Loading...
Permit ' r !. CITY OF TIGARD MECHANICAL PERMIT ` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00091 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/9/2007 PARCEL: 2S 103AA -01909 SITE ADDRESS: 12385 SW 106TH DR ZONING: R -4.5 SUBDIVISION: COTTONWOOD PLACE LOT: 012 JURISDICTION: TIG Project Description: Gas stove & gas line. CLASS OF WORK: OTR 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: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 GAS OUTLETS: 1 > 10000 cfm: Owner: FEES JIM FLATTERS Description Date • Amount 12385 SW 106TH DR TIGARD, OR 97223 [MECH] Permit Fee 2/9/2007 $72.50 [TAX] 8% State Surcha 2/9/2007 $5.80 Total $78.30 Phone: 503- 639 -1435 Contractor: LUDEMAN'S FIREPLACE & PATIO 12675 SW BEAVERDAM RD BEAVERTON, OR 97005 -2129 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 646 -6409 FAX 503- 646 -8034 Reg #: LIC 51469 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: LI.G' Permittee Signature: V . f R°s\ 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. FEB. 8. 2007 6 :02PM 0.217 '.2/3 M Permit Application t:OR (WI 1( 1. ll Si. O')_t �fs1 . S '- Received _ / permit No vV I-17 ` City of Tigard R *- .0 . ) E D DatdBy Q 7 1 00 / 13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.196 i a g ; Other Permit: Inspection Line: 503.639.4175 r • EB ®9 2007 � ■ ,. ' — 1. bate l dyBy: NM E1 See Pagc 2 for Internet: www_ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DILliS1QN TYPE OF wORK COMMERCIAL FEE" SCHEDULE — USE CHECKLIST ❑ New construction AdditiONalteratiort /replaecmcnl Mechanical permit fees` are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all © Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit, — - Value: S CATEGORY OF CONSTRUCTION — RESIDENTIAL EQUIPMENT / SYSTEMS FEES' 1: - and 2- family dwelling ❑ Commercial/industrial 0 Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ee. I Total • JOB SITE INFORMATION AND LOCATION Renting/cooling ^ Air conditioning or heat pump Job site address: l e? 3 jp,5 � reJ _ f 4 G 1V DR . (requires sire plan s bowing placement) 14.00 City /State/ZIP: Tagprsi. 0 Iv 9 762 az Furnace 100,000 BTU (ducts/vents) .. 14.00 / Furnace 100,000+ BTU (deetr/vttntsl 17.90 Suitc/bldp. /apt no,: Project name: �!4 _ __ ram Gas heat pump 14,00 Cross street/directions to job site: Duet work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 . Unit heaters (fuel -type, not electric). in -wall. In -duct suspended, etc. 10,00 . Subdivision: Lot no.: Flue /vent for any of above _ 10.00 — Other 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 —' Gas fireplac 10.00 —.Z7. /f O S V e er _ Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 e Wood/ st ove n tG / 10.00 _..m Wood fireplace/insert 10.00 5r PROPERTY OWNER I___ [J TENANT Chimney/liner/flue/vent 10 .00 14.011 Other. 10.00 _Name: A s Environmental exhaust and ventilation _ Range hood /other kitchen Address: Jai 85 .. /QG . r . equipment 10.00 Clothes dryer exhaust 10.00 City /Stntel7.IP: r� Q R 7a� Single.duct exhaust (bathroorns, Phone: ( ) 6,4 /- /V.3.5 Fax: ( ) toilet compartments. utility rooms) 6.80 APPLICANT © CONTACT PERSON Attidcrawlspacc fans 10.00 Other: 10.00 Business name; .�ae�e An Fuel piping • Contact name: on/ . lc co R SS,40 for first four: SL.00 fbr each ndditionaE Address: rnace, etc. . 7 — •,t. e- t Jrrd6 Al #vi cQ Gas hens pump City /State/Z1Pf0 elt , 11 f Water heater O/2 9 7GC, Wali/suspended/tmitheater Phone: ($0 t! - 5(6" �0 �0� Fax:: Fireplace / yd SYd p { E -mail: 49r flan e CONTRACTOR Barbecue _ Clothes dryer (pas) Business name: ��A A ) Q_ Other; Address: MECHANICAL PERMIT FEES= _ City /State/ZIP: Subtotal . *d - Minimum permit iie ($72.50) 7 , 50 Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lie.: ' — 'J State surcharge (8% of permit fee) , rdt TOTAL PERMIT FEE 7/. 30 1 Thi pe rmit application expires if a permit is not obtained within yie Authorized signature: ` days after it bas been accepted as eetnalere. Print na ` me:: r4 c Air f ‹. bale: ae, a 7 • ree tuethodotogy set by Tti- County Buikling Industry Servteo Sosrd i r CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -000D1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/912007 Phone: (503) 639 -4171 �igfil A rl , Inspection Requests (24 Hrs.): (503) 639 -4175 . ' `° I INSPECTION WORKSHEET FOR DATE: 2!28/2007 TIME: 7 :02AM PAGE: 61 SITE ADDRESS: 12385 SW 106TH DR CLASS OF WORK: SUBDIVISION: COTTONWOOD PLACE LOT #: 012 TYPE OF USE: PROJECT NAME: FLATTERS DESCRIPTION: G stove & gas line. OWNER: FLATTERS, JIM PHONE #: 503 - 639. 1435 CONTRACTOR: LUDEtvIAN'S FIREPLACE & PATIO PHONE #: 503 - 646 -6409 Inspection Request Scheduled For: Date: 217812007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 044040 - 01 503 N (0 1 W J CIS � - ogi/ (12- o Corrections /Comments /Instructions: ( -- 1 (- air ' VA ,k 4 A --------. Ir j /------.■\ . i j \ * L) , -t- c...., ..F: \ ) : A , _........„" . . ASS ' n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FO' INSPECTION H ADDIT ONAL EES ASSESSED i r 0 Inspector: /WA Date: Phone #: (503) 718 - _7.-__,`.. \