Permit „ ' CITY O F TIGARD MECHANICAL PERMIT
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°' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00230
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/26/2007
PARCEL: 2S 110AD - 90044
SITE ADDRESS: 14926 SW 109TH AVE ZONING: R -12
SUBDIVISION: CANTERBURY WOODS CONDOMINIUM LOT: 044 JURISDICTION: TIG
PROJECT: CANTERBURY WOODS
Project Description: (2) wood stove inserts, flue /vents
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: 2
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EARLE, JOANNE L + Description Date Amount
EARLE, TERESA M •
14926 SW 109TH AVE #44 [MECH] Permit Fee 4/26/2007 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcha 4/26/2007 $5.80
Phone: Total $78.30
Contractor:
HORIZON RESTORATION _
7301 SW KABLE LANE
SUITE 100 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97224
Contact #: PRI 503- 620 -2215
FAX 503- 624 -0523
Reg #: LIC 160672
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 Permittee Signature: __Al 1 i -
Call 503.639.4175 by 7:00 a.m. for inspections that business d - .
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.
04/23/2007 08:06 FAX 5035981460 CITY OF TIGARD 1?3001
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Majtanical Permit Application FOR 01. FICF: USE ONLY
City of Tigard ED Received
lAtefOr: 4111 .2“ A Penite. ECZ0 - 00 a ,.3D
111, 13125 SW Hall Blvd., Tigard. OR eV
• Z Phone: 503.639.4171 ROC 103, . i
InsVcctko Line; 50109.4175 APR 2 5 2007 a °IinA- Pgrnak If eR 00 -7- ■00 0
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CITY OF TIGARD
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',.. -...,...-•-•.:.••;.:: .1 comwactu; Fro! scElnazF.paz taogist7
0 New construction )4Additionialteration/replecemcnt Meriumical permit lbw are based on the vat tr' the work
Paktmea. Indidale dte value (rotroded to the nearest donor) of all
17 Demolition 0 Other mechanical materials, equipment, labor. OVerbesd, and profit
'; ..1 :• , '. • ••• ,C:AT./GORY... ''...."• :'''•'':'!....!.:. • Value: s 3 co 6
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.: : : SYS7 iTS f
0 1- and 2-family dwelling 0 Commercial/Industrial ID ACM:awry building
Fes vecial frrformaticat we cheekfLrl
3S(Multi-fertily 0 Master builder 0 Other
Description I Qty. I Ea. L Total
.. •:•...;: '..-:.;..:.", .
JOB SUE INFOOIATIONANDLOCATION :-.-: ,-":.).!-::';.....,;;;; ::;:.,; fi po
Air conditioning or heat pump
fob she *Alms: /.._/:......:, . - ..„ 5- ..,, 1 i ... , , e 1/4 4 ' ,
(steldres sire Dias *lowing vbeemen) 14.00
City/StaterLIP: - 71, . . A 6:A_ €: .------- . %Enlace 100,000 ErN (cluctevems)
, ) -4 Furnace 100.000+ glij o 17_90
Silikeibicigisrt. DM: * - ; \ .e2 Pril ac ,`It:17; d ' -n- r .31411/e: OR beat pump 14.00
Cross streetkfireetions 10 jab site; i Duct work 14,00
%%Ironic hot water Palm 14,00
Residential boiler (radiator or
ItydrOdi0 14.00
UM heaters (fuel-type. not electric),
--_ in in-duct. suspended, etc. 10.00
Aachen for my of above 10,00
SubdEvision: I Lot no.:
Other: 10.00
Tax map/parcel no.:
Other And opplianees
• ,-. :..' .. .., DESCRIPTION OF .WORIE . . e . - - -..-..; -7'7' -". ' Water heatcr [ 10.00
Gas fireplace I 10 • ?,1r_41 'flue vent for water heater or gas
art 1000
1.01 lighter (s) 10.00
...
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
4 . • 1 . , Ty, °INNER ..;;. • • .:. . ... : .. ,..•. 0. Tomr. ... _ .. :.,......::.::, , Chietita/linarituevent 10,00
,. ... Othen 10.00
Name der 0.444.-. c
Environmeand exhaust sad veunlalion
Addrees: 19 4 ? - (4 7 ,i,t3,. 09 /In Ave': Range hood/other kitchen
equipment 10.00
ChytStalerEP: - 1 - 1 crzerA Otr 77 .. -
CkAltes dryer exhaust 10.00
Singte-duet exhaust (hrithoxens,
Pbooe:1S ) 2:2%3 - (0 - } - 4 S --- 1 Fox ( ) toilet artmetetlyeAlgitir 1 6,1;rooms 0 ...._
• • • CI CONTACT IlutspN ...:. .. '.:.. Attie/crawitece fans 10.00
. 10.00
Rubin= Dame: +tOr \ ?AIN 6 ove■ -
Fad opine
Contact ruurrel-V i 1 X S. veal s 55.40 for Drat fear; 11.00 for each addldonal
Address: 7 3 01 $ ri..4.) rbk. Z/V\ - Furnace, ec
, Gas heat purnp
City/StateJZIP7 i ,- er Q7 >r.S--- Wall/suspendedrunit heater
Phone: ( - - ) ,„ D ..... 5--- Fax:: (i3) 2_ --6. Water heater
Jim-place 9-•-
E-mail:
Range
Business name: F „ P...e,s-ro-rut -c)„, _ dryer as ..
- . Other:
Address: • .-..
• 0 r • S k Gil -
, .. . NECRA.NICAL PERMIT 1 .- . • . .
Cik4Statc/7.1P: ' ofv-,c/k 1 (-- q ? .> > 4 7
Phone: ) 6 ')-.0 -a _ tort) 4) . -01-2-' miffirourn permit fee 072,50)
- Man review (35% of permit fee)
CCO 1k.: /4 0 6 7 D _.
State surcharge " of permit fee)
TOTAL PERMIT FEE
Ainhorixed a .-,;,.• , - - This Per.it a Pvtion alders If a permit 14 art obtained w ithi a R"'"
days rifler a ifts beer seeepeed is complete.
Print n ,
i a, AfilarArall.11 Dale: 'WI • Fee methodology set by Tri-enuaty Build% indoor servic Board
Innultdingrermits ., 400dtAppdaa dooaios 4 . isrr 0 dm/commis)
ZOO/ZOOd weVE:60 LOO Z 5? JOU : Xnd
C ITY OF TIGARD MECHANICAL PERMIT
_® COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00230
, T) AO 13125 SW Hall Blvd., Tigard,: OR 97223 503.639.4171 DATE ISSUED: 4/26/2007
PARCEL: 2S110AD -90044
SITE ADDRESS: 14926 SW 109TH AVE ZONING: R -12
SUBDIVISION: CANTERBURY WOODS CONDOMINIUM LOT: 044 JURISDICTION: TIG
PROJECT: CANTERBURY WOODS
Project Description: (2) wood stove inserts, flue /vents
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 2
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EARLE, JOANNE L + Description Date Amount
EARLE, TERESA M
14926 SW 109TH AVE #44 [MECH] Permit Fee 4/26/2007 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcha 4/26/2007 $5.80
Phone: Total $78.30
Contractor:
HORIZON RESTORATION
7301 SW KABLE LANE
SUITE 100 REQUIRED ITEMS AND REPORTS 0
PORTLAND, OR 97224 0
Contact #: PRI 503- 620 -2215
FAX 503- 624 -0523 0
Reg #: LIC 160672
EXPIRED
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: C.:/Yt- Permittee Signature: ad
�� 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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description I PASS Date I By ✓ Code I Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in 5- - 07 kA
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
•
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Forms \InspCazd AOP- Blank.doc 02/02/07
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CITY OF TIGARD •
•
BUILDING DIVISION PERMIT #: tvIEC2007 -00230
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639 - 4171 , I
Inspection Requests (24 Hrs.): (503) 639 -4175 �' I L.
INSPECTION WORKSHEET FOR DATE: 5/1 /2007 TIME: 7 :00AM PAGE: 24
SITE ADDRESS: 14926 SW 109TH AVE CLASS OF WORK:
SUBDIVISION: CANTERBURY WOODS CONDOMINIU LOT #: 044 TYPE OF USE:
PROJECT NAME: CANTERBURY WOODS
DESCRIPTION: (2) wood stove inserts, flue /vents
OWNER: EARLE, JOANNE L +, PHONE #:
CONTRACTOR: HORIZON RESTORATION PHONE #: 503-620-2215
Inspection Request Scheduled For: Date: 511 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
630 Fire d amlae r mac— p ndiAc4. 4G 047421 -01 503-793-5223 N
615 iCArt. - -oaEF-
Corrections /Comments/ Instructions:
G 5 4 c... 1 i,.c-r ..�r► - 4/4: .v &h.,a .Jdr- 7 . 4.' C , u.A //j L r" eLsl-uk .`
l `
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater / G 7 Phone #: (503) 718- 2, �
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00230
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/27/2007 TIME: 7:00AM PAGE: 58
SITE ADDRESS: 14926 SW 109TH AVE - CLASS OF WORK:
SUBDIVISION: CANTERBURY WOODS CONDOMINIU LOT #: 044 TYPE OF USE:
PROJECT NAME: CANTERBURY WOODS
DESCRIPTION: (2) wood stove inserts, flue /vents
OWNER: EARLE, JOANNE L +, PHONE #:
CONTRACTOR: HORIZON RESTORATION PHONE #: 503.620 -2.215
Inspection Request Scheduled For: Date: 4/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Misc. inspection 047264 -01 503 - 7915322 N
Corrections /Comments/ Instructions:
t.JS 7
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: gi r Date: fr 7 P / Phone #: (503) 718-
.