Permit ! fit ' ' e • t •
Q CITY OF TIGARD MECHANICAL PERMIT
I�� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00398
E--I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/14/2006
PARCEL: 1S134DC-03700
SITE ADDRESS: 11915 SW 113TH PL ZONING: R -4.5
SUBDIVISION: MUTTLEYS ADDITION LOT: 012 JURISDICTION: TIG
Project Description: Replace gas furnace.
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: 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
MAGEE, MATTHEW D + AMY L Description Date Amount
11915 SW 113TH PL
TIGARD, OR 97223 [MECH] Permit Fee 8/14/200€ $72.50
[TAX] 8% State Surcha 8/14/200€ $5.80
Total $78.30
Phone: 503- 620 -8265
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PO BOX 10948 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97296 -0948
Contact #: FAX 503- 227 -8521
PRI 503- 224 -8516
Reg #: LIC 8388
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: C G{i-L�',.
!/
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business ay.
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.
Rue 11 2008 8:27 carson oil 503 227 8521 p.1
Mechanical Permit Application FOR OFFICE USE ONLY
City Or Tigard (�CEI�® Received
g 1, ti tf !!%% Received d6 Permit N.,� 7 ._.�����
13125 SW Hall Blvd., Tigard, OR 4' ®A Plan ReneN ,
Phone: 503.639.4171 Fax: 503.598.1960 r,,t ` Date/B : Other Permit:
Inspection Line: 503.639.4175 AUG 1 1 2006 iJ _7' Date Ready/By: See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY OF TIGARD .
::: �I€t�s£�li�i�r _ '" ."�. �,, ; i � �. ,.. i �t��x Pa , �> ,. -�a•'- E x r —• - � a � ' � t . :
!`= :ie::�YYS,eEf= . - ,-- -u -- ' "Y- R;,.;'+-= •,•,c.4`aia=-.". r ,., � Lt ..r. l, �r <..». •= _ �.1 - S�•segs , � , .�r __._ :�:,G•m _:. � t 3 3u__ = -
❑ 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.
.__ ... „ _,.,. r. a+ �
-^'-- �- �a:,:a c .._ -... �e,l - ? E�� 'a 3 �: 'secs �-� dk§! 93� f �� � �r
W�=::� .7 �....d....- l +wai • .- -M . '''— E S � � 1' y AkA 4L T
=:. -,:� � _ "' ._., '._ � �.,._ ��.3 = 3 � I d: @3� a sit •�
® 1 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building - ` .•' ,.•---••- "e'er ._,_�- _ 1 "` °` `
Far special irlformation use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
illy �3i�tTet . t
: . .: :: r
1 - - ? . . k° c.,E xtitttx s ..m..121.0.1.. ' Heatinecooling
Job site address: 11915 SW 11.3` PLACE Air conditioning or heat pump
(regaires site plan showing placement) 14.00
City / State/ZIP: TIGARD, OR 97223 Furnace 100,000 BTU (ducts/vents) I 14.00 Iy-. DU
Suite bldg. /ttpi. no.: I Project name: MAGEE Furnace 100,000-F BTU (ducts/vents) 17.90
Gas hea,pump 14.00
Cross street/directions to job site: SW TIGARD DR Duct work 14.00
Hydronie hot-water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 1 10.00 I D. 00
Other: 10.00
Tax map /parcel no.: Other full appliances
Water heater 10.00
,: 1 t - - �� r. > 4 .. s --,-;‘,...7.:------42E ' t, i I I r .
a..M z+i.�•�.... __. ._ 41: i , . ! -(Wi --- -- - lgli l .r _Gas fireplace 10.00
REPLACE GAS FURNACE WITH NEW GAS FURNACE. 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
,�'-i�Y L --- = : :.. E a s tv t l Chimney/liner /flue /vent 10.00
!s,... ...... ,,- r .: _
t:>.. . __..
..�. _- .. - °..,�- ••..... . � ,, . 0� , . ,,.. • . L;11' : Other: 10.00
Name: MATT MAGEE Environmental exhaust and ventilation
Address: 11915 SW 113 PLACE Range hood /other kitchen
equipment 10.00
City/State /ZIP: TIGARD, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)620 -8265 Fax: ( ) toilet compartments, utility rooms) 6.80
I l t � , - _ • : ,, yy Attic /crawlspace fans 10.00
.
I_ '�' 1 ill-cl ll I.a7.a'ti: t3l' Eli:g i )alsba,A,lin.;1 thLk .- ..a:a�y, :, t, till.l1N s . «.. 'xiii: .
Business name: CARSON OIL COMPANY INC Other: 10.00
Fuel piping
Contact name: JIM HARCOURT / TERI ZIBULSKY $5.40 for first four; 51.00 for each additional
Address: PO BOX 10948 Furnace, etc.
