Permit .'' CITY OF TIGARD MECHANICAL PERMIT
: COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00559
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2006
PARCEL: 2S114BA -05800
SITE ADDRESS: 16530 SW GREENLAND DR ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 082 JURISDICTION: TIG
Project Description: Gas piping to range & BBQ.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS: 1
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: AIR HANDLING UNITS OTHER UNITS: 2
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
JACK & JUDY DICK Description Date Amount
16530 SW GREENLAND DR
TIGARD, OR 97224 [MECH] Permit Fee 11/13/20C $72.50
[TAX] 8% State Surcha 11/13/20( $5.80
Total $78.30
Phone: 503- 495 -5193
Contractor:
OREGON MECHANICAL & PLUMBING INC
PO BOX12423
SALEM, OR 97309 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 378 -7156
FAX 503- 378 -1055
Reg #: LIC 41082
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: '' ` ller: Permittee Signature:
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.
1 ‘. -
Mechanical Permit Annlicatiin FOR OFFICE USE ONLY
• ' ‘`-'''.- City of Tigard , R e ved _
L -- t
, --ECEIVE , -
- Date/By: -.1.1 it? 5 -6116 Permit N''../ ' 4..„
I -• N q 13125 SW Hall Blvd., Tigard, OR 97223
• ° ' • Phone: 503.639.4171 Fax: 503.598.1960 Nov 1 3 2006 Plan Review
Date/By: ---- Othea: Pennit:
Inspection Line: 503.639.4175 Date Reacly/By: El See Page 2 for
TIGARD Internet: www.tigard CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK': ,... :"i'. .-' .',. - --T. -.J : :''' . •:..0:ii■tiMiiitc-i14:7:FiV, SCHEDULE .--', CHECICLIST
Mechanical permit fees* are based on the value of the work
0 New construction 1:1 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
Value: $
' ' - .• - ,4`,CATEGORY• OF CONSTRUCTION
0 1- and 2-family dwelling 0 Commercial/mdustrial 0 Accessory building ,.k r :
For special information use checklist.
0 Multi-family 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
4oB iy,I c,..4 : Heating/cooling
Air conditioning or heat pump
Job site address: i ( c , 530 '5 ( C -6,- N bq 0 I), iz .
(requires site plan showing placement) 14.00
City/State/ZIP: T1 (. 4.e ( OP . 9 7 ... D- 4'1 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg/apt. no.: Project name:
Gas heat pump 14.00
Cross street/directions to job site: Duct 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
Flue/vent for any of above 10.00
Subdivision: PI C.- 5 L 0,-..„0 ,', --3. a Lot no.: Cy&
Other: 10.00
Tax map/parcel no.: Other fuel appliances
. ..-:.".'HESCIHT.TIONZoT -- WORV' '' ." . : - ? •--- .'''-4 Water heater 10.00
Gas fireplace 10.00
90. S p i p--e ci-ci 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
4 - - - -- - p--- - - Chimney/liner/flue/vent 10.00
Tri.0TrOsr ;NTOt..:;i...,:: ,,,,-,. . ', ''Ll ,• . , a ; Tfp.iw,, ; -, x. ,L., ,,,, Other:
10.00
Name: 3, c k 0 r‘..c , t , , D1C, K Environmental exhaust and ventilation
c' Range hood/other kitchen
Address: i ( s 3 0 5 uj G. y . e e y1/4 1 e. ,,,,,., ; ( 0 j„_ equipment I 10.00
City/State/ZIP: - 1 - 1 a v-c9, 0 R.- Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( SZ.3 ) 4'9S' - 57 g .3 Fax: ( ) toilet compartments, utility rooms) I 6.80
' • :!..'''---- -; : • ' ' t], AipileAt;,,:' ,!''' . : „!.., .,, :.' „:: Lli ,to ,:: .,;-=, Attic/crawispace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
,. Furnace, etc.
Address:
Gas heal pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: (
Range ,
"-'' '''''' . ' ','` " i -v-' • -- -'-` 4- ' CONTRACTOR ,- '-'' , 4' , s - .. '` '' ' ' 'i, '' ' '„ .' „''' '; , Barbecue
Business name:
Clothes dryer (gas)
e) z--6.-_ 0/1E. e_ #_ kru i c ti_.e_ PL4 14A6 . 1 ,, c _
Other:
Address: pb (..„..,,,.... / Q. I3 7 . ,
City/State/ZIP: . c:i, ( e.. / 0 e . Subtotal
Minimum permit fee ($72.50)
Phone: (1:2 ) 3 78- - 7 / 57, Fax: (563 ) :5 7S - Je 575-' Plan review (25% of permit fee)
CCB lie.: Gj kol / --(.76--0Y State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature 1 This permit application expires if a permit is not obtained within 180
: s 6., , _,L._ 72 days after it has been accepted as complete.
,_ .
- M Y OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006- 00559
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 ,se
INSPECTION WORKSHEET FOR DATE: 11/17 /2006 TIME: 7:01AM PAGE: 48
SITE ADDRESS: 16530 SW GREENLAND DR CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 082 TYPE OF USE:
PROJECT NAME: DICK
DESCRIPTION: Gas piping to range & 13B0.
OWNER: DICK, JACK & JUDY PHONE #: 503 -495 -5193
CONTRACTOR: OREGON MECHANICAL. & PLUMBING INC PHONE #: 513 - 3713 - 7156
Inspection Request Scheduled For: Date: 11/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
61 Gas line 039940.01 503- 378 -7156 Y
Corrections /Comments/ Instructions:
6; \ S ( 2'; 7 (-7-- BY ---- _e /?5;.. - _
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: J /-- i7--z/ 6 Phone #: (503) 718- � -
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BUILDING DIVISION ~- PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2006
Phone: (503) G3Q'4171 � `
�
Inspection Requests �
a4Hraj:(5U3)0394�175 ^
INSPECTION WORKSHEET FOR DATE: 11/15/2806 TIME: 7:07AM PAGE: 30
SITE ADDRESS: 1GG3QS*VGREENLAND DR CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 082 TYPE OF USE:
PROJECT NAME: DICK
DESCRIPTION: Gas piping tm/nmgeUkBBO
OWNER: DICK, JACK & JUDY PHONE #: 608495-5193
CONTRACTOR: OREGON MECHANICAL & PLUMBING INC PHONE #: 5O3'378-7156
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 039733-01 503'378-7156 N
Corrections/Comments/Instructions:
.
1 PASS El PARTIAL APPROVAL 0 CANCEL 0 ACCESS
pi FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
|nopectoc �� Date: //- /S Phone #: (503) 718-