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Permit 4 ': ' � CITY OF TIGARD � - MECHANICAL PERMIT � � V COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00599 410 A1 13: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/16/2007 PARCEL: 2S 112CA - 05200 SITE ADDRESS: 15421 SW THURSTON LN ZONING: R - SUBDIVISION: ASHFORD OAKS LOT: 006 JURISDICTION: TIG PROJECT: KEITH Project Description: Install 30' of gas piping for range. 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Owner: FEES JACK KEITH Description Date Amount 15421 SWTHURSTON LN TIGARD, OR 97224 [MECH] Permit Fee 10/16/20C $72.50 [TAX] 8% State Surchar€ 10/16/20C $5.80 Total $78.30 Phone: Contractor: PIPELINE PLUMBING 333 S STATE ST PMB V -108 LAKE OSWEGO, OR 97034 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 624 -1906 FAX 503- 624 -1926 Reg #: LIC 158260 This permit is issued subject to the regulations contained in the Tigard Munidpal 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 OU NC by calling 50 .6699 o .:00.332.2344. t Is ed By: dip � �l_ � _ Permittee S • • - / f 4 a;�. Vj`/SZ A - Cali 503.639.4175 by 7:00 a.m. for inspections • : business day. This permit card shall be kept in a conspicuous place o - job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 05/03/2004 02:20 5036997988 PIPELINE PAGE 02 Permit a E- • .r I i u 4 n a c Ii t l f 1 °hf 1 °ti y h� d a { �'� �� s a ! n: _ . ` y F WitchaII1cal E ermit CAp licati�}II v 1,--- 4 ° `o- �p t 4 ( l .��,.�� () { I > . �",� � ,w I ({ t { f 1 ..n �� l � r n�Nr \ � �r k' ..., „�pTn ' . na f � x n n �i M F 4 . �r da i � -:=, City of Tigard y` ,�;e 0 /G of 4c iwagoi�: He6A37�o 55 ' - r 13125 SW F1all Blvd, Tigard, OR 97223 2007 Plea Rai ' t. 11' ' Phone: 503.639A171 Fas 503.598. 1 � DaddBy: Order Permit Inspeaioo Lice: 503 _639.4175 - a pate Iteadynty: liffillEM Internet: wauravtigard.OLguv c 1(� I . ° A1 - ” 1f aG eti+ut P tI" ,� COMMERCIAL FEB- SCIIE MULE — USE SST Q New constructlOf ►y AdditiondeheretionficlAaccologt Watseka permit fees' are based on the value of the work per f u med_ hom the yehie onstided to the nearest dollar) of all 0 Deareolition ❑ Other: roecb nical3staterlalg. etptipmen , overhead, and profit. - CATEGORY Or CONSTRUCTION Ya1ae $ 1-- and 2- fancily dwelling [l ContmereiaYmdtstrial El Accessory building RESIDENTIAL I�QtT�Dt03NT ! SYSTEMS FEES" Master balder Other: For igferratat/on use checklist. Mai-family ly 17 Descriptiea 1 Qty" I la I Total JOB SITE INFOlitl►1ATION AND LOCATION g tia kooling _ .. Jab aria address: «y 21 ) ' u rn Air condhltioning or heat pump (regimes site Atm Ass 'Olt piecemeal} 14.00 City/STateIZLP: --'+ Pmnoe 100,000 BTU ( shcats1 14.00 � Ord Name ava -r- BTU taeal,cate> 17.90 Suite/bldg./apt. no.: f Project name: i (11-/- _ Cuss lest lxt 14.00 Cross street/directions to job site: _ rat . Duct work 14.00 i3ydr+mtc hot vaster system 14.00 Residential bolls (radiator or hydranic) 14(10 Unit bean s% (fid-type, not electric), itrwa1l,1u'd act, suspended, etc. 10.00 Flue/vent Air any of above 10.00 Subdivision; _ ` Lot 11Q; tea, 10.00 Tat map /parcel no.: Other fed appliances DESCRIMION OF WORE water heater _ ;10.00 r �i Gas fireplace _10.00 j 1 `' 11 r PAVAN Flue vent few water theater or gas i �. i , /. Logi fireplace 10 00 6 1- lie () 10.00 WocelMellet Move — __ 10.00 Wood lireplacefinsert 10.00 0 PROPERTY O*NIER I Ci TENANT Chiruney/ ineothr®rvest 10.00 iN� � otlr� _ _ 10.00 Name" t E>nuYotsm,entai exhaust and ventilation Address: Range boodrother kitchen ere:tomcat 1 10.00 ma &Z1P- Clothes dryer =boost 10.00 