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Permit
C ITY • TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00408 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/5/2008 PARCEL: 2 S 104 B B -04900 SITE ADDRESS: 13994 SW CHEHALEM CT ZONING: R -25 SUBDIVISION: CASTLE HILL LOT: 018 JURISDICTION: TIG PROJECT: KNOWLTON Project Description: Gas fireplace. 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: 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 MARK KNOWLTON Description Date Amount 13994 SW CHEHALEM CT TIGARD, OR 97223 [MECH] Permit Fee 8/5/2008 $72.50 [TAX] 12% State Surch 8/5/2008 $8.70 Total $81.20 Phone: 971- 255 -7141 Contractor: GAS PRO, INC. 7603 S LOU , OR 97 206 0Y LN PORTLAND, ND, OR 97206 REQUIRED ITEMS AND REPORTS POR Contact #: PRI 503- 775 -7020 FAX 503- 775 -7014 Reg #: LIC 167493 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:, _ Permitt Signature: c,_§_..,..639.4175 by 7:00 a.m. for inspections tha. 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. Mechanical Permit Application FOR,OFFICE..USE •ONLY • City of Tigard CE NE D Date /B y ' (/ — Permit No.: Gi C ° 13125 SW Hall Blvd., Tigard OR _ Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.it 960 Date/By: TIGARD Inspection Line: 503.639.4175 AUG G _ 5 Mg Date Ready /By: 65 See Page 2 for Internet: wvw.tigard- or.gov HU Notified/Method: MI Supplemental Information • TYPE OF �s i . Tl(�9.f t °� p' ._ COMMERCIAL FEE* SCHEDULE = USE CHECKLIST tRK ��Ifi1b�� ME ❑ New construction »dition/'rgffon/ placem'ent Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. . - . . - ' CATEGORY OF CONSTRUCTION " - , . = - • Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* -and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building 1111��— For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total .' .. , , -, - JOB' SITE INFORMATION AND" LOCATION - . " Heating/cooling Job site address: /37q L/ ,W C /A / )e r Air plan conditioning or heat pump (requires site showing placement) 14.00 City /State /ZIP: 7- 1 6 c e *2_23 � / Furnace 100,000 BTU (ducts /vents) 14.00 V % l / Furnace 100,000+ BTU (ducts /vents) 17.90 Suitelbldg.lapt. no.: Project name: h ) / �N1"J Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 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. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace / 10.00 j 7, Cils r`fe ,`/"' c r- 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 ROPERTY ; OWNER ❑ TENANT Other: 10.00 Name: 44 ,4 k A- ,,© ,(L7O ,(J / Environmental exhaust and ventilation Address: Range hood/other kitchen 54 L� equipment 10.00 City/State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: // (� 7/ 2 S j - / y Fax: ( ) toilet compartments, utility rooms) 6.80 . - ❑ APPLICANT ' ' , ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range C NTRACT012' . Barbecue Clothes dryer (gas) Business name: 145 fi� Syt� Other: Address: 76p 3 Sr h f » 1> L�,/ MECHANICAL PERMIT.FEES City /State /ZIP: f ' < j 0 , q 7 U� Subtotal /(J M inimum permit fee ($72.50) - z . L/ / Phone: (,(�j) 7 7 7) S_ 7 0 Fax: (fa /) ` 7 7 90i _ Plan review (25% of permit fee) CCB lie.: /6 1 1293 State surcharge (12% of permit fee) _ g 7 c) / TOTAL PERMIT FEE VL, Authorized si ature: f - This permit application expires if a permit is not obtained within 180 ..► days after it has been accepted as complete. Print name: A A I �gJ r S D ate * Fee methodology set by Tri- County Building Industry Service Board I \ Building \Permits\MEC- PermitApp. doe 01/19/07 440 -4617T (11/0 - COMIW Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information • . Commercial Fee Schedule: .-Pernitt.Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:kBuilding \Permits \MEC-PennitApp.doc 01/19/07 2 CITY OF TIGARD BUILDING DIVISION PERMIT EC2008-00408 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/20018 Phone: (503) 639 -4171 /c,aUll�pbi�l� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/612008 TIME: 7 :03Am PAGE: 18 SITE ADDRESS: 13994 SW CHEHALEM CT CLASS OF WORK: SUBDIVISION: CASTLE FULL LOT #: 818 TYPE OF USE: PROJECT NAME: KNOWLTON DESCRIPTION: Gas fireplace. OWNER: KNOWLTON, MARK PHONE #: 971- 255 -7111 CONTRACTOR: GAS PRO, INC PHONE #: 5(13- 775 -7020 Inspection Request Scheduled For: Date: 8/5/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message Ai l 699 Mechanical final 073807 -02 971 -255 -7141 Corrections /Comments /Instructions: C.-615e_ ASS n PARTIAL APPROVAL n CANCEL U NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _,L�sS Date: KA, y 08 Phone #: (503) 718- 2 ? 7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MFr200£i Oik108 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/200$ Phone: (503) 639 -4171 to / Ii Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8116/2008 TIME: 7:03AM PAGE: .18 I SITE ADDRESS: CLASS OF WORK: 13994 Gl1El1ALEMr SUBDIVISION: t °ASl LE HILL LOT # 018 f8 TYPE OF USE: PROJECT NAME: KNOWLTON DESCRIPTION: Gay fireplace. OWNER: PHONE #: ' CONTRACTOR: KNOWLTON, MARK PHONE # 971-255-7141 ( . AS PRO, INC. 503775 7020 Inspection Request Scheduled For: Date: 8/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message A / � ' A n 6Th Mechanical rough -in 073807 -01 971-256.7'141 Y Corrections/Comments/Instructions: / r IC ,J0 ', 2.P ,04cec) ha ,5 Ii✓e (lcf I %" Y7" ‹5 i f' ( 31.- \5 ((,557 1 s eX ;5%`/vt Afets r."---- , S n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �, �s Date: ‘i¢.-Dve Phone #: (503) 718- 2 Y2 3