Permit - A
• :d
CITY OF TIGARD
COMMUNITY MECHANICAL PERMIT
LAITY DEVELOPMENT PERMIT #: MEC2007 -00073
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/7/2007
PARCEL: 2S110BD -05200
SITE ADDRESS: 11945 SW VIEWCREST CT ZONING: R -4.5
SUBDIVISION: ASPEN RIDGE LOT: 017 JURISDICTION: TIG
Project Description: Vent range hood.
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:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PEASLEE Description Date Amount
11945 SW VIEW CREST CT.
TIGARD, OR 97224 [MECH] Permit Fee 2/7/2007 $72.50
[TAX] 8% State Surcha 2/7/2007 $5.80
Total $78.30
Phone: NA
Contractor:
EVERGREEN GAS INC.
2210 NE 102ND AVE.
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 407 -9542
Reg #: LIC 158031
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 b iness 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.
Mechanical Permit Application:: roR or i Ic I osr O Ll •
City of Tigard Receives
Date/By 7 Q h g Permit N V 13125 SW Hall Blvd. Tigl, ',. . CEi
� , ' Il h . Plan Review
II • Phone: 503.639.4171 Fax: 503.598.1960 Date/gy. Other Pemut
T tG A R lj Inspection Line: 503.639 7 2UU l Date ReadReady/By: IliM ® See Page 2 for
Internet: www.tigard or.gov F EB _ 0 7 7 Notified/Method Supplemental Information
- TY 1WOR•K I iun L COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction t �ornTreplalclemen�tl r' 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: $
-and 2-family dwelling ,RESIDENTIAL EQUIPMENT / SYSTEMS FEES *' - _
y g ❑ CommerciaUindustrial ❑ Accessory buildin
For special information use checklist.
*)Multi-family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooliot;
Job site address: ✓e� LkJ C f C. Air conditioning or heat pump
/ ! y (requires site plan showing placement) 14.00
City /State /ZIP: tior 49C_ 5 22,7 Furnace 100,000 BTU ( ducts/vents) 14.00
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: Duct work 14.00
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. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
- DESCRIPTION .O WORK Water heater 10.00
71 Gas fireplace 10.00
li e 1/1 aQ_ �� Flue vent for water heater or gas
v fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
- ROPERTY OWNER - I ❑ TENANT Chimney/liner /flue/vent 10.00
Other 10.00
Name: / j't Environmental exhaust and ventilation
Address: / /94/3" f- L t Cre5 Cr- Range hood/other kitchen 1 Pti equipment [ 10.00
City /State/ZIP: � Q 7Z,2 el Clothes dryer exhaust 10.00
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility rooms) 6.80
. ❑ APPLICANT _ ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name:
Other 10.00
_
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: WalUsuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
,. CONTRACTOR ' • Barbecue
Business name: evi /Cep � i�� Clothes dryer (gas)
" Other:
Address: ).50 0 0 g 49 j ' RN e c Nz.,, MECHANICAL PERMIT FEES* '
City /State /ZIP: g fL A, a _ , 7 s6 8 Subtotal 2 ,9 5
�-* r�� Minimum permit fee ($72 50)
Phone: (J t/ 7 yS zr / z F ax: ?7�S/ / -
Plan review (25% of permit fee)
CCB lic.: / ) f0 - - State surcharge (8% of permit fee) 5.
0 03 / / TOTAL PERMIT FEE 7g 50
Authorized signature: , ' i This permit application expires if a permit is not obtained within 180
i / 1 days after it has been accepted as complete.
,
' _ . I� Date: Q ' • Fee methodology set by Tri-County Building Industry Service Board
. —
I \Building\Pertnits \MEC- PermitApp doe 04 /06/06 4 1 6I7T 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\NEC- PermitApp.doc 12/30/05 2
•
. ,
- :: ` CITY OF TIGARD
MECHANICAL PERMIT
EC2
PERMIT #: M007 -00073
COMMUNITY DEVELOPMENT DATE ISSUED: MEC2007-00073
T,GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110BD -05200
SITE ADDRESS: 11945 SW VIEWCREST CT ZONING: R -4.5
SUBDIVISION: ASPEN RIDGE LOT: 017 JURISDICTION: TIG
Project Description: Vent range hood.
NINININEINIBBNIaw
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:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PEASLEE Description Date Amount
11945 SW VIEW CREST CT.
TIGARD, OR 97224 [MECH] Permit Fee 2/7/2007 $72.50
[TAX] 8% State Surcha 2/7/2007 $5.80
Total $78.30
Phone: NA
3
Contractor:
r• �
EVERGREEN GAS INC. (J �6 07' CO r� Z �" O g/d -7 (/ O
2210 NE 102ND AVE.
PORTLAND, OR 97220 REQUI - ; D f EMS AN 9 . '. .r;0' ,,,,_,._
f : - '' ''''''' . '''''''•,^ -' j ■4
Contact #: PRI 503- 407 -9542 , ti �`.' �.... „ *” o
Reg #: LIC 158031 y y „4
.. ' .-- ''''--. - .f . ..7 -,,, W
Ii x I
•
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 f
( Call 503.639.4175 by 7:00 a.m. for inspections that biness 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 MEC2007 -00073 REQUIRED ON GREEN INSPECTION CARD.
✓ 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 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 Firc 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
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- Blankdoc 02/02/07
CITY OFTARD
BUILDING DIVISION PERMIT #: MEC2007 -00073
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/7/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175 4 11
INSPECTION WORKSHEET FOR DATE: 219/2007 TIME: 7 :04AM PAGE: 74
SITE ADDRESS: 11945 SW VIEWCREST CT CLASS OF WORK:
SUBDIVISION: ASPEN RIDGE LOT #: 0.17 TYPE OF USE:
PROJECT NAME: MACGILLIVEREAY
DESCRIPTION: Vent Lange hood.
OWNER: PEASLEE, PHONE #: NA
CONTRACTOR: EVERGREEN GAS INC., PHONE #: 503-407-9542
Inspection Request Scheduled For: Date: 2/9 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # ' Message
640 Exhaust hood 043131 -01 503- 407 -9542 N
Corrections /Comments /Instructions:
•
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL O ACCESS
• ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: 9 — `I Phone #: (503) 718-
r r
CITY OF TI =- y,►
BUILDING DIVISION PERMIT #: MEC2007- 00073
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/7/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/13/2007 TIME: 7 :02AM PAGE: 16 f;
SITE ADDRESS: 11945 SW VIEWCREST CT - CLASS OF WORK:
SUBDIVISION: ASPEN RIDGE LOT #: 017 TYPE OF USE:
PROJECT NAME: IVIACGILLIVEREAY
DESCRIPTION: Vent range hood
OWNER: PEASLEE, PHONE #: NA
CONTRACTOR: EVERGREEN GAS INC. PHONE #: 503 - 407 -9542
Inspection Request Scheduled For: Date: 2/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
640 Exhaust hood 043341 -01 503 - 407 -8542 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: ). Date: Phone #: (503) 718- ?446/