Permit A II CITY TIGARD MECHANICAL PERMIT
II
i+� DEVELOPMENT SERVICE PERMIT #: MEC2006-00156
if I -, DATE ISSUED: 4/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112BB -10800
SITE ADDRESS: 14290 SW FANNO CREEK LP ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.3 LOT: 090 JURISDICTION: TIG
Project Description: Extend gas line for range.
CLASS OF WORK: OTR 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
LINDA RAMIREZ Description Date Amount
14290 SW FANNO CREEK LP
TIGARD, OR 97224 [MECH] Permit Fee 4/17/200( $72.50
[TAX] 8% State Surcha 4/17/200E $5.80
Total $78.30
Phone: 503- 443 -6147
Contractor:
THE GASMAN
8940 SE CLINTON ST
PORTLAND, OR 97266 REQUIRED ITEMS AND REPORTS
Contact #: PRI 971 -570 -9722
Reg #: LIC 127089
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.
1
, .
Issued By: "T2 ,4j y' Permittee Signatu - . - . .4viimmcwir NIIII
Call 503 - 639 -4175 by 7:00 a.m. for inspections that 99 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.
.Mechanical Permit Applicatio tr ^. 3- ,k: � `c>'li ` c-i I l "us i ` � .'� ' '
N ..'~v 'l.4 s.�4.. ., *r • m z ' ' .�.ra0fan!
,P 1 Received
' City of Tigard Date/By .4 E/ � Permit No. e (. I_ ,L (I U / 1,
3i`; 4 13125 S W Hall Blvd., Tigard, OR 97223 n Plan Review
A o .: 1 Phone: 503.639.4171 Fax: 5O3.598 196Q t 1 2UO� Daze /By: Other Permit:
a94.t` -'t Inspection Line: 503.639.4175( Daze Ready/By: luris. WI See Page 2 for
.sue Internet: www.ti ard -or. ov `T1GA y o / I (( pp g
g g GO \I d - R D Notified/Method � ) Supplemental Information
jj4JG fl JlS \ON
, TYPE OIBRK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction A Addition /alteration/replacement 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: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
.al- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Air conditioning or heat pump
/ �/c�9 O S(xS - Ar,�.� C�K L7 (requires site plan showing placement) 14.00
City /State /ZIP:T /A ,,,i c g., • 7 tx \ Furnace 100,000 BTU ( ducts/vents) 14.00
/ � Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: ►� 9 Project name: �e,c- IZ Gas heat pump 14.00
Cross street /directions to job site: 1- oci it .1.4k no0 Cc Duct work 14.00
`� Hydronic hot 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: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK , Water heater 10.00
E. X k g 3 S t t n .e `ri -R Gas fireplace gas
10.00
V � Flue vent for water heater or as
fireplace 10.00
YinL d
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
PROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 10.00
' „
Other: 10.00
Name: ( :, �` f k Environmental exhaust and ventilation
(� 1 Range hood/other kitchen
Address:
I L1$ o (.,� f- AY1hch C& Coop equipment 10.00
City /State /ZIP: T,et Oil � ,__ t7 dgy Clothes dryer exhaust 10.00
t / Single -duct exhaust (bathrooms,
Phone: �- 1/1/-... ( /t /! '7 Fax: ( ) toilet compartments, utility rooms) 6.80
;APPLICANT ' ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: e C 1 Y cky-\ Other: 10.00
,�_ Y . Fuel piping
Contact name: V I L(.lt"....\, , l $5.40 for first four; $1.00 for each additional
Address: "L7
�`
/ t ,.� 5 � C J • , �- Furnace, etc.
r � 6 Gas heat pump
City /State /ZIP: I 'r"'L v Wall /suspended/unit heater
) 570 _ IT-3,2.R_ . ) `77 „ Water heater
Phone. Fax:: J l � �
1 Fireplace
E-mail: C SM4`v) tc COWMCA�T 1 + .vl Range I
JJ CONTRACTOR Barbecue
Business name: T kl� f f 1 Clothes dryer (gas)
Other:
Address: 13'1 y t ST_ CJ t /L-l 5 MECHANICAL PERMIT FEES*
City /State /ZIP: --k_ ,_ CO Subtotal
i . � Minimum permit fee ($72.50)
Phone: (t7/ 570- 17 Fax: (5o g) `7 ( � coo Plan review (25% of permit fee)
CCB lic.: /a ?d / "C Jv� State surcharge (8% of permit fee)
u TOTAL PERMIT FEE
Authorized signatu This permit application expires if a permit is not obtained within 180 dr
days after it has been accepted as complete.
Print name: jet ,' &'e (c). CA_K ey ) ,bc cJ 1 Date: y` /2-6(A. • Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Pemilts\MEC- PermitApp.doc 04 /06/06 440- 4617T(11 /O2/COM/WEB)
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Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\MEC- PermitApp.doc 12/30/05 2
`
��K ��
��nV �~'m�nr mn�nARD
BUILDING DUNG ' DIVISION PERMIT #: K1EC2008'00160
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2006
Phone: (503) 639-4171
Inspection Requests (24Hmj:(5O3)830'4175
INSPECTION WORKSHEET FOR DATE: 9/12Q008 TIME: . 7 : 01NA PAGE: 47
SITE ADDRESS: 142SUSWFANM0 CREEK [_p CLASS OF WORK:
SUBDIVISION: COLONV CREEK ESTATES N�3 LOT #: 090 TYPE OF USE:
PROJECT NAME: RAMIREZ
DESCRIPTION: Extend gas line for range.
OWNER: RAM|R[Z.UNDA PHONE #: 603-443'6147
CONTRACTOR: THE GASMAN PHONE #: 971'570.�T2�
Inspection Request Scheduled For: Date: gt12/3006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036366-01 503-803-5452 Y
Corrections/Comments/Instructions:
PASS �
1 | PARTIAL APPROVAL ri CANCEL | | NO ACCESS
n FAIL C LL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY TIGARD
BUILDING DIVISION PERMIT #: I 1 =a %tltls; t101f
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1712006
Phone: (503) 639 -4171" i
Inspection Requests (24 Hrs.): (503) 639 -4175 . .''. ' . �(
INSPECTION WORKSHEET FOR DATE: 41/612006 TIME: 7:O AV PAGE:
SITE ADDRESS: 14290 f;W FANNO CREEK. LP CLASS OF WORK:
SUBDIVISION: COLONY CREEK 1 H',')`A'fE",-... 1N O.3 LOT #: 090 0 TYPE OF USE
PROJECT NAME: RAMIREZ
DESCRIPTION: Extend pi, lire for ran 9e.
OWNER: RAMIREZ, LINDA PHONE #: 503-
CONTRACTOR: THE GASMAN PHONE #: 971-
Inspection Request Scheduled For: Date: 4/1812006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
61 0 02i:1247-01 971- 570 -9722 1'!
Corrections/Comments/Instructions:
co i 5
FA n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL/ OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4
Inspector: /i / -/O Date: Phone #: (503) 718 - 5
•