Permit ''Nv CITY OF TIGARD ��7� •� MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00191
[ GA R 1 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/9/2007
PARCEL: 2S 112 B B - 07800
SITE ADDRESS: 08260 SW FANNO CREEK DR ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT: 061 JURISDICTION: TIG
PROJECT: VANDYKE
Project Description: Gas piping for 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
VANDYKE, LAWRENCE A/KARLA A Description Date Amount
8260 SW FANNO CREEK DR
TIGARD, OR 97224 [MECH] Permit Fee 4/9/2007 $72.50
[TAX] 8% State Surcha 4/9/2007 $5.80
Phone: Total $78.30
Contractor:
D & F PLUMBING
4636 N ALBINA
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 282 -0993
Reg #: LIC 465
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 •• �.tain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 1 S Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspsctrOns that •1. ess day.
This permit card shall be kept in a conspicuous plac the job s'' - sin until completion of the project.
Approved plans are required on the job site at the time of each inspection.
:1
App►'•- OS '17 09 : 10A P . O 1
4
._ P L . al Permit Application ` `} }�` mt > Ai r �
City of 1 d e q ,�
13123 SU/ Hall t31vd., Tigard, OR 97223 REcEt % F: ip AaadB / '17 7 / p Faroi[N0.; f E -V ft
i {t
Phone: 503.639.41 Fax: S03.598. 1960 lzr,- 0=.14. plan Itaywo
Inspection tine: 503 - 639.'175 ,i 1 :11(I., Datellaz Oo,�, Permit
Internet www,ci.tt ,0t us APR t" -- I � ----- -. ;' bte N ati6od/lvt s�o sa■a d: 1,,,,,i,: [ B See Psse a far
�� !`I Sapptsmsaylloform■r{on
It 12, .: :i:} ,7 71 1r� 7 i=� 4 a ., t I 4t,-Tic . 1 t t !•1 � .' .- ; �r,c-a. _ _ Irk r`,. r- ?;- -•
st � ' t r_i_ ,�� ��a 1 o.J,. r
'Elit -
[' New construction 'Addition /aheration/replacoaaem Mecl apical perms fees' Ate bagel on the value of tlu wbrk -
parlbttt[od• (believe the value (rounded to the nearest dollar) of at;
❑ Demolition E] Other
I boo- ^'T . � Y Y r -- mee>y�ica1 [materials, equipment, tabor, ova:hood and probt.
��_ . ...L! t`' .., l, Y ?1 . l i .;_._ a 6. l q •tz - r .ti-'ar � ,� • .t s !,�,
rM - - f��t�ll..n. .y. .r;4 .'S Value: S
1 anvil des .. _ ' "' ...'i . > Ink i c ,r
le - and 2-family dwelling Cl ❑ Commercial/industrial r ial/industrial Accessory building ' ' + ' S L? S•
0 Multi- family ❑ Master builder ❑ Other:
15. i+i/orntattoa tire rJseclttitt.
4t
1 7 r 7 Y
�7r rn Z { r iwa. � Description ,� j `�[y. �S. l TDlat
7'' '5,. ' � : - t. 1 , T : nI L � : I 1. 1.4_ FI ,. 1 ) r e, : ......Pc 0 ;
`. ._ .. _ � ' Ld, •'� 1 1. it>r' ".� , � ' : lE;siatia; cool'
Air oo ndibooing or heat pump
Job site address: �a�v S'r� s 01yv,4)0 c.fE•[e. - - -
tazui :es rite plat jltowte8pl ► oamea[} 14.00
C ty/Stato/rtP. T(Gfr Furnace 100.000 BTU (soca/nett) 14.00
•
5uitc/Wdg /apeno, Praj ectratnc; Furnace 100,000 BTUj4ucn/vents) t7.90
�TG V ' ...I/A,/ /✓ _ Gay heat plum 14,00
(.'rose street/directions to job ate: \ M N D jZ Duct work ,_. _ _ 14.00
• •nio 1t• t waters stern 1
., Residential boiler r■chetor or
h • • is 14.00
Unit hcaxcts (fuel -type, not elecat
- . in -wall. irl-0uct. suspended, etc. 1000 . ___A
S ehdivision: i Lot no.: Plue/vept for say of above (0.00
- Other_ L:. Ci- , / 1o.00
Tax map/parcel no.; Other fuel a • •'lances
r`'t` 1 `• •• �i-��, t r ,, 'i� 77774, 1 a y �cr7,P,s� r-
,. r , �. . _�.. ..I . 1f . _
!
