Permit CITY TIGARD MECHANICAL PERMIT
• ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00335
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/11/2007
PARCEL: 2S114AA -00200
SITE ADDRESS: 16285 SW 85TH AVE 103 ZONING: I -P
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT: JURISDICTION: TIG
PROJECT: CHEZ GOURMET
Project Description: Gas piping for (2) ovens.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: Fl 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 2
Owner: FEES
BIRKEMEIER, BRENT T /JANET D TRS Description Date Amount
BY THE BIRKEMEIER FAMILY TRUST
10573 SW NAEVE ST [MECH] Permit Fee 6/11/2007 $72.50
TIGARD, OR 97224 [TAX] 8% State Surcha 6/11/2007 $5.80
Phone: Total $78.30
Contractor:
MIKE PATTERSON PLUMBING
15028 S MITCHELL LN
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 632 -7374
FAX 503- 632 -5647
Reg #: LIC 81746
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: �. fA /� Permittee Signature: S2e- DY]
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.
. i
Mechanical Permit ApplicaliECEIVED FOR OF FI ( I. 1 S [ ON 1.1
City of Tigard Received
Y (a I 1 st : A Pcrmit No-: MC r - 4° 3S
li
13125 SW Flop 131v4., Tigard, OR 97221 JUN 1 1 2007 Ply Review
p Phone: 503.639.4171 Fax 503.598.1eFrY ( TIGARD ter. Other Perm G • 11 0 . 1 - AO : li
}; r , Inspection
www .t 503.639.4175 BUILDING ; Internet
r -Pov See Penet Wr
Supplemental Information
TYPE OF WORK I CO]1f11tERC1AL FEE* SCHEDULE - USE CHECKLIST
Mechanical •
(� Addition/alteration/replacement
fees ate based on the value of the work
❑New construction
performed Indicate the value (rounded to the nearest dollar) of
I] Demolition 0 Other.
mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: S g/ll
RESIDENTIAL
] 1- and 2- family dwelling IN Cam Accessory 0 Accsory building EQUII'MENT /SYSi!*uMS FEES
D Multi - family ❑ Master builder 0 Other: Forspecrath►jarmatiorr use checklist
Description 1 Qty. I Ea 1 Total
JOB SITE INFORMATION AND LOCATION Neating/coa6ng
'alb site address: + (P7 8 SW p 5 /& - N t t �, 3 Air conditioning or heat pump
iti T,V - i ✓ (regains s;ae plan BhowinRplacement) 14.00
,ity/State/ZIP: Tr 0 (iv , o E. Furnace 100,000 BTU (elects/vents) 14.00
it2 e 0 W1vt Furnace 10E1,000+ BTU (ducts/vents) 17.90
iuite/bIdgJapt. no.: I Project name: w
Gas heat pump 14.00
:toss street/directions to job site: Duct warlc
14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct suspended, etc. 10.00
ubdivision: I Lot no.: , Fluefvent for any of above 10.00
ax map/parcel no.: Other 10.00 ,
Other fuel appliances
/ / j DESCRIPTION jO�F WORK Neel ,, Water heater 19.00
&I a 4 I I P I'v� . + L{i ') W e + j
Gas fireplace vent ] 0.00
Flue vent for weer healer or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/iinerlflae/vent 10.00
time: Other 10.00
Environmental exhaust and ventilation
Range hood/other kitchen
equi
ty/State/ZIP: pm 10.00
Clothes dryer exhaust 10.00
one: ( ) 1 Fax ( ) Single -duct exhaust (bathrooms,
❑ APPLICANT It toilet compartments, utility rooms) 6.80
❑ CONTACT PERSON Attic/crawlspace fans 10.00 ;
tints name: Other: 10.00
ntact name: Fuel piping
S5.40 for first four: $1.00 for each additional
dress Furnace, et I
y/State/ZIP: Gas heat pump
Me: Wall/suspended/unit heater
Fax:: ( ) Water heater
pail: Fireplace
CONTRACTOR Range Z 5. D 10/F0
Barbecue
:iaess name: ,.,<, p a , i - r e r o P I LA `,n 127 vLl Clothes dryer (gas)
Oth
Tress. 1 60 Zg s, to I- G it L. vL er MECHANICAL PERMIT FEES*
()veil v (3 . DE � i 2 I5 Subtotal � ' (9 `; ) l4 2- - ?3 - 7 1 Fax: (5) fv 5t. /4 7 Minimum permit fee (572.50) t 2 • S()
3 1ic.: g I '� 0 I ,� l21 / y Plan review (25% of permit fee)
l 0 State surcharge (8% ofperrnit fee) . C,
TOTAL PERMIT FEE "4-g .
no ized ar t • 1 r� L This permit application expires if a permit is not obtained within I84
I days after it has been accepted as compl
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i O 3c i( 1.4/1;1 l Ct. ce,,: ro.n,,,
Z'd Lt799Z£9£09 6u!quin!d uosJeIed e1! NI dZti :Zl LO Li. unr
CITY OF TIGARD M6620b°7 -cio 6
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 et, DATE ISSUED:
Phone: (503) 639 -4171 (503) 5 ..eu�dyp
Inspection Requests (24 Hrs.): 3 639 - 417 . �,,� __..
INSPECTION WORKSHEET FOR DATE: '6/t /0 TIME: PAGE:
•
SITE ADDRESS: (0 / VV 17 J CLASS OF WORK:
SUBDIVISION: LOT #: ` o TYPE OF USE:
PROJECT NAME: `
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: I Date: Pour Time:
L26C AA/ a-• 4 --(""
• Code # Inspection Description Confirm # Contact # Message
Vi v rtN-A
Corrections /Comments /Instructions: •
•
•
/ 7 "7"
•
M PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 5/ 2 / 6 7 Phone #: (503) 718- 2%12
1
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: MEC2007 -00335
13125 SW Hall Blvd., Tigard, OR 97223 -I DATE ISSUED: 6/11/2007
Phone: (503) 639- 4171�ji�t
Inspection Requests (24 Hrs.): (503) 639 -4175 ...'- '_ ..
INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 78
SITE ADDRESS: 16265 SW 85TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: CHEZ GOURMET
DESCRIPTION: Gas piping for (2) ovens.
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: MIKE PATTERSON PLUMBING PHONE #: 503-632-7374
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 r 052080 -01 503 -632 -7374 N
Corrections /Comments /Instructions:
i‘ttairrE
60 A 5 ( --- F '■ 1:4 /1 / /L-I e,/---
rs L /87C57
,j PASS ❑ ' A,EiTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: Date: ` /7/ Phone #: (503) 718 -
%11111‘
1 CITY OF TIGARD • ' '
BUILDING DIVISION PERMIT #: MEC2007 -00335
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2007
Phone: (503) 639 -4171 emu -�i�&
Inspection Requests (24 Hrs.): (503) 639 -4175 x
INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 96
SITE ADDRESS: 16285 SW 85TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: CHEZ GOURMET
DESCRIPTION: Gas piping for (2) ovens.
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: MIKE PATTERSON PLUMBING PHONE #: 503-632-7374
Inspection Request Scheduled For: Date: 6/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 050080 -01 503-632-7374 N
Corrections /Comments /Instructions:
i L-i4/( 0 fz�— t1-
_ : e■ JV" . ,i - 6'; ' -1. C:,/
m e' dto .4--(7 ‘:
02 PASS / ' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL We . FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 6 " S C3 Phone #: (503) 718- ° Inspector: ■ Date: / /