Permit 7
, h q CITY OF TIGARD MECHANICAL PERMIT
' '. °= . C OMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00485
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/29/2008
PARCEL: 1 S 136AD - 05500
SITE ADDRESS: 06710 SW PINE ST ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HATHAWAY
Project Description: Intalling gas insert and water heater venting.
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: 1
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
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Owner: FEES
DANNY HATHAWAY Description Date Amount
6710 SW PINE ST
TIGARD, OR 97224 [MECH] Permit Fee 9/29/200€ $72.50
[TAX] 12% State Surch 9129/200€ $8.70
Phone:
Total $81.20
Contractor:
NW GAS LINES
16731 NE WASCO ST
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 256 -2436
Reg #: LIC 154848
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: / �� Permittee Signature: _.-P---.2 / Giot,
Call 50 • 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.
Selo-26 08 02:46p N.W. GAS LINES 5032562245 p.1
Mechanical Permit Application w F,.' � u °I ""'E� e ` .. . lhl l .4 i ..sta . `I " ( i x ' -aQ� 1 „. , . ''`,
Y z a , `p :,
City a� Tigard D E CEIVED D ectIled MS .
t
13I25 SW dell Blvd.. Tigard. OR 972 3 plan Review / 1 117 , RC 05 -�UO3 7y
C-'.. � Phone. 503.629.471 tax 503.596.1960 Datc/By:
Otter Permit _ "� ry
r � ! ' i ar tih : Inspection Line; 500.639,4175 S E P 26 2008 I Mite ReadrlBy: rube: PI ;tee Page 2 far
i « r 4 ne4 Internet' www.tigard.or.gOV Notified/Method: 7-u Supplemental Information
CITY OF TIGARD III
O l 1NQfIVISION COMMERCIAL FEE' SCETEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value ofthe work
❑ New consume i d ditiou/altetationhcplacermcnt performed, indicate thc value (rounded to the nearest dollar) of all
❑ Demolition C] Other: mechanical materials. equipment, labor. overhead. and profit.
CATEGORY OF CONSTRECIION Vl;uc: S
' RESIDENTIAL SQm1PMENT / SYsimmg FEES'
and family dwelling ❑ Comrrteccial /industrial ❑ Accessory building
Far specOl Infnrrrarion use checklist.
E Multi-fami/y ❑ Master builder ❑ Other; Description _ Qty [ Ea 1 Total
JOB SITE 1NTORMATION AND LOCATION , Resting/tooling
JO 7 1 0 LS "/ Pin G Air conditioning or heat pump
Job site addre54 r � r (termites sitepi:m sherwineptrcement) 14.00
City /State/ZIP; --I a a OK Fumecc 100.000 13TU (dnats/. cn:s1 _ 14.00
1 Furnace 100,0004 BTU ( &Jc&wnta) 17.90
Suite/bldg./apt. no.: Project name: / Cas heat purnp 14.00
Cross street/directions to job site: , Duet work 10.00
Iiydronic hot water system 14.00 -
Residential boiler (radiator or
hydronin) :4.00
Unit heaters (fuel -type. not electric),
in -wall, induct, suspended, etc, 14,00
. [Al no.: Mx/vent for any of above 6.80
Subdivision: _ ptlicr, 10.00 1
Tax map/pnrcel no.: _ Other fvdypliantea
DESCRIPTION OF WORK Water heater 10,00
Gas fu9lace j .SZ tr'- / 10.00 _ /0
/Li/94I / /) � j /� f /r Flue vent for wattheater rrr as 11 fveplacc ije� v /� J 6h !v fire lighter as 10.00
�/ // Wood/pellet stove 10.00
CWood fireplace/Sisal 10.00 j
ChimneWlliaer/tlue/vent 10.00
Other: PROPERTY OWNER ❑TENANT _ 10.00
Name: a� e /y I Environmental exhaust and ventilation
!t� 7/ / J / v" Z' 1 � ) t—, equipment g end/ether kitchen 10.00 Address: 7 /l !A(/ jj %% I i
` ` � I Cloth dryer 10.00
City/Starr-OM C � j /
Single-duct exhaust (bathrooms,
Phone: ( 3 /„.0.... 6 9 O 5/ Fax: ( ) toilet compartments. utility rooms) 6.80
7 APPLICANT ,o ❑ p CO J1 NTAC p T / PERSON Att]c/t rxv tspace fans _ 10.00
6 t 1 / �i /r) Fuel piping ? (�- /v�l AJ C . 10 .00 r !
