Permit CITY TIGARD MECHANICAL PERMIT
n l 6 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00002
6.f 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/3/2006
PARCEL: 2S111 BA -07000
SITE ADDRESS: 09487 SW INEZ ST ZONING: R -4.5
SUBDIVISION: BUTLER TERRACE LOT: 004 JURISDICTION: TIG
Project Description: Gas line to fireplace and range.
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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 2
Owner: FEES
MCKITTRICK Description Date Amount
9487 SW INEZ ST [MECH] Permit Fee 1/3/2006 $72.50
PORTLAND, OR 97224 [TAX] 8% State Surchar£ 1/3/2006 $5.80
Phone: not available. Total $78.30
Contractor:
WATSON PLUMBING CO.
7935 E BURNSIDE ST REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97215
Contact #: PRI 503 256 - 3720
Reg #: LIC 111855
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. „- /,..--A,”
Issued By: P ermittee Signature: X /i .
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.
Mechanical Permit litWif�n" E F, F O R OFFICE USE ONLY ,.
+. yev use tl I .
• City of Tigard M /Q Permit No.: „ ,,
13125 SW Hall Blvd., Tigard, OR 97223i j s, 3 2006 Plan Revie • Other Permit: 503.639.4171 Fax: 503. 598.1960 c GHimr //;dry ;^ l' j•f\ Date/By.
Inspection Line: 503.639.4175
CITY OF TIGARD 1J-. �. I ' Daze Ready/By: IM la See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
BUILDING DIVISION
' TYPE OF WORK COMMERCIAL FEE* SCHEDULE U USE
•
Mechanical permit fees' are based on the value of the work
❑ New construction &ddition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
an 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
,�1 y g ❑ CommerciaUindustrial ❑ Accessory building
LI Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION heating /cooling
Job site address: ? 4 8 7 $ bj d LG'Z Air conditioning or heat pump
�� (requires site plan showing placement) 14.00
City /State /ZIP: -77 U -`4 -4 (\ 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
Subdivision: Lot no.:
Flue /vent for any of above 10.00
Other: 10.00
•
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
di ,) I I `Ap, L ' 0-- 6-/X6-6 ( Gas fireplace 10.00
Flue vent for water heater or gas
— % jW i / l C fireplace 10.00
L 1 Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue/vent 10.00
❑ PROPERTY'.OWNER 1 ❑TENANT
/� Other: 10.00
Name: , � - 1c_ IZ_c try ,_, C4 C. Environmental exhaust and ventilation
Address: 5 4 cF 7 5 (_ _) //, 6 Z ST Range hood/other kitchen
equipment 10.00
City /State /ZIP: 77 6 _ Pr it t ) Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (. ) Fax: ( ) toilet compartments, utility rooms) 6.80
El APPLICANT ❑ CONTACT . PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
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 • jj ,
Fireplace t
E -mail: (
Range
CONTRACTOR ; Barbecue
Business name: \ /(/ :.Z.7 CAI fi t....( MO M I1L(- Clothes dryer (gas)
�[ 'J //, Other:
Address: -7 9 S- - et. � ,7-�) L✓ MECHANICAL PERMIT FEES *:. "
City /State /ZIP: Porcr ■ ! 7 2 /j Subtotal '7,7 .1'°'
, 7 °� Fax: Minimum permit fee ($72.50)
Phone:
�� ) � ' J � Z `� . 0 � ` Plan review (25% of permit fee)
CCB liar/ ` ( (j S Z _2_--0(.4 State surcharge (8% of permit fee)
C ` G % / TOTAL PERMIT FEE `� -- .
This permit application expires if a permit is not obtained within 180
Authorized si ature"
/ /^ s after it has been accepted as complete.
Print name ,I / / - - ' y j (K/(- 6 / 3 - _G Co (* Fee methodology set by Tri- County Building Industry Service Board
�/� `� - • �
iMuilding \Pennits\MEC- PermitApp.doc 12/03 440- 4617T /02/COM/WEB)
Mechanical Permit Application - City of Tigard , .
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit 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.
i;\ Building \Permits\MEC - PermitApp.doc 12/03 2
CITY OF TIGARD
BUILDING DIVISION • PERMIT Etc '4
' 0 000 Z
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 4 1 4 @��iil i ii
/ Inspection Requests (24 Hrs.): (503) 639 -4175 . `__..
1
r INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: ri I L CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
I
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /rnm - - - ` /Instructions: C Lrti e ` /
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•:! 'ASS , ❑ PARTIAL APPROVAL _ CANCEL (l NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
e r^
Inspector: Date: I,/ te ( 0 `t Phone #: (503) 718- 2- / Z'
CITY OF TIGARD ryta-c___,
BUILDING DIVISION - PERMIT # 0°C0— 0 0(3° )---
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 „„ do��iiip9 (iii
Inspection Requests (24 Hrs.): (503) 639 -4175 s_
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: i liC 7 J-n CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
te
Inspection Request Scheduled For: Date: 3- / ( 6 Pour Time: AM
Code # Inspection Description Confirm # Contact # Message
629.7 '\,e 2_ d- 3 7 U
Corrections/Comments/Instructions:
i - 71115 1 MS cal v./ a 7 r- 4 . -ez5 -- ° C,
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I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: <"� Phone #: (503) 718-
., .
CITY OF TIGARD
BUILDING DIVISION . ..
PERMIT #: MEC2006-00002
13125 SW Hall Blvd., Tigard, OR 97223
11410,., DATE ISSUED: 1/3/2006
Phone: (503) 639-4171 „
Jart
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/5/2006 TIME: 7:00A1A PAGE: 71
. SITE ADDRESS: 8187 SW INEZ ST CLASS OF WORK:
SUBDIVISION: BUTLER TERRACE LOT #: 004 TYPE OF USE:
PROJECT NAME: MCKITTRICK
DESCRIPTION: Gas line to fireplace and range.
OWNER: MCKITTRICK, PHONE #: not ayailable.
CONTRACTOR: WATSON PLUMBING CO. PHONE #: 503-256-3720
Inspection Request Scheduled For: Date: 1/5/2006 Pour Time:
Code # . Inspection Description Confirm # Contact # Message
610 Gas line 024381-01 503-256,3720 N
Corrections/Comments/Instructions:
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I I PA : 'A" IAL " - OW L CAN - EI NO
AIL III CALL FOR INSP - ON el ' DDITIONAL - - ASSESSED
Inspector:
Date: Phone #: (503)