Permit 9
1h a CITY OF TIGARD MECHANICAL PERMIT
. . C OMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00327
�. DATE ISSUED: 6/8/2007
XI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134CB-01500
SITE ADDRESS: 12220 SW SUMMER ST ZONING: R -4.5
SUBDIVISION: SUMMER HILLS PARK LOT: 016 JURISDICTION: TIG
PROJECT: CARPENTER
Project Description: Run approx. 15' of gas piping to range.
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:
WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
CLIFFORD CARPENTER Description Date Amount
12220 SW SUMMER ST
TIGARD, OR 97223 [TAX] 8% State Surcha 6/8/2007 $5.80
[MECH] Permit Fee 6/8/2007 $72.50
Total $78.30
Phone: 503 - 590 -3702
Contractor:
KOEHLER CONCEPTS LLC
10772 SE HWY 212
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 650 -9550
FAX 503- 650 -1220
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.
� Permittee Signature: fia4 Issued �� �� /f it > �� P itt g Lodi "„ I
i
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.
,+ .
iecli4* ical Permit Appli 3 �° ' ,- , '-' �. �c►1i CU,FIC 1 t-', CI) - 113 1 { { t • ,k; ■
'ity.of Tigard :,6!! . ,
Received kOfg i.,,,-1 S permit No.: NEL 0 - Oo3 2,7. 125 SW Hall Blvd., Tigard, OR ' ' / Plan Review ether Permit:
r
tone: 503.639.4171 Fax: 503.598 1 • • ■ as r , , � .' , Datea
spection Line: 503.639.4175 ��� ® Q `Z m all _ , � . �� ; Date ReadyJBy:
Notified/Method: 1 i'51:_ „ I 121 See P 2 for
tercet W Ww.Cl.tigard.Of.US 8 fied/Method: 1 ((� supplest:, - Information
r . , • �, S •. - ti `- ., rJ itor .
. 7 # S f,. • i ��*_ t _ . . + . . e 4
:** - 4 - v"RG .. -I f .� l.W.t.. .. 1 ;174'. '71 a ".t b '. N : ,. t il S
i � -
- '•• is--- .� �.c 2k - r � € .4:� _ . ar K:4� - :r 5es_�' . Yl= .-;mar. -.a 7, L t.... , tiit 7 ,„
fir
t Mechanical permit fees* are based on the va e of the work
] New construction r s ti 1 `+ - ? o 'p a ement performed. Indicate the value (rounded to : i : st dollar) of all
] Demolition ■ er: p mechanical materials, equipment, labor, ov- r ad, and profit.
f @ _;;- - .,,.. y-rei..`lt- ? °fr =rte 1 aF- .e_ri) ,,.'. c I ' 3 _ I _. "� 5 '`r •• n7 S P. , - .3 1 ----,V ' r tS
?t ! -_ �vs � ' f? :.9r'.7a . t r_ t .... -a fir _„ te L -r.. a... ,7, - { -x^ Val i i ' +`t ' U " a =
�.. . 4ic �.,.artc � T ��;'- !!._� =�`L .�' ..sr_�� �:,;!. ,'.._...�u.�r .ems
- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building For speciol irlJornwrlon use ; rst.
3 Multi - family ® Master builder 0 Other: Description I Qty. 1 Ea I Total
"?l a `. ';7?.,t1-¢- ?ilT "1 Ms a ,..s i d �y {i { � t - l '� . cz,.a,, , ,J L i r't .-.'t' Heatlag,/CO01iag
,� c.'s u:. 1°'7k¢ x t l C -- (:=, C tl.i } a 1 �n J �� r a_..
',.... _ r�,s a t, _ 4 : E_ . , » r.__ter �. r r_ :,. __ .� _.ai. ...___.,! r Air conditioning or heat pump
ob site address: \ 7 7 c., �� e`S.%+,`� \ '---\\--- (requires site plan showing placement) 14.00
ty , �C��ta �� �ZZ3 Furnace 100,000 BTU (ducts/vents) j 14.00
:i /State/ZIP:
Furnace 100,000+ BTU (duos/vents) 1 17.90
>nite/bldgJapt. no.: 1 Project name: C twil.4 -.P Gas heat pump 14.00
'rocs street/directions to job sits:
l Duct work 1 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 1 14.00
Unit heaters (fuel-type, not electric),
in - wall, in -dun, suspended, etc. _ 10.00
Flue /vent for any of above 1 10.00
Subdivision: Lot no.: Other 10.00
Tax map /parcel no.: Other fuel appliances 1
s= 4t sC�.1 fir t , r r x s4 ' '? Water heater I ' 10.00
1-rMit, .T.0 i r a ` - - . ^. C,...,, -err. f. i,. ' . _iL:_ 7 :.r..aN. _ :.;,,_� _ ,r °, 1_.:.. �L-i ,.<_ ur_:o 3
»s= ,�i�•. � L..d,a_�Y� ,...•• � �. Gas fireplace 1 10.00
`ck...`��Nv.....s ' \ - \ .C's., Cr , � ,y .6•-- Flue vent for water heater or gas
" ` ' fireplace 10.00
'\ s.c \ Log lighter (gas) 10.00
�� Wood/pellet stove 1 10.00
Wood fireplace /insert 1 10.00
�, Chimney/linerlflue/vent 10.00 •
- , , r 3 ,x(i } 4 r t .' -;;'1,,t t . -1U 1 0.00
t . �t1? ti 'sl - .:r, t 1 , s�F ;t4. r.. ,!' '- a-i.rz.1? ,:r,. 4." :: ._ ._ -i-o.. t^ ...i. , ,,i-... Cd , w _. •r ,,.r. , s. . _ . .,: other: •
Name: Environmental exhaust and ventilation 1
� Range hood/other kitchen
Address: Viligiftill \ ..JJ C+ �`e4.4, -''eN �� equipment 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: ' c � } � 1 C j 2. \ ��Z-Z Single -duct exhaust (bathrooms,
Fax ( ) toilet compartments, utility rooms) 6.80
Phone: ( -b`�� ���- 117_-- 10.00
-z- , t i !
