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Permit . r l a CITY OF TIGARD MECHANICAL PERMIT 74 ° , COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00506 TiGA ib., 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/17/2007 PARCEL: 2S 111 AC -00500 SITE ADDRESS: 14570 SW 91ST AVE ZONING: R-4.5 SUBDIVISION: PINEBROOK TERRACE LOT: 046 JURISDICTION: TIG PROJECT: KLEIN Project Description: Remove wood stove, replace with natural gas stove and run gas line to new appliance. 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES JULIE KLEIN Description Date Amount 14570 SW 91ST TIGARD, OR 97223 [MECH] Permit Fee 8/17/2007 $72.50 [TAX] 8% State Surcha 8/17/2007 $5.80 Total $78.30 Phone: 503- 650 -5036 Contractor: PETRA HEATING 11525 SW CANYON RD. BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 626 -4652 FAX 503- 626 -9138 Reg #: LIC 170378 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: �/liii/ i , � // Permittee Signature: /9 /,O )!' &XIt/41 Call 50 .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. FR011 :_ HOTSPOT F I REPLACE PHONE NO. : 15036269138 Aug. 17 2007 09: 08AM P1 . � � ct� �' {�.' �. :. Mechanical Permit Application .; ott. OFFIC ETSEONLI t Tigard U City of Ti d Re /O R d / a sz,i j - , c^ b Penult No.: 06 / _404_ _6054" 33125 SW Han Blvd., Tigard, OR 9 a man Role w tiY�t/t� Phoitc: 503.639.4171 Fax: 503 A ° rd 11 i , { I ` n }aenly. chltcr rcr,na: Inspeettor Line: 503.639.4175 T ai ��1 I;u` Date Ready /By: � See I'i g 2 for Internal www, el, tigard.nr.u AUG 1 7 Z007 Notified/Method: / Supplemental In farm shim 7L'y^�,'�° -� l�w.v - 'W. 4 Y T'rtn t��yy r.,) - r . , . x wcr ¢ x4""�'7'�"y °.. ii ^�, "r^'J•� r , f e:', ar:A , ` t� . rr. d r , 5,3 r 17 0 :44, li 4 T = t - f .F M1 i i - t:I k y SW r1 St 7 'r tf ce S " ).:2 . T, • ' "' h" ,0 µ" . r t . ' S,. 1 i r a 6. n , f' ,c. V . 9 W... ∎tr d L'� "-) 'n a�.hm.� ""krr_ ''1�� •.> tiY� 3 � ?}� ??�1:� ,z y �r�+i r� � f .�.,., , a +,•r? Yr r.ti r'. _ .. „x .. ? �a-` ,z ,•, • ra .,a r.�� El New construction i 1 6ii5 1,;r4tiordrepl Mechanical permit f'ei 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. • ,, r ,. ,e M2 ,,. r' . yl�Z , t , 'rs�' •^ c � i iT ,- F r' ,y tTj P}rF'�( �. A r F .. ;1 Value: $ t , . W1,1W M `� F�.MA �%'�51 < h'."� � ` - BSA 1 P l i , x Q.S t1 d a '' , uo 1'A ' ,, ,.. . ..:, y , 1 y c _,„,11 ; . ,,x. ... Mb - azid 2- 1amily dwelling ❑ Commercial /industrial 0 Accessory building For.specral information use checklist, 0 Multi-family 0 Maser builder 0 Other: Description Qty. 1 L Imo, �^ Il :�Y t ! aa�^, �.... 1 Y ..�' �.� /t .G" ^'�Y�^ ,�lFi ¢� LC'�T1'.1N, �^`l2 S7 y } �'r� M'� n��t �J'irt! Total tn�`1� v' r ^ar 0 �� li r� i t '�lT'• tY tv'1r 1^t'0' ' 4Xr n`� rl ^'Lv g f M%.'e'' •�r7: u.„- 1::::. �Sa:Y'.�ar�td.,.0 ' OS .t34'�" ." .•, ..tzL •r* �d r 4 4 �Ea[ID ring/cooling 4 - Air conditioning or heat pump Job site address: ' 7O �' wT ^Y (requires site plan showing placement) 14.00 City /State/ %!P: /y $ .....- ----7 .- 0 6 20•1" Furnace 100,000 BTU (duets/vents) 14.00 Ja t. no.:' Furnace 1.00,000+ BTU (duets/vents) 17.90 Suite /bId g p , Project name: _ txas heat punk 14.00 CroeR street/directions to job site: • .... .. _ .. .- ,..._..... -Duct -work- • ,' .14.00 • . r Hydronic hot water system 14.00 L . G Residential boiler (radiator or �' '.` 77.„.. �) hydaonic) 14.00 ✓' Unit heaters (Rte! -type, not electric), in -wall, in- duct, . suspended, etc. 10.00 /. .. Flue/vent for any of above 10,00 • . tvtsrn Lot no.: 10.00 Uthcr: Tax m Other fuel appliances map /parcel no.: '� �"" " "' a vg4, , , v, it -. 7}y, i• �' ° : sir' ' x k , k'; '�,'�' ` , ,r r t ; "� . la W v v tie ASV. .. ? . t ,. `" .+ ,.� \^ , k .,` .„ - N,„..2%. • w ,t ,�I c y ■ wate heater 10.00 Gas fireplace 10.00 . ' ' 3 4V+t L L. _ .A $ 7 Ye. Flue vent for water heater or gas g fireplace 10.00 - Log lighter (gas) 10.00 • Wood /pellet stove ,•.e / 10.00 /0- ' Wood fireplace /insert 10.00 i rr r y �. n _ ,rr ti• � rr Lrt�y�wtr o'm r „ s "tiy�l�i ac s� r s ,7 Chimney /liner /flue/vent / 10.00 l ? -A ✓. @ /,, ,,Aga - ,.. i , . r s r, * yet . zi,e,, ry , �.