Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00266
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/28/2008
PARCEL: 1 S136DC -02701
SITE ADDRESS: 07040 SW BAYLOR ST ZONING: MUE
SUBDIVISION: ELNOLA HEIGHTS LOT: 002 JURISDICTION: TIG
PROJECT: SCHROLL
Project Description: Relocating 50 ft. of gas piping for furnace and water heater.
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: 0 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
SHARON SCHROLL Description Date Amount
7040 SW BAYLOR ST
TIGARD, OR 97223 [MECH] Permit Fee 5/28/200E $72.50
[TAX] 12% State Surch 5/28/200E $8.70
Phone:
Total $81.20
Contractor:
PORTLAND MECHANICAL CONTRACTOR
2000 SE HANNA HARVESTER DR
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 656 -7400
FAX 503- 655 -0620
Reg #: LIC 151807
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 �/ Permittee Signature: i �✓f� s '
Call • I '.•39.4175 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.
05/28/2008 15:39 5036550620 PTLD MECH PAGE 02/03
Mechanical Permit Application, „ Fort OFFICE USE ONLY , ; z
City of Tigard Received p J' /+
Date/By: �' /1 f� unit NQ,; A —L 4(i7
E n Hall 13125 SW IIlvd., Tigard, OR 97223
Dar Review
503. 639.4171 Fax: 503.59R.1960 Dato /fay: Other Permit:
I N G.A% D Inspection Line: 503.639.4175 Date Rcndy /By: lurk; 0 Scc ra e a for
Internet: www.l'igard- or.gov �� j 1
No[ificd/Mcthod: `f 'ef-�f Supplcmcntnl lnformntlnn
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Mechanical permit fees” arc based on the value of work
❑ New construction El Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, a ui mc [,t, labor, overhead, and refit,
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tEl
I- and 2-family
,It
dwelling ,Ii' rise' T' o f r spec rP ltifp t ritalion , u�Ce l checklist, Y � i ''t ` Ml `pds is
Y g d Commercial/industrial ❑ Accessory building � � �� "A1 "r, „1.'11,[11.1 „ "
❑ multi-ran-lily ❑ Master builder ❑ Other:
Description l 1
Qty.] Ea, j Total
IRIi i 1 i1 "r:�u'I I p P 4 11'( ! irP i t' i u i;l li+ .w, ' �' _
1 ';''1.Ij , ,rl,'I'ddg l li , l4 {' + 1i1,;g1; i
'l 1 1 � ' er Hcatln /cnolit►g _
Job site address: 7040 SW Baylor Road Air conditioning or heat pump
(requires sito plan ..s howingylnccmont) 14.00
City/State /ZIP; Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Sui tc/bidg, /apt. no.: 1 Project name: Sharon Schroil Furnace 100,000+ BTU (duets/vents) 17.90
Gas hcatyump 14
Cross street/directions to job site: Duct work 10.00
I-lydronic hot water system 14.(10
Residential boiler (radiator or
hydronic) 14,00
Unit healers (fuel -type, not electric),
in - wall, in -duct, suspended, etc, 14.00
Flue /vent for any above 6.80
Subdivision: I Lot no.: -
Other: 10.00 -
Tax map /parcel no.; Other fuel appliances
1!11, ;,.1 , ( l,li� " `' ;I , I ;1 �1' I Ill i" I I'li ”' , ! 1,'„ I; I1 "k (,f, : ll, 1 1i , Iti „l!� I�,Ilil ll +l x �1!„ ; .I iii. Water• heater - 10.00
:,,,1 ; °a.1 ;,:,1„ r „ 1 , . , . �,ii,l . ,1 ,, , Iy'Ip ,, ; ;::u t+ !'( I lP'li'
,11, 1111....1 3 l s: 'E,� '.' ..
