Permit CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00194
rill DATE ISSUED: 5/10/2006
= - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 102 C D -01501
SITE ADDRESS: 09895 SW GARRETT ST ZONING: R -4.5
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 016 JURISDICTION: TIG
Project Description: 10 ft of gas line to range.
CLASS OF WORK: OTR 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
KURT SCHMITZ Description Date Amount
9895 SW GARRETT ST
TIGARD, OR 97223 [MECH] Permit Fee 5/10/200E $72.50
[TAX] 8% State Surcha 5/10/200E $5.80
Total $78.30
Phone: 503- 880 -1986
Contractor:
KOEHLER CONCEPTS LLC
10772 SE HWY 212
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 650 -1220
PRI 503- 650 -9550
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: Permittee Signature:' Qj
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.
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Mechanical Pe Application' ' r ,0 i' k s :i
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City of Tigard Date/By: / , . Pamir No. l�Ol 7/
13125 SW Hall Blvd,, Tigard, OR 97223AY 0 9 2006 Ptah Review
Phone: 503.639,4171 Fax: 503.596.1960 , il „r Other Permit:
' � Data/By:
Inspection Line: 503.639.4173 a r, ! I I l ` Date Ready/By: ®See Page 2 for
Internet: www.ci.tigard.otus ''o --I _ � :- . 1 14,, /A ”' - -* -- Nolitied/Modtod: Iffin Supplemental information
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1:1 New construction Addition /alteration/replacement Mechanical permit fees' arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment labor, overhead, and profit.
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R 1- and 2- family dwelling - Commercial/industrial ❑ Accessory building
For special /pforntar/on use checklist,
❑ Multi - family ❑ Master builder ❑ Other:
Description 1 Qty. 1 Ea. 1 Total
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�y�y � ;}�(� �}�j� j�+�` � " ii' 8 1 1 �n;;Jf!"1. ' yf'rP,,,! I) 0.** �"'1'�.!t' I�RI o IlRtnilll;l'I�il ' H i
i Heating
P /eooling
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Job site address: 0\95)f.-- S\ � C
-,'� - ” Air conditioning heat pump
�� c - (requires site plan eho win{t placement) 14.00
City/State/Z1P: S �_ c\--k-L-2:2 Furnace 100,000 BTU (duets/vents) 14,00
S Furnace 100.000+ OTU (dtlate/vonts) 17,90
Suite/bldg./apt. no,: Protect name: Gas heat pump 14.00 ,
Cross stroet/directions to job site: Duct work 14,00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 1400
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
'
Tax map /parcel no.: ,, q Other fuel appliance
e '1; I ,'i; r r ".11:; ° i,i, 1,; lTv.: ,4; l°1Y711 ' v i �;iili,',i � 4; � l 1 11 ; � r� : 4 1 i;l � �7 , i Water heater lam
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' �(� Gas fireplace 10.00
rV.` \\vim '� \,t't.1t \ti� C.4 t 14%. Flue vent for water heater or gas
\� 1-\C fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
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,, ner /fiue /vent 10,00
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'" ;., ' 1ILL,1 , ,' : i l l1 :1'. I ?o a: :� ,!11w Chi Other. 10,00
Name: \L„ :�, \r.,,t‘h .) \AN, \ Z Environmental exhaust and ventilation
Address; Range hood/other kitchen
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q S ivy. G v ez e f eaL , S \g- equipment 10.00
City /State/ZIP: 'oath... C3q '72-i Clothes dryer exhaust 10.00
• Single -duct exhaust (bathrooms,
Phone: �'%,) cbcJ - \Rq Fax: ( ) toilet compartments, utility rooms) _ 6.80
1„ ;1;,r1 :1a,:'y"t11 0 i,` yrt:i, :ii; il :'.r %w;::- ; : " 1 '00 74 �7''1: ,1'.1 1;' ;', : ;:'<' Attic/crawlspacefarts 10.00
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Business name: X.00,-,\, \.. US— Other: _ 10.00
Fuel piping
Contact name: `�� (4.. S5.40 for first four; 51.00 for each additional
Address: \zsn' _ S Z \7. Furnace, etc
Gas heat pump
City /State /ZIP: Q_ ,,„„,,. M Q110 \S WalI /suspended/unit
j L.d , � ckS� I (��) LAO O - \'fit', Water heater
Phone: Fax:
Fireplace
E -mail: Y 7 r�g 1 Infiniti r CQ�C'a' •k . � "\ Range
I'111,itl(�;1i1110(111 11 � 1 l l ri f� iti4 ;1 })i .;' 'i "� I ri'7,)ft'�tpU�x�[�y 1 11; , ..i t � G ��� 1 I V:.. 1 1 i j1 Barbecue
Business name: �Ue,�.,p�r Q�p� ‘....1.4_,.. Clothes dryer (gas)
Other:
Address: \O - 1Z C , -.S Z'--. ? !li'':i 1 " ;.�;�; ' 1t 111 1 , :' ` ° k' �
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City /State /Z1P: (O `'' t6� Subtotal
Minimum permit foe ($72,50) 11., SJ
Phone: ( S ) L 6 0 _ C \ S S O F8x' !S) ( , 1 4 . ) — \7-t.) Plan review (25%of permit fee)
CCB lie.: VISZ:171. State surcharge (8 % or permit fee) 5.00
TOTAL PERMIT FEE 1 .S3
Thin p ermit epptlwtlon expires It n permit Is not obtained within 180
Authorized signature: days after it has been incepted as complete-
Print nrune1 Date: C. -O\ {x„t • Pee methodology set by Tri-County Building Industry Service Board
I:t ulldlnerormttI \MBC- seriehApp,dec 17/03 440 TT (1 1/02/C0m/wEB)
Z 00 /L00IA S1d33H03 831H30)I OZZl099809 XV3 9C:LZ 9002/80/90
CITY OF TIC'R®
BUILDING DIVISION PERMIT #: M UC)rf14�1!
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51/0/2005
Phone: (503) 639 -4171 pou �
C'
Inspection Requests (24 Hrs.): (503) 639 -4175 ,`__.. / J E aloow 0D/9y
INSPECTION WORKSHEET FOR DATE: 5/1212006 TIME: 7:03AM PAGE: 41
SITE ADDRESS: 098% SW GARRETT ST CLASS OF WORK:
SUBDIVISION: FREWINGS ORCHARD TRACTS LOT #: 016 TYPE OF USE:
PROJECT NAME: SCHMITZ
DESCRIPTION: 10 ft of gas line to range.
OWNER: SCHMviI EZ, KURT PHONE #: 503.880- 1985
CONTRACTOR: KOEHLER CONCEPTS LLC PHONE #: 503-650-9550
0
Inspection Request Scheduled For: Date: 5/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 029774 -01 5°3.860.19w w Y
Corrections /Comments /Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
i I FAIL ; CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 3=12 -- O-E, Phone #: (503) 718- 211