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Permit 4 CITY OF TIGARD MECHANICAL PERMIT r DEVELOPMENT SERVICES PERMIT #: MEC2006 -00119 J�I DATE ISSUED: 2/24/2006 � "`` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104BA -07000 SITE ADDRESS: 14027 SW NORTHVIEW DR ZONING: R -12 SUBDIVISION: CASTLE HILL #2 LOT: 103 JURISDICTION: TIG Project Description: Fireplace insert. 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES ROY ISKANDAR Description Date Amount 14027 SW NORTHVIEW DR [MECH] Permit Fee 2/24/200E $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 2/24/200E $5.80 Phone: 503 329 - 0252 Total $78.30 Contractor: SUBURBAN @ HOME 6014 NE 112TH AVE. REQUIRED ITEMS AND REPORTS PORTLAND, OR 97220 Contact #: PRI 503 257 - 5438 FAX 503 257 - 5430 Reg #: LIC 143335 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: ` " _L -rte, 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 r Mechanical Permi ~. - If e... WWII I l r FOR OFFICE USE ,ONI , 1 4, — Received City Of f igard F DateB :o/- d`( o 6 '" I Permit No.: bar , oo?, _ oo .. 13125 SW Hall Blvd., Tigard, OR 97223 2006 y Plan Revie Phone: 503.639.4171 Fax: 503.598.1960 /H, a ; OtherPeimit: Inspection 503.639.4175 CI TY OF TIGARD _Al, ,..-- 1 i D a t e / Re p � Date Ready/By: ® See Page 2 for Internet: www.ci.tigard.or.us BUILDING DIVISION' Notified/Method: Supplementallnformation . , ,, ,, N ° ` , ` TPE OF Woiii r '' r » ' t tom * r �'` CObIMERC1ATi FEE SCAEDULE; _ ''()SE CAECKLTST ; El New construction 'Addition /alteration /replacement Mechanical permit fees* are 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. �} r CATEGORY OF =CONSTRi)C°I1ON t r h Value $ - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES* For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. I E. Total , T JOB SJTE LOCATION h = -�' a y ' ii ; Heating/cooling Job site address: \ � Y ����.cor- Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State/ZIP7\ c rc (,\`';..7 `' Furnace 100,000 BTU (ducts/vents) 14.00 v � "' Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: ^_! Project name: _ __ Gas heat pump 14.00 Cross street/directions to job site: Duct work 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ,.; . r. DESCRIPTION OFW ORK - t{ ' A Water heater 10.00 • Gas fireplace 1 10.00 \d( \tc . C'v � Flue vent for water heater or gas fireplace 1 10.00 VQ(3C1 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ;,2. ' ROPERTY OWNER Ot ey/liner /flue /vent 10.00 „i; ❑':TENANT: ,. "` � Other: 10.00 Name: TG� Environmental exhaust and ventilation / J f� � , `' p , Range hood /other kitchen Address: v�( '} lf`���f�. �/ �l).+�� equipment 10.00 City/State /Zfl' (31) 0\1\203 Clothes dryer exhaust 10.00 0:3,'", Single-duct exhaust (bathrooms, Phon) Jd Fax: ( ) toilet dle compartments, utility rooms) 6.80 PL1CANT : ❑ CONT PERSON = toilet fans 10.00 Business nam , Other: 10.00 + rPe__ Fuel piping Contact name $5.40 for first four; $1.00 for each additional Address: C��`� �, \ \a C umue. Fumace, eta `` -��"� Gas heat pump City/State/ZliK �!� � O(9 Walllsuspended/unit heater Phone: Q_5, (�5C41, kCC) Fax:: `J'jj Water heater Fireplace % c Sic E -mail: Range r CONTRACTOR , ,, ti v Y Barbecue Business name: \� Clothes dryer (gas) . ` , Other• Address t--\ �, \\" ae> ; : MECHANICAL PERMIT FEES = , t , .�, City/State/Z . --\ 6) C AR' 580 Subtotal S'.14. �o Phone. G�p� F �.() Minimum permit fee ($72.50) jO J 1C Jl J ��w Plan review (25% of permit fee) \ CCB lic.: \ UV-55'5 State surcharge (8% of permit fee) 5� (] TOTAL PERMIT FEE ` AV . � Authorized signa This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name . C DateeI. p * Fee methodology set by Tri- County Building Industry Service Board :. n....c.,.ao..- ..:..v, cr• n.....:. A....4.. Inn, AAA ea11•r 11 . iminnatnocm CITY OF TIGARD m ix.; BUILDING DIVISION PERMIT #:Atoc6 --De if 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 �' J 'f �.. A1E ' OO ©W/ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / LV � / CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3_9 . _ 0 (,, Pour Time: ; (n' Code # Inspection Description Confirm # Contact # Message /U a4.5- 3 .2.q Corrections /Comments /Instructions: x. • V PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED Inspector: Date: 3- 9 -a Phone #: (503) 718- C ITY OF TIGARD - BUILDING DIVISION PERMIT #: 2.006, - 00 / I 1 13125 SW Hall Blvd., Tigard, OR 97223 0 DATE ISSUED: ° Phone: (503) 639 -4171 �r °aN��1141 �l , • Inspection Requests (24 Hrs.): (503) 639 -4175 _�.' `__- INSPECTION WORKSHEET FOR DATE: 6( E: WO PAGE: r / SITE ADDRESS: CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3- t- 0 {° . Pour Time: Ti . Code # Inspection Description Confirm # Contact # Message 6 /0 6 s Corrections /Comments /Instructions: ----- D. 5 7 S Li- 3 ei d , ( 6 LA-4-.JZ -- K.124...) . Al L..-€ . ,-- .S • 0 CoceS (-(--,.> Le\A i t._. 5L---e-vc.K.., "1"--0---dt k/2. /U yLLA \‘AP--ga Q.KL,e_LL:,--- - A ,.. , ,,.. % „....._s , r - 1 :3,1/4..)L.,,,, , ---e ey r\ - -- a__ - --yi./._ \A.......R____ --- C-7...) --\--■ a__ vv. (&\_ 4--i. vit ___ - n--v c__,......x_lik WAS . 1 ( 1---.e---- 7C S (#42.4 14 (2---CIN.^ <f A.,&_„_:._4 , PASS n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS • j►; FAIL CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED Inspector: l,j'I Date: /(0 Phone #: (503) 718- 2--c-tai