Permit IN yr CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00567
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/28/2007
PARCEL: 1 S 136AD -00600
SITE ADDRESS: 06666 SW OAK ST ZONING: R-4.5
SUBDIVISION: VILLA RIDGE NO. 2 LOT: 007 JURISDICTION: TIG
PROJECT: SCHULZ
Project Description: Install gas line, vent and new fireplace insert.
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: 1
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: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
SCHULZ, CONRAD H + Description Date Amount
LILLIAN K
6666 SW OAK [MECH] Permit Fee 9/28/200i $72.50
PORTLAND, OR 97223 [TAX] 8% State Surcha 9/28/200i $5.80
Phone:
Total $78.30
Contractor:
ALL FUEL INSTALLATION & SERVICE LLC
PO BOX 69 •
TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 674 -2350
FAX 503- 674 -2693
Reg #: LIC 169503
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 B � � / I j jy Permittee Signature: 1 /l
Call 503.639.4175 by 7:00 a.m. for inspections that business day � C .
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.
2007 -0 2718:22 » 5035981960 P 2/3 Mechanical echanical Permit Application . I• ( i I: 1 I I 1 I 1 I I ss I l r\ I 1
City of Tigard , B ' I r , , S , .•
13125 SW Hall Blvd., Tigard, OR 97223 plan Review
g Phone; 503.639.4171 Fax: 503.598.196 ECEIv � I Date/By: Other Permit:
i , I , InSpeetion Line: 503.639.4175 : Date Reedy/By: B See Page 1 for
I Ili Internet: www.tigard•ut.gov ki ' - D o Notified/Method: Supplemental Informatloi
2 r) 2001 FM
TYPE OF W ;,: LOPlV , I ' ' .1 COMMERCIAL FEE* SCHEDULE -- USE CHECKLIST
❑ New construction ® Addition /al teration/replaceem ?t �C 1 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 OF CONSTRUCTION Value: S (
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building El EQUIPMENT / SYSTEMS FEES"
For special information use checklist.
❑ Multi - family 0 Master builder 0 Other:
Description I Qty. I F.e Total
JOB SITE INFORMATION AND LOCATION IIeatinp/cooling
Job site address; 6666 SW Oak St Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (duets/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgiapt. no.: Project name: Gas heat pump 14.00 ,
Cross street/directions to job site; Duct work 14.00
Hydronic hut 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: I Lot no.: Flue/vent for any of above 10.00
. Other: j 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00 ,
line, vent and new s insert Fl vent f I 10.00 10
Install
gas gm Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00 _
Wood/pellet stove _ - 10.00
Wood tirepltux/auert 10.00
® PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent I 10.00 10
Other: 10.00
Name: Conrad Sehulx Environmental ezbauat and vendlatlon
Address: Same as Above equipment hood/other kitchen
equipment 10.00
City / State/LIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)244-3872 I Fax; ( ) toilet compartments, utility rooms) 6.80
® APPLICANT - ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other; 10.00 _
Business name: See Below
Fuel piping
Contact name: S5.40 for first four; 51.00 for each additional
Address:
Furnace. etc.
Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone; ( ) Fax :: ( ) Water heater
Fireplace I w 5.40
E-mail: Range _
CONTRACTOR Barbecue
Business name: All Fuel Installation and Service Clothes dryer (gas) .
Other; ,
Address: PO Box 69 MECHANICAL PERMIT FEES"
City / State/ZIP: Troutdale, OR 97060 Subtotal 25.40
Minimum permit fee ($72.50) 72.50
Phone: (503) 6742330 I Fax: (503) 674 - 2693
Plan review (25% of permit ttx)
CCB lie.: 169503 Stale surcharge (R% of permit fee) 5.80
TOTAL PERMIT FEE 78.30
Authorized signature: /5 / • This permit application
Rat it bas been accepted as complete.
Millie 180
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E, . e...nr H/a7-()1
CITY OF TIGARD bte--
BUILDING DIVISION (p4 �' PERMIT #: MEC2007.00567
13125 SW Hall Blvd., Tigard, OR 97223 0111- DATE ISSUED: 9/28/2007
Phone: (503) 639 -4171 feu
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' !4 ' —
INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7 : 01AM PAGE: 21
SITE ADDRESS: 06666 SW OAK ST CLASS OF WORK:
SUBDIVISION: VILLA RIDGE NO. 2 LOT #: 007 TYPE OF USE:
PROJECT NAME: SCHULZ
DESCRIPTION: Install gas line, vent and new fireplace insert.
OWNER: SCHULZ., CONRAD H +, PHONE #:
CONTRACTOR: ALL FUEL INSTALLATION & SERVICE LLC PHONE #: 503- Ci742350
Inspection Request Scheduled For: Date: 10/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 057331 -01 503-244-3872 N
Corrections /Comments /Instructions:
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r PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL OR INSPECTION El ADDITIONAL FEES ASSESSED
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Inspector: f ol , l p � � Date: ` � U Phone #: (503) 718-