Permit IN r It .. MECHANICAL PERMIT
, CITY OF TIGARD
l' ' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00247
„ �°'.' " 4 DATE ISSUED: 5/2/2007
TIGARD
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103CC - 02300
SITE ADDRESS: 13870 SW 121ST AVE ZONING: R - 4.5
SUBDIVISION: COLONIAL VIEW LOT: 018 JURISDICTION: TIG
PROJECT: SCHAFFER
Project Description: Gas line to: (1) water heater, (1) future range and (2) fireplaces. (Approx. 80' total).
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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 3
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 4
> 10000 cfm:
Owner: FEES
ANDREW SCHAFFER Description Date Amount
13870 SW 121ST AVE
TIGARD, OR 97223 [MECH] Permit Fee 5/2/2007 $72.50
[TAX] 8% State Surcha 5/2/2007 $5.80
Total $78.30
Phone: 503 -515 -6259
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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.
' i
Issued By: //1 /1 J " ,/.. . / Permittee Signature: '14lJ ' /'t
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.
04/17/2007 10:20 5037616620 AINW 'AGE 01
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503. ':.1
Mechanical Permit Application 1 c t i ( ) i i i c i 1 ;, i't ' •
---- - . Received
1'ettaiYNu
13x Tit. 1
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:'• Phone_ 503.639:4171 Far x. >'i.., pt Odaerhermit:
hispectio line 503:634,4175 Dam kcady/By: hail: . ' tfi See Page T tv*
Internet: w w.tig�ocgov AP R 1 7 20u( tloofledAterboct `cipnoo000toq
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altcradi 1 MCC : ,. 'cal permit fees', are .based on thb value ofthe WO . '
p . New construction . . Ad onit odxep a tt perfumed. Wiese the Fiat tie (rounded to the nearest dollar).of afl
Q Demolition 0 Other y mechanical ruateriels, equipment, labor, overhead. and profit
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® 1- and 2 fan ily dwelling 13 'CotsflzuerciztU>ndusDtal' 0 Accessory budding Far special Infisrmatfon use diecklU
D Multi family [I Master' builder. ', • Gahm-. Description . _1 Qty. I Ea . L Tote!
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Air conditioning or ]test pump
Job site address:13870'SW 121 (points site t rmn.ehawiaa aG►aeAaeac) 14.00.
City/StatcJZIP: Tigard, OR 97i0 ' Fumaoc 100 000 BTU: deitcMnts . 14.00
Ftnuace 100,0004- Div onadvelgo. 17 -90
suite/bldg./apt_ no.: Project »e: • • Gas heat to 14.00
Cross street/directions to job site:.Gaarde Duct work
F1,yrvnic hot water system • . • 14
Residential boiler (radiator .or • . •
14 W
•
Un (fuel-tyna. not electric), •
in-wall. in -duct. suspended, etc: 10 :00
• Flue/vent for mlYof above . 10.00
Subdivision: _ I Lot no.:
A Other.
Tax map/parcel Mate: 1 no. Other fuel ttppluinees
s >a p.. . . -.. - ., - r, .;,n. , j , as .:.gym roll RIPuwP - w „ ,... aide? ='.,.. • • Fl r Wat
. tar . 1 10.00. I
X ., ,, f xy y w,. nCl 10.00
d? M1 r r a J� v 1 ' - (fag fireplace !1111 '. •
Res A-415(-
/� � '�^�" `' Flue veal for water heater or gas •
, >�lace _ • Pre $-„ rt V r s tghter (IMO • 10.00
API b ' . Wood /pellet slaver 18.80
• Wood tirepiaodi nscrt. • . 10.00:
gv Y, e..r !r n-[ �.a r x tf w J1. rai 'iC, 7x. , �+. ; . .... W; < . P ' J ,,� ..,. c1UpII iner/Quelvent 10,00
:
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� , .Y. $.,, t Fr'o�.,, eta. :t�.IN J.oY�..i1.1Sc7G7 . -
. Name: Andrew Schaffer . Environmental ethane and veuttlatiou .
y Range hood/other kitchen • .
Addressr13870 SW 121 Ave. . . • _ etu , '10.00
City,/Stan:MZPP Tigard, OR 97223 • Clothes dryer exhaust 10.00 '
- Singte• duct edraust (bathrooms, . • .
Phew (503)61S -6259 fax (503')524-7871. toilet ooutpestnaets. rolbty rooms) 6.g0' •
tiiy„- 7 b $T? i aT A f ,^ { ir Fig' a 7d' S t 1 w ,7f.g1 2', 7'7- � r i t„l /�11tiricrawlspace falls. 10.00
/Vig: 3btA•idrda , .1..iZiTr.....d.rs+ ::
vr r ' 'a� :1F2,,.^`: 'V ".. iia:/ .kkiiik:tt ;4,t lug 10.00
Burin tee: Property Owl Fael twpinE
Contact 55.40 for first lotus; SIM for each addidunal •
Furnace, etc. 1
Address: '. , . Cras heat pump . .
City/Stnirrl1P: • . wa11/suspendediunit heater • ' • Water ]radar
Phone'. ( ) Fax : ( ) Fireplace .
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Business name: Property Owner Clothes dryer (Ras}
OtileT ra.1.7xr74'ti" < iyr/- � 6" ' "•7 1r-7
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Acidtesg: 9' ! i- •'. r 1� �{.." . dLi a 'Yi.. wk: ?7 3 S f ,',444,.• ucif..r.:4.Li +wn :� 1 -) .,,, • - •
City /State LiF ' &hatotil [g
. . A�liaimuni permit fee ($71.50) ,'.
1`h one: ( ) .. , . J . FWc: (• ) Plan review (z5% ofpesmit fee)
CCB he.: State sur barge (8% Of nit.fcc) J D
. TOTAL FERMIT FEE rs
, don siyesee'i£M i; aot'obsrrined..illxin t60
t#uthosized sieaa !': r i p aP1> permit .
r days a19er R tgrs biro accepted is oampkta
!6 �4°R '' Fee methodology art by'1'ri.Conii y Building Industry Service Board
Print ttatlae: A02� Date: 1 .► . •
1:U3kdldiraTMoi4ll .wdA¢v.Qoc o4t65/06 4404617T(11/021COM Fes) •
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MEC2007-00247
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2007
Phone: (503) 639 -4171
A mi iil
Inspection Requests (24 Hrs.): (503) 639 -4175 s' E:_.. /7 bC 0,00 9 - (J a at/7
INSPECTION WORKSHEET FOR DATE: 5/30/2007 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 13870 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: COLONIAL VIEW LOT #: 018 TYPE OF USE:
PROJECT NAME: SCHAFFER
DESCRIPTION: Gas line to: (1) water heater, (1) future range and (2) fireplaces. (Approx. 80' total).
OWNER: SCHAFFER, ANDREW PHONE #: 503- 516 -6359
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 049259 -01 503- 515.6269 N
Corrections /Comments/ Instructions:
-144 -S iAs�a io Z4 4v li/.Li.s', s' : (2 Pl "c 'Try Vii. -
j /9-�- Ca,-1L Vj
[l PARTIAL APPROVAL n CANCEL I I NO ACCESS
I I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Dater' 3U O7 Phone #: (503) 718 - '�
.
c ,
CITY OF TIGARD
,.., ,..
BUILDING DIVISION
A PERMIT #: N1EC2007-00247
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 5/2/2007
Phone: (503) 639-4171 'I
Inspection Requests (24 Hrs.): (503) 639-4175 ,4,1191 tl_-_. / — 61610
INSPECTION WORKSHEET FOR DATE: 5/2912007 TIME: 7:02AM PAGE: 30
SITE ADDRESS: 13870 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: COLONIAL VIEW LOT #: 018 TYPE OF USE:
PROJECT NAME: SCHAFFER
DESCRIPTION: Gas line to: (1) water heater, (1) future range and (2) fireplaces. (Approx. 80' total).
OWNER: SCHAFFER, ANDREW PHONE #: 503-615-6259
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 049180-01 503-515-6269 N
Corrections /Comments / Instructions:
ez---"Ae_455,-,'6
•
7
El P 5 n PARTIAL APPROVAL
Li CANCEL
0 /
FAIL n CALL FOR INSPECTION
n ADDITIONAL FEES ASSESSED El NO ACCESS
Inspector: A Date: , =. ------ 29--6 Z Phone #: (503) 718-