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Permit
A~ J flr CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00659 .T,IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/27/2006 = PARCEL: 2S112CB -08100 SITE ADDRESS: 15041 SW KENTON DR ZONING: R -7 SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 095 JURISDICTION: TIG Project Description: Gas line to BBQ. 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: GAS 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: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES WARREN, STEVEN CHARLES Description Date Amount 15041 SW KENTON DR TIGARD, OR 97224 [MECH] Permit Fee 12/27/20( $72.50 [TAX] 8% State Surcha 12/27/20( $5.80 Total $78.30 Phone: 503- 684 -2033 Contractor: NATURAL GAS CUSTOM PIPING INC 4450 NE SUMNER PORTLAND, OR 97218 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 335 -9950 FAX 503- 335 -9950 Reg #: LIC 125031 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: j • / Jaw._ Call 503.639.4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Dec 27, 46 08_54a Mack D. Sutphin 5032926945 p.1 otv lv)IeCbanlcal Permit Appl r . ty i r » 4 '4 ' a l 1 O1 1 1 - . I O I rlr � � � � aei City of Tiglyd 1.Ier R ii y : .D - 7 /Db 1$ 6 P--"' ° L D o G a- jam' o D, ! ell r 13125 SW Ball Blvd., Tigard, OR 972 ' L^ plan Review / ` / - Phone: 503.639.4171 Fax: 503.59M0 20 fi DatcIl3y: t ' I� 'r- R ' n PP dB inspection L 503.639.4175 _ Date steady/By: , ® race 2 roe i xr v 4i Internet: www.ligard -ace v CITY (IGARD Notified/Method: j Suppkmrntall BUILDING DIVISION __. ._.. -- TYPE OF WORK COMMERCIAL FEE* SCIIED(JI.F. - USECIIECKLIST © New construction [] Addition/alteration/replacement Mechanical prnnit fits' arc based on the value ofibe work performed, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: muc:hanicul materials, equipment, labor, overhead. and pmfit. CATEGORY OF' CONSTRUCTION Value :3 RESIDENTIAL EQUIPMENT / SYSTEMS FEES* P'1- irnd 2 - Iiirniiy dwelling ❑ Commercial/industrial 0 Accessory building 1E1 Multi-family 0 Master builder 0 Other: For special tr(jorrrinr /ar use y6e E . Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION tleatin>"/cnot $e. 4k S I..r i IK!t.>`r,t1ty D'FLAVlL Airconditioningorhintpump Jobsitsaddress: I (mtpliRS rile plan bhpwina plpumCnr) 14. 0(1 City/Stater/AP! `T I Gan ti ,_ cNTL 9'77,. Farppacc 100,000 lMI (umirrvo„I.) 14 -00 France 100 B7'u (duets/yenta) 17,90 Suite/bldg./apt. no.: Project mime: Ir•)AR9►rN C heat pump 14.00 Cross street/directions to job site: HO 1.1. 'BI..Z (Z, s7� .-t•�} Duct work 14.00 p liydmnic !qt water vy5tem 14,00 l !� o ` s5 Sr 5 .7%, w ■ 4k • J C � T., Residential boiler (radiator or N 7 +a u R Uni he 14.00 f t ._ 1 �,L `>r � Isom t�-t t Unit heaters (fuel -type, ua cluctric). in -wall. in -duct, suspended, etc. 10.00 Flue/vent fur any of ubove 10.00 Subdivision: 1 1.ot no.: • Other. +] 10.00 Tux map /parcel no.; Other fuel Appliances DESCRIPTION OF WORK Wuter healer _ Cj 10.00 - Gas fireplace 10.00 CiA I_% a., E. Fob. 1311c, - Flue vent for water heater or as lre 10.00 I.ap lighter (gas) 10,00 , Wood/pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 ❑ PROPERTY OWNER �_- ❑ TENANT Oilier: 10,00 Name: - Environmental exhaust and ventilation Address: Range hood/other kitchen �atlutpmeM 10.00 City /State/ZIP: Clothes dryer exhaust 10.00 -. --- Single-duct exhaust (bathrooms. Phone: 4 3) I p 9 4 - 3 3 Fax: ( ) toilet cont. : rtmefts !MN Toms 6.80 APPLICANT 1 ❑ CONTACT PERSON Attic/crawl pre fans t O.(K) 1 - Business ruunr i- () ther , 10.00 i G. l.