Permit CITY OF TIGARD
11
MECHANICAL PERMIT
.--, -- ...:-' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00299
;T1'G'ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/23/2007
PARCEL: 2S 115AD -00100
SITE ADDRESS: 10512 SW TUALATIN DR ZONING: R -4.5
SUBDIVISION: WILLOW BROOK FARM LOT: 032 JURISDICTION: TIG
PROJECT: HATTON
Project Description: Run gas line to barbeque (see other) and clothes dryer.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: 1
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
HATTON, FLOYD W + BARBARA W Description Date Amount
10512 SW TUALATIN DR
TIGARD, OR 97224 [MECH] Permit Fee 5/23/2007 $72.50
[TAX] 8% State Surcha 5/23/2007 $5.80
Total $78.30
Phone:
Contractor:
SERVICE NOW OF OREGON INC
621 SE 7TH
PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 445 -2440
FAX 503- 445 -2443
Reg #: LIC 161582
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: ...aI ..�.
y' Permittee Signature: 532 4/10-(71(021
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.
�v v illcal Permit Application� , '.:,8t " <)C'()R OFFICE " b -,..- .
City of [ iga,' t DZIWay: ,._ 2.; ow 1 Permit No.; M es _ti 4 2. •
1.3 t25 sw Hull 131v41., Tipaia, OR 9722 ' ' . ..... Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 ,d' y �i�p j '1.. Datc/13y,
Inspection Line: 503.639.41'75 n . • .. Dale Ready /By; f See Page 2 fur
" i • ? °' Sup roenGll Information
Internet: w ri�� ,� c) I 1 Notified/Method: N
{fcW,7 Ili JI 4i;' ' ,J • s} :.p V,. if, .r ,rYP ;lY fi;'� =„ :,, ',.., r: n 1 ilaiiJ., r -_ 1 t. G ; p
� f 1 ti ,: :>,? ; S . e ? ' " ;t� l i.' • ' '.CtGiaLr: ,. r , . , , ).G
a r�� (� Mechanical permit fees" are based on the value of the work
Q New construction %cdCUOn�aPteration /rep'lfien�; performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition . ❑ Other: mechanical materials e.vi merit, labor, overhead, and .rofit.
i yµt �� ,..,; .: h.. , .- :; r ,` iS ',�;;; Value: $
+'t�:' ,. J�:4. t4 ' �( Oik• y j� v ' :,0 r ,'. iii '':rr a ca r:. a.; . .aCr.:: � mp
,i1,,, i : , ly . ' f6t�doil:: ,' .. Y ^ 7 t ..., °i t x.?U ,Q r.. 7J1:: ti >. ,,. ;, 9;,' ,(,� ri.j; ,. ,s n xr r r r(.IfT'11
' 'V 1- and 2 - family dwelling ❑ Commercinl /industriitl Q Accessory building For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: .
Description J Qty. I Ea. 1 Total
REM ii 1'q hJQ S '_jjj:)F0 it fO OCATIQ'i llc�ttimJcoulin .
u e d d J gat t,., c.,, � ,; ,.., ..... ♦ ,.. r A ir conditioning or i14.;311. pump
lob stte address: O, ., d i i'\ 4 1 r (requires s plan showint placement)
14.00
rurnace 100,000 BTU (ductsfvents) 14.00
Ci[y /State!' /,ll'`��� ` Furnace 100,000+ BTU (duets/vents) 17,90 •
Suitclbldg. /apt no.: Project name: ■ O • it* Gas heat pump 14.00
Cross street/dircctions to job site: • Duct work 14.00
I-lydronic hot water s stem 14.00
Residential boiler (radiator or
11 'dronic) 11111 14,00
Unit heaters (tbel -type, not electric),
in -wall, induct, suspended, etc. 10.00
Flue/vent for any of above 10,00
Subdivision: T no.: ,� Other; 10.00
Tax map /parcel no.: Other fuel Appliances
`� r.!1,41,,114:4:'''),':;*: v , - /, % 'k:: Water heater 10.00 W
+ i..
