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Permit
CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00411 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/7/2008 PARCEL: 2S 103DA -01200 SITE ADDRESS: 10635 SW DERRY DELL CT ZONING: R -3.5 SUBDIVISION: DERRY DELL PLAT 2 LOT: 012 JURISDICTION: TIG PROJECT: KILE Project Description: Oil to gas furnace. 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: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES BERT & JUDY KILE Description Date Amount 10635 SW DERRY DELL CT TIGARD, OR 97223 [MECH] Permit Fee 8/7/2008 $72.50 [TAX] 12% State Surch 8/7/2008 $8.70 Total $81.20 Phone: 503 -639 -6208 Contractor: CLAWSON HEATING PO BOX 899 GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -618 -9646 FAX 503- 665 -2375 Reg #: LIC 173219 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: See- - 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. 08/04/2008 22:04 5036652375 CLAWSON HEATING PAGE 02/02 -. 1 Mesh n ical Permit Applic�tialn f9 OFFICE 6 ,5 ON1 �. ' - Received C� PcnmtNo.. - ``tit a City of Tigard Dot i/ 7qi ° 13125 SW I3alI Blvd.. Tigard, OR 97223 m Other Permit: P hone: 50 3.639.4171 Fax :503.598,1 OQ� Ips cction Line: 503.639.4175 C Date RcndyJfal': • ST sec Po 2 for T' 1 C r i1 P r ' Supplemental lnthrmnfinn Internet: www.tigard- or.gov _ iv Notified/Method! p1� T'A'R 'OF -WOR'X ....‘ % COMMtI;aA . 'i; .'SCRs ut1LE — USI CIO:MUST Mechanical permit fees' are based on the value of the work ❑ New construction 0 Addition /alteration 'eat perfbrrned. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, e •ui.mon labor, overhead, and rout CATXOOay, or CONSTRUCT/ON t t i' 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building, For special information use checklPsr. Q Multi - family , 0 Master builder 0 Other: Description r QtrI Eel._ Totai .TCYtR Sih1E INFORTVIACION ANTI) LOCATION Hcatin_ cooling Air conditioning or heat pomp Job site address: / 410 r 4 . 1 , , / ii. � rye / / / r rt. uiresany ,Inn showm..Incement III 14.00 City /State/ZIP: ' -, aali■ - Fumacc 100,000 BTU (ducts/vents) 14.00 I 1 Furnace 100,000+ BTU ( ductg/vcata) ' t Suite/b1dg. /apt. no.; Pmject name: -- -: y Gas ]teat pomp 14.00 Cross street/directions to job site: Duct work 10.00 1lydronic hot water system 14.00 �1FAIF ,0 / .• Residential boiler (radiator or r `�' / i It dronic _ 14.00 �4 of j -�•� Unit heaters (fuel -type, not electric). Ii 4:, .mil/ „Al KII ._ . in -wall, in -duet, suspended, etc, 14,00 L ?luc /vent for an of above Subdivision: lot no.; Other: 10.00 Tax map /parcel no.: Other fuel appliances _ lyl seltp `AON OF '.; 01 4( Water heater 10.00 r Gas fireplace 10 -00 de y _ � " r ,ef p Flue vent for water heater or gas 4o0t1' fireplace 10.00 _ T ..o: Ii. ter (guts) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 4.OcR'I' , O R1R ©'1 lvAlyr Chiron. /liner/flue/vent 10 _ r Other. 10.00 A En vironmenI uI exha and ventilation - Address: Range hood /other kitchen ,. equipment 10.00 �O'" ��� Clothes Myer exhaust 10.00 Single -duct exhaust (bathrooms. Phone: Ill ) .- O 4 toilet compartments. utility rooms) 6.80 0 APPLICANT T 0 con, c1 PERSt71p Atticicrawlspacc fans 10.00 Other: 10.00 Business name: Fuel Qping Contact name: IIS-4t1 for first four; $1.00 li r each additional Address: Furnace, etc. Gas heat pum . Wall/sus . endcdhmit heater Ell_ : Water heater Phone: ( ) Fax: ( ) Fire lace F unlit: Range �- Cr)1tT1"RA,CTOT Barbecue — _ 1 . Clothes dryer (gas) i1 r r Other: Address: I f - . t al. ' , MECHANICAL VI'tflTi'ilT rag* • r: 0 y 4,1 4 Subtotal City /5ttttr//li': Si • r ,r. r __ ( Minimum permit fee ($72.50) Phone: T i r i r Fax: ( / ) � ` Plan review (25 %of permit fee) CCD lie.: • State surcharge (12% of permit Ibe) ,, . C — TOTAL PERMIT PEE IOW Authorized st nature. /% Tl permit n nfter tion t' has expires if a permit is not plea obtained within 180 l � any, e a it has been accepted as complete. Print name: f �� � r Date: ‹ � " Free methodology set by Tri -Ccounty Building lndostry Service Board t;\suirdlnptrarmits \MEC -Pc mttnpp •too ova *107 - 6-4617T (IV.. cOMPW B) CITY OF TIGARD BUILDING DIVISION PERMIT #: Mfa•C2000 -00411 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2008 Phone: (503) 639 -4171 Atilt ok\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/2312008 08 TIME: 