Permit ?k r v CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00604
TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/17/2007
PARCEL: 1 S 134AD -00300
SITE ADDRESS: 11356 SW IRONWOOD LP ZONING: R -4.5
SUBDIVISION: ENGLEWOOD LOT: 022 JURISDICTION: TIG
PROJECT: MEYERS
Project Description: Run approximately 20' of gas fuel piping to range location.
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
ELAINE MEYERS Description Date Amount
11356 SW IRONWOOD LOOP
TIGARD, OR 97223 [MECH] Permit Fee 10/17/20C $72.50
[TAX] 8% State Surcha 10/17/20C $5.80
Total $78.30
Phone: 503- 970 -9778
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.
Issue 4111ftkii / l / i , A Permittee Signature: .. l( fi
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.
Received A/
Da7I L 4
3tlI:0I Oi'rlcl
6 L
I tii• si ' Li
Permit No: ^
.._I — DD It g
Plan Review
Date/By:
..Ct
., Tit? nS. .
Far special information
Other Permit
Date Ready/By
Notified/Method:
Air conditioning or heat pump
(requires site plan showing placement)
IrM
H See Page 2 for
Supplemental Information
Value: $
�
..._.
, — 1 1 t1 �. V j -�S, a
t,,._. §. � .j:, y .,x....t
S .. i• t ��
-... .. v1f,.�.�� 'if`•
use checklist.
..Ct
., Tit? nS. .
Far special information
Description 1 Qty. 1 Ea. Total
Heatiop/cooling
Air conditioning or heat pump
(requires site plan showing placement)
14.00
Furnace 100,000 BTU (ducts/vents)
14.00
Furnace 100,000+ BTU (duets/vents)
17.90
Gas heat pump
14.00
Duct work
14.00
Hydros» c hot water system
14.00
Residential boiler (radiator or
hydronic)
1
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc.
10.00
Flue/vent for any of above
10.00
Other:
10.00
Other fuel appliances
Water heater
10.00
Gas fireplace
10.00
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
Chimney/liner /flue/vent
10.00
Other;
10.00
Environmental exhaust and ventilation
Range hood/other kitchen
equipment
10.00
Clothes dryer exhaust
10.00
Single -duct exhaust (bathrooms,
toilet compartments, utility rooms)
6.80
Attidcrawlspace fans
10.00
Other:
10.00
Fond piping{
$5.40 for first four; $1.00 for each additional
Furnace, etc.
Gas beat pump
Wall/suspended/unit heater
Water heater
Fireplace
Range
Barbecue
Clothes dryer (Ras)
Other
s :74Aii1 U
.�z ur,.',..1 i 6t?'."�:Ft' `•>zf I .`','�
s n:` � �: iit: x 48 ds
*a� z
FS
& ¢ c ` ,- s✓tF
S '=x�r
1echar at ?ermii Ap
-ay of Tigard
.3125 SW Hall Blvd., Tigard, OR 97223
'hone: 503.639.4171 Fax: 503 598.1960 n r T 1 7 2007
nspection Line: 503.639.4175
nternet: www.ci.tigard.or.us
❑ New construction
❑ Demolition
City / State/ZIP:
Suite/bldg. /apt no.:
Cross street/directions to job sire:
Subdivision:
Tax map /parcel no.:
City /State/ZIP: �; \
Contact name:
Authorized signature
T -
Address: \p-\ -17_
CCD tic.: \20Z"1'1
I Print name:k.„
istBuilding\Permitsl GPetai1App.dne 12103
D.-Addition/alteration/replacement
❑ Other:
4-L\
I Project name:
Lot no.:
Z \Z
OZZT- OS9 -EOS
1 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
❑ Multi - family ❑ Master builder ❑ Other:
Job site address: `\ � � X 70 o� \c c»
c
' C C ) . • \ o i.,
t
t
Name: SG:\0;4:,
Address: \\ ee \c
City/State /ZIP: ()rec.y� C"AQr. \
Phone:t � °15S1� I Fax: = �`J) � _\fl(
>p,
IS •
Business name: 44,..0602,,c— e
Address: `T,
City/State/Z1PC S C3`CeCerN
Phone: I Fax: ( . 4 , W
I Date: \ ' -' S
440-4612T (1 I /02/COAt/WEa)
Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials equipment labor overhead, and profit.
Subtotal
Minimum permit fee ($72.50)
Plan review (25% of permit fee)
State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Z �
This permit application expires it a permit is not obtained within 180
days after It has been accepted as complete.
Fee methodology set by Tri Building Industry Service Board
311 Sld30•03 2I31H30N Wd£T :Z LOOZ LI 400
CITY OF TIGARD
BUILDING PERMIT #: EC200 -00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1O/17/2007
Phone: (503) 639 -4171 /min Ip��u l �
Inspection Requests (24 Hrs.): (503) 639 -4175 6 1.1. 4 &-C v�0 0 7 -0Q & d j
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7 :00AIv1 PAGE: 63
SITE ADDRESS: 11356 SW IRONWOOD LP CLASS OF WORK:
SUBDIVISION: ENG ESN000 LOT #: 022 TYPE OF USE:
PROJECT NAME: MEYERS
DESCRIPTION: Run approximately 2(' of gas fuel piping to range location.
OWNER: MEYERS, ELAINE PHONE #: 603 -970 -9778
CONTRACTOR: KOEHLER CONCEPTS LLC PHONE #: 503.65t) -9550
Inspection Request Scheduled For: Date: 1O/23f2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
510 Gas line 058114 -01 503- 330.9093 N
Corrections /Comments/ Instructions:
ciii qi..., ,0
1�\
`k\
1-2
,01,
I, PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
, FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
l
Inspector: / Date: 10— 23- --ate Phone #: (503) 718 - '-z___c-