Permit ppi !`4` CITY TI MECHANICAL PERMIT
f�
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00104
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 2/27/2008
PARCEL: 25111 DD -03400
SITE ADDRESS: 08915 SW HAMLET ST ZONING: R -4.5
SUBDIVISION: STRATFORD LOT: 024 JURISDICTION: TIG
PROJECT: KOBLEGARDE
Project Description: Gas line installation to fireolace gas logs.
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: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
RUPERT KOBLEGARDE Description Date Amount
510 MAYER BUILDING
1130 SW MORRISON ST [MECH] Permit Fee 2/27/200£ $72.50
PORTLAND, OR 97205 [TAX] 12% State Surch 2/27/200E $8.70
Phone:
Total $81.20
Contractor:
ALADDIN HEATING & A/C
1924 SW 32ND STREET
GRESHAM, OR 97080 -8500 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -516 -5328
FAX 503 -618 -8311
Reg #: LIC 44097
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: ermittee Signature: j ../177.0;7"7/1-
Call 503. 9.4175 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.
Mecharw a! P'er It App ' ., - 11. O1 F1(1 i :St. 1ti l 1
{ w City of Tigard ( flu Received 7 Permit No.: / .- 00ta
+ ' r ' \\I i , ' f �/ 2..-7 06 �1 l Owp 1
� i t 1,3125 8W Hall Blvd., Tigard. • • ■ �' ? ?Carl RevlCw (� . Phone: 503.639.4171 Fax: 5 vl<` ' r • ;if. _.% a i ,� other Permit: ,,
i is r • Inspection Line; 503,634,4175 \ q 1 L Date Ready/By. arcs: El Sea Pap 1 for
_= Internet: www.tigard-or.gov V �� R\:) Notified/Method: Supplemental lafhrmadon
TYPE OF ''!h �!-N >t 1 COMMERCIAL FEE" SCHEDULE - 115E CRECIa TST
0 New construction et Addition/ •' on/replacement hfochenival permit fees* are based onthe value of dui work
Demolition perfotmed_ lndieaee the value (rounded to the nearest dollar) of ati
Other: • meeh•nical nueeriitls. equipment, labor, overhead, and Draft
CATEGORY OF CONSTRUCTION Valve: $
EQMPMENT RI 1- arid. 2- family dwelling ❑ CommcrciaUndustrial 0 Accessory buildin SYMMS FEES*
0 MUlti- #91Xtily El Master builder ❑ Other: For special v formatter titre eheakaor
Description Qty. Ea. Total
JOB STl'E INFORMATION AND LOCATION Heslinncoolifg
Job site address __ 7 91 5 $ 4l _ A n. i Air ocndi<ivning or heal pump
(reunites site plan Allowing placement) 14.00
City /State/ZiP! f i ) et 7 7 .1_ 2. 7 Furnace 100,000 BTU * ts) 14.00
Furnace 100,003+ BTU (duscitvents) 17.90
Suite/bldg. /apt.no.; Project name: V
/L/ Gas hsatpumo 14.00
Cross 1Rreet/direetions to job site: 'Duct work 10.00
Hydronic hot water system 14.00
Resideniia1 boiler (radiatnr or
hydronle) 14.00
Uni2 booms (M al type, not electric),
in -wall, in-duct, suspended, cto. 14.00
F1ue/isnl Wr any of above 6.80
Subdivision; Lot no.: Other: i 10.00
Tax map/parcet no.: Other fuel appliances
DE.9CRIPTION OF WORK Water heatet 10.00
r Gas fire- lace 10.00
6 -11.0 l h .c ,c r ,,,, F / a hie vent .r water eater or gas
/� ,, firvplaw 10.00 V ��� Lag lighter (58s) 10.00
Woodlpenet stove 10.00
Wood fireplace/Maw 10.00
0 PROPERTY OWNER I 0 TENANT Chimney /liner /0 advent
10 00
