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Permit "/7 p2 #1 DD () t - x d-- 5 FA 4/3 �,� �i� zo CITY OF TIGARD MECHANICAL PERMIT f'. � COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00488 Vii: T IG A RID ' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/6/2007 PARCEL: 1S125DD-09900 SITE ADDRESS: 09600 SW VENTURA CT ZONING: R -4.5 SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT: 107 JURISDICTION: TIG PROJECT: WILBERDING Project Description: Gas line for outdoor BBQ and fireplac . 11/7/2007 ADD bathroom exhaust fan. CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: CENT FANS: 1 OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYST . STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 2 Owner: FEES WILBERDING, B J + MICHAEL J CO -T Description Date Amount 9600 SW VENTURA CT TIGARD, OR 97223 [MECH] Permit Fee 8/6/2007 $72.50 [TAX] 8% State Surcha 8/6/2007 $5.80 Total $78.30 Phone: 503- 245 -9768 Contractor: SYSTEM AIRE INC 14444 SW FERN ST TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -524 -5927 Reg #: LIC 38062 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. CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007-00488 , *� DATE ISSUED: 8/6/2007 iTIGA 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DD-09900 SITE ADDRESS: 09600 SW VENTURA CT ZONING: R -4.5 SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT: 107 JURISDICTION: TIG PROJECT: WILBERDING Project Description: Gas line for outdoor BBQ and fireplace. CLASS OF WORK: OTR 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: 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: > 10000 cfm: GAS OUTLETS: 2 Owner: FEES WILBERDING, B J + MICHAEL J CO -T Description Date Amount 9600 SW VENTURA CT TIGARD, OR 97223 [MECH] Permit Fee 8/6/2007 $72.50 [TAX] 8% State Surcha 8/6/2007 $5.80 Total $78.30 Phone: 503- 245 -9768 Contractor: SYSTEM AIRE INC 14444 SW FERN ST TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -524 -5927 Reg #: LIC 38062 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 l; / Permittee Signature L• '` — Call 503.639.4175 by 7:00 a.m. for inspections hat busines d . This permit card shall be kept in a conspicuous place on the job site until c letion of the project. Approved plans are required on the job site at the time of each inspection. Permit A s I Heat' 1 !__,. i ' ? t ' f� ` F F . V 4 . _. , �. t Received ���� ity of Tigard ,, I ` Date /By: . / Permit No AIM' .. __,� '1L'l:a i t ;3 •• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review _ L'la 9 Phone: 503.639.4171 Fax: 503.598.19 2007 U C 0 6 Date /By: Other Permit: T I C A R t) Inspection Line: 503.639.4175 Date Ready /By: Ju • ® See Page 2 for n,,, Internet: www.tigard- or.gov CI - , ,'r J1. Notified/Method: .4/ Supplemental Information TYPE OF W • RK 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 RI Other:Z !I& �-K T LS mechanical materials, equipment. labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ 1- and 2-family dwelling RESIDENTIAL EQUIPMENT./ SYSTEMS FEES* 111 y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder 0- Other: Description I Qty. Ea. I Total • JOB SITE INFORMATION AND LOCATION' Heating/cooling Job site address: %co iZ / Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: ©,z 97Z0-3 Furnace 100,000 BTU (ducts /vents) 14.00 Suite /bldg. /apt. no.: Project name: l �11 .��,e/� Furnace 100,000+ BTU (ducts/vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: Duct work 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: (a hNC,`1 -?DJ C - ` a 2,,E f Flue /vent for any of above 6.80 Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCREPTION OF WORK Water heater 10.00 C.S .