Permit ..I CITY OF TIGARD MECHANICAL PERMIT
° ` COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00627
'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/8/2006
PARCEL: 2 S 102 D C -01300
SITE ADDRESS: 08920 SW EDGEWOOD ST ZONING: R -4.5
SUBDIVISION: EDGEWOOD LOT: 010 JURISDICTION: TIG
Project Description: Install gas 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:
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:
GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
ALBERT GARIBALDI Description Date Amount
8920 SW EDGEWOOD ST
TIGARD, OR 97223 [MECH] Permit Fee 12/8/200€ $72.50
[TAX] 8% State Surchar€ 12/8/200€ $5.80
Total $78.30
Phone:
Contractor:
ENERGY SAVERS PLUS, INC
3747 SE 49TH AVE
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 777 - 0389
FAX 503 775 - 6772
Reg #: LIC 103273
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 OU NC by
calling 503 246..6699 or 1 800 332 2344.
( 7/7--
d y: Issed C . l 4�(� Permittee Signature.
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.
ttLJ tJ U 1
. i echanicaI Permit Application
City of Tigard Jlaooived
Date/BY: }
13125 SW Hall elvd, TIgard, OR 97223 Y: r "' inagEffilffiffENI
Pion 503 629 4171 Fax: 503.598.1960 Ple* 'Review a1, , ,, 1 ,m:. :,.i` 1)::e/ay: atherPe.m,t,
Inspection Lena: 503.63').4175 1rh� Y' Page �� ate ca A3 m• ,
Jn'ernet WKtiv ci.tigard_or us '- D RdY o / Ili See Pe nt for
NoOfiod/Method: � /(l t , Supplements) ) I nitro edon
TYPE OF WORK COMMERCIAL,,; BEE SC'1IEDOLE -, US,EC'1IECKLIST
❑ New construction s dihon/aItenttion/replaeement r Mxhan permit fees° arc based on t he value of the wo k
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION value, $
RESIDENTIAL E UIPMENT / SYSTEMS FEES"
and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Q
For special information use checklist,
0 Multi- farnily ❑ Master builder ❑ Other:
Descripuon i Qty Ea Total
JOB SITE IIYFORMAirIQ 4 AND LOCATION peicoolint
Air conditioning or heat um
ss: C A e�'1� s inkolucernent
g pump
' lob site addre
�1 a � t.17 f t�Ga Lo i (requires sits Dian owZ_ 1400
City/State/ZIP - � 1,4_ r- 4 O (C. 6 r Furnace 100,000 STtI (ducts/vents) 1 1.00
i
Suite/bldg./apt. no.. Project name: I Furnace 100.000+ BTU (duct.✓vrnts) 17 90
f Gas heat pump 14 00
Cross street/directions u0 job site: Duct work 14.00
Hydronic hot water system 14.00
Residental boiler (radiator or
hydroaic) 14.00
- Unit heaters (fuel -type, not electric),
in-wall, in -duct, suspended, etc 10.00
Flue /vent for an of above 10.00
Subdwtyion. Lot no.•
X
- Other: 10.00
Tax map /parse; no.. Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Ga.e fireplace 10.00
Tom. S,'t„'G (( 51 r C r' "-Let- t for water heater or gas 10 00
_fireplace Log lighter (gas) 10.00
Wood/pellet stove 10 00
Wood fireplace /instat 10.00
Chimney/liner /flue/vent —.1— 10,00
L �PftOP ATY OWNER Q TENANT Other: 10.00 i )
Name. A lot, .r-+- 60_ r t cza ( 4.1. Environmental exhaust and ventilation
Address: !� Range hood/other kitchen
20 S (,a,) '9' . c .te L. 1044 S+ • equipment 10.00
City/State/ZIP! "T ( 0,.,�, d . u z. -1 - 7 > e- _ , Clothes dryer exhaust 10.00 j
Single-duet exhaust (bathrooms.
