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Permit CITY TIGARD MECHANICAL PERMIT *A DEVELOPMENT SERVICES PERMIT #: MEC2006 -00343 �� 1, , DATE ISSUED: 7/25/2006 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S 104AC -00500 SITE ADDRESS: 12885 SW 132ND AVE ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Install gas piping and gas log unit. 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: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: 1 Owner: FEES SPANU, ANTHONY Description Date Amount 12885 SW 132ND TIGARD, OR 97223 [MECH] Permit Fee 7/25/200E $72.50 [TAX] 8% State Surcha 7/25/200E $5.80 Total $78.30 Phone: 503 - 590 -6034 Contractor: SUBURBAN @ HOME 6014 NE 112TH AVE. PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 257 -5438 FAX 503- 257 -5430 Reg #: LIC 143335 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. Iss d By: / E LI Permittee Signature: Call 503- 639 -4175 by 7:00 a.m. for inspections that b siness day. This permit card shall be kept in a conspicuous place on the job site ntil completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received // / P ermit No.: 7 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: / o�S UV' V6 d 4 , 0 , - C� Plan Review Other Permit: 503.639.4171 Fax: 503.598.1960 /�rmr f , .„ , Date/By: Inspection Line: 503.639.4175 _ ■ 1,1 0• Ready /By: Date Read - o' )` See Page for Internet: www.ci.ti ard.or.us g Notified/Method: ) (� Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE -• USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New uction ddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • • CATEGORY OF CONSTRUCTIO Value: $ • RESIDENTIAL EQUIPMENT / SYSTEMS FEES* - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: (Z Kfr . 5 Leo (3 Z' ' Air conditioning or heat pump ` (requires site plan showing placement) 14.00 I City/State/ZIP: �- 012- q 7-7-2--5 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 OF WORK Water heater 10.00 Gas fireplace 10.00 6 4c-0 ( e f o e trio I tr- 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 )ROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00 Other: Gas t.e55 ( 10.00 lb.00 Name: ' ` r S ya if) t Environmental exhaust and ventilation l � r ' � 1 Range hood other kitchen Address: (eiJ 1 l ? Z� G ] equipment 10.00 City/State/ZIP: T` a -p,� 0� 9 -i z7 -2) Clothes dryer exhaust 10.00 l 1 Single -duct exhaust (bathrooms, Phone: ( 5-03) £t . („03 LI Fax: ( ) toilet compartments, utility rooms) 6.80 (PPLICANT - 0 CCON PERSON Attic /crawlspace fans 10.00 Business ram `' ``\� ' `1 Other: 10.00 Fuel piping Contact name: `,r-Gop.d' L ,rote C $5.40 for first four; $1.00 for each additional Address: ?`y V \ \a V\ aumu i Furnace, etc. Gas heat pump City/ State/ZI D< (79Q (\ � 3 Wall/suspended/unit heater Phone:�_5,Z1�85 1 , Fax: : V ,.. ) . Water heater Fireplace I 5 E -mail: Range CONTRACTOR Barbecue Business name: L am" . 4-p ., Clothes dryer (gas) Other: Address \\& O& r\ \t P) MECHANICAL PERMIT FEES* City/State/Z . - \ 6) CAR Subtotal t I S. LiD p e^� C.� �j� Minimum permit fee ($72.50) 7Z .5 Phone. ��� G � 1�l J Fax: �""t l W Plan review (25% of permit fee) CCB lic.: \ 1 ` ) �./ State surcharge (8% of permit fee) f C Ci30 (/ TOTAL PERMIT FEE f--4 Authorized signature: v? This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: rt O Q ( — �A f a te} j Date: (,.j Z 1�r" 2 �6 ' Fee methodology set by Tri-County Building Industry Service Board ern .4177 n, M9lrnlenuro\ CITY OF TIGARD ,. -- BUILDING DIVISION PERMIT #: MEC2006 -00343 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/250006 Phone: (503) 639 -4171. � /omgn�NN�jil��i 11 Inspection Requests (24 Hrs.): (503) 639 -4175 . - /tIEC Q to — ©a g9 INSPECTION WORKSHEET FOR DATE: 7026/2006 TIME: 7:07AM PAGE: 35 SITE ADDRESS: 1 805 SW 132ND AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: SPANU DESCRIPTION: Install gas piping and gas lo,. unit. isommb OWNER: SPANU, ANTHONY, PHONE #: 603.690.6034 CONTRACTOR: SUBURBAN @HOME PHONE #: 5 3. 257 -5J38 Inspection Request Scheduled For: Date: 712612006 Pour Time: ; , -.. : .. Code # • Inspection Description Confirm # Contact # Message . 610 Gas line 033774 -01 503-590-6034 N Corrections /Comments /Instructions: Gti(r e( P5 0 4 P/) (J 4 2-P - L-' 1 • C , ( / i /"Zer..e) _ a_. ' , A c i 6 / , ,/ v sigma zi,„ 6 14 - 4.4__e-4 I ; , ' • X PASS PARTIAL APPROVAL ❑ CANCEL ..`'_ ❑ N ACCESS I FAIL ❑ CALL FOR INSPECTION • • ❑ ADDITIONAL FEES ASSESSED . • dp , . . Inspector: / i Date: l 21� ../ Phone #: (503) 718 ( a`� •