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Permit CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00577 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/16/2006 PARCEL: 2S 103CA -02700 SITE ADDRESS: 11885 SW JAMES CT ZONING: R -4.5 SUBDIVISION: TRAVPORT PARK LOT: 007 JURISDICTION: TIG Project Description: Installation of gas fireplace and gas piping. CLASS OF WORK: OTR 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 GAS OUTLETS: 1 > 10000 cfm: Owner: FEES EUGENE LEWIS Description Date Amount 11885 SW JAMES CT TIGARD, OR 97223 [MECH] Permit Fee 11/16/20C $72.50 [TAX] 8% State Surcha 11/16/20( $5.80 Total $78.30 Phone: Contractor: GAS PRO, INC. 7603 SE LOUNSBERRY LN PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS 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. I ued By: / _ + f / Permittee Signature: Call 503.639.4175 by 7:00 a.m. for inspection at business da . 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 US OM .A'' . . Received � ' ' h ,:, City of Tigard Date . / Permit No.: /P / v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit: . "T I GA R D Inspection Line: 503.639 Date Ready/By: lugs / � - la See Page 2 for w Internet: ww.tigard or.gov Notified/Method: /lP Supplemental Information . TYPE OF WORK . , COMMERCIAL FEE* SCHEDULE —' USE - CHECKLIST 11 New construction Addition/alteration/replacement 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 O_ F CONSTRUCTION Value: $ .r - RESIDENTIAL EQUIPMENT. / SYSTEMS FEES* 1 - and 2 family dwelling ❑ Commercial /industrial CI Accessory building Multi - family ❑ Master builder ❑Other: For special information use checklist. Description I Qty. Ea. I Total - - . ' JOB1 SITE INFORMATION 'AND .LOCATION . ' Heating/cooling Job site address: / / " g S S T/4, FI L f ir conditioning or heat pump t/! (requires plan site Ian showin placement) 14.00 City/State /ZIP: -- 7;6 4 4 J 0 9 ? _ . 3 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: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances ' " ' DESCRIPTION OF WORK, ' Water heater 10.00 Gas fireplace I 10.00 6 Fic / 0,, i w Flue vent for water heater or gas J fireplace 10.00 G Ya s _4I s PA Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace/insert 10.00 • Chimney /liner /flue/vent 10.00 P ROPERTY 'OWPIER.- _ - . ' Li, TENANT - , Other: 10.00 Name: we e 0 C L FLf/, 5 Environmental exhaust and ventilation Range hood/other kitchen Address: equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ ,APPLICANT- - ❑ CONTACT' PERSON Attic/crawlspace fans 10.00 Business name: h ��t7 _ Other: 10.00 f 1 N s Fuel piping Contact name: 40H t ilil / f $5.40 for first four; $1.00 for each additional Furnace, etc. • Address: Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: (fc) 1 7 5 - 7 az U Fax:: ( ) heater Water he he l E -mail: Range CONTRACTOR . ` . Barbecue Clothes dryer (gas) Business name: 6A 5nid / r Other: Address: 7 d 3 S t Z., ( L / ) Q,f 2 y 41 V / - 'MECHANICAL PERMIT`FEES* City /State /ZIP: ' -/— Q q / 7 /_ Subtotal X.,50 �( ) ,'7 Fax: ( ) Minimum permit fee ($72.50) Phone: Y�� 7 � S 7 �`'(J �� ' 7 pf 7 Plan review (25% of permit fee) CCB lic.: 1 7 9 _3 State surcharge (8% of permit fee) l' 8 - O LLJJ 9 f V f/ TOTAL PERMIT FEE 7k., 5o Authorized signature: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: &I N / C /W f 00 • Date: /f .._/-6 X26 * Fee methodology set by Tti- County Building Industry Service Board h \Building\Permits nnitApp.doc 04 /06/06 440 -4617T (I I /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: P. e. rmit 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:\ Building \Permits\MEC- PermitApp.doc 12/30/05 2 CITY GF-TIGARD -.