�%,ti Gas fireplace 10.00 - i U ' � Q (���(� Flue vent for water heater or gas g fireplace 10.00 �t Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 (y'PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: (A) t (,e 3//0& Environmental exhaust and ventilation Range hood /other kitchen Address: qa;iOD L r (!z CT equipment 10.00 City /State /ZIP: ° r �o 04- q 7ZZ 3 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT , ❑ CONTACT PER SON, Attic /crawlspace fans 10.00 Other: 10.00 Business name: ` e �Meg"'�' vW � Fuel piping Contact name: jt(j_, d`� / $5.40 for first four; $1.00 for each additional Address: Furnace, etc. C)' 2 Gas heat pump City /State /ZIP: --- 27 - C 4,61 QZE- q fl Wall /suspended/unit heater Phone: )q 7 7 - 6 -q Fax: : ( c p77 Z4767 Water heater Fireplace 1 E -mail: Range CONTRACTOR Barbecue / • ` 7te n _ /� _ `4 � Clothes dryer (gas) Business name: � �/ V ` �"�/ . Other: Address: / 1 /4r4% 5 J /V f Sr. MEC HANICAL PERMIT FEES* 7� City /State /ZIP: . ,- 6 ., ) .. 6 ., ) .. f� Subtotal ` Minimum permit fee ($72.50) Phone: (5Z)r 6-24 L ✓5 q 27 Fax: (Zi3 ej - S 36-7 Plan review (25% of permit fee) CCB lic.: * .342Z State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: "°,e1 This permit application expires if a permit is not obtained within 180 � �� days after it has been accepted as complete. Print name: i( // y i ���"� a` 14' Date: /: * Fee meth set by'rri- County Building Industry Service Board 1 :\ Building \ Permits U1EC- PermitApp.doc 01/19/07 40 6 (II /02 /CONUWEB) Mechanical Permit Application - City of Tigard Page 2 Supplemental Information Ut,`, Commercial Fee Schedule: Total Valuations'` - 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. • • 1: \Building \Permits \MEC- PermitApp.doc 01/19/07 2 O 1 0 I UNDER // \ J / / : \ CTR REF. +36° 129 I Q - -- . I E :L H_ —:12' :6' 11 15 - , -- El • F9 0 / I I I I r El LEI I3 I „', I —7\s's C.,4.5 F.P. \ • ■ =- 1 ° I` - 1 . ',.; :, . _,2,...,-2Go_z_00-z_ayq__ CITY;.0F TIGARD BUILDING DIVISION PERMIT #: MEC2th)7-O0.198 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/612007 Phone: (503) 639 -4171 of�l A K Inspection Requests (24 Hrs.): (503) 639 -4175 'l:F:.. INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7 :00AM PAGE: 47 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: W1WEROINC DESCRIPTION: Gas Tine for outdoor BBQ and fireplace. 11/7/2007 ADD halhroor exhau. fun. OWNER: WILBERDINt , 0 J + MICHAEL J CO -T, PHONE #: 5 CONTRACTOR: SYSTEM AIRE INC PHONE #: 503 -524 -5827 Inspection Request Scheduled For: Date: 11/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 MKhanical rough -in 058247 -01 503- 317 -8035 Y Corrections /Comments /Instructions: ' '#D 5' ,j 'PoR7' 1 r^ e3 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - N Date: //— S Phone #: (503) 718 - {- S CITY OF TIGARD lir- • ,_ 3 BUILDING DIVISION PERMIT #: h1EC2001-00.-it3B 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0 Phone: (503) 639-4171 Aeb, Z11 Inspection Requests (24 Hrs.): (503) 639-4175 11 INSPECTION WORKSHEET FOR DATE: 8/2912007 TIME: 7:00AM PAGE: 3t) SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: WILBERDING DESCRIPTION: ();:11:; Brio I'm outdoor BBO and fireplace. OWNER: WILBERDING, B J + MICHAEL J CO PHONE #: 6 CONTRACTOR: SYSTEM ARE INC PHONE #: 50:3. 524,6927 Inspection Request Scheduled For: Date: 8/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 054817 503-317-8036 N Corrections/Comments/ Instructions: .1 F 4 ----- gl /e1/ - &._- g 6:7 _c .4--?" (-.0/ - rn 17 C_At-cz, 1,1 t)il & Lig7611 • PASS PARTIAL APPROVAL E1 CANCEL fl NO ACCESS 1 FAIL j/L< FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: Date: g Phone #: (503) 718- La \ CITY OF TIGARD ' BUILDING DIVISION PERMIT #: MEC2007- 0048f3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/6/2007 Phone: (503) 639 -4171 ,I „ �,l ' Inspection Requests (24 Hrs.): (503) 639 -4175 ±i ��' INSPECTION WORKSHEET FOR DATE: 8/712007 TIME: 7:03AM PAGE: 22 SITE ADDRESS: 09600 SW VENTURA CT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 107 TYPE OF USE: PROJECT NAME: WILBERDING DESCRIPTION: Gas line for outdoor 1330 and fireplace. OWNER: WWLE3ERDING, E J + MICHAEL J CO -T, PHONE #: 503 CONTRACTOR: SYSTEM AIRE INC PHONE #: 503 Inspection Request Scheduled For: Date: 8/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 053551 -01 503 - 317 -803.5 Y Corrections /Comments/ Instructions: M K - ov a ❑ PASS -1 1 PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � Inspector: Date: F 7 ° 2 Phone #: (503) 718- 7_4 -4