Permit •
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CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00311
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/30/2007
PARCEL: 1 S136AD -05600
SITE ADDRESS: 06716 SW PINE ST ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: PALMER
Project Description: Install new gas line to BBQ location.
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• 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: WOODSTOERS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: _
GAS OUTLETS: 1
Owner: FEES
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PALMER, DAVID E + De sc'ription Date Amount
JONES, LINDA V
6716 SW PINE ST [MECH] Permit Fee 5/30/200i $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 5/30/2007 $5.80
Phone: Total $78.30
Contractor:
ALL FUEL INSTALLATION & SERVICE LLC
PO BOX 69
TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS
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Contact #: PM 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.
/a // Permittee Signature: 4
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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.
2007 -05-30 07:28 - > 5035981960 , P 1/2 -
Mechanical Permit Application 1 . . ( t .SE t /.l., •
City of Tigar P V's , rte i = 1\1 pa«ie" • permit Nu. . ■ ' 13125 SW Hall Blvd 'Ti122,3' '• E Y' C,..2007 ' ��4�
' Plan Review other Pencil: •
� �� 111 Phone: 503.639.4171 Fax: 503.598.1960 p
t c i . t t Inspection Linn. 503.639.41,75i - J 0 200 tie Ready/By: r„ r , See Page 2 for
Internet: www.tigard-or.gov OAT
I // g^ Nutilird /MetIwd: Rupplemeet Information
TYPE TT r y\, COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
'- e ` ) '' t " l. y ! A `-"° ` Mechanical permit fees* are bused un the value of the work
• ® New construction , ' ddttto
performed. Indicate the value (rounded to the nearest dollar) of all
• ❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
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. CATEGORY OE (ONSfRU(T1ON Value: $ $670.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
' ,0 I- and 2-family dwelling ❑ Commercial /induslrial ❑ Accessory building
For spertal lttfornushoh use cheek/icr.
❑ Multi - family ❑ Master builder 1:i Other: Description : J (. . I Ea. I 'total .
JOB SITE, INFORMATION AND LOCATION Heating /cowling
- Job site address: 6716 SW Pine Street Air conditioning or heat pump
_ . (requires siteplan 'thowing placement) 14.00
City / State/ZIP: Tigard, OR 97223 Furnace 100,000 BTL1(ducts/vents) 14.00
Suite/bldg./apt.. no.: I Project name: Furnace 100,000+ B'fl1(duct /recto 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
_Duct
but water system 14.00
• • Residential boiler (radiator or
hydronic) _ 14.00 •
-. ,..... Unit heaters (fuel =type, not electric),
in -wall, in- duct,suspcndcd, ctc. 10.00 •
Subdivision: l Lot no,: I Flue/vent for any of above 10.00
'Other: _ 10.00�
• Tax map /parcel no.: • Other fuel appliances
DESCRIPTION OF WORK Water heater IO.00 •
Gas fireplace 10.00
Install new gas line to BBQ location. - flue vent tar water heater or gas
fireplace 10•(10
— • Log lighter (gas) 10.00 •
' Wood/pellet stove 10.00
Wood fireplace/insert 10.00
el PROPERTY OWNER. 1 ❑ TENANT Ot y/liner /pucJvent 10.00
Other: _ 10,00
Name: David Palmer F:nvironmeotal exhaust and ventilation
Address: Same as Above Range hood/other kitchen
equipment 10.0001
City /State/ZIP: Clothes dryer exhaust 10.00
---- Single -duct exhaust (bathrooms.
Phone: (503)244 -5942 Fax; ( ) toilet compartments. utility rooms) 6.8(1
® APPLICANT ❑ CONTACT PERSON Attic/crawlspacc fans 10.00
Other: 10.00
Business name: See Below
Fuel piping __
Contact name: • .55,40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heal pump
City /Slide/ZIP: • Wall /suspended/unit heater
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Phone: ( ) - Tax:: ( ) Water heater
Fireplace -
E -mail:
CONTRACTOR Barbecue I 5.40 ,
• . Business name: All Fuel Installation and Service. LLC. Clothes dryer (gas)
. — Other;
Address: PO Box 69 MECHANICAL PERMIT FEES*
City /State/7.1P: Troutdale, OR 97060 � Subtotal 5,40
Phone: (503) 674 -2350 Fax: (503) 674 -2693 Minimum permit fee ($72.50) 72.51)
Plan review (25 %of permit-fce) —
c(.:11 lie.: 169503 1'v � • '6 -S -S ,. State surcharge (8% of permit fee) 5.80
- TOTAL PERMIT FEE 78,30
� � T u permit application expires if a permit is not obtained within 180
Authoriial ¢ignaturc: <e� �/.3 C Jaya after it acs Dees ac eDted as romplele.
r`-. - • T
41111/
CIT TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5!30/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 -'i
INSPECTION WORKSHEET FOR DATE: 6/11/2007 TIME: 7:00AM PAGE: 55
SITE ADDRESS: 06716 SW PINE ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PALMER
DESCRIPTION: Install new gas line to I3130 location.
OWNER: PALMER, DAVID E +, PHONE #:
CONTRACTOR: ALL FUEL INSTALLATION & SERVICE LLC PHONE #: 503. 674 -2350
Inspection Request Scheduled For: Date:. 6/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 049792 -01 503. 674 -2350 N
Corrections /Comments /Instructions:
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RI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date:6 / / —o ? Phone #: (503) 718 - Z c