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Permit C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00231 -1-11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/11/2005 PARCEL: 2S 114AB -14900 SITE ADDRESS: 09340 SW JULIA PL ZONING: R -4.5 SUBDIVISION: KNEELAND ESTATES NO.2 LOT: 098 JURISDICTION: TIG Project Description: 20' of gas piping to range. 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: 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: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 0 > 10000 cfm: Owner: FEES WHEELER, HEIDI Description Date Amount 9340 SW JULIA PL TIGARD, OR 97224 [MECH] Permit Fee 5/11/200f $72.50 [TAX] 8% State Surcha 5/11/200f. $5.80 Total $78.30 Phone: 503- 624 -1827 Contractor: KOEHLER CONCEPTS LLC 10772 SE HWY 212 • CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Phone: 503- 650 -9550 Reg #: LIC 120277 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: 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. • 05/10/2005 05:31 FAX 5036501220 KOEHLER CONCEPTS a 003/003 °1 1 Mechanical Permit A j, ' I OR OVhlc�I': Fs! ()NIA Received _ City of Ti gard ec Damm — /t dJ Permit No., •C c Od - o013 ) 13125 SW Hall Blvd.. Tigard. OR 9 ooJ Plan Review Phone: 503.639.4171 Fax: 503.598.1960 P ,� 1 1 1 �� . 'Ai - tla<,, { � � Date/By: Other Permit: Inspection Lino: 503.639.4175 '� i \ G P Al • I I -, Data Retuly/87: 90o Ptlaa S for Internet: www.ci,tigard,or -us CA \I O GO -. Notified/Method: Supplemental information G V - . 1" P ': ,. ItGta'T �.F[1 � Fcctrenrex ' ;�,mr,. ' rs1� -. . r r n n' ^! .:' ' rVl .u:9 �' �: !S11F17 SI':..' P %S "' '1 !I - �t; Itht !t r, 91� ,.y�•n:ucn � n v7 ^ a,rr,• :veu-rr<••u, �u� c ur. ,r, , r,�sec. ^ .• ,,,I�. srvrc:•� ^.I, o•� 1,.1, lr � GG �E 1 ,11?!?a 111' :Y, u; {'.!�id (� I� �,9�, 'S .. f �''�"'� ft „l,u U� 4� u, a [ .1.� Rs t.l. � Ir n,ac ':r T. [ ,:K: v 'r >n.'7 ., "mil ,11. t.•dl:;. . r1i11Yt��n1tt11� , '.�>` If�r�.� ., a I . �,rr., I +•� rl•r 7 .. f I ri`r11 I,a d, lll,:tl.lY °ilE' , r. -� r� ,y�� /,I �tj{� (p�i/5 "�� t� 1� ] q ` 1 IG�J� $G j `l I �/i 1 r� ,, ft� ,� fJ•. ) p ,>�i'i�rM ��:: 111�It: ilcrl,,. �k1��1, ��II�1. tY{ IIlIL' II�LiLl. lf' lE {.,l'A�C.- ,I::I,Ii��'IINfALI� +.I .l�l.,r 1. 1', SI,.. �G.!.. I- ,.1.11_.tl...a.�....Iltltl °A. M. trl�lwf�il'11P�.7I�IWIIN1r1' 111: 1F21�4• ll; l{ 1'. J.' ��I. 1..! It{ IftlCJlll. �' r�Tl' C!+ trtlltYl1ar" is1x�M1 ,1�l�tr'�rnmlllYf)11eTiRR��l�i, Mechanical permit fees' are based on the value of the work ❑ New construction 2 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all LI Demolition �gg� l g © Other: mechanical materials, equipment, labor, overhead, and profit, �� I r`6;'f f� r9� a�ae ,E 4 ! urlt :1:'17- u ,t,, ► igi Value:S j(, II �7' l t Yia , t! 1 _M r1 I 91l' )rm > ' l''I )%i1,1rt . �� f� ➢ ttltl (,..rw., M,S�iC a, } ,' l . I �,,} - 1 i I' I'•i Nlv o °G;nYnlr'grr. alt ^rr� �1�� I ^-tt 1 I r ti7 3 + VRra � I <r . Ii : :,, �n,0 I�IiLKI! R�:'21, l�i°er)gitali 1 1 l t:� tidia .l. ''.a 1 ,I ,, 1 - and 2-family dwelling ❑ Commercial/industrial ` ° lid � ' ® y B ❑A ccessory building For special information use checklist. ❑ Multi-family p ❑ Master builder t4 E] Other: Description Qry. 1 Ea. Total 1p�1n tN �'II It t�i' {F iill� e,Il i}'i r 1i. l rn i i I i i'I p . I tau: � T i o 4 Y f .V o i i �! ' �t ' W L L � NJ O� W G 1li11t'lJ I �i�. .1 r !Z r' ; di. 1 IG?: .r... ,, leis[ L" k1; alY. -A L. il,1 LiblSViktimd -,..- [t all IIN. , e on"tlwn�IlhiAlsalJi,!