r T G t -r' . c l { r�F r,;:' } li 'I I t. iv. i (f.-•a i FZ '.x y-S Alt c/CrawlSpaO fans
�y . ' ye t`
i 1 + i ��� .i 'zt_._r.r:?f_a:
! 10.00
.? i , , i"� ; - "la- isuW. -_z. l ; „y43 Alt.1. ,.s .4r ��� , .. a as ,,_ _,..t2.rx:! t, :,,u, Other
Business name: (,- ..e.nC Cs:3y' . `3-S Fuel piping 1
Contact name: 55.40 for first four; $1.00 for - I h additional
�� Furnace, etc.
Address: \c:: - �sV. \Z Gas heat pump
City /State /ZIP: C,„„,..,C....r.,....14-4 t Qc4c C\---, Wall/suspended/unit heater
Water heater
'� \Z2) i
Phone: ''‘, Gj�"y I FaK ) "\ Fireplace
E rnail`"7`'S6, " • r Range
7 ,, S '"� rI ti k` Yr'.: . r r 1., ii 1' :iii i. 1 .'_ ;, .
7 W+r j . ; . ^ x / - - ,- .. Barbecue
r an ' r s S J l �i 1 e ' -. z �a4 cSv [..L t ..& ? k Clothes dryer (gas)
' ,. i ' nn --
Business name: QK W�ir. Other: @
l
('�� 1 � r u x'' c rS. _a`4 t ' 'E E i ,� 1 I f 't ' , E rJ
Address: 1 ubtotal •
City/StaterZTPe.,, S a` -°Cer∎ �U� Minimum permit f . $12.50) ° 1Z -
Pbone:�" 1QSo '�1SSL7 1 Fax: v (Cc ) (d . b - \'Z, -4 Plan review (25% of p ;i 't fee)
State surcharge (8 % of p„ it fee) S
CCH lie.: `"ZD^Z'1'- TOTAL ' ' 7 FEE 78. 3D
This permit application expires If a perrni .1 not obtained within lau
Authorized signature:
days after 11 has been accep complete.
l Print natne:L,...3
_ U - • Fee methodology set by Tri - County Sul Industry Service Board
AJ•\ Date: C �
i stMEGPcrmitApP,
do. 12/03 440.-4617f (I t p2/Ci1ID; /WEB)
z ' d 0221 - 0S9 -EOS 311 S1d301J00 2131H30N W H I O O T LOOZ BO unC
v` _, . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00327
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2007 '
Phone: (503) 639 -4171 —, 1 4 1 t
Inspection Requests (24 Hrs.): (503) 639 -4175 ° -�� �� E oo 7 - oe ;-
INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AM PAGE: 56
SITE ADDRESS: 12220 SW SUMMER ST CLASS OF WORK:
SUBDIVISION: SUMMER HILLS PARK LOT #: 016 TYPE OF USE:
PROJECT NAME: CARPENTER
DESCRIPTION: Run approx. 15' of gas piping to range.
OWNER: CARPENTER, CLIFFORD - PHONE #: 503 - 590 -3702
CONTRACTOR: KOEHLER CONCEPTS LL.0 PHONE #: 503 -650 -9550
Inspection Request Scheduled For: Date: 6/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
., 610 Gas line 050298 -01 503-590-3902 N
Corrections/Comments/Instructions:
i . ,
..
Ai. / ,
V O
P'
C ' ASS ❑ PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS
I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ..A Date: -- /;5-07 Phone #: (503) 718 - �4,-sC S-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00327
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007
Phone: (503) 639 -4171 A °7p�u i i
Inspection Requests (24 Hrs.): (503) 639 -4175 ,..._,I11 __J /iC e AQ 0 7 --d' 3 fa 7
INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7:00AM PAGE: 713
SITE ADDRESS: 12220 SW SUMMER ST CLASS OF WORK:
SUBDIVISION: SUMMER HILLS PARK LOT #: 016 TYPE OF USE:
PROJECT NAME: CARPENTER
DESCRIPTION: Run approx. 15' of gas piping to range.
OWNER: CARPENTER, CLIFFORD PHONE #: 503 - 590 -3702
CONTRACTOR: KOEHLER CONCEPTS LLC PHONE #: 503. 650 -9550
Inspection Request Scheduled For: Date: 6/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # — Message
610 Gas line 050017 -01 503- 704 - 1441 Y
Corrections/Comments/Instructions:
/ ,7-- /G, - ���� 0 . .
..
L ei
____---, 1
P C)
po \ r - u 1 4 ( 7)
„,457
b ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
0' AIL i I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,Inspctor: , r Date: - -~ /� —.4:57 Phone #: (503) 718- 74