+ U ATZ,QJy/trx Ls, I�D3 c.Atr- It b �yC.hr , rail Pi�litlg Contact Mime: M N � , 4226t-t-,4,611 ptA1..d $5.40 for Ilrst four; SLOB for each a dditiona l I� Address: 66M 5 CAs yDM i,AAde Furnace ere. — W — 1 City /Suite ZIP: P L.n.1� P. Wall/suspended/unit heat pump 9'7 S _ W:JUsusllendod /unit healer li _ Phone: (5a7) Z.9 -4,-. 4yg.,( I Fax:: (WV -. - 69 Mg Widerbcaoer -- IFireplace E-mail: rn -t. liit_ de Inv lehrow%dryi. Lowe ee.Vd:. Goth Range - CONTRACTOR _ Barbecue 1 S. h i_.. 5, 4 Business nacre: N ?, , Clothes dryer (gas) Other: Address: 4414 So N E. $ .a1 0 641. MECHANICAL PERMIT FEES' City/State/ZIP: ?DR-ij*, , 011. 971.43 Subtotal — Phone: ($od ) 33§ - 9 9 So Fax: (S6�) 3,35 �c q 5O Rtir permit fcc ($72.50) - .. 54 CCEI tic.: %%S i g t / D Plan re (25% ft% of p f ee) . __ State surcharge (R% of permit fee) S�� TOTAL PERMIT FEE 7 14.3ri Authorized signature: 'Ihlai permit application expires if a permit le not obtained within 18o d y>r after it bas been accepted at, complete. Print name: MAWS A- S - r'rPl19N Date: 11_11--; i cp ° Fee methodology xel by Tri- County Building Industry Service lA 1ird I:lsuitdiac,reaniowntc.I' itApp.doc wow. • 4I0.4617T (is irrlicotwww) t � CITY OF TIGARD BUILDING DIVISION PERMIT #: MMMEC2005- 00659 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2006 Phone: (503) 639 -4171 AsiMMOr Inspection Requests (24 Hrs.): (503) 639 -4175 /W Q 6 - 00 6S 9 INSPECTION WORKSHEET FOR DATE: 1/24/2007 TIME: 7 :02AM PAGE: 31 SITE ADDRESS: 15041 SW KENTON DR CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 095 TYPE OF USE: PROJECT NAME: WARREN DESCRIPTION: Gas line to SKI. OWNER: WARREN, STEVEN CHARLES, PHONE #: 503.6B4 -2033 CONTRACTOR: NATURAL GAS CUSTOM PIPING INC PHONE #: 503-335-9950 Inspection Request Scheduled For: Date: 1/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 042435 -01 503-664-6164 N Corrections /Comments /Instructions: ,rs _ .� � )„, � —� x-rc� � � 1 �"� crime" 1/4 • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: /-27-4, Phone #: (503) 718 - --EL „` / ��. CITY ���� ��U���k����” � ���� - � �"w m u '*�'m o n�m�mnn�� BUILDING DIVISION PERMIT #: MEC2006-0005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1�27/JOO6 Phone: (503) 639-4171 Inspection Reque�o(24Hro.):(5O3)S38'4175 ^J� �' «�J� HEC P.00 6 -^ 6'S? INSPECTION WORKSHEET FOR DATE: 1/11/2007 TIME: 7:03AkA PAGE: 32 SITE ADDRESS: 15041 SW KENTON DR CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 085 TYPE OF USE: PROJECT NAME: WARREN DESCRIPTION: Gas line to BBQ OWNER: WARREN, STEVEN CHARLES, PHONE #: 503'6E0-2033 CONTRACTOR: NATURAL GAS CUSTOM PIPING INC PHONE #: 503.335'B980 . Inspection Request Scheduled For: Date: 1/11/2O07 Pour Time: Code # Inspection Description Confirm # Contact # Message 010 Gas line 041998-01 503-664'6154 N Corrections/Comments/Instructions: (0 . El PASS I I PARTIAL APPROVAL 7 CANCEL ACCESS I I FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: 70 Date: I — // - 17 Phone #: (503) 718- -' r CITY.OF.TIGARD' BUILDING DIVISION PERMIT #: MEC2006-00659 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2006 Phone: (503) 639-4171 At 1 i nfyilit Inspection Requests (24 Hrs.): (503) 639-4175 .,,,Jak 11. '/8 goo 6 - 00 8 INSPECTION WORKSHEET FOR DATE: 1//2007 TIME: 7:00AM PAGE: 24 SITE ADDRESS: 15041 SW KENTON DR CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 095 TYPE OF USE: PROJECT NAME: WARREN DESCRIPTION: Gas line to 680. OWNER: WARREN, STEVEN CHARLES, PHONE #: 503-6P4-2033 CONTRACTOR: NATURAL GAS CUSTOM PIPING INC PHONE #: 503.3354)950 Inspection Request Scheduled For: Date: 118/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 041881-01 603-292-6984 N Corrections /Comments/ Instructions: .--- I I PASS H PARTIAL APPROVAL . fl CANCEL 4-440 0 FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: .2 A Date: f ---- F- 0 ---? Phone #: (503) 718- Zer----fr . . . .