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Permit CITY TIGARD MECHANICAL PERMIT j � DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00150 ' ° ' J I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/13/2006 PARCEL: 25111 DB - 07400 SITE ADDRESS: 15520 SW ALDERBROOK DR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.7 LOT: 387 JURISDICTION: TIG Project Description: Gas line to range. CLASS OF WORK: OTR 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: 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: 1 > 10000 cfm: GAS OUTLETS: 1 Owner: FEES KENT NELSON Description Date Amount 15520 SW ALDERBROOK DR TIGARD, OR 97224 [MECH] Permit Fee 4/13/200€ $72.50 [TAX] 8% State Surcha 4/13/200€ $5.80 Total $78.30 Phone: 503- 330 -7556 Contractor: OWNER REQUIRED ITEMS AND REPORTS Contact #: Reg #: 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: Permittee Signature: J`Z-1 ce 4 44*.......-v Call 503 - 639 -4175 by 7:00 a.m. for inspections that busin ss 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. 1Vtechanical Permit A ii • P ( ',,EiN tt ) t>IOH F OFFICE USE ONLY City of Tigard Received �� Permit No.` , A PR 13 20 Date/By. . /3 ~0� r oot t —4.70 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 heart - isu ;t y al I �`.\ Date/By Inspection Line: 503.639.4175 a b y 1 t I I _.f I Internet: www.ci.tigard.or.us c i 43,0' Date Ready/By: Ifign El See Page 2 for i 1, , Notified/Method: Supplemental Information R - 1 ITT D iN6 DI TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction Addition /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 Value: $ dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2-family g ❑ Commercial/industrial ❑ Accessory building ❑ Multi- family For special information use checklist. ❑ Master builder ❑ Other: Description 1 Qty. I Ea. Total - JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: ( 5510 S & L co K Air q conditioning ho or heat pump em A D � � � 1` (requires site plan showing placement) 14.00 City /State /ZIP: 7 -- 1 G p j 7 ZZ"1- Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg./apt. no.: Project name: Furnace 100,000+ BTU ( ducts/vents) 17.90 Gas heat pump 14.00 Cross street /directions to job site: 5 j,.41„1 . F) L - EL D 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 DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 C1 A 5 m R 0 ^1C (s✓, A t` --'`'∎ E- 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 PROPERTY OWNER ❑TENANT Chimney /liner /flue/vent 10.00 Other: 10.00 Name: Ka — m. - ),.. LSG t• Environmental exhaust and ventilation Range Address: 1 5 5 - 5 ,/ f1 z- 7>C--f7,R D equipment ood/other ri equipment 10.00 City /State /ZIP: -71 6, D OP '7 _, -Z-Zy- Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (S &z,) 33a 7 55 b Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 • ' Other: 10.00 Business name: 0 w f (" --trz. Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue O c �� Clothes dryer (gas) Business name: i S Other: Address: _ MECHANICAL,PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) C TOTAL PERMIT FEE f'? al. 3 0 '-. Authorized signature: This p ermit a expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ENT 5 ,� (Sa Iv Date: c9/( 4 /1 0 to • Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Pennits\MEC- PermitApp.doc 12/03 440 -4617T (I1 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total' Valuation: 'Permit Fee: $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. • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 C ITY OF ��mm m n�wm mm�m�mmn�� BUILDING DIVISION °�~°"~~~~""~~° ~~"°"~°"~~"~ PERKi|T#: KAEC2006-00160 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 Afe A^ve) —~ /5 INSPECTION WORKSHEET FOR DATE: 4V27/2006 TIME: 7:04/QM PAGE: Z8 SITE ADDRESS: 155203W AL[JERBRC)0KDR CLASS OF WORK: SUBDIVISION: SUh8k8EgFIELQNC>.7 LOT #: 387 TYPE OF USE: PROJECT NAME: NELSON DESCRIPTION: Gs Jine to range. OWNER: NELSON, KENT PHONE #: 503-3307555 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/2712006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 028839-01 1 Y ~~_' ^ Corrections/Comments/Instructions: C/� • kTl PASS PARTIAL APPROVAL �� CANCEL | I NO ACCESS / / . / | | FAIL CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED �� L| ((Phone |nopautInspector: \« kV�\ w Oo1a: ^'\ �'/ #: (503) 718- ^ \ « CITY OF TIGARD BUILDING DIVISION PERMIT #: MEt�01)8i01 13125 SW Hall Blvd., Tigard, OR 97223 h. ` ` DATE ISSUED: 9 4/19/2006 Phone: (503) 639- 4171N- au�ii��j�ll c� Inspection Requests (24 Hrs.): (503) 639 -4175 / p'Z �p — ©o `s` INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 42 SITE ADDRESS: 14979 SW JULIET TERR CLASS OF WORK: SUBDIVISION: SUNRIDGE HEIGHTS LOT #: 0 TYPE OF USE: PROJECT NAME: SUNRIDGE HEIGHTS DESCRIPTION: Gas line to firepit & pool furnace flue. OWNER: BRENTWOOD HOMES, PHONE #: 5 503 -407 -1102 CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503 - 260.1249 Inspection Request Scheduled For: Date: 7/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 033882 -01 103.407 -1102 N Corrections /Comments / Instructions: 0 a"t 6 6 /5 tr id i fritted I4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION [ I ADDITIONAL FEES ASSESSED Inspector: Date: 747 4 Phone #: (503) 718- 7- 7012 1( OF TIGARD „,, .- 'BUILDING DIVISION 7 PERMIT #: I ia:200fj0015 3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /10/2006 Phone: (503) 639 -4171 / ,j i° Inspection Requests (24 Hrs.): (503) 639 -4175 �_' ,�I IVECav ® !o -00(59 INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: 7:02AM PAGE: 5A SITE ADDRESS: 14979 SW JULIET TERR CLASS OF WORK: SUBDIVISION: SUNRIDGE HEIGHTS LOT #: U05 TYPE OF USE: PROJECT NAME: SUNRIDGE HEIGHTS DESCRIPTION: Gas line to firepit & pool furnace flue. OWNER: BRENTWOOD HOMES, PHONE #: 503 -407- 1102 CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503266 -1240 Inspection Request Scheduled For: Date: 4/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 695 '� Mist. inspection 028466-01 503.407.1102 N Corrections /Comments/ Instructions: f • 0 p ❑ PARTIAL APPROVAL n CANCEL NO ACCESS I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Ins ector: `,— Date: ./. / 2– I 6 4° Phone #: 503 718- 2 Y L Y p ) CITY OF TIGARD BUILDING DIVISION ' 1 J PERMIT #: fEiFf.:2006 o0 l59 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/2006 Phone: (503) 639 -4171 6 Imo_ (I �s �q ..,111- Inspection Requests (24 Hrs.): (503) 639 -4175 .P fir" v`ZD� INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7 :04AIVI PAGE: 6'1 SITE ADDRESS: 14979 SW JULIET TERR CLASS OF WORK: SUBDIVISION: SUNRIDGE HEIGHTS LOT #: 005 TYPE OF USE: PROJECT NAME: SUNRIDGE HEIGHTS DESCRIPTION: Gas line tofire }pit & pool furnace flue. OWNER: f3RENTM.)OD HOMES, PHONE #: 50;1-407-1102 CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503 Inspection Request Scheduled For: Date: 4/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Messag, ' ;iii,5 Min. inspection 029361 -01 503.407 -1102 Cij Corrections /Comments/ Instructions: i I P IX— I ' k -i 1 4./1" _Il L4AAA:AQ '' 61/11 .c.---r 0 __Oil e04/14t ....0 ❑ PASS Zr, PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Si? vV 0 Inspector: C" ` - V D ate: / 6 Phone #: (503) 718 - , A - r: