Loading...
Permit U PI CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00521 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/22/2008 PARCEL: 25111 CB -01601 SITE ADDRESS: 15055 SW 100TH AVE ZONING: R -3.5 SUBDIVISION: THE MARGUERITE OCHS TRACTS LOT: 001 JURISDICTION: TIG PROJECT: SLAUGHTER Project Description: Replace oil furnace with gas, to include venting and gas piping. 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: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES JOHN & BEA SLAUGHTER Description Date Amount 15055 SW 100TH AVE TIGARD, OR 97224 [MECH] Permit Fee 10/22/20( $72.50 [TAX] 12% State Surch 10/22/20C $8.70 Total $81.20 Phone: 503- 639 -1336 Contractor: OWNER REQUIRED ITEMS AND REPORTS Contact #: Reg #: 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 • . not started within ' 0 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to f• ow rules adopted i the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -010'. You may obtain c. pies of these rules or dire ens to OUNC by calling 503.246.6699 or 1.800.332.2344. / / Issue; = _ /LAI& Permittee Signature: A__ A ,w, Call 503.639.4175 by 7:00 a.m. for inspections that bu in: day. This permit card shall be kept in a conspicuous place on the job site u til •mpletion of h= • oject. Approved plans are required on the job site at the time of ea. inspection. Me hanical Permit Application M Ti Dale/BY: /6 7, Og' ��8��� City of Permit No.: • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: OFFICE USE ONLY y: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: ®See Page 2 for Internet: www.tigard - or.gov Notified/Method: I / t e Supplemental Informa TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction ( Addition/alteration/replacement 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 CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description [ Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Healing/cooling ] Air conditioning or heat pump Job site address: / 505'S S w l © 0 '-"'r 1/12._ (requires site plan showing placement) 14.00 City/State /ZIP: J q 4, y i 1 () r v 9 7 221 Furnace 100,000 BTU (ducts/vents) I 14.00 (ii. ' Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Ductwork 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 Subdivision: Lot no.: Flue /vent for any of above / 6.80 Other: 10.00 Tax map /parcel no.: , Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 0 ( L 1 (pti-s F 4 ii__ , Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ❑ PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 10.00 Other: 10.00 Name: r �© ( , ^ ©n, S Environ mental exhaust and ventilation Y l t � — Range hood/other kitchen Address: 5 S s W ( 0 6 . equipment 10.00 City/State /ZIP 1 I � C � t d f -1 `r-. , q - 22.( Clothes dryer exhaust 10.00 I ! Single -duct exhaust (bathrooms, Phone: ()3) to � Cj _ [ 33 6 Fax: (9) (03cf,,,,o (z 3 toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 � Other: 10.00 Business name: 6 [, a ., 1( o p( S? Fuel piping Contact name: o k ■r aK �a S I $5.40 for first four; $1.00 for each additional 1 -^^ Furnace, etc. / ' , Address: I �SVs 5 4 1 0 0 .�` t` l�-Q__ Gas heat pump City /State /ZIP: ` `- t ovvi 0 v , ' 1 a --1 Wall/suspended/unit heater Phone: (Q 3) ( _ t . —s L Fax:: (5631 (3 C —, I g7 Water heater Fireplace E -mail: b pl 5 1 Q 0-Y _ k l, 'ict i (_ Cwt Range CONTRACTOR Barbecue Business name: (� Clothes dryer (gas) L; r e r ? Other: Address: - MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal Minimum permit fee ($72.50) - , W-- Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lie.: State surcharge (12% of permit fee) r , . TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: t 1 Date: l © (;,„a,.. /40(c) ` Fee methodology set by Tri- County Building Industry Service Board 1:\Building\Permits\MEC- PermitApp.doc 01/19/07 V ` 440 - 4617T (1 I /02 /COM /WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building \Permits \MEC- PermitApp.doc 01/19/07 2 Information Notice to Property Owners About Construction Responsibilities Statement Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. [ORS 701.055 (4)] This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box and complete the following statement: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or .Tit. will be performing work on property I own, a residence that I reside in or a residence that I will „. reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I have read and understand the Information Notice to Property Owners about Construction Responsibilities contained on these two pages and I hereby certify that the information checked and completed above is correct and accurate. .. Print name of permit applicant Signature of permit applicant ' � /0121 0 si Date Permit #: Wee ee G -- 00S - g` / This form is supplied to building. permit offices by the Oregon a f, / 5055 d � ld0 'I - -:1, Address: Construction Contractors Board ,46 ;r �/Y A 0 . 7e/ as required by ORS 701.055 (6) 1 i s / 2 Issued b Date: a /P" /Og This copy to issuing permit office CITY OF TIGARD BUILDING DIVISION PERMIT #: M 32008-.00511 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2008 Phone: (503) 639 -4171 N ��4Iu��ii�� f Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/7/200 TIME: 7:02AMM1 PAGE: 30 SITE ADDRESS: 15055 SW 100TH AVE CLASS OF WORK: SUBDIVISION: THE MARGUERITE OCHS TRACTS LOT #: 00.1 TYPE OF USE: PROJECT NAME: SLAUGHTER DESCRIPTION: Replace. oil furnace with gas, to include venting and gas piping.. OWNER: SLAUGHTER, JOHN & BEA PHONE #: 503- 639 -13 ?5 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 077805.01 503.310-9221 N Corrections /Comments /Instructions: �r r _A, Ga Ale A ' ,el- A 5— , 2,3, ,' ,- ASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 0 Phone #: (503) 718 2 , ` | | CITY �����7U�������� ��mn n �.