Permit CI TY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -10031
011 DATE ISSUED: 3/16/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S111 CB -02300
SITE ADDRESS: 14885 SW 100TH AVE ZONING: R -3.5
SUBDIVISION: MURDOCK HILL LOT: 004 JURISDICTION: TIG
Project Description: Install gas broiler. State of Oregon Boiler Permit # 30904.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MARILYN WEBER Description Date Amount
14885 SW 100TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 4/4/2006 $72.50
[TAX] 8% State Surcha 4/4/2006 $5.80
Total $78.30
Phone: 503- 968 -3204
Contractor:
ALL TEMP PROFESSIONAL
8230 SE 72ND ST
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 654 -1111
FAX 503- 777 -9766
Reg #: LIC 58513
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: 1! Permittee Signature: Call 503- 639 -4175 by 7:00, a.m. for inspections that business ):14.
.
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.
MAR-15-2006 WED 03:05 PM P. 002/002
Mech al Permit .
Afrif, 71 ' - 'Q'' ..! NED NH
=3 ,.. / _, . Alit 1:=MINMEEN
J City of igard
13125 SW Hall Blvd., Tigard, OR 97223 M A n -
Phone: 503.639.4171 Fax: 503398.1960 ' - -.-
lir 1 6 2006 ;' .4. Flan Review
Other Permit:
nate/By,
ii
Inspection Line; 503.639,4175 44- .
.,.. -... Date Ready/By: IIM 81 See Page 2 tar
Internet: www.ol.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Informetion
BUILDING rmiijr\f‘t . ‘
'':';';':'*'::::.:::' "tiir:**Ciiiit .:: :! =".*::.'e... *1' 7'7: '':.?!.:':' :*,; ''.±.:.iliirgiiiittiitliit* OfiCktlfit
El Now construction gAddition/alteration/replacement . Meohanicel permit fetes are based on the value of the work
performed. Indicate tho value (rounded to the nearest dollar) of all
El Demolition 0 Other; mechanical materials, equipment, labor, overhead. and profit.
... . ;, • .•.: ' , -•.• :: :; : Value: $
, . .
*ESIOSPITIAVICOVIPMIEN711.511iTEMSTZEtit.•
pi 1 - and 2 dwelling 17I Commercial/lndustrial 0 Aooessory building
For :pedal fliformation are eheekita.
12 Multi D Master builder 1:1 Other: Description 1 Qty. 1 Ea. I . Total
, ., :_''' ' ..: ,','.. : `..i:: , ." 011 Iil ! , J.} ' •
• tr ' 1 ':1 LOCATION .', ' . . .. Heating/cooling
Air conditioni or hump
Job site address: /Vic/F/-.5 S 71/ /00 71 /0 Ve. (reqtdres site plan ng eat p showing placement) 14.00
.
City/State/ZIP: 7jarve , 04 ,782,$, Furnace 100.000 BTU (duclai•eills)
14.00
Furnace 100,000+ BTU (ducts/vonte) 17,90 ..
Suite/bldg./apt, no.: I Project name: W ...6 er
Gas heat pump 14.00
Cross street/directions to Job site: Duct work 14.00
14ydronic hot water system 14,00
. Residential boiler (radiator or
hYdrOniC) / , 14.00
Unit boaters (fuel-type, not electric),
in-wall, In-dttot, suspended, etc. 10.00
-
Flue/vent for any of above 10.00
Subdivision: I Lot no.: . Other: 10.00
Tax map/parcel no.: Other fuel sppilauces .
,:;,: ,,..i::,:::.., ,. :.....,;..j.;: Wafer heater 10.00
Oas fireplace 10.00 _
Z sa.irse e -006e (r.4z- /3O-ea,t. Flue vent for water heater or gaa
13replaoe _ 10.00
_
.
Log lighter (gas) _ 10.00
,,..ra.c.. .
/4...4 -.„atTieg- Wood/pellet stove 10.00
.3 0 90X Wood fireplaceJhutert 10.00
' , • - - - .. - ,, - ' - Chfmney/liner/flue/vent 10.00
40jAPp*::::,..OW1t11*.::: .: , : ...,:: ., , . , : .:: , y : , ,.4;1 , ANT ,.:.: : , , , ,. : •. ,. „ Other 10.00
‘n..
