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Permit ipi '. q CITY OF TIGARD MECHANICAL PERMIT ': ' C .- COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00436 TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/22/2008 PARCEL: 2S 112C B -07200 SITE ADDRESS: 15369 SW 81ST AVE ZONING: R -7 SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 086 JURISDICTION: TIG PROJECT: BARBISON Project Description: Installing gas lines to fireplace, water heater and barbecue. 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 3 Owner: FEES TONY BARBISON Description Date Amount 15369 SW 81ST AVE TIGARD, OR 97224 [MECH] Permit Fee 8/22/200E $72.50 [TAX] 12% State Surch 8/22/200E $8.70 Total $81.20 Phone: 503- 624 -2704 Contractor: COLUMBIA HEATING & COOLING INC P.O. BOX 230397 TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 624 -2704 FAX 503 -598 -0270 Reg #: LIC 76359 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: S—P / c": G/25g77, i Call 5, .639.4175 by 7:00 a.m. for inspections that business ay. 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. 1- Mechanical Permit Applica t RECEIVED , t :c, ti 01:1:1<11 i SI1 ONLY City of Tigard AUG 21 2008 Y i 0 . 1 Permit ND ditTh-- CX01j6 , 111 m 13125 SW Hall Blvd., Tigard OR 47223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Detel13y: Other Pamir TIGAKLJ Inspection Line: 503 CITYOFTIGARD DatGReady03y: luny t id Sec Pa&e1 Interact: uww.tigard or.gov BUILDING DIVISION Notified/Method: 1710 Supplemental tororm' ` : ' TYPE OF WORK. . .• .... .. ' '` COI1 MERCL L FF ,. :SCSEDULE •-• USE CHECKLIST Mechanical permit fees* arc based on the value of the work ❑ New construction [II Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all El Demolition ❑ Ot her: mechanical materials, equipment, Tabor, overhead, and profit. • 1 CATEGORY OF CONSTRUCTION , - . Value: S RESIDENTLkL EQUIPMENT / SYSTEMS FEES` ❑ 1- and 2-family dwelling ❑Commercial /induct ial ❑Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. Total 1 :, : ::•4:-,. JOB SFTE INFORMATION AND LOC.AT,).OA_I- :' HeatioWcooling i . GI RI/ 47 Air conditioning or heat pump Job six address: f S3 �' (requires cite plan showinr, placement) 14.00 City /State/ZIP: Furnace 100,000 BTU (encta/vents) 14.00 Furnace 100,000+ HTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job sits: Duct work 14_ ()0 Hydronie hot water system 14.00 1 Residential boiler (radiator or 1 hvdronic) 14.00 _ Unit heaters (fuel -type, not electric), in-wall, in -duct, suspended, etc. 10.00 Flue/vent for any of abo 1 10.00 Subdivision: Lot n0.: Other: 10 .00 I---- Tax map/parcel no.: Other fuel appliances Water heater 1 10.00 DESCRIPTION OF WORK 4 S f l ./ Gas Emplace 10.00 9 t/T� 0 0/4144' Flue vent for water heater or gas art / nreplace � IOAO . .. �. . ,� / _ _..Li Log lighter(>ras) 10.00 Wood/pellet stove l 10.00 • Wood fueplacefiruert 10.00 • Chimney/1 finer /flue/vent 10.00 ROPERTY OWNER [� TI NANT.. .. :.-....,...e:: •'' Other. 10.00 / y /� 4 t ` 5"'/ �r✓1 Environmental exhaust and ventilation Nye �" " Range hood/other kitchen 10.00 Address: equipment Clothes dryer exhaust 10.00 City/State/ZIP: Single -duct exhaust (bathrooms, r� Phone. ) rJ 6 ,9 4,/ / � Fax: ( ) toilet compartments, utility rooms) 6.80 •�� / � 'CONTACT PERSON '' : : : :' `�'' Atticictawlspace fans t0.00 ❑ A P PLICANT' Other: r 10.00 H 13usinessname: Fuel piping Contact name( 55.40 for first four, 51.00 for each additiona _ LryL, r Y Furnace. etc. Address: Gas heat pump , City /State/ZIP: Wall/suspended/unit heater I C 7 U Water heater 1 ax:: .S q e -' 0� Phone :l�3 ?j93 'I l 'a�plr F ) Fireplace • • E-mail: :-, Range 7 CONTRACTOR : Barbecue / /` L Q,,,/ Clothes dryer (gas) business name: I f t />7 v/ c i l Q /l Il ° ' 'L. Other. Address: qd 3 o x . 2-3 o 3 5 MECHANICAL PERAIIT. FEES• � n Subtotal City/State/ZIP:. / ! G R....0 2 q 7 2 v/ penult Minimum plt fee (572.50) 7^ 57.2 1 Phone: (,51f) to 2- 4 V 3- 70 il 1 Fax: Gil) ) ..5? d>-70 Plan review (25% of permit fee) COB lie.: ! 