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Permit i.w MECHANICAL PERMIT t PERMIT #: 4 �, COMMUNITY DEVELOPMENT MEC2007-00214 - T[GAIt.0 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/18/2007 a'� :a ti ^ .^, g PARCEL: 2S103DB -03900 SITE ADDRESS: 11285 SW QUELLE PL ZONING: R -4.5 SUBDIVISION: GENESIS NO. 2 LOT: 037 JURISDICTION: TIG PROJECT: JAMESON Project Description: Running aprox 20 feet of gas fuel piping to range location. CLASS OF WORK: ALT 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: 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 < 1OOK BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 GAS OUTLETS: > 10000 cfm: Owner: FEES JAMESON, DAVID H /PHYLLIS A Description Date Amount 11285 SW QUELLE CT TIGARD, OR 97223 [MECH] Permit Fee 4/18/200 $72.50 [TAX] 8% State Surcha 4/18/200 $5.80 Total $78.30 Phone: Contractor: KOEHLER CONCEPTS LLC 10772 SE HWY 212 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 650 -9550 FAX 503 -650 -1220 Reg #: LIC 120277 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: ! / A` / A. Permittee Signature: Sel, /9 / 1 Call 503.639.4175 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. VieCB1anica4 Per : t I t _ r � � .'� I,t � , , N OII F I N. ev t 'x , '� t ∎ i 2ity of Tigard Received DMeBy7 Permit No IV l� : G A o - WLJT /�-7 �'L 8 2007 Plan • Review. • other Permit: 3 S W Hall Blvd., Tigard, O� �'�2� 'hone 503.639.4171 Fax: 503 598.196D r,, , Date/By: nspection Line: 503.639.4175OITY OF TIGA - 1 J P l K Datc:Ready/B l ® See Page 2 for nternet: www .ci.tigard.or.uBUILDINGDIVISION Notified/Method: supplemental information ' ' _ .... . ® x ttR as -117 iv'iliq , r ` ' ''SV � " i i i IT rt3F . �" i irltrM4 -ei ' --- -- ",,__-r° — ; - ,- - - n y . ?, s ,t�.�.e .e... ._ ' �Y i "0-- - `� a - ,k .i .40: < ,ta 3 a. r ' / g e a ls .2 x' x ' -° - v!..- " - New construction ddition /alteration/replacement Mechanical pe'rrnit fees' are based on he value of the Work performed. Indicate the value (rounded, to the nearest dollar) of all . ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit:_ -- -,6 F d sll 2 ks4 r L " ``e 7 pt Value �1' ,�t...�'�,.�.. ' �����n� �- �- a�c�• ��,I �'.._ �.. ,^k`��„�.� :. �,r "�i -!*� zx_ - �.s-� , . Vii+::."" a .._ � zA .. k�n�, . ,�, Cu�`�:�I€'i � ' 1 � 45_� � r ,7 � hP {;"fit ��`�� 4� • .� - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building r x ' r " i "' "� k ' l " '° 4 �" For special information usechecklisl. ❑ Multi- family ❑ Master builder ❑Other: , Description. , Qty. 1 Ea Total it i�, € v rr7 ate, , -a1 . &t s ilw °• { ,2.,. . ;.,.. a 4, y 4 : „ ° .-Ii `I r 3 Mz . El ao•ilc. Y t . a..8oV'i 41 - tto 1 u �� - ' r t Heiiting/cooliog L Air conditioningor heat pump Job site address: \, Zj j'. -L. ( requires site plan showing placement) 14.00 City/State/LIP: -j > j 0 q C - •`^ -L Furnace 100,000.BTU (ducWveno) 14.00 Furnace 100,0001- BTU (ducts/veats) 17.90 Suite/bldg /apt. no.: Project name: as heat pump 14.00 Cross street/directions to job site: Duct work 14.0 Hydronic hot water system 14:00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in- avall,i induct, 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 appliances '1 1,7 ii v^. Y , + 6 1 P . 