Gas fireplace 10.00
Relocate less than 50ft gas piping for NW Natural Gas. Flue vent for water heater or gas
fireplace - 10.00
Lo b er as 10,00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
°!' ; L ; { I p ` °u� P y I�� A ( {1 I'1 r:11P t ° n �9 � p; d�1u , 1 , +, yq; 1
Chimney/liner/fine/vent ne/vent 10,
1'lll�ii.�, y P l `'! �� 1 Wa IWOO�YJr"i,, ° i it , , , f J ` e �`1j i I 1 1 hj f 1.1� 1111 11 j i. f I t! gI ! O ° }�Oy{��1�1} l� 11li�l;l t1� 111 i! L.I 111;', "1 00
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10.00
Name: Sharon Schroll • Environmental exhaust and ventilation
Range hood /other kitchen
Address; 7040 SW Baylor Road c ument 10.00
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 10.00
Single - duct exhaust (bathrooms,
Phone: ( ) Fax:
( ) toilet compartments, utility rooms) 6.80
;'i "`f4''1t ;'' M
'i`'!4! 3t. ,w�" ” t11 ' r,L "LC t , „n r ,
i, { I ''i� ` i 1 ' ,11 i i �' lit u 7yAiit �l �t i 11 11 � iv `I1 ll 1 1 1 Il I ! 1o ' �� sitemi � ! t I l 1 `,.',r., I, Attic /crawlspacc fans 10.00
;Et1G'.I,11IP) Illi4,11,1,11119, , .,In wv ,i P ! , 1, / 14 li,.> I pl 1tl A ,I• 1j „ 1� 1,,.d, 1;, Lit5L1ml ;,,l��' ,,Irrrrt ^Arl°9 d�ll
Business name: Portland Mechanical Contractors Other: - 10.00
Fnelpiping
Contact name; Kevin Miller $5.40 for first four; $1.00 for each additional
Address: 2000 SE Itanna Harvester Driv Furnace, etc. - j
-- — Gas heat pump
City/State /ZIP; Milwaukie, OR 97222 Wall /suspended /unit heater _
Phone: (503) 656 - 7400 Fax: : (503) 655-0620 Water heater 1
Fireplace
E -mail: kevinm(n portlandrttechanical .corn Range
..i ii'fg'f P �� 11 ' Ij .P, ', ( r l�I i itj'l I' V 'r,tl'I, �� {rH o yi '.'!1'
Barbecue
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Business name: Sante as above.
Clothcs dryer (gna)
Other:
Address: i 1. a
r li 1 �oj) V v ,.
1;1',;r Ilil'�'A; a 1x,1.
J IfJJ qq 11 ,., v7 �i� j
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City /State /ZIP: Subtotal 5 , 40
Phone: ( ) Fax; ( ) Minimum permit fcc ($72.50) - 12_ , Fo
.. - Plan review (25% of perrnil fcc)
CCI3 lie.: 151807 State surcharge (12% of permit fee) 4 45 ,' ~ )0
TOTAL PERMIT FEE \ u
' This permit application espires if n permit is not obtained ithi
Authorized signature days after it has been accepted as complete.
Print name: Kevin Min l Date: '—, - - " Fee methodology set by'fri- Coun[y 13uilding Industry Service Board
CITY OF TIGARD T •
BUILDING DIVISION
Adim PERMIT #:
MEC2000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/28/2008
Phone: (503) 639-4171 Jappitip
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/13/2008 TIME:
7:00AM PAGE: 32
SITE ADDRESS: CLASS OF WORK:
07040 SW BAYLOR ST
SUBDIVISION: LOT #: TYPE OF USE:
ELNOLA HEIGHTS 002
PROJECT NAME: ALIVIADANI
DESCRIPTION: Relocating 50 ft. of gas piping for furnace and water heater. SEE CASE NOTES.
OWNER: DEVELOPMENT LLG/TAHA AL-MADANI, CATALINA PHONE #:
CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: 503.
Inspection Request Scheduled For: Date: Pour Time:
10/13/200e
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 076593-01 503-B49.7927
Corrections/Comments/Instructions:
6 t 5e-
•
PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: /3ez703 Phone #: (503) 718-