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Permit �~ a CITY OF TI TIGAARD MECHANICAL PERMIT COMMUNITY DEVELOF4MENT PERMIT #: MEC2008 -00103 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/27/2008 PARCEL: 2S 104BA -04000 SITE ADDRESS: 13982 SW NORTHVIEW DR ZONING: R -12 SUBDIVISION: CASTLE HILL NO. 2 LOT: 073 JURISDICTION: TIG PROJECT: DOWSETT Project Description: Gas line for range. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE 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: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES CAROL DOWSETT Description Date Amount 13982 SW NORTHVIEW DR TIGARD, OR 97223 [MECH] Permit Fee 2/26/200E $72.50 [TAX] 12% State Surch 2/26/200E $8.70 Phone: 503 -524 -9603 Total $81.20 Contractor: T & K MECHANICAL PO BOX 116 FOREST GROVE, OR 97116 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 844 -9173 FAX 503- 846 -0195 Reg #: LIC 121165 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Feb:, 08 03:18p Alina wynne ' 503- 846 -0195 p.1 ' iv c>RSmcai ree rmjE HDi11 [' 8110 1 EC E I V V(111 OF I IC T 1 51 n" 1.1 ■' City of Tigard i. teaei ved 1]139 SW Half Blvd., Ti oR 97323 F 2 6 200 //ap i RNo.Pr a-cy)- (fir. (03 Felons: 503.639.4171 Fes; 503.598.]960 p� OterPumle i t Inspection Line: 503.639.4175 IlatelteadylHy; nrp; ■ StePa�3ror I ativW n �Y CITY OF TIGAR �� NoOrtartaeth,a: Sapp.araaled1elb+isa+lea BUILDING DIvISI 1 TYPE OP WORK COMMEREIA1:. t.SC> EDUL.E - .tigso dz:rt - 0 New construction Additionraltelr8tion /replacement Meebanical permit fees' are based on rho value of the work ❑ lJcrnolitirnl ❑tither performed, Indicate the vale (rounded to the nearest dollar) of all tnxhanical materials, equfparent, labor. overhead. and profit. • . • • ....CATEGORY OF CONsrRucnoN . Val=$ 34. and 2- family dwelling ❑ G,,.v,u.«iet/industriel 0 Au:mety building RE9ID»IN>>7AL1�Q ` / FEIra. ' (_ For spend! lifornatfon we cheaitin. ❑ Is/MI6-family ❑ WSW builder 0 Otter: -Description I QtY• Fa. I :Teitai • JOB stn. INFORMATION AND LOCAT/08( . _ - _HealierieeeFu� Job site address: R 8 l,J if)o ,' + U i F A. C/ (Moires s an o t1 14.00 city/stalernP: -T � A (� ��-� a 3 Fttmaee 1110.000 4.00 Suite/bldg./apt. no.: Project name: ;r-If Furnace -. a 100,000+ BTU (daaelvelate) 17.9(1 Gas heat pump 14.00 Cross street/directions to job site: Duct work _ 10.00 Hydronic hot water syalem 14.00 I Residential boil« (radiator or hydronlc) 14.00 link heaters (tld -type. not clears;), io -wa11. in•ttuct. suspended. ere. 14.00 Subdivision: 1 Lot no.: Floc/vent for any of above 6.80 Other: 10.00 Tax map/parcel no.: . Other het epptiaaere + ' • • • • • DE8CRwlioN OF WORK •'•:•:. Water heater 10.00 Gras fireplace 10.00 (\l--, \ t IN Q C■<1 . T 0 Yl 3 Flue vent for water heater rtr gas frcplace 10.00 • • Log lighter (gas) 10.00 Wood/est stove 10.00 • Wood llreplacdirwit 10.00 ❑' PROPERTY OWNER.. .' . • • ❑ TENANT ChintaeylTiner/Audvent 10.00 • •• I Other: 10.00 Name: C eA,VO I \ C 4 i Environmental ahem and wet Address: 1 'Nit g Q Sv 'In r4 in U - � L t C equipment other kitchen 10.00 City /StarePLTP: t c O t`� Cr Q� c� r�� Clothes diver exhaust 10.00 Siagle•dect=heist (bathrooms, (bathrooms, (5C") S a Q(.o 0 3 I Fax: ( ) toilet oompatrtmeo1s , utility rooms) 6.80 -.. ❑ APJ7. • 0. cotrE['4C>t PERSON ' .. Ardeier wlspaec fans 10.00 Other: Rusittess earn: - L (r I t_c_i''\Q f C f Foes doing { 10.00 Contact name: .