Loading...
Permit A ` 1- � 5 C ITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00070 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/19/2009 PARCEL: 1 S133AD -06600 SITE ADDRESS: 10895 SW SUMMER LAKE DR ZONING: R - SUBDIVISION: AMART SUMMERLAKE LOT: 110 JURISDICTION: TIG PROJECT: LANGE Project Description: Install gas fireplace insert and gas piping. 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: 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 TERRY LANGE Description Date Amount 10895 SW SUMMER LAKE DR TIGARD, OR 97223 [MECH] Permit Fee 2/19/200c $72.50 [TAX] 12% State Surch 2/19/200, $8.70 Phone: Total $81.20 Contractor: GAS PRO, INC. 7603 SE LOUNSBERRY LN PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 775 -7020 FAX 503- 775 -7014 Reg #: LIC 167493 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. mow ! Issued By: 1 t (� )k Permittee SignatuTE: 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. Mechanical Permit Application FOR OFFICE USE:ONLY 1111 City of Tigard Received Q Permit No.: � ► . 7^^ /-� 0-715 - Date/By: 1 `. Iwo . ♦ c Wq q 13125 SW Hall Blvd., Tigard, OR 9722 FE 1 9 2009 Plan Review Phone: 503.639.4171 Fax: 503 598.1960 Date /By: Other Permit: T I G A RD Inspection Line: 503.639 Date Ready /By. Juris. ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: 'T1 C� Supplemental Information BUILDING DIVISIO' ' „ TY PE-_OF W ORK ` COMMERIAL", C• FEE *° SCIIEDUI:E = USE ' ❑ New construction EkAddition /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, and profit. - : CATEGORY: OF CONSTRUCTION....i'.''- : � - Value: $ -" . ;RESIDENTIAL EQUIPMENT /i FEES* 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total - - , ° ' JOB`SITE INFORMATION - AND LOCATION; , . , . Heating/cooling Job site address: �( cf & i , \..\ e q 'n Air conditioning or heat pump I O /�� J C� U �A 1� ti�T� ^� (requires site plan showing placement) 14.00 City /State /ZIP: ?-7 � � bk �'7 Z�_ Fumace 100,000 BTU (ducts /vents) 14.00 } l Furnace 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 10.00 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. 14.00 Flue /vent for any of above 6.80 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances - - • , DESCRIPTION OF WORK :.: ' - Water heater 10.00 Gas fireplace ‘ 10.00 L YkS ' ( N 6 Flue vent for water heater or gas fireplace 10.00 �-� n `" ' S F l I` (_ / NS 7 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 - ' $PROPERTY OWNER . .. ,, . ' ❑. TENANT, " ' Other. 10.00 Name: �.0 h 1 bP Environmental exhaust and ventilation S Range hood /other kitchen Address: U lut' A 1✓.. I equipment 10.00 City /State /ZIP: (1 E T1= ) I u e_ 9, 2_,z, S Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (57 3) t ' 7 7 0(p Ss Fax: ( ) toilet compartments, utility rooms) 6.80 _ = , "...APPLICANT- . . _ ❑, C,ONTACT,.PE RSON- . Attic /crawlspace fans 10.00 Other: 10.00 Business name: .> RID / NC- Fuel piping I Contact name: p-(-) J F'g i LLB $5.40 for first four; $1.00 for each additional Address: Fumace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: 903) 3,I 1 91(s --- Fax:: ( ) Water heater Fireplace E -mail: Range - ' " - CONTRACTOR : , Barbecue Business name: l / G. V I f 1 C Clothes dryer (gas) � / Other Address: 7 G U 3 LE r!c u Ak s g J/ L , , , ' MECH PERM F FEES* _ = v City /State /ZIP: pd ,e__Tc .Ve f O i2 / 7a 0 4., subtotal Phone: 9)5 7 -702 Minimum permit fee ($72.50) 72 • 56 ( ) 0 Fax: ( ) Plan review (25% of permit fee) CCB lic.: ( b 1 U 95 State surcharge (12% of permit fee) g • 70 TOTAL PERMIT FEE \ . 20 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tr- County Building Industry Service Board I \Building \Permits \ MEC- PermitApp.doc 01/19/07 440 -4617T (1 t /02 /COM /WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation:.: Permit. Fee: 4 , $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1: \Building\Permits\MEC- PermitApp.doc 01/19/07 2 CITY OF TIGARD • BUILDING DIVISION , PERMIT #: MEC2003-00070 13125 SW Hall: Blvd.:Tigard, OR 97223 DATE ISSUED: - )figrinog 4 fr Phone:. (503) 639=4171 1'1%14911 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/20/2009 TIME: 7: OR AM PAGE: 41 SITE ADDRESS: 10895 SW SUMMER LAKE DR CLASS-OF WORK: SUBDIVISION: AMART SUMMERLAKE LOT #: 110 TYPE OF USE: PROJECT NAME: LANGE DESCRIPTION: Ind all gas fireplace insert and gas plping. OWNER: LANGE, TERRY PHONE #: CONTRACTOR: GAS PRO, INC PHONE #: 503-775-7020 • Inspection Request Scheduled For: Date: 2/20/2009 Pour Time: Code # Inspection Description Confirm #' Contact #‘ Message 615 Mechanical rough-in 080666-02 503-579-4)686 Corrections/Comments/ Instructions: • • • • • Ka PARTIAL APPROVAL n CANCEL NO ACCESS • AIL r CALL FOR INSPECTION ADDITIONAL FEES ASSESSED _...Inspector: .011111 Date: Phone #: (503) 718- 111 - - CITY OF TIGARD 0 ' • 0 . BUIL.DING. DIVISION PERMIT #: MFC2009-00070 13125 SW Hall Blvd., Tigard, OR 97223 4 DATE ISSUED: 2/1912009 Phone:: (503) 639-4171 Inspection Requests (24, Hrs.): (503) 639-4175 • INSPECTION WORKSHEET,FOR • DATE: 20012009 TIME:, 7 PAGE: r J SITE ADDRESS: 10895 SW SUMMER LAKE bR • cLAE9 OF WORK: SUBDIVISION: AlvIART SUMMERLAKE, LOT #: 110 TYPE OF USE: PROJECT NAME: LANGE DESCRIPTION: Install gas fireplace insert and gas piping. OWNER: LANGE, TERRY . PHONE #: CONTRACTOR:. GAS PRO, INC:, PHONE #: 503-775-7020 Inspection Request Scheduled For: pate: - ,, 2/20/20(39 Pour Time: Code # Inspection Description Confirm # • Contact # Message ,• 610 Gas line 080686-01—, 503-579-0685 Y Corrections/Comments/Instructions: S 1:6 g • , • • , - ' • .., • _ „ .,., • • , •,- PA — PARTIAL APPROVAL n CANCEL .._ . n NO ACCESS n FAIL (j CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: - --- Date: _____Lk g-- Z - Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVI;SI PERMIT # MF C.2nog-f?t 07a 13125 SW Hall Blvd., Tigard, OR.97223 DATE ISSUED: 2719/2009 Phone: (503) '639 -4171 / inhugpiiy���e fie Inspection Reguests (24 Hrs.): (5.03) 639 -4175 �I �L,' INSPECTION WORKSHEET FOR DATE: 2/20/2009. TIME 7 :OOAM PAGE: 3 SITE ADDRESS :. - 10895 SW SUMMER LAKE DR CLASS OF WORK: SUBDIVISION: AMART SUMMERLAK LOT #: 110 TYPE OF USE: . PROJECT NAME: • `LANGE DESCRIPTION: Install gas tireplace insert and gas piping. OWNER :, •MANGE, TERRY PHONE #: CONTRACTOR: 'G'AS PRO, INC. PHONE #: 503. 775 - 7020 Inspection Request Scheduled ,For: Date:- 2/20/2009 Pour Time: • Code # • Inspection Description Confirm # Contact t Message 699 Mechanical final 080686 -03 503-579-0685 N Corrections /Comments/ Instructions: 1g 3 • • '(t. PA 11 PARTIAL APPROVAL El CANCEL ❑ NO ACCESS FAIL (SCALL FOR INSPECTION ❑ ADDITIONAL FEES ,AS ❑ SESSED Inspector :. l — _„„„„0„,„ . Date: ©1 Phone #: (503) 718- •