Permit t: '- . 4, rVw CITY OF TIGARD
,, `;. MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00168
ismtrollill 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 3/28/2007
EGA
PARCEL: 2S 112CD -04900
SITE ADDRESS: 07980 SW BOND ST ZONING: R -12
SUBDIVISION: BOND PARK NO. 2 LOT: 029 JURISDICTION: TIG
PROJECT: HORAN
Project Description: 25 ft of gas piping to range
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
CHRIS HORAN Description Date Amount
7980 SW BOND ST
TIGARD, OR 97224 [MECH] Permit Fee 3/28/200i $72.50
[TAX] 8% State Surcha 3/28/20W $5.80
Total $78.30
Phone: 503- 620 -1163
Contractor:
KOEHLER CONCEPTS LLC
10772 SE HWY 212
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 650 -9550
FAX 503- 650 -1220
Reg #: LIC 120277 '
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: 9711 Permittee Signature: i i /' 4 y u/
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.
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1Vlet hanical Permit AtppI " ' - 1 � i 4 d i l , ,4.,, „ .Flt. y FUR�►rlec -, .- a r r ' ► Ml t p.
y , �� • City of Tigard Date - as � Permit V-7'e01
13125 SW Hall Blvd., Tigard, OR. 97223 1.,",,A
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Phone: 503.639.417( Fax: 50x.598.1960 r .. y.,T Plan Review Other Permit:
Inspection Line: 503.639.4175 � '' I . : Da
' y 1r •- 11-"i,`, Datte R
ady/13 )uric: la See Page 1 for
Internet: www.ci.tigard.or.us `.✓4 A . l; _ Notified/Method: Supplemental Information
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I- W =� " ''' "c! a :a ' . = `-- 7 T ch w ' c l p a 1 . based tl es.: �mfthe ` o F a �
❑ New construction 1 ddition /alteration/replacement Mechanical permit fees* are based on the value of the wo rk
performed. Indicate the value (rounded to the nearest dollar) of ail
❑ Demolition ❑ Other mechanical mater b overhead,
it c . „ .u.......+.• 1r.-a to
f ,. _ - , • Via/ • . .. a ; i: materials, C(iLLlpmen _ Value: t labor,
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g 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building �� ''' ' �! 3 • n 5 >, �r, e fi l - .
❑ Multi family ❑ Master builder 0 Other:
For special formation checklist.
r e •� ..Et �_,�� a - t a c m y -° on � S Qty. Ea. Total
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Job site address: -1G`G . --- � Air conditioning or heat pump
Ines site .tan showing .lacement 14.00
City /State/ZIP: "T- cd ocL tclZz`,\ Furnace 100,000 BTU ducts/vents) 14.
Furnace 100 000+ BTU ducts/vents 17.90
SuitefNdg. /apt. no.: I Project name:
Gat heat .0 .. 14.00
Cross street/directions to job size: Duct work 14.00
1-1 dronic hot water . star 14.00
Residential boiler (radiator or
dronic 14.00
Unit heaters (fuel -type, not electric), -
in -wall in-duc sus .ended, etc. 10.00
Flue/vent for an of above 10.00
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no_: Other fuel a .. fiances
a-. .- ,, �n L - atS_ .
' `7,r a r r. i + c^ ^ .-
G � 4r. , e,t _ - 4
. _..r,- : NI.K2S. a::;�t_.. � edt::o x . rr:fl.A _.a..r ,, Ott t z 4. s Water heater 10.00
Gas fir.. lax 10.00
N C`4eS1■ aQftp`^G -mac C.c...ea)..... Flue vent for water heater or gas
'e \ �•l fi .Iace 10.00
\nti Lo: I'_ ter r: 10.00
W... . Ilet stove 10.00
Wood fi - . lace/insert 10.00
.s '! r - E ' '?'i i " "�` - F i -✓E iF r Fr .R w.t€ r Chinni /liner /flue/vent 10.00
rt el 4 S 4 t 1 . r �.,,, ee s 9 € " 'iy i er, ei other 10.00
r:.i. .sz_- .s�» .. _.._. -.� G ,o_ .._. rr,. Ss t 4 i 1 r ? __.a. l .., .t a. a a , , t , .7rs= -_:
Natne: C _, s N^ Environmental exhaust and ventilation
Address: Range hood/other kitchen
��� �� c. i.ment 10.00
City /State/ZIP: %'\ .,,,,,,--.6., Or €.+ �,�„ -` � C� a� Clothes d exhaust 10.00
may' Single -duct exhaust (bathrooms,
Phone: �3) k _\. Fax: ( ) toilet co •artments, utili rooms 6.80
tr {'" Orr `". a€T= r F7 �! ty -= 7 --- ir.m ' r tr f y.^-r r r ) s .� rt 8r 1[ It t u r c . r
i G c t s 1 i w s t � s 1 ?.x , ,, b 1 c s r :: ; Attic /crawls .ace fans 10.00
''i_ ... ,. { a...; 5t.ws_< ,..:4e'. at1.411:, , 1 ... ". N _ M, ,. e . 1£w t d,..r.. c - , .. .a.x . :� k .... . �. .
Business name:.- Cee \te 10.
Fuel ,t a
Contact name : $5.40 for first four- $1.00 for each additional
\c,:-\-x--L • f -Z \Z clan heat etc.
Address:
Gas heat .um.
City /State/ZIP: , 0,., , O`-‘ J r Wall/sus . ded/unit heater
Phone: ) LaS� �� I Fax::q�') ( \-) Water heater
Fire . lace
E marl7 A " • Ns-- i■A� tZan_e
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Business name:�QJ.� -� Cl othes • er _as
Other.
Address: \--y-Z � � 1. w 7 u , v 54 - 7
�� �� x t1.11.1:3 •iie 1 + % l £$1 ...a!a !lirnitratx ` ) oi �"i fi n .. l i t *
City /State/Z1P\ S Cye'ec ,-.., c)ctUF� subtotal
Phone: $& `gip C •S• I Fax: �A� p .-\ Minimum 25 % it fee rntit fee) Plan
CCB lic.: ZO !; - \ State surcharge (8% of permit fee)
TOTAL PERMIT FEE S _
Authorized signature: , This permit application expires if a permit is not obtained within 180
days after It has been accepted as co mplete.
Print name { , �� Date: Z�1 -l� • 1 • Fee methodology set by Tri- County Building Industry Service Board
idluilding\PernuitMEC- Pcnnth' p.doc l!/ 440- 4617T(11/02X0 /WEB)
a • d OZZ T - OS9 -EOS 311 S1d33W03 2131H3D>I WEt-v : T I LOOZ La JeW
CITY OF TIGARD ._
BUILDING DIVISION PERMIT #: ht1EC 007 00168
P 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/213/2007
Phone: (503) 639 -4171 ili ii A,,,,,,,,4,
Inspection Requests (24 Hrs.): (503) 639 -4175 .�! � / / 6V , 0 7 614016
1
I INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7 :01AM PAGE: 54
SITE ADDRESS: 07900 SW BOND ST CLASS OF WORK:
SUBDIVISION: BOND PARK NO. 2 LOT #: 029 TYPE OF USE:
PROJECT NAME: HORAN
DESCRIPTION: 25 ft of gas piping to range
OWNER: HORAN, CHRIS PHONE #: 503-620 -1183
CONTRACTOR: KOEHLER CONCEPTS LLG PHONE #: 5503- 650.9550
Inspection Request Scheduled For: Date: 4/4 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 045944 -01 503~620 -1163 N
Corrections/Comments/Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Se± - -- o Phone #: (503) 718- - Z4-4-S
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