Phone. so Gj V ax Fax: ( ) toilet compartments, utility rooms) I 6 g0
a- APPLICANT ID-CON PERSON Aatc /crawlapece fang 1 1 1000
Other' I 10.00
Business name .8.✓c t 1 F ,A. I u_i :' V-..t Fuel piping
Coatis: name. d $5.40 for first four; $1.00 for each addttlona
Address Furnace, etc. I
Gan heat pump
City /State/Z.7P. Wall/suspended/unit heater
Phone (,5cs) (,D —g -- 7 to4 e ( Fax: ' ( ) Water beater ,
Fireplace
E -mail: Range I i5.40
CONTRACTOR Barbecue I
Business naalef �,Q r G. - V"l t1 e c • Clothes d er (,• 1
fE_t).4 r Other:
Address .r{ 1 4 C 1 1 ) MEEHANICAL PERMIT: FEES*
qty StateZlP. ` �� r t" tC-u. n 4 0 C� X 1 1 ?-O Subtotal 1 S. 40
Minimum permit fee (572 50) 1'1 a . SD
Phone: (g ) ....i^-' ,,, r ; q Fex: ( So. ? - 17 5 -Ip si `7 Z_ Plan review (2$% of pc*tn4 foe) i
CCB lie.: Ain — State surcharge (8'i: of permit ice) i SA10
TOTAL PERMIT FEE i
AJ�Onzed Sr nano .L. -rte 'This pernut application expires it a permit it ■ot tibial tied „-[thin 180
fv et%v..._.ta. 6.� ..,,.i...r' days after it has been accepted as complete.
Print narre �� 4, ``
t ,,. Da ( _ $/-Qt - Fee methodology nen •Courey Buildingtnd:i.a Service Boar,
CITY OFTIGARD 1VIECU6 1 ®t) t 7;7
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Ap111ff
Inspection Requests (24 Hrs.): (503) 639-4175 � ' j
INSPECTION WORKSHEET FOR DATE: V TIME PAGE:��!!��,,,,,, '," �'`; ---g SITE ADDRESS: 3C W (,� CLASS OF WORK: c, :t _ %�',
SUBDIVISION: LOT #: TYPE OF USE: ,� ''.'./
�.1
PROJECT NAME: �
DESCRIPTION: '
OWNER: Atif3 v 1.4rw !9/ 1c, PHONE #: 1 7
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
(1,6 . 11/1 ecinctin i t,t)( -e,,,' &i2
Corrections /Comments /Instructions:
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PASS (l PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
t‘ (PC--
may. .a -��-`f
Inspector: Date: hone #: (503) 718
CITY OF
BUILDING DIVISION PERMIT #: MEC2.13t1 &0t07
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121862005
Phone: (503) 639 -4171 . ar v a I mpiq �
Inspection Requests (24 Hrs.): (503) 639 -4175 L -. ,mac a 0 (p o a 4 2 7
INSPECTION WORKSHEET FOR DATE: /2/12/2005 TIME: 7:01AM PAGE: 6
SITE ADDRESS: 08920 SW EDGE WOOD ST CLASS OF WORK:
SUBDIVISION: EDGEWOOD LOT #: 010 TYPE OF USE:
PROJECT NAME: GARIBALDI
DESCRIPTION: Install gas ra
OWNER: GARIBALDI, ALBERT PHONE #:
CONTRACTOR: ENERGY SAVERS PLUS, INC. PHONE #: 503- 777.03139
Inspection Request Scheduled For: Date: 12/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
)99 Mechanical final 040976 -01 503-312-8769 Y
Jo = q,4-5 Pv `1 , -t's.
Corrections /Comments /Instructions:
(0
2 CJ A : c t.: e.cS ' om•- - --r6.5-2— 24-- ,j ( 2, , C',. i c iCc 141 G 4 a - . <->
CA %. U
r
PASS PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
.' FAIL { CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: �. Date: /2.-j2--.0 Phone #: (503) 718- Z r �
.