Business name:
Contact name: jib / / / U"''7 I -- $5.40 for first four: SLIM for each additional
Address : / 3 / /I / 1 r _ J Se $ � Gas h
T ^ e etc .
i i Ir ( te / Gas eat pump
City/StatelZlP: / / . I � c) WaI1 /suspcndcd/unithcater •
Phone: ( 5-70.--,_.; y3 ' 1 FAX; : ) r .2 6,_,,pa -Lf5- Water heater
Fireplace 1
Email: 4 1 A 2 L 5 1 u ) Ci he m Range 6 c
CONTRACTOR Business name: Clothes dryer (pas)
Other:
Acterecs: MECHANICAL PERMIT FEES` D J
City/State/1_1P: Subtotal I 02
Minimum permit fee (572.50) '7,2., ,
Phone: ( ) Fax: ( l Plan review 25 %o
( permit fee)
CCB tic.: 0 Statcaurehavgc(12 % ofTertnitfee) '.70
TOTAL PERMIT FEE (,
Authorized signature: Tile permit appIi at;oo capirrd it • permit to nal ahta :ned within I all
11 y Y / , / (�i / days after it haw been acecptod ar complete.
:Nat 1:3•111C: Se: 7'3) Q ,, 4 Dale. ' / -Lt 0 " tee methodology Set by i ri-County 13t+ld
ii' t l "dustry Scutt': Board
1:19u8din�Pen+
itAME ?e...�V pp..t a 01 /1o:e7 ii 445 li It l ■O2 /CD4�rtB)
C ro.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ME(: 20013004185
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9129n008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �Vit
INSPECTION WORKSHEET FOR DATE 10/20/2008 TIME: 7:00Am PAGE: 32
SITE ADDRESS: 06710 SW PINE ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HATHAWAY
DESCRIPTION: !Walling gas insert and water heater venting.
OWNER: HATHAWAY, DANNY PHONE #:
CONTRACTOR: NW GAS LINES PHONE #: 503.256.243 €;
Inspection Request Scheduled For Date .10/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message fre ji /
699 Mechanical final 0768862 503-680-6988 Y
Corrections /Comments /Instructions:
r'
V ( , i i
i i:: 7 if
( ...,...7 / /
(
PASS 111 PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES A SESSED
Inspector: Date: a(� Phone #: (503) 718-
CITY OF TIGARD 66 I/05
BUILDING DIVISION PERMIT #: tE�tf= -nr.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/:112008
Phone: (503) 639 -4171 A;iro
Inspection Requests (24 Hrs.): (503) 639 -4175 ._. `_ `
INSPECTION WORKSHEET FOR DATE: 10/7/2008 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 7167 if1 PINE , T - CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
HATHAWAY
hIA4+h`AY
DESCRIPTION: installation of a(c. Ductwork for new bathroom, Gas water heater and fiieplace installed by others.
10/03/08 ADDED ductwork for bonus room.
OWNER: PHONE #:
HATHAWAY, DANNY
CONTRACTOR: ALL METRO HEATING INC PHONE #: 503 - 381••4557
Inspection Request Scheduled For: Date: 10/7!2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 1- Mechanical rough -in 076387-01 503 -680 -6988 Y
Corrections /Comments /Instructions: •
-See_ Nis 1 A- V R d. 6 O CT oS K S)
I 64 I; yxe. e virr 5,1 � 00 c r — cO it re i -t S Co K
[mi / r " k ' N '\ x.51 aC — 00 4 795 -
H PARTIAL APPROVAL ❑ CANCEL, I I NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 3-S Date: ` Phone #: (503) 718- -,2A3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00185
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9129/200B
Phone: (503) 639 -4171 .I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: itJl J TIME: 7:00AM PAGE: 22
SITE ADDRESS: 06710 N PINE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HATHAWAY
•
DESCRIPTION: Init. =.fl g;-ts insert and water heater venting.
OWNER: HATHAWAY, DANNY PHONE #:
CONTRACTOR: NW 4:,A`' LINES i PHONE #: 603 -256 -2436
Inspection Request Scheduled For: Date: 1010X018 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 076326-01 503 -602 -3543 N
Corrections/Comments/Instructions:
v1L.
P n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL ❑ CALL FOR "INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: / Date: Phone #: (503) 718 -