�x mn����mn�� • ... ., B | OUIbr«d� DIVISION A pERM|T#: MEC�O�O�21 | 13125SVV Hall B�d.. Tigard, OR07223 D ATE|SSUED: 10/22/2000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 All AL . INSPECTION WORKSHEET FOR DATE: 1102008 TIME: 7:01Ah4 PAGE: 11 SITE ADDRESS: 15066 SN/100TH AVE CLASS OF WORK: SUBDIVISION: THE MARGUERITE OCHS TRACTS LOT #: 001 TYPE OF USE: PROJECT NAME: SLAUGMTFR , DESCRIPTION: Replace oil furnace with gas, to include venting and gas piping. OWNER: SLAUGHTER, JOHN 8,BEA PHONE #: W3-639'1336 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1102008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 077585 603-639-1336 N . Corrections/Comments/Instructions: /0 A� A., —....,y � =� ^ ''.~~ � ^ �/`, ' 0 . ^' PART APPROVAL n CANCEL | I NO ACCESS r 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: / \w Date: // 8 Phone #: (503) 718 . CITY OF TIGARD BUILDING DIVISION l PERMIT #: -� MEC2001 -0C) 21 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/x: //2008 Phone: (503) 639 -4171 :'dy0�� " Inspection Requests (24 Hrs.): (503) 639 -4175 ...' '!,, INSPECTION WORKSHEET FOR DATE: 10/23/2008 TIME: 7 :00AM PAGE: SITE ADDRESS: 16055 SW 100TH AVE CLASS OF WORK: SUBDIVISION: THE MARGUERITE OCHS TRACTS LOT #: 001 TYPE OF USE: PROJECT NAME: SLAUGHTER DESCRIPTION: Replace oil furnace with to include venting and gas piping. gas, 9 � P1� 9. OWNER: SLAUGHTER, JOHN & SEA PHONE #: 60.3- 633 1336 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date 10/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas Tine 077068 -01 1 639 -1336 Y Corrections/Comments/Instructions: P ASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 73S Date: .R3e 7 -015 Phone #: (503) 718- 2923 _ INSPECTOR'S SIGNATURES ARE NOT Inspections „Required for: E L°G -- OD JW REQUIRED ON GREEN INSPECTION CARD. ✓ Code I Inspection Description PASS Date By ✓ Code Inspection Description PASS Date 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 / O- Z3 -o g 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: y 699 Mechanical final ('/ _ 74a8 f{4 BUP - Fire Protection System Permit 905 Sprinter underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 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 41 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 ' n CITY OF TIGARD T fi• MECHANICAL PERMI , 2 " COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00521 •TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/22/2008 PARCEL: 2S111 CB -01601 SITE ADDRESS: 15055 SW 100TH AVE ZONING: R -3.5 SUBDIVISION: THE MARGUERITE OCHS TRACTS LOT: 001 JURISDICTION: TIG PROJECT: SLAUGHTER Project Description: Replace oil furnace with gas, to include venting and gas piping. 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: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: > 10000 cfm: GAS OUTLETS: 1 Owner: FEES • JOHN & BEA SLAUGHTER Description Date Amount 15055 SW 100TH AVE TIGARD, OR 97224 [MECH] Permit Fee 10/22/20C $72 50 [TAX] 12% State Surch 10/22/20C $8.70 Phone: 503- 639 -1336 • Total $81.20 Contractor: OWNER t . REQUIRED ITEMS AND REPORTS r) Contact #: oui , Reg #: t • 0 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 ` 1'80 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to f• low rules adopted in'the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0106. You may obtain c pies of these rules or direct..questions to OUNC by calling 503.246.6699 or 1.800.332.2344. N --, Issue By: �'+ 174 1) P ermittee Signature: /��', � °. Call 503.639.4175 by 7:00 a.m. for inspections that bu in cis day. /l This permit card shall be kept in a conspicuous place on the job site ur til • mpletion of he / p oject. Approved plans are required on the job site at the time of ead inspection. j/ ill. .1• CITY OF TIGARD e MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008-00521 - TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/22/2008 PARCEL: 25111 CB -01601 SITE ADDRESS: 15055 SW 100TH AVE ZONING: R - 3.5 SUBDIVISION: THE MARGUERITE OCHS TRACTS LOT: 001 JURISDICTION: TIG PROJECT: SLAUGHTER Project Description: Replace oil furnace with gas, to include venting and gas piping. 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: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Owner: FEES JOHN & BEA SLAUGHTER Description Date Amount 15055 SW 100TH AVE TIGARD, OR 97224 [MECH] Permit Fee 10/22/20( $72.50 [TAX] 12% State Surch 10/22/20( $8.70 Total $81.20 Phone: 503 - 639 -1336 S Contractor: OWNER REQUIRED ITEMS AND REPORTS 0 00 i Contact #: d 0 Reg #: Q 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: 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. - INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description PASS Date By ✓ 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 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 915 Fire alarm rough -in 305 Plumbing underslab 920 _ Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 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