Other; , 10.00
Name; 1{ n 1, ' ic h Environmental exhaust ana ventilation
Address; Rap ea•r,hthcr 'tclicn
equipment III 10.00 ■
Clty/State /ZIP: 1 i .c � •. ar cobaust 10 - 00
Sinslo•duct exhaust (bathrooms,
Phone; ( ) Fax: ( ) toilet c ::. ants. utility moms) 6.80
f APPLICANT a CONTACT PERSON Attle/erawt, . , fens 10 00
Other; 10.00
Bteaitte a name: I , 1 /
Fuel
Contact name: e )- h et, 95,40 for first fir 51.00 for mach additional
Addregc: 1 9 i t4i 3 - Jr)- Furnace eta
Gas heat pump J
City /State/Z1P: 6- ytiQ f h -- C4- 9 -7 0 WawUw • ■ •ndedinnit barter ��
Phone: (S03) Cd 14- 5 3 Z $ I Fax; ; (sop 6/ 8- B• 311 Water leaser
E -mail: 1 Fireplace
�C.J , . d M S
/ , A/e R -. _o
CONTRACTOR Barbecues .�
Business name: �,L - - — ` .e/Lg e _ a 1. thus shyer (gas)
Other:
Addrott: _ MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
! Minimum prXmit fcc (572.50) .- 70 1 --. 1
Phone: (03) .5/ 6 - 5 3 Z $ 3 Fax: (f e 1 7 73 1 1 Plan review (25% of permit (cc)
CCB tic.: L U F Statc surcharge (12% of]lertnit f8al lc, - J(.)
TOTAL PERMIT FEE ' (. '
Authorized signature: Vas earner •pptleader+ empires if permit 0 not obtained within 1811
• days slaw it has boon Racquet as complus,
Print a.atnet 4 ,171 s k e - D3te: z. ^ 2. O s + Fee merlmdology tat by Tri- Ceuniy Redding Industry Service Board
r;\ aOn;lrM\reemicAMBC.PcrmitAppdoo 01/19/07 440- 1617T(1l /O2ICOM/WER)
CITY OF TIGARD IMCG o g'-Qo l o i
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISS ED:
Phone: (503) 639 - 4171 ° r , ^ ; r r
Inspection Requests (24 Hrs.): (503) 639 -4175 �1 ' "'I I.. Q a. q, e 5
INSPECTION WORKSHEET FOR DATE: V7/4 l 6 r TIME: PAGE:
SITE ADDRESS: 1 J ZL'VV CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
0 /Code # I spection Confirm # Contact # Message
(DI b 3c t c'uz,
LP16 110 Q r.A . i,1/1. 1
Corrections /Comments /Instructions: /
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t A
Amr_ no_
, Ai ornamv
wirwar_Amis
IIV
S n PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
1 1 FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector:
1A., C2 Date: ,2/2/es Phone #: 503 718- �� Z
p (503)
CITLOF TIGARD
BUILDING DIVISION
PERMIT #: MEC2009-00104
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 207/2008
Phone: (503) 639-4171 et
Inspection Requests (24 Hrs.): (503) 639-4175 AA A!!
INSPECTION WORKSHEET FOR DATE: :V28. TIME: 7:00AM PAGE: 17
SITE ADDRESS: 08915 SW HAMLET 31 CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 024 TYPE OF USE:
PROJECT NAME: KOBLEGARDE
DESCRIPTION: (.3as line installation to fireplace gas logs.
OWNER: KOBLEGARDE, RUPERT PHONE #:
CONTRACTOR: ALADDIN HEATING & AIC PHONE #: W3-516-5328
Inspection Request Scheduled For: Date: 2/28/20013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 065826-01 . • 503-516-5320
Corrections/Comments/Instructions:
5",./ L. 3 A s 7C )c L4-,17, »i lkasir-
( 7 - : • A
1 PAS ri PARTIAL APPROVAL CANCEL I NO ACCESS
Fr'P r1 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Phone #: (503) 718-