� •- .'Illt'e1Y , ;:ii?trtt(V' �ttnN; C)h ".;.11 /tottl� ° r 10.00
. I C;:s fireplace _ s. , . w ....._..s. 1 V� _ - - i'Iue vent foe water heater or gas
lire. face 10.00
Mb %.P hog liilltter (gas) 10.00
l - Wood/peliet stove 10.00 l c �� n ..12.n-S_ Wood fire lace/insert 10.00 ill
C CI,imfey /linerMue /vent 10.00
3 , r � y �,. % r..p ji," '. ,', .•,sf,•Ce: '-":J' y : 1. '. 1 �� �ri5 ' '
.
c'.z r' = � � �, '
�v't/��Iri�;1 '[],.1.�'�'il�'A]V�'r ]0.00
Other:
�1L`a O & till. ' Environmental exhaust and ventilation
Runge hood /other kitchen
Address: \ *dip . a / # ' IL cduipmelil • 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: 1 ��`, tt. Single -duct exhaust (bathrooms,
/ 4 ►.•_ t ) toilet com•
Phone: - lD Ill no Fax: il artments, utility rooms) 6.S0
fan I0 00 MIN
y rs* K s r •w.' . .r,:. ' >vrt• -- `v;i i "li i i1, "1 t . Attic /crawls ace 5
I { " �iy1t , r ??� r ? P�iMSSfiii' ,..t ��t;;'� i, a' ° -} : , 'L_ , 10.00
'� ; ' ' - Other: 11111
Business name: C \ ► n41■0...-) 4 Fuca 1 in
Contact name: • 111111111111111111 55.40 for first four; S1.00 for each additional
- - l-unlacC. etc.
Address : i a a. >` �,z, ( ns heat . urn ���
City /State /' /-lP; �� i Ill �� • ----)...\ Wall /suspended /unit heater
Water heater
Phone: s �� j- DLI r,,.:: q 5^ 2-x-1 I-ire lace 1.11111 --
E - Ran :e �� .
� •
,,,t,. , ��"��^;r:a. '•�� ?" R.�C'`hf)12: � .,. arbcct
e
::;... --19-- ��', . ;ti -, ;:�.•:' .�. Clothes dryer (gas)
Business name: Service Now o Crewel- Inc- Othei:
Address: ►
-
�7„ �},
Sublet l
City /Stateilll'; ``� *P • 7 1 0...2)----5::"7 m inimum permit fee ($72.50) x,50
Phone: �� •.' ' _ l Iii; D -{ ■ Plan review (z5% of permit fee)
State surcharge (8% of permit fee) $O
CCF31ic.: 1 61 58
T'OT'AL PERMIT' FEE
//
� 71,is permit appfi: expirs f y permit rat ned within 180
Authorized 5iggatun� � f � � w d:q•s c aRer dton it has beeein ac:cpted is as comobtaiplctc-
' j i / Fee ui tl,odolo set by - rri- County Building Industry Service Board
Print name: '��C:�� '.
OL..
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440-.5i 7T (11 /02 /COt1WW El])
is \Uoildr>'I'Cflhi" \ML:Gr''''" I'P•Jnc I:/07
z 39 d ONI MON 3DINES E69LS99Ee5 LI :bI Lee /E/Se
CITY OF TIGARD -1-
BUILDING DIVISION - PERMIT #: MEC2007 -00299
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2007
Phone: (503) 639 -4171 mod P iq l e'I lit
I 4 9
Inspection Requests (24 Hrs.): (503) 639 -4175 :. ' .. AIL; 0 -7 l� ' <
INSPECTION WORKSHEET FOR DATE: 5/24/2007 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 10512 SW TUALATIN DR CLASS OF WORK:
SUBDIVISION: WILLOW BROOK FARM LOT #: 032 TYPE OF USE:
PROJECT NAME: HATTON
DESCRIPTION: Run gas line to barbeque (see other) and clothes dryer.
OWNER: HATTON. FLOYD W + BARBARA W, PHONE #:
CONTRACTOR: SERVICE NOW OF OREGON INC PHONE #: 503. 445 - 2440
• Inspection Request Scheduled For: Date: 5/24 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 0409900/ 503.445.2440 Y
Corrections //}Comments /Instructions: � s
.574.2> C. iG -t/ - /�b �' S' 7.- 1.L.` �2AS < ,—� Y° //t
J
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i
Inspector: - / Date: .S = 2,4 - Phone #: (503) 718- 2ei