+i 1. r„,, W '. cYr�� , lG s.ntir, �� . %r..•�u h.. t:..a�f v4.i1.5! ad w a.,r,tJ.s,.r� � .riA a ^' '� Other; I0.00 Name: �_....-- /- 4ti Environmental exhaust and ventilation Address:. -V ' f Range hood/other kitchen • equipment 10.00 • City /State/ZIP: Clothes dryer exhaust 10.00 • Single -duct exhaust (bathrooms, Phony; ( ) ' . Fax: ( ) toilet compartments, utility rooms) 6.80 yyS tdr�, J�'l,, a+ + "9 T + 1 ' + r S i rta r 9ia' S • �, ^c , rte•• - .r i ti gi " il 6 ; i 1• l 0 1 . +< f RIF 5 i ,4 } c) ` ' F ,., , fi .r . S 10.00 ^ 1: r -s Ai � a hrz.4 nt c . a zt r ',tgvz -;,•: Yr,; ",'ti .i ti •A ter., AttlC JcravVls•aee fans Business name: /♦' c # �t Y - l� G� Other: 10.00 • P ......__ F ueLpioing • • Contact name: r, , 4 e ; t . v ,_t. Z $5:4 for first four; $1.00 for each additional , Address: } lS•ac' UU S� + y` Q Furnace, eta T 1 • Gas heat pump City /Stnte/ZIP: ,e4k4. 7 V ; v �L� 0� p Wan /suspended/unit heater Phone: (So • ,,: . < 2! I Fax: : 3 _. l /58 Water heater . Fireplace / * j,, en E-mail . aF'�tµ,'r„gl�i„�''+.- •p�:c"�' �,iY�, K+•�Ti�tF1t,7✓rf1P" t'r >•�,f,�r�',�t`',�i �� ,� /.�,'rl'G. s � � ��,, n :� Range ( bv.1�f r 447:- t 1 1, r 11 k.�s.''�'$fSa 21 Se?..v.Lt i i P 3'LC w rY.'4`•� t, .,6x .' , �¢�:''.. • . 1''7 r Durbecue W, A l ��fndi5�. . ' � /'_ Clothes dryer pas Business name: '►��Z� c S ) • Other: Address: t' 4r _ . ' ,,,,,75. 0 1 /L - f ' �cri ! � � 1 'i ' Er�� T " �a . i11i .? tv �a�t l g ( .;•'w 1 u ".Js,'r ;... h a1.Js..r sra.rc -a :, w <.., .�.: *�73i.L.r.,, City /State/Z ' i j /a ✓je J /. � � t 6, :7:10.87 Subtotal ` _ Minimum permit fee (S72,54) Phone: )� [Z _ Fax (L ), Plan review (25% of permit fee) CCB tic.: / ?O co* A l i 5 o St surcharge (8% of ■ o mit fee) TOTAL PERMIT FEE 0 �., This permit is pplirr,tion expires If a permit ig not obtained withla ISO Authorized signatur - / ✓�L.' , , days after it has been accepted as complete. Print name: a,/ ni? ei 1 0 e, • Foe methodology cat by Tri•County Building Industry Servioo Iloard is \Building\Ps EC -P.rmi ,doe 12/03 910- 4617T(tt/02/COM?Wt13) CITY- OF TI;GARD BUILDINt4 DIVISION PERMIT #: MEC2007 -00506 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/24/2007 TIME: 7:OOAM PAGE: 84 SITE ADDRESS: 14570 SW 91ST AVE CLASS OF WORK: SUBDIVISION: PINEBROOK TERRACE LOT #: 046 TYPE OF USE: PROJECT NAME: KLEIN DESCRIPTION: Remove wood stove, replace with natural gas stove and run gas line to neru appliance. OWNER: JULIE KLEIN, PHONE #: 503-6E45036 503 CONTRACTOR: PETRA HEATING PHONE #: 503-626-4652 Inspection Request Scheduled For: Date: 8/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 05451401 503-320-5232 Y (010 q4 S �LPi/ Corrections /Comments/ Instructions: ASS 1 1 PARTIAL APPROVAL 1 I CANCEL ❑ NO ACCESS 1 FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: Date: g— Z<e-- -a ? Phone #: (503) 718 - . 2._< -5 CITY OF TIGARD BUILDINI,; DIVISION PERMIT #: MEG2007- 0O506 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 8/1712007 Phone: (503) 639 -4171 ' ',., rI�l Inspection Requests (24 Hrs.): (503) 639-4175 1 1_.. INSPECTION WORKSHEET FOR DATE: 8/2 TIME: 7:00AM PAGE: ar SITE ADDRESS: 14670 SW 91ST AVE CLASS OF WORK: SUBDIVISION: PINEBROOK TERRACE LOT #: 046 TYPE OF USE: PROJECT NAME: KLEIN DESCRIPTION: Remove wood stove, replace with natural gas stove and run gas line to new appliance, OWNER: JULIE KLEIN, PHONE #: 503 -650 -60:46 CONTRACTOR: PETRA HEATING 7D PHONE #: 503 -626 -4652 Inspection Request Scheduled For: Date: 8/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 054368 -01 503- 626 - 4652 Y Corrections /Comments /Instructions: P ASS P APPROVAL F H ❑ CANCEL O ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: g 2 - 1 - 0 7 Phone #: (503) 718- Z i-4¢3