�: {u i:itG ir; .i. ri tr:lailn? l'I:IlL. L..,1m, Nf. ta : ' l'' ,,, ' Heating/cooling Job site address: 9340 SW JULIA PLACE Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State/ZIP: TIGARD OR 97224 Furnace 100,000 BTU (duals /vents) 14.00 Furnace 100,000+ BTU (ducts/vents 17:90 Suite/bldg. /apt. no.: I Project name: WHEELER Cilia boat pump 14,00 Cross street/directions to job site: Duct work 14.00 _ Hydronic hot water system 14,00 Residential boiler (radiator or hydronlo) 14,00 Unit heaters (fuel -type, not electric), in -wall, in-duct, suspended. etc, 10.00 — Subdivision: J Lot no.: Flue/vent for any of above 10.00 Other: 10,00 ))qq Tax map/parcel no -: Other fuel appliances Inn { � q �p Inn {p Gi�llll &CIF 1� rWl I, ':: ttlG�l� 11 ';I ,a n liici.. !!'?':1 , ",`'11livi N'lT "tIdl��l`I ` I14 t5N315 :G1tI Wntcrheater 10.00 RUNNING APPROX 20 FEET OF GAS FUEL PIPING TO RANGE F lu y vent f 10,00 Fluo vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert _ I0.00 r� i'1 . t1� r� r! l " 1 � @ l a 1 , w w 1 e ; ,175717771 3r„ It t• , ` Chimney/liner /flue /vent 10,00 t y � k 7�, r l�a,lj' , awtulF1'ss.: I2 i a . IG1�ait lilt 1 k � lifly ,�uJ:i � t, 'b tl r i61r'75l `le! t 1h; , io (r iI Other: ' 10.00 Name: HEIDI WHEELER Environmental exhaust and ventilation Address: 9340 SW JULIA PLACE Runge hood/other kitchen equipment 10,00 City /State/ZIP: TIGARD OR 97224 Clothes dryer exhaust 10-00 Single -duct exhaust (bathrooms, Phone: (503)624 -1827 Fax: ( ) toilet compartments, utility moms) 6.80 , Ja r'11 ,1�. {ire '.nl.: I: ?; �� a l:l ' t� 9: i Y % a P F� t I G " �� l M ��{ } y� {�{1, t p yyy p F } 1 � { C 7 T ` r Sl� � , s ! 1 I r ,uu l�� + ��'J, vruwu :.l�, g L 1 .� , � , } � �� y.-. t V�M4' r; U7 d4' O.IIY�I.'sG'I};�1' "y3 i4i:l: [ j ^1Y71X11 1 1 1 I I E I Y i c. "�.Sars:Elr � i N111C:it';t'�.J1,L�1 tl �r�'dl 'rJa 1 ; M , i, • „.I il,s.`t.7 tl ` � ��e I 4 lil!fi Atnc/ornwlspace fans I0.00 Business name: KOEHLER CONCEPTS LLC Other: 10.00 Fuel piping Contact name: TODD _ 55.40 for first four; $1,00 for each additional Address: 10772 SE HIGHWAY 212 Furnace, etc. Gas boat pump City/State /ZIP: CLACKAMAS OR 97015 Wall /suspended/unit heater Phone: (503) 650 -9550 I Fax: : (503) 650 -1220 Water heater Fireplace E-mail: TODD@KOEHLERCONCEPTS.COM ' r INE ` � Range 1 5.40 5 40 it∎ `p" r� E '<S.�1t�raZ'" n l'} 11 k V) liiiP.11lh ,. �;. f�1 1 s 1. Barbecue Business name: KOEHLER CONCEPTS LLC Clothes dryer (gas) Other: Address: 10772 SE HIGHWAY 212 si Itragl -! +1i iativ' c ai' rylnt ;out r'lYl•m yin �rc�u t lut t tl Ct I Jo I �l _' :1 4 r '. � 9�c:.ulP„�{'�1.' , rflt>' �' izh: sl' v: lc': �1c��:: r); r1.; 7`Ir,.;,��G..��"ri�.ira�aaiih` },:iM 1�, - � , ME City /State/Z1P: CLACKAMAS OR 97015 Subtotal 5.40 Minimum permit fee ($72,50) - )1, . Q Phone: (503) 650 -9550 Fax: (503) 650 -1220 Plan review (25% of permit fee) CCB lie.: 120277 State surcharge (8% of permit fee) 5. 5 .... 0 �` TOTAL PERMIT FEE - 713 . 3 O Authorized signature: F This permit application expires if a permit is not obtained within 180 dor after It has been accepted RI complete. Print name: TODD KOEHLER Date: 05 -10 -05 • Fcc methodology set by Tti- County Building Industry Service Board 4G0.461 Tr (1 l/�1lCOM/WEB) is lnUllding \Permits\MSC- PormllApp,doa 12103 CITY OF TIGARD tc4 BUILDING DIVISION PERMIT #: MEC2005 -00231 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2005 Phone: (503) 639 -4171 / /"/ /J IPtfiiRAIhI's Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7 :12AM PAGE: 55 SITE ADDRESS: 09340 SW JULIA PL CLASS OF WORK: SUBDIVISION: KNEELAND ESTATES NO.2 LOT #: 098 TYPE OF USE: PROJECT NAME: WHEELER DESCRIPTION: 20' of gas piping to range, OWNER: WHEELER, HEIDI, PHONE #: 503 - 6241827 CONTRACTOR: KOEHLER CONCEPTS LLC PHONE #: 503 - 650.9550 Inspection Request Scheduled For: Date: 5/13/2005 Pour Time: / 2/4 Code # Inspection Description Confirm # Contact # Message 610 Gas line 006826 -01 503- 624 -1827 N Corrections /Comments /Instructions: 1 1- 7 4*- ,,sc) 7: zts" i•► -ASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL rA C FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED S ". Inspector: .� Date: . r S Phone #: (503) 718- .