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Permit CITY F TIGARD MECHANICAL PERMIT !`B' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00006 1 ,c �� 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/3/2008 PARCEL: 25111 CB -00101 SITE ADDRESS: 10250 SW MURDOCK ST ZONING: R -3.5 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: IRVING Project Description: Install gas line for range. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM 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: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES JIM IRVING Description Date Amount 10250 SW MURDOCK ST TIGARD, OR 97224 [MECH] Permit Fee 1/3/2008 $72.50 [TAX] 12% State Surchai 1/3/2008 $8.70 Total $81.20 Phone: 503 - 598 -8473 Contractor: A 1 INSTALLATIONS 8116SWDURHAM RD TIGARD, OR 97224 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 620 -5657 FAX 503- 620 -1696 Reg #: LIC 150109 . 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. IssLii By: 1 $IL. k ,P Permittee Signatu, A tr Call 503.639.4175 by 7:00 a.m for inspections th business d- y. 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. Mechanical Permit Appl' ;= Milt C,1 1 1i:1: l 1.0Nl.\ J Received pmitNo.: fC 4 . "r / /.. City of Tigard ' Daterey; / — �i / 13125 SW Hall Blvd„ Tigard, OR 97 0 3 2008 Plan Review Phone: 503.639.4171 Fax: 503.5980' Date/13y: Oilier Permit: I i ,. k r Inspection Line: 503.639.4175 G flY pi. [jt A D Lute Reidy /Ry B1 See Pace 2 for Interne www.tigard- or.gov BDILDINODIU��IOR1 Notified /Method: Supplemental Information ' Addition/alteration/replacement d F41P.2 !:,'' , 1 * E* SC'HEDtLLE, 11SP;ClIf,PcLI T;i , CQrMh�I�Rel�r. Mechanical permit fees' are bused on the value of the work ❑ New construction performed. indicate the value (rounded to the nearest dollar) of all ❑ Deinolitiun ❑ Other: mechanical materials, equipment, lahnr, (warhead, and profit T RY C N . IO111 Value TiESIDENTIAL 1"QYIIPMENT:/;SYSlr . f 1N m 1- aim 2 faruily dwelling ❑ Commcrcial/industrial ❑ Accessory building _ For special information use checklist, ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. l Total JOB i 17. INFO T,0*: :4'4'1'*N, i :1 1 11rnring /ennling site address. ��"� -I Air conditioning or heat pump Job ` � Q �u.J /t + or no C ,k, < f ( re4uires Site plan showing placement) L14'00 City /S141.e/ZIP: 7 t Q ow a ' 7 a (/ Furnace 100.000 BTU {ducts/vents) 14.00 _ J 1 � ! Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project Warne: r VI' Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 , Hydronic but water system 14.00 Residential boiler (radiator or hydronio) 14 On Unit heaters (furl -type, not electric), in -wall, in -duct, suspended, etc., 10.00 Flue/vent for any of alwve 10.00 Subdivision: Lot no -: Other: 10.00 Tax map /parcel no.: Other fuel applianees T r ; DESCRIPTION Q1E.; rysc .. <; Water heate 1 Gus fire. lace 10,00 1 R S'& 0 ! C J` 4, S +0 I/ Flue vent for water heater or gas fireplace 10.00 — Lo- 1i ^htrr(_as) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 iner /flue/ ent is ChimncY /1' - v I . ; PROPERTY :OWNER 1; Q ;TEN *Nr Other: 10.00 , Name: ,+ self 1 r . Vin Environmental exhaust add ventilation �-- Range hood/other kitchen Address: 1 'a S t c, Su/ Fel .1 /- o 10.00 City/State/ZIP: rl er� 9 ?2 '1 ' Clothes dryer exhaust 10.00 Q ( c.,____ .s� Single - duct exhaust (bathrooms, Phone: (5 3 ) Q V 6 y .} 3 Fax ( ) toilet compartments. utility rooms) 6.80 d ',� ©GQN?fACr PERSON ;: Attic /crawls i •ce fans 10.00 AYl"L1lCAN1'I' : . �t / Other; 10.00 Business name: /1 / _ n5 � 94-10 in J C _ Fuel plplmm Contact name: ~l � , r'j t 1 / ! � � SSA for first four, 51.00 for each additional retL Furnace, etc. Address: ti 6 5w / /.... G rtil Gas heat pump City /State/ZIP; 1 ` � Wall/suspended/unitheater _ Phone: (SGT) 6 k) . s..6, c Pax:: ( I ) y ) 6 /47� Fireplace r hater _ E -mail: r .- .L r. 1 . i.. Range cphrrRAG'coR Barbecue • Clothes dryer (gas) Business name: 4-1 2 $ 111 gr f S _ —' Other;,.. Address: ; MECHANICAL PE1(G'NT.T,FtES* Subtotal City /State /Z1P: Minimum permit Ice ($72,50) _ Cj " Phone: ( ) Fax: ( ) Plan review (25% of permit fee) g ?p CY'R lie.: / £o !-0- 9 0 State surcharge • of permit fee) t TOTAL PERMIT PIA; . : This permit application expires if a permit is not obtained within 180 Authorized signature: Print nAm i,.. Date: i / / 3/0 days ufterit has been accepted as cauttpletc. • Fee ment000logy set by 7rl -COUn y [suilding h,Juar,y Sa,vicc Board e: -Y/ 1: 93uildinsUeieutb \MtC- VOrmitApp.doo 04/04/C6 440.4017T(11/021C0M/1ttl:.R) CITY''OF' "TIGARD , , a _ BUILDING DIVISION PERMIT #: MEC200R.00006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3? 008 Phone: (503) 639 -4171 "Wit Inspection Requests (24 Hrs.): (503) 639 -4175 °' -_.• /IFCaDad QcOO 6 INSPECTION WORKSHEET FOR DATE: 1/7/2(308 TIME: 7:DOAM PAGE: 46 SITE ADDRESS: 10250 SW MURDOC;K ST CLASS OF WORK: ' SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: IRVING DESCRIPTION: Install gas lima For range. OWNER: IRVING, JIM PHONE #: 503.598.8473 CONTRACTOR: A 1 INSTALLATIONS PHONE #: 503 -$2Q- 56x;7 Inspection Request Scheduled For: Date: 1/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message Gift Gm line 0526E+6 -01 50'598 -8473 N Corrections /Comments /Instructions: e91. L U - — c-A.E9Z— l n2V / - C-7 'I- (An./ w. ' -c5 h. C y • r 7 f \0 . 7 fr I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - Date: ./ ----1 —49 8 Phone #: (503) 718 - '' --44-'