- BUILDING DIVISION PERMIT #: MEC2006-00577 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2006 Phone: (503) 639-4171 4/112010?` Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/21/2006 TIME: 7:00Alvi PAGE: J SITE ADDRESS: 11085 SW JAMES CT CLASS OF WORK: SUBDIVISION: TRAVPORT PARK LOT #: 007 TYPE OF USE: PROJECT NAME: LEWIS DESCRIPTION: Installation of gas fireplace and gas piping. OWNER: LEWIS, EUGENE PHONE #: ' CONTRACTOR: GAS PRO, INC. PHONE #: 503-775-7020 Inspection Request Scheduled For: Date: 11/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 040126-02 503-347-9115 Corrections/Comments/Instructions: t? , toc, ' (.L if 2 ' 5 /Ai s e ft../ FL/4' I I PASS fl PARTIAL APPROVAL I 1 CANCEL LI NO ACCESS I I CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: ,/X1 Date: 1V—Z1—.0 Phone #: (503) 718- Iv- CITY G7--TIGARD , - BUILDING DIVISION PERMIT #: IvIEC2006-00577 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2006 Phone: (503) 639-4171 kiPidilpilpe0 Inspection Requests (24 Hrs.): (503) 639-4175 A- AL INSPECTION WORKSHEET FOR DATE: 11/21/2006 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 11885 SW JAMES CT CLASS OF WORK: SUBDIVISION: TRAVPORT PARK LOT #: 007 TYPE OF USE: PROJECT NAME: LEWIS DESCRIPTION: Installation of gas fireplace and gas piping. OWNER: LEWIS, EUGENE PHONE #: CONTRACTOR: GAS PRO, INC. PHONE #: 503-775-7020 Inspection Request Scheduled For: Date: 11/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 040126-01 503-347-9115 Corrections/Comments/Instructions: /As iadf-rje PASS I I PARTIAL APPROVAL I] CANCEL I NO ACCESS 17K11 n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: A.. Date: Ii — k Phone #: (503) 718- , . - . CITY GF,TIGARD • -.- BUILDING DIVISION 4: PERMIT #: NIEC2006.00577 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2006 Phone: (503) 639-4171 Andeopolli Inspection Requests (24 Hrs.): (503) 639-4175 A- f' - 1 — INSPECTION WORKSHEET FOR DATE: 11/22/2006 TIME: 7:03AM . PAGE: 24 SITE ADDRESS: 11685 SW JAMES CT CLASS OF WORK: SUBDIVISION: TRAVPORT PARK LOT #: 007 TYPE OF USE: PROJECT NAME: LEWIS DESCRIPTION: Jristallation of gas fireplace and gas piping. OWNER: LEWIS, EUGENE PHONE #: CONTRACTOR: GAS PRO, INC. PHONE #: 503-775-7020 Inspection Request Scheduled For: Date: 11/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 040178-02 503-347-9115 N Corrections/Comments/Instructions: PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS I I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: itr Date: /1- 22-46 Phone #: (503) 718- 2-9-4I-S-- CITY OF-TIGARD - BUILDING DIVISION PERMIT #: MEC2006-00577 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 .A.14- INSPECTION WORKSHEET FOR DATE: 11/22/2006 TIME: 7:03AM PAGE: 26 SITE ADDRESS: 11885 SW JAMES Cr CLASS OF WORK: SUBDIVISION: TRAVPORT PARK LOT #: 007 TYPE OF USE:. PROJECT NAME: LENS DESCRIPTION: Installation of gas fireplace and gas piping. OWNER: LEWIS, EUGENE PHONE #: CONTRACTOR: GAS PRO, INC. PHONE #: 503-77.5-7020 Inspection Request Scheduled For: Date: 11/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 040178 503-347 Corrections /Comments/ Instructions: -re . v • -1 A n PARTIAL APPROVAL I I CANCEL 0 NO ACCESS I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 718- _ .