\, , �.� MO for Ant four, 51.00 fur eaeb additiona Flamm etc. Address: P© P) C? 'k `1 c l -1 11 1 ( 1 Oas hen pump CitylStat IZIP: CNt9 c-,4 ('-• L'sV A,2___ Wtispendc unit Meter Phone: (:-; c4 _ -- -..,r_ I Fax:: ( Ste) c s -Lt_p - 01 Li' Fireplace mr E -mail: S `f `'1- S t 3 Range 1 ii Ss"! C 5 L1 0 ' ' CONTRACTOR Barbecue Bttoiness name: h a \1 - Clothes drZer (gas) �- I o C ,� (k r� 0 1 other: Address: Po 1)-,Ctx 11. _ - MECHANICAL PERMIT FERS• . • City /Statc/ZIP: 1 e54-. o h j - C am- 411-7 .I ). ! e Soblvhl ' y 0 Mtelmton permit fee ($72.50) ')a S D Phone: ( SQ3) _:>) q(-4/ '/ q 17-'. Fax (5d] :;14 ( - -O 19 5 Finn Finn review (Mb of permit tt e) CM lit.: ) i I l O S _ State surcharge (12% of penult fee) $ .'7 C) TOTAL PERMIT FEE j . !. Authorized signature: P�lappdn ifs permits pot obtained wA 'a 180 rya after N trait hem named as marks& Print name: � f ` Iby1 C , i Date_ ,, ( oFi ' fa mcmodnlogy Fct by 7ri Connty Aalldins ledttory teraiw Bald rAThaildh,alterstist ttGPentitarv.dec 0 , 19107 140.817?(I11e¢K.YIM)Welp CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2008 -00103 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212712008 Phone: (5(53) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/29 /2008 TIME: 7:03AM PAGE: 17 SITE ADDRESS: 13982 SW NORTH VI EW DR CLASS OF WORK: SUBDIVISION: CAS1 LE HILL NO. 2 LOT #: 073 TYPE OF USE: PROJECT NAME: DOWSE IT DESCRIPTION: Gas line for range. OWNER: DOWSETT, CAROL PHONE #: 503 -524 -9603 CONTRACTOR: T & K MECHANICAL PHONE #: 603-BM-9173 Inspection Request Scheduled For: Date: 7/29/2003 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 065911 -01 503-8M-9173 Y 'IF Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS L CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION , - PERMIT #: MEC2008 -00103 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/21/01- . Phone: (503) 639 -4171 / u ' , Inspection Requests (24 Hrs.): (503) 639 -4175 - I � � INSPECTION WORKSHEET FOR DATE: 2129/2008 TIME: 7:03AM PAGE: 16 SITE ADDRESS: 13982 SW NORTHVIEW DR CLASS OF WORK: SUBDIVISION: CASTLE HILL NO. 2 LOT #: 073 TYPE OF USE: PROJECT NAME: DOWSETT DESCRIPTION: Gas line for range. OWNER: DOWSETr, CAROL PHONE #: 503 - 5249603 CONTRACTOR: T & K MECHANICAL PHONE #: 503 -844 -9173 Inspection Request Scheduled For: Date: 2129/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 699 Mechanical final 065911 -02 503 - 844 -9173 Y Corrections /Comments /Instructions: , . ,.:.4 .aw .r.-! - -u>C; ' ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED f_ - ,H , Inspector: Date: - a.-, , e Sr Phone #: (503) 718 - "2-4-4-7-