Permit CITY OF TIGARD
MECHANICAL PERMIT
i , DEVELOPMENT SERVICES PERMIT #: MEC2003 -00603
Ail DATE ISSUED: 10/16/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111AD -08400
SITE ADDRESS: 08865 SW REILING ST
SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R -4.5
BLOCK: LOT: 007 JURISDICTION: TIG
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:
LPG 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:
Remarks: Replace gas furnace.
Owner: FEES
JOE GLASSMIRE Description Date Amount
8865 SW REILING ST [MECH] Permit Fee 10/16/03 $72.50
TIGARD, OR 97224 [TAX] 8% StateTax 10/16/03 $5.80
Phone: 503 968 - 1131 Total $78.30
Contractor:
COMFORT MECHANICAL INC
17936 SE DIVISION STREET
PORTLAND, OR 97236 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Final Inspection
Reg #: LIC 79558
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 -00
I
Issued B ( � , ' / - Permittee Signature: , o/t/ f'G /ef —Tl�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
f
Oct 14 03 03:22p Comfort Mechanical, Inc. 503 - 762 -5394 p.2
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Mechanical Perml i' ; lication FOR OFFICE USE ONLY
G ` Received
� � Mechanical Y Date/B : /61//y/0,..5 <,. Permit No. ,t/
fO� �040..3 �L
City of Tigard A o Building
`,f � Date/B: Permit No.:
13125 SW Hall Blvd.
- 4 �,tt Plan Review Other
Tigard, Oregon 97223 00 Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: 503 -59 Post- Review Land Use
'( ® / �; *: " N, i , a D ontac t Case No.:
Internet: www.ci.ti ardor. OF VS CON R , f 0' � 1 contact ® See Page 2 for
24 -hour Inspection Request"' • . .,`,t' X475 ' "
p q ♦ Name/Method: -r76- Supplemental
:..:. _ : • TYPE`OF WORK.. :... ; . •::..• .. :.,..... •:' • `:COMMERC IAL.FEE''SCHEDULE ; USE CHECKLIST.: . ..
❑ New construction Q Demolition Mechanical permit fees* are based on the total value of the work
El-Addition/alteration/replacement [] Other: performed. Indicate the value (rounded to the nearest dollar) of all
' •CATEGORY;,OF C ONSTRUCTION: : • • mechanical materials, equipment, labor, overhead and profit.
1 & 2- Family dwelling ❑ Cominercial/Industrial Value: $ See Page 2 for Fee Schedule
Accessory Building ❑ Multi- Family . • :.: RESIDENTIAL:EQUle.MVIT /$YSTEMS• • '.S,CHEDULE...' . 7.. Description Qty Fee(ea.) I Total
ID Master Builder ❑ Other: Heating/Cooling. .
JOB•STTE INFORIVIATION a ad LOCATION • Furnace - add - on air conditioning ** y ( 14.00 lLic.%
Job site address: 8 5 SW - Rel ki 1 ct . Gas heat pump . 14.00
Suite #: I Bldg. /Apt. #: Duct work 14.00
• Project Name: Hydronic hot water system 14.00
J Name: , : ( -, e (. ;C . S f 71 t r f Residential boiler
Cross street/Directions to job site: (for radiator or hydronic system) 14.00
r- 1 Unit heaters (fuel, not electric)
(36.5 •(_ . (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 10.00
Subdivision: I Lot #: Repair units 12.15
Tax map/parcel #: Other Fuel' Appliances
Water heater 10.00
. DESCRIPTION O. WORK Gas fireplace 10.00
Flue vent (water heater /gas fireplace) 10.00
Log lighter (gas) 10.00
t E t:p 16 t r [- \--C, --1 y'., 'l; /.'.. i:Z2 — Wood/Pellet stove 10.00
1.1 Wood fireplace/insert 10.00
- Chimney/liner /flue/vent 10.00
t:d P 'ROIERTY: WNER 'TENA`I$T; ':_ :74' ;s '�:;- Other. 10.00
` ]h� 1- 1 e. Environmental Exhaust & Ventilation . -
N • �. e: ♦ Q V Range hood/other kitchen equipment 10.00
Address: 6 . L,- 'r i a 1r:1 - Clothes dryer exhaust 10.00
City /State /Zip: '1 u.(: k 'i - 127_ '4
� Single duct exhaust
Phone: et 4,9 - I 1 M Fax: (bathrooms, toilet compartments,
` a:APPLICANT _ ,.., •DOPITACT4PE32SON utility rooms) 6.80
Name: Attic/crawl space fans 10.00
Address: Oche 10.00 •
Feel Piping .
• City /State /Zip: • +($5.40 for first 4, 51.00 each additional)
Phone: I Fax: Furnace, etc. **
Gas heat pump **
E - mail: Wall/suspendcx. snit heater **
CONTRACTOR :.., Water heater **
Business Name: ( of y - M calculi Cetfc Fireplace **
_ Address: Iig3(, SE b1viS1t»- S'-. Range **
City /State /Zip: Payt &cL 72OZ 4 C lo th es dryer (gas) ' **
Phone: -7iol - 1 500 I Fax: Other: **
CCB Lic. #: - i Ci 6,5$ Total:
Authorized • Mechanical Permit Fees*
:" - I ,�J4'r� /' ,.. /, // /i ce ' Date: 1C/ /c Subtotal: $
Signature
�� Minimum Permit Fee $72.50 $ e 0
i Plan Review F ee (25% of Permit Fee) 11 J J
: 1tdit� /�� :. ! ia r-i./ / ( ) $
(Please print name) State Surcharge (8% of Permit Fee) $ 5 . Z' G _
. TOTAL PERMIT FEE $ 1 e . ':
Notice: This permit application expires If a permit is not obtained within *Fee methodology set by Tn - County Building Industry Service Board.
180 days after it has been accepted as complete- **Site plan required for exterior A/C units.
i:\Dsts\Permit FormsVviecPertnitApp.doc 01/03
CITY OEFTIGARD... 24-Hour
BUILDING Inspection Line: (503) 639 -4175
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INSPECTION DIVISION Business Line: (503) 639 -4171 MST 0 , �I I BUP
Received Date Requested /O — 30 PM BUP
Location o IQ e 4 f n S Suite 4 3 o o ((O3
Contact Person I not Ph ( ) 76, ! - I.5 D PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
IAA Ftg Drain Access: , /� ELR
Crawl Drain (/
Slab Inspection Notes: v�� SIT
Post & Beam ' / /
Shear Anchors /
Ext Sheath/Shear ' �'� 5j7' C-
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
C I
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PART FAIL
P '�IOIECHANICAI)
ost & Beam V' S
Rough In K
Gas Line
Si oke Dampers /6
- 47-MIP PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA ,cam �j
Approach/Sidewalk Date �/ ` �J + In spector � ' Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL