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Permit -�- ,�� CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00435 'TIGAR 13125 ISSUED: 8/20/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S115AD - 04800 SITE ADDRESS: 16700 SW 108TH AVE ZONING: R SUBDIVISION: DOVER LANDING LOT: 031 JURISDICTION: TIG PROJECT: NESVOLD Project Description: Add gas line and venting for new water heater. Water heater to be done under minor label. 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: 1 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: > 10000 cfm: GAS OUTLETS: 1 Owner: FEES JUDY NESVOLD Description Date Amount 16700 SW 108TH AVE TIGARD, OR 97224 [MECH] Permit Fee 8/20/200€ $72.50 [TAX] 12% State Surchai 8/20/200€ $8.70 Total $81.20 Phone: Contractor: STEVEN R MILLER 19272 NW TIMBER RD FOREST GROVE, OR 97116 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 357 -2778 FAX 503- 359 -1358 Reg #: LIC 122939 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Iss ed By: i Permittee S' • - d o , '' �il'" or ,e _ Call 503.639.4175 by 7:00 a.m. for inspections th • •usiness • y. This permit card shall be kept in a conspicuous place on the j o • rte until completion of the project. Approved plans are required on the job site at the time of each inspection. 05/25/1995 21:22 5033591358 STEVE MILLER PAGE 01 . - . Mechanical Permit A Application .. 19, ,. ,, " + I "" 1 �t „ , iu � „, ,`xr , „,, pp r r'tt +ILf11!I1< I V, (lNl1 i �. �YS i i u tl I u .ail.. i . ,. ice � '�i_ i�. d�'.; :: is l.i !1:d � S .r, i �� Y 6 tl� J i lAai�i��ir� -ytd'G .r.:: � � ,; City of Tigard �� ante a >. I 08 Pc�,i� No ae p o8 _� 1 S — • . ^ 131.5 SW Hall Blvd,, Tigard, O 1 1 223 Plan Rc�cw t. �; a^, a Phonc. 503,639,4171 Fax 503.59p. 1960 arc Pc Other Permit: . 4 (° ��, ti Inspection Line 503.639 4175 ' a 2 - = - - - - - -- - - � Bu t udv•B� + }� set Peet 2 fn. S 'A . :;.;;!:1 lnecmet, wwu.tipatd- or.Rrbv 0 41' SC , .. cd•�4cttet: / Aonrtn..�.att� . G © _ ; _ TYPE OF W ORI� � �I I ,1- - ��� � G � � . ` - ^ -- COrttifERC1AL 'Tv 'Tv REDUL11r - ['SA t:H$t'q,t�1' Q Now construction �ddition'alterationtreplp � Mechanical permit feet' are based on the value of the work �L}1w�. performed, Indicetv the value (rounded to the nearest dollar) of all Q Demolition ❑ Qther, , mechanical materials. e9ui+)_ment_ labor, overhead. nnrdprof t CATEGORY OF CONSTRUCTION j _ _ value:, s • and ^- fs mily dwelling Cnmm erctnl /industrial - -~ RESIDENTIAL EQlt1PMENT / SYSTEMS FEES' S ❑ Q .Acec9?o building I For special information use checklist. ❑ Multi - family ❑ Ma.ster builder ❑ Other. i t Description 1 Qty. Ea. TntN JOB SITE T VORMATION An LOCATiO J I awing/moo Job silt address; (p 70 h Air conditioning er heal pump .._.,.__- „,._. .......__._ . ._. - ! rca +,i 14 .00 _ Clty'State'ZTP l 1 c� ° r. q 7 — — — — Furnace 100,000 BTU fduca +rcn >i 14 00 : Furnace 100.000 ETC (ducuwentrk 17.40 �Smite/bldg. /apt. no.. Project name _ .. _ Gas hcatpump 14.00 C1oss streeVdirectiona to lob Ott Duct work 10 �[ Hydrontc hot water system 14.00 AL) f �4 .,!r r 4 ; Residential boiler (radiator or hydrgnic) 14.00 _ Unit heaters (fuel -type. not elcctrie). in -wall. induct. suspended, etc. 14.00 -_.,. __— .— ..-- ____...._.._ __.. Fluc'vcnt for any ^f about 6.80 1 Subdivision. Lot no,: • - -- Other I - 1000 1 Tear map /parcel no.: --------------- Other fuel appliances DESCRIPTION OF WORK — - - - -��_ -� _ Wat h ealer i — E 10.00 I .� — -- - Gas fireLllace 1__ 10.00 I 44,k Flue vent for water healer or tc fireplace ( laao ! • ° -- - Is lishtcr (gas) -- i -_ 10,00 ! t_ .__ _ _� Woodlpcllet st ove SOH I Wopd firc 10.00 1 - -- ❑ TEN Chimnc /liner/flue /vent 10,00 PROPERTY OWNER _ w Other; 10.00 Name: Z):121 N PS(/p /c / Environmental exhaust and ventilation Addres9: Range hood/other kitchen I sGt r wR .,_.w _ -- - -- equipment 10.00 City/State.21P: Clothe dryer exhaust 107.00 i -- -- -- -- -_,__ _.,,,- _._,.. ine c uct exhaust (bathrooms. Poto: ( ) Far; ( ) toilet comparbnents. utility rooms) ! 6.80 t!T AYPLICANT ❑ CONTACT PERSON Attie/crawlspacc fang 10.00 pp other 10,00 Business name, S',1 _ tJ�[ � L4 r � w p O i w( - ---- --- - -- Fuel piping Contact name' c J v � J — 55.40 fee fiat four; St ,00 for each additional — - -- -... Address: Furnace. eta S t , LC (_.+ 4 �.a— .,�.,...__ _.._...._...,-_ _Gm heat pump Cfty /State /ZIP: ��.rs �?"e t9 ..-4-)7_,_., o's s r ^ c S 71 / 6 Wall /suspended/unit heater Phone: (� 3 ).S'c' 7 - a•? -7( Fax (•S b _Water beater - - _��. � l� . Fireplace f Email: - rv - — — Range - - l CONTRACTOR - — Y Barbecue i Btttincs! slams: -r e \ t1-4"'” - Clothes dryer�yns) ------..------J Other A ddre ss: j a 7 J w ,aa . ... „_.. Ai -- . . . . „ . . _ MECHANICAL PERMIT FEES* t C1ty''Sta �,• Y l c _ } 0 ., ¶7!/4 _. -- — — _ Subtotal _ Minimum permtt fee (572.50) ,1.4 Phonc: 0'1+3).3 4-- r3.?? ax F, (.{1 — _ / = / , Plan review (2$ of permit fee) CCU lie i � / 9 7 s — N.,. sutcharga (12% of permit fee) 7 # p fee) i -- - / � � . _,._.. ..... _ ..— _. ________•.1 TOTAL PERMIT FEE 0 Authorized signature: R Thii Oceanapplkednn expires if n permit in no obtained afhol e dark after it has keen atccetrd as complete. Pri ' Jb0.i 4, 1 .2,4 i 1(.- J` I $ / Date r ) _I f_ ] • Fee n rc; by Id-County Building :ndu•.r y service cad t t9r ,1141naTeM,G•n41C- N- TitAppd Q' oc O1 ; I' 44l -1 ''- � ' 'CITY ^��I�—�� �����F��������� o ��m w n��m~uom�� � BUILDING DIVISION PERMIT �°~~"°~~�""~~= ~~"°"~~"~~"~ #: k4F{�2U0Q'O[�35 13125GVV Hall B|vd.. Tigard, ORA7223 D ATE|SSUED: Ey702008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ��w@~ '11. INSPECTION WORKSHEET FOR DATE: 801/2008 TIME: 7:02AM PAGE: 18 SITE ADDRESS: 16700 CLASS � SW 108TH � SUBDIVISION: LOT TYPE USE: � DOVER LANDING #: 031 � PROJECT NAME: � NESVOLQ DESCRIPTION: Add qa. lino arid venting for new water heater. Wter heatei to be done urider minor label. OWNER: PHONE � NESVOLD, JUDY � CONTRACTOR: STEVEN R MILLER PHONE #: 503_357_2778 Inspection Request Scheduled For: Date: 8/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 510 Gas line 074467-01 503-357-2770 Y Corrections/Comments/Instructions: ' • • -- PARTIAL �� CANCEL fl NO ACCESS _ n FAIL II] CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED Inspector: :04 O�e' �� �� Phone �O3 718' ^~ ^ Date: ^^ ~~~ — `- -' T. INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: M B a) Cr3s REQUIRED ON GREEN INSPECTION CARD. ✓ • Code I Inspection Description PASS Date I B ✓ Code Inspection Description PASS Date B 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 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit • 905 Sprinkler underfloor /slab • 910 Sprinkler rough -in PLM - Plumbing Permit 915 Fire alarm rough -in 305 Plumbing underslab • 920 Suppression trip test 310 Crawl drain 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- Blank.doc 02/02/07 •