7 b 3 S p r Stele surcharge (12%of permit fee) 70 — TOTAL PERMIT FEE 1 r AO This permit application expires if a permit is not obtained within lSU Authorized signature: 1 _/ _r, days after it has been accepted as campku: ■ • �J`' Date: t D F methodology set by i ri Coup y Building industry Service Board Print name: d/ a / /� J - -- -- . L, 'd OLZO 969 JNILV2H VISINMOO dCb:Zl 8o lZ 6nV CITY OF TIGARD - BUILDING DIVISION PERMIT #: MEC2008-00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2000 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/312008 TIME: 7:01AM PAGE: 27 SITE ADDRESS: 15369 SW 81ST AVE CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 086 TYPE OF USE: PROJECT NAME: I ARBISON DESCRIPTION: Installing gas lines to fireplace, water heater and barbecue. OWNER: E3ARBISON, TONY PHONE #: 503- 6242704 CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-6242704 Inspection Request Scheduled For: Date: 9/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 16 Gas line 074980 -01 503-624-2704 Y Corrections /Comments / Instructions: gefir4- d-1- 2 Sg.roR Cis) Pro.5.S ore, MO 4- ), /e) 67o96,2 62 • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 7.35 Date: 3Sepo8 Phone #: (503) 718- 2 `Y2 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2008-00435 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2000 Phone: (503) 639- 4171���,;��,I�' Inspection Requests (24 Hrs.): (503) 639 -4175 ,..ti' 4_I.. INSPECTION WORKSHEET FOR DATE: 9/2 /2000 TIME: 7:01AM PAGE: 24 SITE ADDRESS: 15369 SW 81ST AVE CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 086 TYPE OF USE: PROJECT NAME: BARBISON DESCRIPTION: Instating gas lines to fireplace, water heater and barbecue. . 'OWNER: BARDISON, TONY PHONE #: 503-624-2704 CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 50" 624 -2704 Inspection Request 'Scheduled For: Date: 302008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 074897 -01 503 -624 -2704 N Corrections /Comments /Instructions: A k hold: c ere-ssvre, ,t,, ) S Ao h a- 1319s+ re r. / S h.: A, 'kc k -A P 4, O a v s o yd./ - Sh 4 o- .s '3":," ea_ dor Ao veir L., Q.- 5,/ v rc--- e_ e_e_ - ; ". 5 e c4 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I tL INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ZL Date: 62..5ofacC3 Phone #: (503) 718- 026/2.3 CITY OF TIGARD . . BUILDING DIVISION PERMIT #: MC_C2008- 00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/200a Phone: (503) 639 -4171 4 ' �Iij(j' Inspection Requests (24 Hrs.): (503) 639 -4175 . ,, __ � INSPECTION WORKSHEET FOR DATE: 8/27/2008 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 15369 SW 81ST AVE CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 086 TYPE OF USE: PROJECT NAME: I:3iIRBISON DESCRIPTION: Installing gas lines to fireplace, water heater and barbecue. OWNER: E3ARBISON, TONY PHONE #: 503 - 624 - 2704 CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503 - 624 - 2704 Inspection Request Scheduled For: Date: 8/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message G10 • Gas line 074682 503 - 624 - 2704 N Corrections /Comments /Instructions: n PASS ❑ PARTIAL APPROVAL ❑ CANCEL O ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector: Date: S- 2.7 —6 ) Phone #: (503) 718- '__.4-e-1.- '__.4-e-1.- A INSPECTOR'S SIGNATURES ARE NOT • Inspections Required for: riec2tkR REQUIRED ON GREEN INSPECTION CARD. I 1 • Code Inspection Description I PASS Date I By • Code Inspection Description PASS Date I By 1 BUP - Building Permit ELC - Electrical Permit 405 Excavation . 105 Underground /slab cover • 410 Fill • 110 Temporary electrical service • 415 trading 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 PLM - Plumbing Permit 910 Sprinkler rough -in 915 Fite alarm rough -in 305 Plumbing underslab 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan fi 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 : \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07 •