Permit .
CITY TIGARD MECHANICAL PERMIT
°r" DEVELOPMENT SERVICES
PERMIT #: MEC2006 -00243
" JII '' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 DATE ISSUED: 5/31 /2006
PARCEL: 2S102CC - 06400
SITE ADDRESS: 13605 SW GARRETT ST ZONING: R -4.5
SUBDIVISION: BEREA LOT: 028 JURISDICTION: TIG
Project Description: Appro. 15' gas line to 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: UNITS:
UNS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT S:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
BURNS, MICHAEL L AND Description Date Amount
ALICE DIANE
13605 SW GARRETT [MECH] Permit Fee 5/31/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 5/31/200E $5.80
Total $78.30
Phone: 503- 789 -9343
Contractor:
KOEHLER CONCEPTS LLC
10772 SE HWY 212
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 650 -1220
PRI 503- 650 -9550
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: � i Permittee Signature: /['' 2 i
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.
�, ( i Mechanical Pernu b h t ic I - i . , } z , -
City of l ' • Tigard E: _ _ O C SW Hlvd„ Tiard, OR 972a 200U Pevi•
Phone: 503.639.4 i71 Fax: 503.598.1960 c) �� n w Other Pam*: 't I Doto/B
y:
Inspection Line: 503 - 639.4175 ' ; I _ . .. Daze Ready/9y ! See Page 2 for
internal: www,ci.tigtrd.or.us . r/ (t , 1J f Notifiod/MeUwd Suppemrntal Information
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1:3 New construction 13 Addition/alteration/replacement Mechanical permit few* are based on the value of the work
peribrmcd. Indicate the value (rounded to the fCareat dollar) of ell
❑ Demolition ❑ Other: mechanicai materials. oquipmeoLIabor, overhead, end profit
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1 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building 'sl , � ii�Uk' - r .ir� � cch_� � yn .S�� l ici -r i � I k 4..-ii ln�! { dii ? d ;� r . ?: • � tYr
For special lrfor•matlon use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. 1 Total
t : h l jd t n ' I 9{ � a � r �7 Z i
Ilt 1 {; >t�r1, %1` '0-,.I .`. � 'nu tK! r?�f,� �� 1 �11P,.,L: {_al'r-IP Heorinp/coolleg
Air Job site address: \ , , •‘,,,.., L'-'.c C ( iree conditioning plan ho or heat r+ing 14.00
City/State/ZIP: •b.. • • -17.2- Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100.000+ BTU (duots/vonia) , 17.90
Suite/bldgJapt. no.: Project name: Gas heats/nip 14.
Cross street/direotions to job site: Duct work 1
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
Lot no,: Flue /vent for any of above 10.00
Subdivision: Other: 10.00
Tax map /parcel no.: E y ? p Other fuel appliances
1� �,� ar l i::l ! tii.C. 7 1'j+ 'I�i�i.l�lr �11 11���T 12 flfU�n�. Q•rl2i X11 =;C- �;' }`�,r�.ti1 � �earr s j'{ V�;,,. L1'� r r heater 1000
filar .4��kt! :r, l.�I :r_.-.. .cU�.x+u�..,.r-Ta-m ._.riri2f:1• : :re,.0 v w :`.�V� ,u T, - Gas Water heater
10.00
.h ■ , t■• %..i .r • \ 'S ci v'‘ • $' - Flue vent for water heater or gas
fireplace 10.00
+ - .. ‘ 'NO �� •4 . mi.. Log lighterjes) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
li� r 1 * r r1��77r• fY V rc..�. " [ J�, F r l 'it( ��I^fl � Z[� �' , rzrc l
�-�^t�rJat ,'� (! ♦ �JF /?r Chimney/liner/flue/vent _ 10.()(]
tt:I..J3 s � J; rP.1 ,=, �I '{. , ' ^ ' eill..!hiliste_e. eff..IL -a � 4,61 ,:i.7n I.14. '. { a r r �.'tG�l [ w i l l - ! '.10i:; ■ �'
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Eli � ! � �, P � � . r � 1t, .
�. �� ��. Other: 10.00
Name: ` Ne• \\4...A„ ..,„X-v�C Environmental exhaust and ventilation
Range hood/othcr kitchen
Address: -
�� SL,� C' c � G� equipment
City/State/ZIP: \ It 7,1.3 Clothes dryer exhaust 10.00 _
Single -duct exhaust (bathrooms,
Phone: C - ‘'e)c:‘ _ 3, Pax: ( ) toilet compartments, utility rooms) _ , 6 "80
m, - :,,rr. a ,; I:r-,ol) r, -r. - ,''•z �, t:, ,.:: r;,ls_;i- ra+r- �:: , , ,, s;,.,. �'r. Attic/crawlspace fans 10.00
rikE ��{ EA. /, - 71T3 a�Ife� 1Fa. N: A�i i17, .TiiL da !i
L ? ; 0, .i : 1.1 b i7 ;01
Other: 10.00
Business name: N ,��,` a I.-J.-C. fuel piping -
Contact name: $5.40 for first four; 51.00 for each additional
Furnace, etc. _
Gas heat pump _
City/State/ZIP: +_N - CAL- - - tei\S WalUsuspended/unit heater _
Phone:t" ) Lt q( _ Ck..%p Fa : SD3 ) fit) - \Z7.() Water hearer
Fireplace
E-mail: �� +, (ta ,6, �� -CA.-. Range
� Y i' +l v< R d ', r A l +�x n r--c v I 1, 4770 ; 'r, , f rl 7a, h 1 • i 11' "O' �� fi
I � . T-T a a "I T 0 ∎Pr.I� , ;F, f.t tip Ate' ;1 , I f # �II 11 Barbecue t' i Lr!-a1 �.::ii3.! wi,,I, :3ip.,11,.11;!'J.. .1 u.J,r4,.,3v,,, ".,.,I X11. . -I �-U ,, , r_il uLJ�I,.
Clothes d r :
�tfle 7 n., r r T-77 Td I 3a 'n 1fP P i .
Address' 1 \2 F J I , 55r``I Gc „ifr I r ' I r'!' :.fr Inc k l r • I
�ls 2 � ��t,M.. 7- L. "1. � Lr�'L..:J... • .3L1.._ S " - .. f.�_L- . ... . -L al.�
City /State/ZIP: G . - �.. Ck'lO‘ Subtotal
Minimum permit fee ($72.50) 12...S0
Phone: LE • c-\SS(..) Fax: 1 :5=1 1 a•) lam ' V Plan review (25% of permit fee)
CCB lic.• \Z 037.7k--1 State surcharge (8% of permit fee) .�J
TOTAL PERMIT FEE 1b -0
w
Thh perm application expires Ira permit b not obtained within ISO
Authorized signature: -� _� days after U has been accepted as complete.
Print notate: ; J, 7 D ate: • s ,,,,,.. • Fee methodology act by Tri- County Budding Industry Service Board
I:IBuIIdIoyW rmIt. MEC- PafMtAPP,dea 12/03 44041d I Tr tiva2/COMM'Eb)
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