Single -duct exhaust (bathrooms, Phone: ( ) i Fax- ( ) toilet oomaatnnems, utility rooms) 6.80 0 APPLICANT C1 coNTACr riat9orf Atxidenmer c a Sum 10.00 Other 10.00 Business mores: Fuel plug, Comae creme: SS.40 tar Ent excise, $1.90 1br arab addiitioasil Fqr . de. ktte55" Gas heat pimp City/.9z JZ1P: WslVsasix deritunit beefs Phone: ( ) Fax:: ( ) Wass heater _ Fireplace E-mail: Range t CONTRACTOR. Rarberua nusiDeso tee: it 11r1,9_, ckt. al , n9 () - f Other: f ate: g . S. _ eiClAt A 1?1T\kr 'lF -1 M - MECHANICAL PERMIT PEW* ciryy/statilZllz: ( ai.Q Qc,,;,seSQ © g. g-) q Kilt an pennir fbs 072 50 Pb tp 1 -1 1 l± - I' — A C M , In u review (25% of permit ko) CCB tic.: 15c5 a 1. _,. / f/ .. 1 V State surcharge (8%ofpermit fee) �'� TOTAL PERMIT FEE _ - Authorized sigrratgrte' i -.° Per aRP ° erpiree it a phaAt ie can obtadued +reifies Itia ��� _ daps *herb hat bet accepted as complete. # a � �`-- o�.t,SYV�►.c nwp- 10 - 1 b -cn 3 • Feemetbadataav sat by TA-Comm B a; ta aildis dnanaiad v Service naiad 1 CITY Q ,,. BUILDING DIVISION PERMIT #: MEC2007 -00599 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639 -4171 A l i i i t G Inspection Requests (24 Hrs.): (503) 639 -4175 /ti Ec .2.007- oO INSPECTION WORKSHEET FOR DATE: 10122!2007 TIME: 7:00AM PAGE: 29 SITE ADDRESS: 15421 SWTHURSTON LN CLASS OF WORK: SUBDIVISION: ASHFORD OAKS LOT #: t306 ' TYPE OF USE: PROJECT NAME: KEITH DESCRIPTION: Install 30' of gas piping f or range. OWNER: KEITH, JACK PHONE #: CONTRACTOR: PIPELINE PLUMBING PHONE #: 503 -624 -190 Inspection Request Scheduled For: Date: 10/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final * 06802r3 -01 5503.624 -1906 Y Cprrect ons /Comments /Instructions: Aim 'T2aT/y I I . 0 I . �` 1 4- I P' S S n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED x.,.., ,, Inspector: Date: M - - 72 -- ,, 7 Phone #: (503) 718- 1 i CITY OF TIGARD .._ : BUILDING DIVISION PERMIT #: MFC2007.00599 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2007 Phone: (503) 639 -4171 A I Inspection Requests (24 Hrs.): (503) 639 -4175 � ' alit / as o 7. 0 0599 INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7:0 PAGE: 47 SITE ADDRESS: 1 421 SW THUR STON LN CLASS OF WORK: SUBDIVISION: ASHFORD OAKS LOT #: 005 TYPE OF USE: PROJECT NAME: KEITH DESCRIPTION: Insiali 30' of gas piping for range. • OWNER: KEITH, JfACK. PHONE #: CONTRACTOR: PIPELINE PLUTABING PHONE #: 503.624 -1806 Inspection Request Scheduled For: Date: 10/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 057842 -01 603- 6241906 N Corrections /Comments /Instructions: • • PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: /d J0 Phone #: (503) 718 - 72-443 CITY OF TI.GARD BUILDING DIVISION PERMIT #: Ma`7007 t0a39 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •Ifa/i Phone: (503) 639 -4171 .40, 0141111 1 ' Inspection Inspection Requests (24 Hrs.): (503) 639-4175 _ _ _ • // go 0 7 - Q ®S q 9 INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7:01AM PAGE: 48 SITE ADDRESS: 16421 SW'THURSTON LW CLASS OF WORK: SUBDIVISION: ASHFORD OAKS LOT #: Om TYPE OF USE: PROJECT NAME: KEITH DESCRIPTION: Install 30' or gas pipi for range. OWNER: KEITH, JACK PHONE #: CONTRACTOR: PIPELINE PLUMBING PHONE #: 503- 624 -1906 ■ Inspection Request Scheduled For: Date: 10/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 057841.01 503 -624 -1905 Y Corrections /Comments /Instructions: ;� i�-- 22v. <v� ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL pi NO ACCESS CALL FOR INSPECTION ADDITIONAL FEES ASSESSED e Inspector: Date: 7 l8 —4 7 Phone #: (503) 718- _