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Permit CITY TIGARD MECHANICAL PERMIT 1, DEVELOPMENT SERVICES PERMIT #: MEC2005 -00533 �•f� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/29/2005 PARCEL: 2S111 AD -01600 SITE ADDRESS: 14670 SW 88TH AVE ZONING: R -4.5 SUBDIVISION: PINEBROOK TERRACE LOT: 013 JURISDICTION: TIG Project Description: Gas piping, outlet for water heater. 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: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Owner: FEES RICHARD BUSH Description Date Amount 14670 SW 88TH AVE. [MECH] Permit Fee 8/29/200E $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 8/29/200E $5.80 Phone: 503 Total $78.30 Contractor: COLUMBIA CONTRACTING SERVICES INC 38197 SE HUDSON REQUIRED ITEMS AND REPORTS SANDY, OR 97055 Phone: 503 668 - 3701 Reg #: LIC 103764 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: 0., Lt/ Permittee Signature: 6)-- � &7 b 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. 1 Rug ,L9 05 09:50a p.2 r Mechanical Permit A lie ' �0 FOR OFFICE USE ONLY City of Tigard Received V> Permit No.: h' Date/1>,y: • 30 OS �_ • DOSS ii, 131,25 SW Hall Blvd„ Tigard, OR 9722, ^(� Plum Review Phone: 503.639A 171 Fax: 503.598.1960 , ` r . r- i p Other Permit: Inspection Line: 503.639.4175 - A 1 I �: Date Ready /By: — H See rime 2 for Internet: www.ci.ti d.or.uy "" b'� Nocificd/Method Supplemental Information ccl 0 TYPE QIF � K COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 0 New construction 0 Addition /ultenllion /repluccmenl Mechanical permit fees* are bused on the value of the work performed. Indicate the value (rounded to the nearest dollar) oCull ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Yalue: S 7 _Gtr RESIDENTIAL EQUIPMENT / SYSTEMS FEES* - and 2 gamily dwelling ❑ Commercial /industrial ❑ Accessory building; For special information use check /at. ❑ Multi - family ❑ Master builder ❑ Other: Dcusintion I Qty. I Fa. I 'total JOB SITE INFORMATION AND LOCATION Heating /ennling .. Job n Air conditioning or heat pump ob site addr - i I Z �� �� S �J �� Furnace 100,000 I1 1iT(I x c)uds/vrm>< 14.00 ) _ City/State/ZIP: 7 .,1..ee. per_ Furnace 100,0 B 7 lJ ( dun Jvents) 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 Of hydronlC 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 'fax map /parcel no,; Other fUel applia DESCRIPTION OF WORK WuICY heater 10,00 _ lam Gas lireplacc 1 0.00 4_ _ E/ef2`4.&' Flue vent for water heater or gas fireplace 10.00 __ Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ROPERTY OWNER I 0 TENANT Chimney/liner/flue/vent ... 10.00 Other: _ 10.00 Name: ,'lc4.e z SA Environmental exhaust and rentilatIon _ Address: Range hood/0110x kitchen equipment 10,00 City /State /ZIP; Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone; (6 _ 7C) _ ie 4, 3 Fax: ( ) toilet compartments, utility rooms) 6.110 0 APPLICANT 0 CONTACT PERSON AlticAntwlspucc funs , 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5,40 for first four; $1.00 for each additional - Furnace, etc. Address: Cias heat eu City /Statd %IP: Wall /suspended/unit healer Phone: ( ) Fax: : ( ) Water heater / Fireplace h-mail: Runge �� CONTRACTOR Barbecue Busine- 5 name: ,ZA. �r' ' Cdit./Fied c/ - // Clothes er (�& ) Other: Address: 63/F 7 .5& Kelso MECHANICAL PERMIT FEES* City /State /ZIP: . 54,4/4, 9 d'.e._ Subtotal e� ? ,..J Minimum permit fee (572.50) Phone; ( )� '' © 77'1 Fax: ( ) � J ?�! Plan review (25% of permit fee) CCH tio.; /'d3 76 State surcharge (11% of permit fee) TOTAL PERMIT FEE /e i This permit application expires if i permit it ant obtained within 11W Authorized signature: . �� � days utter it has been accepted an complete- • , Print name: -- ., C �6�e' 5 e: t ? 7 '��. Sec mclltodolop set by'I'ri- Ccnu[ty Iiuildiug ludust[y SarviW Honed isu tutldlnau 'ennaaiML'C- t'antitApp,cioe 12/0/i 446.6617r(11 /02/COMAVPI0 Y F TIGARD �'� A gr.' O fill-{-/ BUILDING DIVISION • " PERMIT #: o?a 5 - 6-3 3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 «'uMNluAl� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / L7L/, 70 O U ' " - CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3' Pour Time: Code # Inspection Description Confirm # Contact # Message (le 1° IV4 ,_... V it t " — 90 Corrections/Comments/Instructions: S-0-- I 1 Z� o a I N\ i iSA . q6 — L`/\‘ je L-c--0-‘00■3_. (( - -c\..A.._-_ O' - mi -._ _ eec, U:-,, — C Q c lq) 6 /4511-91r;b 7 . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /kj ` V 21 Inspector: L/ l/ Date: / � Phone #: (503) 718- CITY OF TIGARD - POI 7A 0 ik -00027 BUILDING DIVISION PERMIT #: A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 '� "��'4���gii�il',�' I` r Inspection Requests (24 Hrs.): (503) 639 -4175 ''.. n"1 f C a d °5-6'°5 - . 3 INSPECTION WORKSHEET FOR DATE: I k1,/3/ 6 6 TIME: PAGE: SITE ADDRESS: 1 1 4-7o 4 J N " Q . C SS OF WORK: SUBDIVISION: LOT #: F USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description C nfirm # , Contact # Message - 5Z O p L b t'tr, ' 2 7 g P l.kA v►n to t v\ _ S CJ Corrections /Comments /Instructions: 0 61. Iltij I a • 1U -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED CP l 2� /G � Y Inspector: - Date: / Phone #: (503) 718- Zki