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Permit
CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00167 of �l DATE ISSUED: 4/12/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103BB 00900 SITE ADDRESS: 12515 SW 124TH AVE ZONING: R -4.5 SUBDIVISION: BROOKWAY LOT: 009 JURISDICTION: TIG Project Description: Installing gas line for relocating water heater. 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: 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: 1 > 10000 cfm: GAS OUTLETS: 1 Owner: FEES HOMCOMB, FRED Description Date Amount 12515 SW 124TH AVE TIGARD, OR 97223 [MECH] Permit Fee 4/12/200f. $72.50 [TAX] 8% State Surcha 4/12/200` $5.80 Total $78.30 Phone: 503- 705 -4069 Contractor: GEORGE MORLAN PLUMBING 2222 NW RALEIGH PORTLAND, OR 97210 REQUIRED ITEMS AND REPORTS Phone: 503- 274 -1444 Reg #: LIC 2734 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: - 7 . :1 - ZS:27 Permittee Signature: yQ .. () Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d4. 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. APR -12 -2005 16 07 GED MORLAN PLMG SVC 503 265 0538 P.01 Mechanical Permit A lie FOR (FFlcE usr (INI..V City o Tgard Da rBy - '/ x 0 5 , = AeratitNo,. c !0 a)/ 7 13125 SW Hll Blvd., TadOR 9 9 EU J SJED phone 503.639,417l Fax: 503.598.196 ,' . �Sar3Rcnew Otbtr?emlit: Inspection Zinc. 503,639.4175 5 "``J n' ct: wo+w.ci.tigerd.or.us it) tSiJAf'LiPAORD = K - -� Due Ready/By: a Lid Se. rage 2 for 1i F � gu CITY I, •,fY1 Ir N. . ". 4 r + „ °'� , •.'�'• �4 7 r !))pp l,i• . " , i� , i'�L` 1t•rQ. ., �• ..uV,.�e�p ,� , r �,� . l� �l,r. S� n1 r„i. 1 <, Yg. TA4 tt : �[,. r Ir F1 . ',' i it L,.P,I: _+ o •�l i 17 t1!0 b `. ,,.�.i..3 . ,,.�.,_: I ;1,._u. r. ,._..`i�_ �E", , , ' � w _ - " 1 �' .. • :I t �n,A'1Q,7iS'P'• '• 0 New eonSnvctioa • • di(ionlalteration/replaectncnt Mc 1 aziiat peanut fees• are blued on the value of the work ❑ Demolition Other: performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, eguiorornt, lebc ,ovethead, and profit. T , -z; ::,, . . , 4 �=,.c ' slue: $ .r d tc'L:.: 1 i".1:717"; p ` _r.. n , .:;:,,,.... '' . , - A �" ISI ,U , -} I n. ) ! ' •' r f,....._': i` .� ' � ,�..,�, �: .3a+,..,.eid!':'ISt wtN •iY:`�Ltlu. �. , :... • llstxjal 0 Accessory building ` 'i "" .'$'.: ;3 s °f � `� ` � r ,� t ro.. ' ' � �' X1 and 2-family dwelling 0 Commer ial/ind C] Multi-family ❑ Master builder ❑ Other L. Spacial tAformaitert stye checklist ". •-m - p _., ^, ,�. - _ 11 Description Qty. 1 Ea. ! Total Z''' d:,,+ 1. +1..,ty1,rr, „ '',' , I . I' 1i : . elf, 4 -' . �1'J"•!• -1 1 '^1 " 1:"'..r ^� t :, 7.77i, r "tiM1 III f.l'r' „ I IL ill. I Al, � Y��''"'.' . �� •. '.r.�l�� .�',.:•��:'%:` .SVr,.17 "�rY::r. l ,. r]rt`R .:dot �I Y19'i'1''I "M1 ��,i y BZt{R�eOCh�; 4+� ..i. . �L..�:r: Ln.il. ....... i ''' °-- ,. __'.._•�_, �._,'•:•:�': �. - - -- ,.... S.'.M�!: -. .,.. T p... , � F � 1p Job site address: \ Zs 5 S 1.0 I 1,/ _ Asir conditioning or heat pump (r4qu site t+lin slow inz plzi i 14,00 City /State./z112: cf Z.7-3 Furnace 100.000 BTV (ducollvaus) 14.00 _Furnace 100,000 +BTU (4 1c /vrnul • 17.90 Suite/bldg. /apt. no.: Project same: it 3 1 " �• Cat heat pump 14.00 Cross street/ directions to job site: Duct work 14,00 ]dydrernic hot water system 14,00 Residential boiler (radiator or hydronie) 14.00 Unit heaters (fuel.type, not electric), in -wall, in -duet, suspended, etc, 10.00 Subdivision: Lot no.: - Flue/vcnt for and of above 10.00 Other. 10.00 _ Tax map /parcel no.. Other [ere! 11Pliaaces _ • '4 '.'' , ,, . .:1,.. 1T I -c ��u .r p� r ': , 'I'L: Ll,'li:a-ir h •�. f:t • ..._. I I � " 'I : l s Water heater 10.00 F *L _.:'., :ice. �faeplece 10 -00 �N 11 r - ■ ,� ; . m ' luc vent for water heater or gas n • 1� , freplace 10.00 10 6 li (Ras) 1040 • r WondFDellet stove - , 10,00 Wood fire .Lace/insert 10.00 f ^::77 - r . ' ,. :i :I;. ti 417...t', . . ,3inc.� 'y "= •T,^,�' - 1: - - r;,:.� Chirnney rtcr/fue 'etlt 10,00 LLLi1 . „ f � 1 1 `'! ,.13 r 11 i 1 _ ._.. ... L.:;LP_. i .i I. _i�_.. 9'r, . Ar •. ,7".• - -- /LI - ., - -'.0 ' �-1 = . '` _ r. Other: 100.00 Namt3 ■ / p . e ,li�� Raviroomeneal exhaust and ventilation Address: Runge hood/other kitchen equipment 10.00 City/Stara/ZIP: Clothes diver exhaust 10.00 Plume: (3 7e 9 - 6° Fax: ( ) Single-duct qua exhaust (bathrooms, 0 !' fiparlments, utj n .8 11" i . _ii Cl7fi:.,:y, T • "ii' ;' 1,-. ,z:;r' 7 :..• X11,: , r3'�71 1" . :lr ,` .� , ° ,, Attic/ChAwlspage an 10,00 , Business name 0 Other, P6 _I INA - 10,00 I Fuel pipink Contact name: ©K.- - $5.40 for first [our: 51.00 for each additional Address: -2-2 i W 1.41 F,mace, etc. Gas !teat . City/State/ZIP: �� 7_4 WalUsuspended/unirheater PhoIIc: ("is ' 2-1 ■ t / Li Fax:' ( `e .0.s.....5 1 Wald' tinier Flail: Firepisae i.T?I'h n r m- ;•r,r�,: i nom. i Range , s ,, 6'trk ^ •I b y �n ■l al T-5::,::-..,•I,,"%7 ,.may ..- •I2. _-'�-t-7 77", 1 --. : I ,e„,"1u..�..i. J f ::.i.. .. - . .r �? ` .. 4'_.f '._ . , 1'4;. I(IIID,L•",::_ - ,1, J ^B aY b ec'" $nuincs tratrtt G ,�O - g VT- • II Clot dry (Ru) i• ` Other:_ Address: S« _ • ,- 1 1 1 1' C �� 'I � ' ; i :' 'tr `'• t an' " ;? Cs Za,4,•r a.ih=: }•c= '.. .'.'.r . , CCity/State/ZIP: :1.' r :rr�l.,1 ,, r .r•F AI!.�uLI.rG e:.c s s 2 .. „ ' Subtotal Phone: ( •'] (. - / % x: � Pax ) Minimum permit fee (172,50) 5 1 _s plan rcvitw (2S% of • ertuit tot) CCB 1k.: .e^ Stele surcharge (8% of permit fee) .. TOTAL PERMIT PEE ' I'. O Authorizes clamoured L oltAA.1 ■ " This parr/di application seined re lk permit It not obtained w:rnlo tin a4y4 aROi Ir Lar otxo aoceprOd o. cocplpittt, ' �! � Dar' Li .._12_,0 .._12_,0 .._12_,0 . _ Print name; : Fee medlodole et byTr l- Couply Buntline lad Uf :Qy$arVtee TOTAL P.01 CITY OF TIGARD "- BUILDING DIVISION . PERMIT #: MEC2005 -00167 i i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4i12/200�, Phone: (503) 639 -4171 efill a �tml1ii�i ,, I\ Inspection Requests (24 Hrs.): (503) 639 -4175 _! '''I INSPECTION WORKSHEET FOR DATE: 5/3/2005 TIME: 7:14AM PAGE: 114 12516 SW 124TH AVE 1 ' SITE ADDRESS: CLASS OF WORK: SUBDIVISION: BROOKWAY LOT #: 009 TYPE OF USE: ,, PROJECT NAME: HOLCOMB DESCRIPTION: Installing gas line for relocating water heater. OWNER: HOMCOMB, FRED, PHONE #: 503 -705 -4069 CONTRACTOR: GEORGE MORLAN PLUMBING PHONE #: 503 -274 -1444 Inspection Request Scheduled For: Date: 5/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 005840 -01 503 - 274 -1444 N Corrections /Co ments /Instructions: a,$ �-Q s - /// d / / Z � c ---- P-g1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VZt Date: JI - 3/ Phone #: (503) 718- CITY ARD mg BUILDING DIVISION PERMIT #: MEC2005 -00167 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/12/2005 Phone: (503) 639 -4171 :�11:0111uy Ali Inspection Requests (24 Hrs.): (503) 639 -4175 ,JAJ' ■ ':_.. INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12AM PAGE: 46 SITE ADDRESS: 12515 SW 124TH AVE CLASS OF WORK: SUBDIVISION: BROOKWAY LOT #: 009 TYPE OF USE: PROJECT NAME: HOLCOMF3 DESCRIPTION: Installing gas line for relocating water heater. OWNER: HOMCOMB, FRED, PHONE #: 603- 706-4069 CONTRACTOR: GEORGE MORLAN PLUMBING PHONE #: 503 -274 -1444 Inspection Request Scheduled For: . Date: 4/22/2006 Pour Time: Code # Inspection- Description Confirm # Contact # Message 610 Gas line 005177 -01 503-705 -4069 Y Corrections /Comments/ Instructions: .� - sue,€= 7 • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ QALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A Date: — g 2. - Phone #: (503) 718- WWI CITY D - 1 BUILDING DIVISION PERMIT #: MEG200 00167 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/12/2005 Phone: (503) 639 -4171 .i�„,�,1 i� I Inspection Requests (24 Hrs.): (503) 639 -4175 ,�„.:� __.. INSPECTION WORKSHEET FOR DATE: 4/13/2005 TIME: 7:10AM PAGE: 35 SITE ADDRESS: 12515 SW 124TH AVE CLASS OF WORK: SUBDIVISION: BROOKWAY LOT #: 009 TYPE OF USE: PROJECT NAME: HOLCOMB DESCRIPTION: Installing gas line for relocating water heater. OWNER: HOMCOMB, FRED, PHONE #: 503 - 705 -4069 CONTRACTOR: GEORGE MORLAN PLUMBING PHONE #: 503-274-1444 Inspection Request Scheduled For: Date: 4/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 004416 -01 603 -806 -9246 Y Corrections /Comments /Instructions: n PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - Date: 4 -/3 _0 Phone #: (503) 718- Inspections Required for: MEC2005 -00167 ✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground/slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service /reconnect 205 Footing 120 Electrical rough -in 805 MFG - Structure •rading/footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing • ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: - 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing MEC - Mechanical Permit 810 MFG - Structure set -up 280 Insulation 605 Post/beam mechanical 285 D all nailin• X 610 Gas line ,c/VO 287 Suspended ceiling X 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: X 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 325 RP/backflow preventer 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Building \IVR \InspCard- Aop.doc 02/02/2005 . CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00167 x•••'.."". DATE ISSUED: 4/12/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 41. 1 PARCEL: 2S103BB -00900 SITE ADDRESS: 12515 SW 124TH AVE ZONING: R -4.5 SUBDIVISION: BROOKWAY LOT: 009 JURISDICTION: TiG Project Description: Installing gas line for relocating water heater. 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: GAS PRESSURE: 50 + HP: WOODSTOVES: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES HOMCOMB, FRED Description Date Amount 12515 SW 124TH AVE —i TIGARD, OR 97223 [MECH] Permit Fee 4/12/200: $72.50 [TAX] 8% State Surcha 4/12/200: $5.80 Total $78.30 Phone: 503- 705 -4069 -- • Contractor: GEORGE MORLAN PLUMBING 2222 NW RALEIGH PORTLAND, OR 97210 REQUIRED ITEMS AND REPORTS Phone: .503-274-1444 3 Reg #: LIC 2734 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other o 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 OregortM 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. Q O Issued By: - 7, /,_47,5" _ Permittee Signature: jam � daft Call 503 - 639 -4175 by 7:00 a.m. for inspections that business da - 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.