x �., � •''.r i:.; I L,... :::b _ z a-, • e _ i: �.. r i r l ., ,., WsOCThe; 10.00
7 /� fit ,rrl A/ 6i! � (' t b f6 Flu face lu.uo
��l - -• F[7�- Flue vent of water heater or gay all
.1 -late ( 0.00
pi's c - Lo: It: for 10.00
Wp•.• • •11e[stnve 10.00 i l
7.> T g. z.x r- . t k NA-1-16. 10.00
-a r i .., ..,,,.:.;:::.1-ti te, 10.00
'vlttrne:
$gvitonmeotal exhaust and ventilation
Address: Rage hood/otherkitchen
equipment _ )n.00 1
City /Stare/ZIP'. Clothes dryer exhaust 10. 0
Single -duct ev1+t„R (bathroom,
Phone ( ) Fax. ( )
_ tenet eomparvrtcots uaiily ivotnt)_ _ 6.60
'- ~ �r 3'. _ e n�Ev i t 1•37 ,, ,1 a ? � i7h y w a i " u"` '. ; .':: • � . ttttidc[awlspncr fans 10.00
Uthtr.
Husinesa name: i i.eillak.�l.f Fuel p{p:eR 10.00 .
r
(,ontaet name': ! 55.40 for Torst fear S1 AO for each additional
q�
Furnace, ex_
Gat; heat •,
City/State/21P: Wallis - . dod/unit heater
Pbnue: ( ) Fax : ( ) water heater
- =
Email: Fir late
, t , ro 1 F .w1 . F. ., - "r 1 r: � r Ri
.y nbc
_`,, .t. ' ± r - r , 1:- 1. _ rirf -Y 1 ... �� ' :. ., :i" . ,`1 'r ' 1,..U: L -
1 Barp ecue
Business name: R . r ._ cloth dryer ��
AAdros: VtV• -'� ' _L ,[j 1 i 9 1g L
Other. . ; -- ' -
Cit 4Stat /Z1P > iie'slb+ 4{+,Y - - .
j %C4,..a, 5 i '7 1 /7 subtotal
Phone: (S?;' ) a= F a x _ Minimum+ permit fee (S72.50) 74.51 1' 1 - 7 v 3 F (S J) ) ' Ot5 Ptah review (2S% of permit fee) L
I CCBIie: 4' - ' '
-. -
State yutcltirgt1d% ofpamit fee) i �r U
TOTAL p t9:NIIT FEE , 7, .ICJ
Authorized ai$ atllre; / C 16�� G�� t �l (� re. permit •pylla.Uoa expirea it 1 porno le ..o: oboaie.4 with:. ISO
((( ` 1,,...----- ___, dm 3 n4 r it bee been accepted et complete.
1
Print namt f e A I Date:
ist t • Fee methodology sa by T.; county Built r.s 11....e-, server' . Boars
avl4trawenatea ee- rar.YtAppeet 1L0) ee 0.A6I7r(11ALC0M/WTB)
• /'G A :: Fgx c'o 'Py ° --- /lc-4.'41176 (J )z --�>� ��y ._ �'�` ''' »7Z1_
C CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC 2007 -00191
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/9/2007
Phone: (503) 639- 4171 m l��if�I +
Inspection Requests (24 Hrs.): (503) 639 -4175 t! & o 0 " 60/9Y
INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 08260 SW FANNO CREEK DR CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT #: 061 TYPE OF USE:
PROJECT NAME: VANDYKE_
DESCRIPTION: Gas piping for range
OWNER: VANDYKE, LAWRENCE A/KARLA A, PHONE #:
CONTRACTOR: D & F PLUMBING PHONE #: 503 2820993
Inspection Request Scheduled For: Date: 4/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 046684 -01 503.282 Y
Corrections /Comments/ Instructions:
PASS I I PARTIAL APPROVAL H CANCEL n NO ACCESS
. n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: - Date: y "1 &._G 7 Phone #: (503) 718- 2