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Permit �Ay` CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00717 TI GARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/11/2007 PARCEL: 1 S133CC -01300 SITE ADDRESS: 11735 SW TALLWOOD DR ZONING: R -25 SUBDIVISION: PEBBLECREEK LOT: 007 JURISDICTION: TIG PROJECT: COTTRELL Project Description: 30' gas piping 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 PAULA COTTRELL Description Date Amount 11735 SW TALLWOOD DR TIGARD, OR 97223 [MECH] Permit Fee 12/11/20C $72.50 [TAX] 8% State Surcha 12/11/20C $5.80 Total $78.30 Phone: 503 -579 -6303 Contractor: KOEHLER CONCEPTS LLC 10772 SE HWY 212 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 650 -9550 FAX 503 - 650 -1220 Reg #: LIC 120277 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: 4 Permittee Signature: C�0 /l �C �! ' ���6� • 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. T4.. Dec 10 2007 4:07PM KOEHLER CONCEPTS LLC 503 - 650 -1220 p.2 ® ,,,,, ti ,l, ` {,.. ,,,, yi'l., p�"" p,,, t'>w s f ?'•' , a w,e vat, ..r'� i s �.I vm :ci i lZI )R . tJ;l to L 1 z.l. . .. , Mechanical Permit t "` eee��� Od7� 3 Received P � � � City of Tigard l Date/By: . / 1 a 7 �- 13125 SW Hall Blvd., Tigard, OR 97223 r 1 0 Al Plan Review Other Permit. Phone: 503.639.4171 Fax: 503.598.1960 Ut.1, n,nxsr4 �, Date/By: w �� �.. , t�' sn ' ' ji ` 1 t �. Juris: la See Page 2 for Inspection Line: 503.639.4175 Y 0f" C�GA -- 4;; !_14, Date ReadyBy: 1 ` ' i Notified/method Supplemental Information : Internet www.ct.tigard.or.us CA O�V' � - ' r �1 I . F i iglc, 1 ((�!!" t . A. j 7 Litt kf i� irr X 1 ;a G :Y11 iI°`ti =%k = in:. .._ ..a �. .0 i1 WG, ta• ..I�Ptsrs�atw & l t a; -' ._ , S " . -„-._ _ rc :.s_'n •i r on th % a value 0f t he wank [ ddition/alteratitm/re lacetnent Mech permit fees` are based on the t he ❑ New construction p performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead and profit. •M ,47- - n . lta(•.n.3" ; f7M`: -. "' f "` I-Ar.. 4, 6; x '_ ..,t7 Value: $ ..:=,fib >°.-; °.`r_.,(- u� j 1,• � aS'3i'e f , ,z � .• U l a -rni 'r...ai�;:abab..4 r'- j ice. R :v^•rJ FF' r - •�- r y '.Jfx...'. "�W iLc1 :1 ill�••..L_: )1Y�'A xsK, L+©1v'.n..l.. .- 7...-' 2fi •..ti. :.N......(f ... �'tl�.Fex...w m,I:w : J i 1 , 1 1 y.. E ' 1 1 1 F_ ?. � 5 ? 1l •∎1 , '-i i s :.r.•i. �..,.m �re...r.- tin � ?:tR „� r fsc.vF`.. w,.; '.�.� : ?i:w_ 1 -and 2- family dwelling ❑Commercial /industrial ❑ Accessory building For special information use checklist. 0 Multi family ❑ Master builder ❑ Other: Description Qty. , Ea. Total t�� t �'7.F'P't"x u - , rte„ �r ;� a � r 1 s " n .. 3 ra 7i r) � 'i' i t • "'c. '+ i. t F y, i i y r it I t tls 1 i l � i s .1 ..r A v Cis ' p i. s Air conditioning d ling AG =0'7 it nor .tea •sz..a . t.. € Giil..ae i 1;.J.) ... c afR 6.. a ..Ev:tS:.•e:....•.. +.Ya.:iw� + Air cditioning or heat pump Job site address:' \`'‘''2 c ,. "T�\ \%,,J , .f-t--. (requires site plan showing placement) 14.00 Ci /Siale Furnace 100,000 BTU (duets/vents) 14.00 2[P: t �1 . pc`e Furnace 100,000+ BTU (ducts/vents) 17.90 \ � �� name: Suite/bldg. /apt. no.: Project Gas heat pump 14.00 Cross street/directions to job site: Duct work 14,00 _ Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit beaters (fuel -type, 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 appliances ''• ._ , ), ut a - r i'Mri a:' - , n,∎61 ,-, - f j ". -1.