Permit L
' .- ' CITY OF TIGARD MECHANICAL PERMIT
" , ` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00161
DATE ISSUED: 3/26/2007
T , 9 , ..4 , 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
�" �'""� 9 PARCEL: 25111 BB -00700
SITE ADDRESS: 14305 SW 100TH AVE ZONING: R -3.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 016 JURISDICTION: TIG
PROJECT: FISHER
Project Description: 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:
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:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
NICK FISHER Description Date Amount
14305 SW 100TH
TIGARD, OR 97224 [MECH] Permit Fee 3/26/20M $72.50
[TAX] 8% State Surcha 3/26/2007 $5.80
Total $78.30
Phone: 503- 330 -5039
Contractor:
LOVETT EXCAVATING INC.
PO BOX 86280
PORTLAND„ OR 97286 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -504 -2847
FAX 503- 288 -1630
Reg #: LIC 125507
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: 477
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.
03/22/2007 13:38 5032881630 PAGE 02/02
- .1V I Zehanical Permit Application „k < a a r rt F A ii S t 1 , ' ` •:
'a Received
r City of Tigard MAR 2 2 2007 r,arc,g p 7 J' Pcrmit No o p7- -cev&/
13125 SW Hall Blvd.,'1'igard, OR 97223
IPlnn Rcvic
e Phone: 503,639,4171 Fflx; 503.593.1960
� . tl` /nY Other Permit:
.r I l,inc: 503:639.41 75 CITY OF TIGARQ - - - . _
yT`i G Ready /By: kris: @ See Page 2 for
tistr Internet: wwtv.tigard- or, g(7v PLANNING /ENGINEERI rice /MCthod: I [ P?1Cfl lnrormaekn
TYPE OF WORK COMMERCIAL FEE* * SCHEDULE = USE CHECKLIST
Mechanical permit fees* arc based on the value of the work
• ❑ New construction DK Addition/alteration/replacement
performed, indicate the value (rounded to the nearest dollar) of atl
❑ Demolition . ❑ Other: mechanical materials. equipment, labor, overhead. and profit,
CATEGORY OF CONSTRUCTION Value :8
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
X 1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building
For special Wm use checklist.
❑ Mult:i- i'n.mily EJ Master builder ❑ Other:
Description Qty. Ea. j •mal
LOB SITE INFORMATION AND LOCATION Hcating /cooling
Job site address: ' t l 0Q IkU Air conditioning or heat pomp
�`//�� "1 O � �l � (requires it plan sh placement) 14.00
City/State/ZIP: °hard 0121- Furnace 100.000 BTU (ducte/vcnts) 14,00
, (doers /veins)
Furnace 100000 -- DTI.! 17.90
Suite/bldg. /apt. no.: I rolect name: Gas heat pump 14,00
Cross street/directions to job site: Duct work 14,00
�
,� r CO l ly(Ironic hot water system 14.00
���w a Residential boiler (radiator or
hydronic) 14,00
Unit heaters (fuel -typo. not electric),
in -wall, in -duct, Suspended, etc, 10.00
Flue/vent for any of above 10,00
Subdivision: Lot no.: -
Other: 10.00
Tax map /parcel no,: Other fuel a linnets -_
DESCRIPTION OF WORK Water heater 10.00
n 1. I r 3 l I • • l `� ` I y Gas fireplace 10.00
1 1 Flue vent for water heater or gas
1,/ - �, ` •P 9e, fmcplacc 10.00
� is lighter (gas) 1 0.00
• .. Wood /pollct stove 10.00
Wood fireplace /insert 10,00
Vi PROPERTY OWNER ' • ❑ TENANT • Chimney/liner/flue/vent 10.00 �_
Other: 10,09 _
Name: R I PL� r't Environmental exhaust and ventilation
Address: `�LLI Range hood /other kitchen
equipment 10,0(1 •
City /State /ZIP: Clothe dt 'cr exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ •CONTACT PERSON Attic /crowtapacc fans 10.00
Business name: -
Other; 10.00
- Fucl piping
Contact. nnmc; 55.40 for first four; 51.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: ( 1 Fax: : ( ) Water heater
Fireplace
E -mail: Range 1
CONTRACTOR Barbecue
Business namc:
roue - Exeav�� Clothes dryer has)
Other,
• Address: PC) E1 2- ' • •MECi-TANICAI. PERMIT FEES*
--
City /State /ZIP: '� 912. - Subtotal
Minimum permit fee (572.50)
Phone: () 2 i'a c: (513)23a. 1 Plan review (25% ()f Permit fee)
CC13 lic.: l y Si fiff a s State surcharge (8% of permit fee) TOTAL PERMIT FEE
l
1 ■�, This permit application expirm if permit is not ohtaine d"w ithin IRO
Authorized signature:
%A.CD,,.., L ./ `, days after it bas been accept d n c cnmptctc-
Print name: a l V Da . 3 2 O " Foc inothodnlhity sci by Tri- County Building lndushy Service Beard
1:1Puildiny ; \Pcrmiis \MEC- PermitApp.doc 0006/06 440 -4617T 111 /02/� 1 r1)
CITY OF. IIGARD r ,.■
.BUILDING U G DIVISION #: MEC2007 -00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/26/2007
Phone: (503) 639 -4171 r �� ��wj PERMIT
Inspection Requests (24 Hrs.): (503) 639 -4175 ` L f-/ 6 - O�0 00� �'
:..'A
INSPECTION WORKSHEET FOR DATE: 4/2/2007 TIME: 7:02AM PAGE: 42
SITE ADDRESS: 14305 SW '100TH AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 016 TYPE OF USE:
PROJECT NAME: FISHER
DESCRIPTION: Gas line to range.
OWNER: FISHER, NICK PHONE #: 503 -330 -5039
CONTRACTOR: LOVE'TT EXCAVATING INC. PHONE #: 503.5042847
Inspection Request Scheduled For: Date: 4/212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 046825-01 503. 288 -1627 N
Corrections /Comments /Instructions: /�
'c �r7�I,/ 11-.f , - (j✓ irl -ae.<
C -- S" 7 7 --- 5 A f2/225
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❑ PASS f 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
IL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: ---e-/? Phone #: (503) 718- Z4-