng or healu op y � ' � r _, .iret eile .lan she • Millen 1 T q' City/State/ZIP: r 1 t'urtrnuc200.000 BTU dutuc/vcRts R 14.00 r 6° . - Snitc/bldgiapt. no.: Project name: a Furnace 100 000+ J3TId ducts/yenta Mil 19.90 IMIN Orbs heat lump ill 14 00 Cross meet/directions tnjob site: Duct work 1000 IIIII meet/directions 1 Munro botwatcr Jett 14.00 Residential bo 1er (radiator or hydronic) 14.00 - Unit hcatern (fuel -type, not electric), indwell induct, sus dad. etc. 14.00 Subdivis1on; P1ac/ventfbr m of Oast s g Lot no.; Other IM 10.00 Tax map/parce1 no.: Other PM a dinette DILSCRIPXCON OF WORK Water heater 14.00 "'✓1 Gas fir disc yr! ... p 10.00 / • . JP.; ty.A, s=lue vent for water boater or gas T.Ilate 10.00 MI � _�L .4 t:.5 @ (.C! Q/J 10 ISattter • • •1 10.00 NMI Wood/i lid stove 10.00 Wood fireplace/inert 10 00 PROPERTY OWNER ;(;_. 'f ENA,N P Chitpti /liner/flue/vent 10.00 Name: 4' L d,/1 Orlter _ — 1(1,00 Mill _ Environmental exhaust Nn versinattoe) Address: Range hood/olter kitchen S„ ! t s j 0 b cRuipmcnt -- t0.00 lathes d er exhaust 10.00 Phone: (, 6g0 Try Fax: ( ) Single-duet 1at . . exhaust , to, wit' rooms 6.40 .0 APPLICANT 0 CONTACT PERSON Attie crawl.. nee Fans 10.00 all c - Other Fuel• , ME 14.00 Contact name: SS.40 for ftrgt four: $.LAO for each , dditionaI Address: Furnace, etc, =NAM City /State/71P: Gtts heat pump Wall/sus . • • cd/unit heater MIIMIE Phone: ( ) I AX_' : ( ) Wider Hester III � E-mail: Pira lace leinim CONTRACTOR Barbecue Husine> s name: .. clothes dryer (gas) �` Ad.frc5c: ✓ r x �F, G r °that; 111111111111 0 MECHANICAL PERMIT F ES* Ciu /Slate.ZtP: - el70e' - Phgnc: ( ) . . , -. .. 'r.7 Fax: ( ), a `, � - - Minimum permit fee {$72 -SO) • . b • ect3 lio.: / Plan review (25% of permit fee) '� Start surcharge (22% of • - it fee) lE; r TOTAL PERMIT FEE t. zo Authorized 87. .atarG: _. ' Thi permit Opel • ben GtniYCf if o t?gratit i5 sat Ota+titxA tvilBin �. .!r dap aft r it trot Arta attett l mapJeto. Pintnauuuoi, .5 6, ),. . , Date: - . ; -0 • Too set 7).i-county Suite n t nd I dY by Y S tuUy Service Board is :ann.u..e. OVi9/OS • 44e.4elTr(: 1/02/comfW69) • Sharnburg Heating PLC co I PO Box 829 m I Tualatin, OR 97062 010 0- U' J J Z H Q w � Dci 1 co a /house ln 00 CD N "iM