Gas heat pump
City /State/ZIP: PORTLAND, OR 97296 Wall /suspended/unit heater
Phone: (503) 471 -4328 Fax: : (503) 227 -8521 Water heater
Fireplace
E -mail: ZIBULSKY @CARSONOIL.COM _ Range
^f. __ . _ _ zr:.S: : 3 . - - a_�- -';5;'''.. - -•' _ _ —_ _ .'.
_ -- _ -_ a "'' '7 t . , ei - ' ; tt _r i :
_.... - .:i .... .:::'i: o- • - ""_ -- _ _ �' :_ �: c: c:.._ k-- it - rre:ss�ways�.. >:: _ .n_: _--- 1 Barbecue
Business name: CARSON OIL COMPANY INC Clothes dryer (gas)
Other:
Address: PO BOX 10948 ,.- _ : t a -1, • " -.-t s' '.= . . 11t.' #.0 °''
City /State /ZIP: PORTLAND, OR 97296 Subtotal at-}. c c
50
Phone: (503) 2248500 Fax: (503) 227-8521 Minimum permit fee (572,50) 'T g
Plan review (25% of permit fee)
CCB lie.: 8388 State surcharge (8% of permit fee) 5.
TOTAL PERMIT FEE 1 g 30
Authorized signature: / This permit application expires if a permit is not obtained within 180
r days after it has been accepted as complete.
Print name: TERI ZIBULSKY 1 D . 8/11/2006 • Fee methodology set by Tri County Building Industry Service Board
is\ Building \Pennit\MEC- PermirApp.doc 12/03 440.4617T(11/62/COWWEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006.003913
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/14/2006
Phone: (503) 639 -4171 / ie4 ii t
.�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' 1.
INSPECTION WORKSHEET FOR DATE: 1/24/2007 TIME: 7 :02AM PAGE: 32
SITE ADDRESS: 11915 SW 113TH PL CLASS OF WORK:
SUBDIVISION: MUTTLEYS ADDITION LOT #: 012 TYPE OF USE:
PROJECT NAME: MACEE
DESCRIPTION: Replace gas furnace.
OWNER: MAGEE, MATTHEW D + AMY L, PHONE #: 503-620-M5
CONTRACTOR: CARSON OIL COMPANY INC - PHONE #:' 503. 224 -B516
Inspection Request Scheduled For: Date: 1/2412007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
t nv u1
F Po /beam E--T ; s" 042434-01 503 -471 -4365 N
Corrections /Comments /Instructions:
c:o ok-k FL, :
. e
VV 'ASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: all Date: ) 0 Phone #: (503) 718- '41Y
CITY dF TIGARD -y
BUILDING DIVISION PERMIT #: MEt�200$ 00398
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/
Phone: (503) 639 - 4171 ° ih " It
Inspection Requests (24 Hrs.): (503) 639 -4175 °`` �..
' INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7:07AM PAGE: 63
SITE ADDRESS: 11915 SW 113TH PL CLASS OF WORK:
SUBDIVISION: MU TLE'YS ADDITION • LOT #: 012 TYPE OF USE:
PROJECT NAME: MAGEE
DESCRIPTION: Replace gas furnace.
OWNER: MAGEE, MATTHEW D + AMY L, PHONE #: 503-620-8265
CONTRACTOR: CARSON OIL COMPANY INC PHONE #: 503 - 224 -8516
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 039572 -01 503-471-4343 Y
Corrections /Comments /Instructions:
-#7.0 6 as A i - — 44 (7; €-/ - 'LW,&-
- /zavi-, - - - /,44.c,S— ': 7: Zii�C'a / 5 '
n PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
AIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: -- %'f 67 Phone #: (503) 718- Zi --.4,C-v
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: MEC2006 -00398 REQUIRED ON GREEN INSPECTION CARD.
ti
✓ Code 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 Reinforcin • 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 X 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 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 \Inspection Cards \Forms\AOP - InspCard- Blank.doc 12/09/2005
J
CIT O F TIGARD CARD - MECHANICAL PERMIT
� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00398
°- • � -;. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/14/2006
PARCEL: 1S134DC-03700
SITE ADDRESS: 11915 SW 113TH PL ZONING: R -4.5
SUBDIVISION: MUTTLEYS ADDITION LOT: 012 JURISDICTION: TIG
Project Description: Replace gas furnace.
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: 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: C AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
MAGEE, MATTHEW D + AMY L Description . Date Amount
11915 SW 113TH PL - - - -1
TIGARD. OR 97223 [MECH] Permit Fee 8/14/200€ $72.50
[TAX] 8% State Surcha 8/14/200E $5.80 I
Phone: 503- 620 -8265
Total $78.30 --
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PO BOX 10948 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97296 -0948 `
0
Contact #: FAX 503- 227 -8521
PRI 503- 224 -8516
Reg #: LIC 8388
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: /` ' a te Permittee Signature: _ ` mil / 4 C.,e/ _
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business • ay.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on tin9job site at the time of each inspection.