7:0(0Am PAGE: 26 SITE ADDRESS: 10636 SW DERRY DELL CT CLASS OF WORK: SUBDIVISION: DERRY DELL PLAT 2 LOT #: 0.12 TYPE OF USE: PROJECT NAME: KILE DESCRIPTION: Oil to gas furnace. OWNER: K1 BERT & JUDY PHONE #: 503-639-6208 CONTRACTOR: CLAWSON HEATING HONE #: 503, 619.8646 Inspection Request Scheduled For: Date: 10f2312008 Pour Time: Code # Inspection Description Confirm # Contact # Message 6 99 Mechanical final 077069-01 503.6'1a -8646 `t' Corrections /Comments /Instructions: v G�1 �'/- <- lil,t_ ) "\ -,(, 6 t h 5--- /'72.186, 174 0 42,e2_1_,/-7-- - / ZAP PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: �d -3-�'� Phone #: (503) 718 -- . .. . . , CITY OF TIGARD BUILDING DIVISION p#„ PERMIT # : MEC2006.00411 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/712008 Phone: (503) 639-4171 a*Atil‘i'l Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/14/2008 TIME: 7:00AM PAGE: 22 SITE ADDRESS: .1 0635 SW DERRY DELL CT CLASS OF WORK: SUBDIVISION: __ DERRY DELL PLAT 2 LOT #: 0 . 1 1 TYPE OF USE: PROJECT NAME: KILE DESCRIPTION: Oil to gas furnace. OWNER: KILE, BERT & JUDY PHONE #: 603,6396208 CONTRACTOR: CLAWSON HEATING PHONE #: 503-618-9646 Inspection Request Scheduled For: Date 8/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 074174-01 503-618-9646 N Corrections/Comments/Instructions: /s kn., - I I PARTIAL APPROVAL D CANCEL n NO ACCESS I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED • Inspector: Date: 8 — /4— e Phone #: (503) 718- -54--4-0- '' .' . ` OF CITY n�pn nn���mxn�� ����U��� DIVISION PERMIT ~~~="~~~°"'~" ~�"°"~~"~~"° #: K8EG20[X8-0{411 13125 Hall B|vd.. Tigard, ORQ7223 D/TEISSUED: at 7i2008 Phone: (5O3)G3Q'4171 //441 • Inspection Requests (24 Hrs.): (503) 639'4175 -------'14- *�-" INSPECTION WORKSHEET FOR PAGE: DATE: � TIME: � 8114/2008 � 7:00AM 21 SITE ADDRESS: CLASS DFVVDRK� � � 10635 SUBDIVISION: LOT #: TYPEOFUSE� � OE�RRYDELL PLAT 2 � 012 � PROJECT NAME: � KILE DESCRIPTION: � C)i| toganfurnate. OWNER: PHONE #: � VALE, BERT 6�JUDY � 503 CONTRAOTOR CONTRACTOR: �9 C1�OMMEAT}MB PHONE #: � A03-518-9646 Inspection Request Scheduled For: � Date: Pour Time: 8/4y2008 ' Code # Inspection Description Confirm # Contact # Message 689 Mechanical final 074170'01 503-518'9646 Y Corrections/Comments/Instructions: ��0� _^� / �/� � �� - ���� ^ .�r . =^�'� ■ -- � / . ^ n PARTIAL APPROVAL ri CANCEL / I NO ACCESS . |~~� El I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: "��^�' '� Oate: Phone #: /503\ 718- 2 INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: /'1j'rjF--GO // REQUIRED ON GREEN INSPECTION CARD: ✓ 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 205 Footing 120 Electrical rough-in 805 MFG- Structure grading /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 810 MFG - Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 • Drywall nailing k 610 Gas line —/4 -Go i 287 Suspended ceiling 615 Mechanical rough -in 295 Misc inspection 620 Hydronic piping 899 MFG- Structure final 625 Duct work • 498 Grading final 630 Fire damper I . 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection 3( 699 Mechanical final ,16 9.¢w BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab 910 Sprinkler rough-ui PLM - Plumbing Permit 915 Fire alarm rough- 305 Plumbing underslab 310 Crawl dram 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 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 \ Forms \InspCard -AOP -Blank doc 02/02/07 CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC20'68 004 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/7/2008 PARCEL: 2S103DA -01200 SITE ADDRESS: 10635 SW DERRY DELL CT ZONING: R -3 5 SUBDIVISION: DERRY DELL PLAT 2 LOT: 012 JURISDICTION: TIG PROJECT: KILE Project Description: Oil to gas furnace 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: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES BERT & JUDY KILE Description Date Amount 10635 SW DERRY DELL CT TIGARD, OR 97223 [MECH] Permit Fee 8/7/2008 $72 50 [TAX] 12% State Surch 8/7/2008 $8.70 Phone: 503 -639 -6208 Total $81.20 Contractor: m CLAWSON HEATING PO BOX 899 GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS O Contact #: PR[ 503- 618 -9646 FAX 503- 665 -2375 Reg #: LIC 173219 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: S..-er o rA v - a 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.