Name; , a g.V . el,e x., . Environmental exhaust and ventilation
Range hood/other kitchen
Address: Pr S'. /:) 0 ri , ,v,,,
equipment 10.00
Cily/StaterZIP: -7- ' OA 77,45,‘ Clothes dryer exhaust 10.00
, Single-duct mclumat (bathroom,
Phone: (533) J - 30,‘„ix Fax: ( ) toilet compartments, utility rooms) 6.80
, '..5),1;‘ , K , : ., •:!90 , i-4)110041;' - ,` , .:.. , ,.: . .::1 ,, ., , ..;..)000.NP..keli''gqcoi ,,.,,,,t-t-;',..f', Ma 10.00 ,
Other: 10.00
Business name:
Fuel pining
, - ,,, ,
Contact name: , r "_P-iiiel-LoA/L. $5,40 for first fours 81.00 for each additional
Furnace, etc.
Address:
Gas heat pump .
City/State/ZIP: liezwA edf-9 . Wall/suspended/unit heater
Phone: ( ) Pax: : ( ) . Water heater -
i Fireplace
E-mail: Range
. .:..,., ',..,:i•;')it.;,:',.; !.; ; !:: .7,:,...t:,,i!!!0:.431004,47 :':.,,•.'.';',.;;;'. ::.:1:. :V "2.: 4 .,4;; ':;;;; Barbecue
Clothes dryer (gas)
Business name: Ai/ 77,e,,o,,,,1 6 •
. Other: . . .
Address: c F---3 431 s . 7 Alvt_ :'..'..::'5:!''.:!: . 0000±..!. , '',:i'.,::':': : :''''
Cit "c' (2/T R 7 6 Subtotal
■ Minimum permit fee ($72.50) 74, -5 0
Phone:15'03) _5 V ./&/ I Fax:1933 777- P74 4 Plan review (25% of permit ibe)
CCB lic.: s.-3
414::
0d . State surcharge (8% of permit f ()
ee) 5 E--
TOTAL PERMIT FEE 7s.., 3-L
Authorized signature:
1
1 'Nu
This permit application expires if a permit is not obtained within 1 ea
Print
day' afloat has been accepted as complete.
1 • Fee methodology sat by Tri-County Building Industry Service Board
name: 1 ,
C. f7e17481-
CITY OF TIGARD
SU . DIVISION PERMIT #: MEC2O06- 10031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/16/2006
Phone: (503) 639 - 4171 °�'
Inspection Requests (24 Hrs.): (503) 639 -4175 ! "_
INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7 :O1AM PAGE: 61
SITE ADDRESS: 14885 SW 100TH AVE CLASS OF WORK:
SUBDIVISION: MMURDOCK HILL LOT #: 004 TYPE OF USE: .
PROJECT NAME: WEBER
DESCRIPTION: Install gas broiler. State p:A Oregon Boiler Permit # $0901.
OWNER: WEBER, IVIARILYN PHONE #: 503 - 953.3204
CONTRACTOR: ALL TEMP PROFESSIONAL PHONE #: 503 - 654-1111
Inspection Request Scheduled For: Date: 3/15/207 Pour Time:
Code # Inspection Description Confirm # Contact # Message I\ P
699 Mechanical final 044601 -01 503 - 670 - 9648 Y /► p, -
Corrections /Comments /Instructions: /-l�[. -t
9 /�
i �, ill I
,
C . ,..9 - --
1 • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 1 FAIL CALL FOR INSPECTION ❑ ADDITIONA FEES ASSESSED
Inspector: Date: 3 6 ( Phone #: (503) 718-242-3
CITY OFTIGARD
BUISIANG DIVISION PERMIT #: ,q6)46 — /Od 3 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
' Phone: (503) 639- 4171� . , ..�iy � ����
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / T p gS / bo CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3- a 3 -p Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments / Instructions:
L/o_ 1
/D()
•
•
1 PASS n . PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 3 Phone #: (503) 718-