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Permit CITY OF TIGARD MECHANICAL PERMIT A I�I t DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00367 DATE ISSUED: 8/2/2006 6 ,; 13125 SW Hall Blvd., Tigard, OR 97223 503 - 6394171 PARCEL: 2S 112BC -09700 SITE ADDRESS: 08094 SW VIOLA ST ZONING: R - 4.5 SUBDIVISION: RAZE MEADOWS LOT: 020 JURISDICTION: TIG Project Description: Gas range & piping. CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: E3 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: 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 GEORGE ANDREEV Description Date Amount 8094 SW VIOLA ST TIGARD, OR 97224 [MECH] Permit Fee 8/2/2006 $72.50 [TAX] 8% State Surcha 8/2/2006 $5.80 Total $78.30 Phone: 503- 799 -2625 Contractor: SUBURBAN @ HOME 6014 NE 112TH AVE. PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 257 -5438 FAX 503- 257 -5430 Reg #: LIC 143335 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: %j , -7jU l t e Permittee Signature: / `� -, Call 503 - 6394175 by 7:00 a.m. for inspections' hat business da This permit card shall be kept in a conspicuous place on the b site until com , on of the project. Approved plans are required on the job site at )e time of each inspection. l �chanical Permit Application 1 OR OFFICE USE ONLY II `J g J tl NJ 11 lY © Receive Ci of Ti and 13125 SW Hall Blvd., Tigard, OR 97223 Date/By • „..0K ' 6 ' PertmtNo � ' r6 - 200 : eW OtherPernit: Phone: 503.639.4171 Fax: 503.598.1960 A U G /���,d�,r, I {,, ato /ByteBy: Inspection Lane: 503.639.4175 , ^• ' I � D Date Ready/By: NEI ® See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGAf� NotiSed/Method: Supplemental Information BUILDING DIVISION ` TYRE r OF "WORK ; ;' j L a € x %, ;4; g t r, CUMMERCXAL FEE`! ",SCAEDULE +� y DSE CHECKLIST '; ❑ New construction ddition/alteration/replacement Mechanical permit fees* 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, an `" CATEGORY7OF CONSTRUCTION,, z " �, g "' Value $ ?a ,. � .:o ., c ,.., _ . a t., „ _.. .1 +fit •_ `_ °RESIDENTTAL' EQU**1: 4Y,STEI IS FEES* s �'1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building �' ` For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other Description I Qty. I Fes. I Total ,l .,' + n „JO_ B SITE °'INFORMATION. AND LOCATION r a ,F' # i , s , < Hea ting/coolig Air conditionin Job site address: � �^ r� ( or heat u co cR1 7 ('.9 V� 0 1 S T .... , g P mP (requires site plan showing placement) 14.00 City/ State/ZIP: g c , t . ,� (9 {Z er7 7 ti Fumace 100,000 BTU (ducts/vents) 14.00 1 Fumace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: ' Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 _ Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances <DESCRIPTIONi.OFWORK , , ' -. $" Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 L.og lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 Chimney/liner /flue /vent 10.00 R OPERTY OWNER r` o TENANT; , N, . *s Other: 10.00 Name: l9fee,r_e AfArt_p ✓ Environmental exhaust and ventilation B 1 LI St, N A l of c �5 {- , equ p e h other kitchen Address: t equipment 10.00 City/State/ZIP: g..y -O� D a 1 '72 Clothes dryer exhaust 10.00 p d t Single -duct exhaust (bathrooms, Phone: ( Rpz -e _ 76Z1j5- Fax: ( ) toilet compartments, utility rooms) 6.80 � r -, Attic /crawls ace fans 10.00 %� PI:ICANT 1 � ®C ONTACT PERSON � P Other: 10.00 Business nam 1 1 Fuel piping Contact name: ' Oct�uq[ $5.40 for first four; $1.00 for each additional Address: ��`y VV, \ \' }n O Jer e Furnace, etc. ``���� Gas heat pump City/State/ZII -\ no, ) Wall/suspended /unit heater Phone:5Zl/a5'�,� F O .. ax:: m eZ\, -\ Water heater Fireplace E -mail: Range 1 c 4 0 ` s x M,' < ; P $ CONTRACTOR" G 3 , ; ° ' Barbecue Business name: \-��J�Y� Clothes dryer (gas) \ r ���..rA\L � other: Address. L \a , :V MECHANICAL PERMTT,FEES 4 =' Cit -�Q , OR. ac) Subtotal 5 too !!hl�((�}.� �/ Minimum permit fee ($72.50) q 7 , 9 Phone � V G 13 Fax: `DU W Plan review (25% of permit fee) CCB lic.: \ `l y t) State s (8 %of permit fee) d' � S • 3O TOTAL PERMIT FEE 'Y • 1 8 T his permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: 9rr 14'4F S>n Date:.J„ - 1 )1y Z��/ * Fee methodology set by Tri -County Building Industry Service Board AAII A[1'1T rl l IM rr\1..1 ivcc\ Y CITY OF TIGARD . i-► BUILDING DIVISION PERMIT #: 11 EC2006 00367 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/212006 • Phone: (503) 639 -4171 u , . �� Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. / 7 ' Apo & -- 0036'7 INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7:04Am PAGE: 82 SITE ADDRESS: 08094 SW VIOLA ST CLASS OF WORK: SUBDIVISION: RAZE MEADOWS LOT #: 020 TYPE OF USE: PROJECT NAME: ANDREEV DESCRIPTION: Gas range & p∎ ∎••∎ OWNER: ANDREEV, GEORGE PHONE #: 5n799.2625 CONTRACTOR: SUBURBAN @ HOME PHONE #: 503-267.5438 Inspection Request Scheduled For: Date: 8/412006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 034367-01 503-799.2626 N Corrections/Comments/Instructions: E`1/ ,• ,.c, r �-r-. y S-� — e1 V-5 ,---. ,a:x- 7 v71 PASS ❑ PARTIAL APPROVAL CANCEL NO ACCESS n FAIL ,I- I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 19 Phone #: (503) 718- 2-ci-4-C--