14, g14 ^ err ita 'm;*'rigI `,g, ,, w_4E,;�` Water heater 10.00 igii - -17: L1P "''" 1ZIts' t - _. � +' i.A 132-1u it. ..'SSYofV ;Nl .�eR'.'. - Gas fireplace 10.00 Y--�.� ,' tM C- c S,C Flue vent - for water heater or as ` fireplace , 10.00 �, acs fir' tiog lighter 10.00 Wood/pellet•stove 10,00 `Wood, fireplace/insert 10.00 t t Via. A *- � . rli ; . 4 ron /liuerJflueivent 10.00 t� F� GF a7 Y,s� •t 1 b R a,. � � &k &� £c &L gy T'• � � Chi �/ .. ;1I - . , L U iw�" , I j „ '��.i +.rx i *ci a n . t � .:t 1 te t l � l -e. 4 Sx�t li ..4 ' l , e . g oth 10.00 Name: \ ,\‘`t� ..( •.',4.rss Environmental exhaust and ventilation Range'hood/other kitchen Address: \ \ Cam. �j�. equipment 10.00 City/State/ZIP: �y _ ,` -, 72,1;1 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: Fax: ( ) toilet compartments, utility rooms) 6.80 .,z7'" s'r`r,'k t 1, t 4 �,i �o,,$e ,.. ';g , r i.e•. ''k " sue '.�` -"' t Tl":` ' +r " ` Anic/crawlspaae fans 10.00 5. s 1t' r � 9 $z -dPT �,, i& « � l y y :'f ts. Sr. .. �:24w �� ,: ..:.�r�ie>,� Fvl�� �.� �n. :�.L§? 3 .+ " �.-�. 44aei�a.�;�::��,� : � ±. « lJt3ier. I0-00 Business name: '4.r\.-<-- C_t , ��..t.._ Fuel piping 'Contact name: $5.40 for first four; $1.00 for each additional Furnace, etc. Address: \6 7\r\ -. 1.... ..:- - - ........ - -,Z. \Z Gas heat pump City /State/ZIP: 1 �, ca,� C\�t Wall/suspended/unit heater )( Fax: :q 'S) `'7'2S�j Water Heater Phone: t�vd� I Fireplace Email' ' i6, Range ) s rra • A rx rl t iv 5P d € s f M i t e i „ v' l . ' Barbecue .. t � r a e 6F P�, �_ M t , `f Fir E., l�`� ��r� r ,,,,,:.' l i re + €_.�. nt, t i . u � ` w - r1. .. 31T„A,....,,,,..„ i , � �z:: s i ,. Clothes dryer (gas) r ^� 13...C.-.... �, Business name: , � c- t3-� Other. \Q-AZ C �, ` c S a "" ,Bx • rr.�st� "z.' f F e' - lt - ..z"�a"r.�I dk �! . i? Address: Z7ir l\ C iiietAci,. .,:,,. 4E, ?,,,, a''i„ t": ' ti :ms P �� i nx City/State/ZIPQ„ dKer ' 1u � Subtotal • �� Minimum permit fee ($72.50) `11_ 1 1 Phone: L.t2sO 5 C.. Fax: Coo - \'Z j - Plan review (25% of permit fee) State surcharge (8% of permit fee) S� i CCB lie.: '''",._0-z_.7\---1‘ TOTAL PERMIT FEE 1Q�N ---.. r.- This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. � �, Fee methodology set by Tri- Catnty Building Industry Service Board I Print name :`, - e›`^�l�J� I Data.\ -CSs i:\ Buildinglpermits \MEC- PmnitApp.doc 12/03 440 -4617T (11/02/COM/WEB) I •d DaI - OS9 -EOS 311 SId331J03 i'_ A1H3DN - WIJZS :6 LDDZ BI .add CITY OF TIGARDt BUILDING DI PERMIT #: MEC2007 -00214 1 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/113/2007 Phone: (503) 639 -4171 N�giiplp Inspection Requests (24 Hrs.): (503) 639 -4175 .�' ' I� ��� �OO �� ©°�� INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 96 SITE ADDRESS: 11285 SW OUELLE PL CLASS OF WORK: SUBDIVISION: GENESIS NO. 2 LOT #: 037 TYPE OF USE: PROJECT NAME: JAMESON DESCRIPTION: Running aprox 20 feet of gas fuel piping to range location. OWNER: JAIVIESON, DAVID H /PHYLLIS A, PHONE #: CONTRACTOR: KOEHLER CONCEPTS LLC PHONE #: 503-650-9550 Inspection Request Scheduled For: Date: 4/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 6 10 Gas line 046778.01 503-620 -8658 N Corrections /Comments /Instructions: 'F r 1 t.)� l \ ‘1 frr_ kk , . (2,a q(if- • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 4- -2 Phone #: (503) 718 - 2 S-