Permit Ili II CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00456
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/8/2008
PARCEL: 2S 111 AA -04200
SITE ADDRESS: 14420 SW 86TH AVE ZONING: R - 4.5
SUBDIVISION: GREENSWARD PARK LOT: 032 JURISDICTION: TIG
PROJECT: LUNDH
Project Description: Installing 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
ERIK & ROSALIE LUNDH Description Date Amount
14420 SW 86TH
TIGARD, OR 97224 [MECH] Permit Fee 9/8/2008 $72.50
[TAX] 12% State Surch 9/8/2008 $8.70
Total $81.20
Phone: 503 -538 -2953
Contractor:
OREGON HEATING & A/C
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 538 -2953
FAX 503- 691 -8556
Reg #: LIC 172126
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.
'i
Issued By y Permittee Signature: i /G� U L
Call • 11.4175 by 7:00 a.m. for inspections that businessy.
Y p Y
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 P.e�rmit Applic I 'tI V E : : . F' i v.~ - M
= "xh t� Ul OF C' S� ; lDN L 1' °
, :. City of Tigard n ` t e e/B d
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. 1M/ PenmtIvo.
� J �" 13125 $W Hall Blvd., Tigard, OR 97223 P
"� = phone: 503.639.4171 Fax: 503.598.1960 S E F r ` oate18y
T IG. itD' Inspection Line: 503.639.4175 Dare Red &I See Page 2 for
_, tnteraet: www.tigard- or.gov CITY OF TIGARL■ Notifiedimedtod: Supplemental Information
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New construction !ai Addition/alteration/replacement Mechanical permit feet* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Othex mechanical materials, equipment, labor, overhead, and profit.
c {{ 4>;.e ,4 $ NF' , �?!�� ae • , 4 t 4 0 ' t r T'ri L t ' i id . t �.. Value: 'AR' ��- •'ti ^ r,�p • i U � . "//ir TT�� � . ". 4 . +fr. W•, 'ni, ��� . '�s' r - ; �
�� e: $
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1 - and 2- family dwelling C] Commercial
lien;;...... Accessory building " ' "' ' ' t T . 'z� r S "'' fi r' ,. r ' "
For special information use checklist
El Multi- family ❑ Master builder Q Other: Y Description r Qt 'Ea. I Total
EN P r w Yi v . n +.� �Y�r�r.�N ' -..•'! J�'r.
'itiR V a 3 v tn,.s. a . . agmitk e ::, f;'.; xl n;. e:dl , ns.u'.i Heatlnemoling
Job site address: ' , C) S NA) 9 6+ 1„ A V e Air conditioning or heat pump / ca
( - . aimssire - lansbwwffi_ •tacemend I 14.00
City / State/ZIP: i • G r • ® t p 4 • .- Furnace 100,000 BTU (duersfvsnts) 14.00
Furnace 100,0001 BTU (ducts/vents) 17,90
Suite/bldg. /apt no.: Pro jcct name: 0 g - O - ' - / w Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydroaic hot water system 14.00
Residential boiler (radiator or
_ hdron 14.00
Unit heaters (fuel-type, not electric),
in -wall, in - duct, suspended, etc. 14.00
Flue/vent for arty of above 6.80
Subdivision: _ Lot no.: Y^ Other. _ 10.00
Tax map /parcel no.: Other fuel appliances
a m riirr , d }�1ppl iJ`f {li ; r?° t� a r 'ta+N t a 1 ti ft j , !£' giftw " Water heater 10.00
R7tt i. r L a d E 0 llt tf: �SfR t �w { l is '' • I a1,
n r. W?r,f ,; 17'i rs Lc, e+. ' i i. �. f?rt..r,. ;, Gas freplace 10,00
it ) , _H e e i - P ,A w 1 Flue vent for water heater or gas
fireplaoe - 10.00
" f og l i gh( er (ga 10
Wood/pellet stove 10.00
Wood fir • lace/insert 10.00
l ry r '�, � ,;{� � } i l fid t i9 r' I P .1 , '/liner/flue/vent 10.00
/ . 1r .,a E u � i3 r rE err 1 '' � 'v ? IT 'r� Wh h i ' r, li, , 114 g_i ° the[:
10.00
Name: 6, Y I K a to J Ra S q ; Q , jn Environmental exhaust and ventilation
Range hood/other kitchen
Address: d- 0 S W _ 1„ ' v 2 equipment 10.00
City/ State/ZIP; T I- U r 4 o . 7 ' Clot es diver exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (So j) - 7 3 . S G 7r Fax: ( ) toilet compartments utility rooms) 6.80
v' all ! 1 r Ar ! '{ I« e. 5 , t± + a ` y ara i { §I' A t tack awlspace £tans 10.00
7i T<" � f*I '� .li d1� a," "� / / r ani . , 6. . d� :}!!!t Other: 10.00
Business name: Q r , . d In H . e w (' n - A. nd A/ . Fuel piping
Contact name: J O F fl Q r 1 .. TC $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: P Q 13 a ( 3 q 7 Gas heat pump
City /State /ZIP: V u n w Q Q P• q / � l 1 Wa /suspended/uait heater
Phone: (503) 5 3 % - a q S 3 Fax:: (53) F7 q ) " $ SS 4 Water heater .
Fir.'lace
E -mail: Range , -
1r .' i G e y f1 :p i r 3i ', . • '� { , fi t ' 14i•
II �' . "rl ° r �i i3n Ff Y � $a l,�l 1 t) ..: 11 . Barbecue ty
rKS1 A / C Clothes dryer • as IIIII
Business name; Q r e * r '� bra } r - • J7 Other: yd
Address: C� a vo L' fi • ;' ,r. r j, ffnns� ', . '� 4 ,' 1 ' ":, it” _ ;. ^aAi!i& I 1 � - 1:
City /State/ZIP: Subtotal " ]; . er b ,
Minimum permit fee ($72.50)
Phone: ( ) Pax: ( ) Plan review (25% of permnit fee)
1 .1 1 State surchar (12% of permit fee) . '7 Q
CCB lie.: i p"
_ TOTAL PERMIT FEE '�f! • „a" p , This permit application expires if a permit is not obtained within 180
Authorized signature: V - (� days af ter it has been accepted as complete.
Print name; 3 SA f }' e r: 4 a N Q Date: 9 / 6 / u ' Fee methodology set by Tri- County Building Industry Service Board
i., o._ ,,:_.,e,....:,:,uar_th,- ..aL* mnorn 440d617T(11/OtiCOM/WBB) '
E0 /T0 39Vd 9NIlti3H NO93d0 9SS8— T69 —EO9 TE :TT 9130Z/g0/60
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downstairs
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Job #: Randy Beers Scale: 1/8" = 1'O
Performed for: Page 1
Lundh Right Suite Residential
6.0.7e -02 2 21 �
LIZ/70 29
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C:1Documents and Settings aalesOB...
E0 /Z0 39 d 9NIld3H NO93a0 9558 - 169 -E05 TE :11 800Z/50/60
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: fckjy. — c_cJtISw REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By ✓ Code 1 Inspection Description I 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:
X 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
I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07