-:.7.-....4I.1 ' ' t- ` + Ai 1 4 Water h eater 10.00 • It s • ` 7 it rr i u.t�� t ` �t ' �}kan ita.`t6`a �l'f..�, 10.00 o ar 4 i .. �[� Gas fireplace . 6- (),r c J1 - Nil Flue vent for water heater or gas 10.00 ■ �� �� fireplace \CCx` `4. (.�;;Apr1 Log lighter (gas) 10.00 Wood/pellet stove - 10.00 Wood fireplace/insert 10.00 , .- n g ei -re • 0 Chimney /liner/flue/vent 10.00 -r?' - � pl - 1 �3z - " P l"'� �' - :-"•� -3 i �' 'r'k,. { i : > a � J ` 1 is t�r,3lc 71:� �` 9� fxt °:, 1 {�i+lt T+ a,r>� it!, Other 10.00 y :;,.'„ , ifr .. t1,14 1 cis• ' Name: k\ _ C Environmental exhaust and amtilation `� 3 � Range hood /other kitchen Address: „-,�� c.....,,.. " (. k . equipment 10.00 ,.,..,,r& �� e`•--t TI-22 Clothes dryer exhaust 10.00 City/State/ZIP. \� t ♦ `-'� l L J Single -duct exhaust (bathrooms, 6.80 Phone: (c, ) 5 - ki!� (r Fax (&.,t1 ) C\ C t ebb _ toilet compartments, utility rooms) tin ,,• }-�. ` Attic/crawlspace fans 10.00 i a : fi n - th > t i i 4 s j «r :Wr 1 -i u ,. 11 i t a rd ) w a lb, .i d 10.00 ;I,� z. ,.:an° _ at-u F ,... Other: Business name: ' r t' ems" C.,zr.c \.....\-L-- Fuel piping Contact name: V.v� ` $3.40 for first four; 81.00 for each additional Furnace, etc. 1 l Address: Nsz.,--\, L c �1 -�Z \Z Gas heat pump City/State/11F: ec C'\ {� Wall /suspended/unit beater t Qt'- Water healer Phone: �)f��t�.��� Fax: ��j) �7 Fireplace E -matt A \ Co • ► -,-� anar ggeeu r J . .1.. °' . - - .f�., .+-i;. Bali, C«-C;.t - i'alid.. e l .' ,vk] .,•i,'' _ ._. .. ..IT , �� \ Clothes dryer (gas) Business name: 1 Other: yy Address: ���lZ- j " t}_ _ _. Lu , . . ,a.... Cit /State2lPe S p•cp�r...,. c--cl Subtotal Minimum permit fee ($72.50) '11, Phone: 1 ., -, -.1 L _ t\e � s Fax: �� l '\ Plan reviett. (25%ofpermit fee) CCB Iic.: \--L.Z",- -‘ State surcharge (8% of permit fee) °S ' ... TOTAL PERMIT FEE 1c1 This permit application ez.pires if a permit is not obtained within 15 :0 Authorized signature: days after it bas been accepted as complete. Print name: ..�vs.t Date 7 - -13 1 ' Fec methodology set by Tit- County Building Industry Service Board itluitdineernits )MEC- PermitApp.dae 12/0t \•, 440 - 4617T (11/02 /CUA''tWEB) CITY DF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00717 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/11/2007 Phone: (503) 639 -4171 Ant , Inspection Requests (24 Hrs.): (503) 639 -4175 L / C gOO V ' 0 07 / 7 INSPECTION WORKSHEET FOR DATE: 12/14/2007 TIME: 7 :01AM PAGE: 35 SITE ADDRESS: 11735 SW TALLWOOD DR CLASS OF WORK: SUBDIVISION: PEBBL.EC.REEK LOT #: 007 TYPE OF USE: PROJECT NAME: C.: OTT'RELL DESCRIPTION: 30' gas piping to range OWNER: COTTRELL, PAULA PHONE #: fiO3~t'i79 -6303 CONTRACTOR: KOEHLER CONCEPTS LLC PHONE #: 503.650- 9550 Inspection Request Scheduled For: Date: 12/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 6 Gm tine 061547 -01 503.939 -7882 N Corrections/Comments/Instructions: 4 / /* - 1 - y-- I a: . 14) 1 ' 4141 CY *- / q �1 1 V` PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /'\ Date: /2--- l 4 o7 Phone #: (503) 718 - Z �