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Permit IN c, n C I �Y TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00693 TIGAREi 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/28/2007 PARCEL: 1 S133DD -09300 SITE ADDRESS: 12689 SW FALCON RISE DR ZONING: R - 4.5 SUBDIVISION: VILLAGE AT SUMMERLAKE PARK 4 LOT: 130 JURISDICTION: TIG PROJECT: SU Project Description: Running 35' gas piping to range. 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES LUU, CHRISTOPHER D C AND Description Date Amount SU, VINH LOI 12689 SW FALCON RISE DRIVE [MECH] Permit Fee 11/28/20C $72.50 TIGARD, OR 97223 [TAX] 8% State Surcha 11/28/20C $5.80 Total $78.30 Phone: 503- 929 -7519 Contractor: KOEHLER CONCEPTS LLC 10772 SE HWY 212 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 - 650 -9550 FAX 503- 650 -1220 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: _ ` / _ ' / 1 Permittee Signature: e" --)-1 OC.p.p n t. ( �� Call 503.639.4175 by 7:00 a.m. for inspections that business day. pp X 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. Or I(ov 27 2007 2:24PM KOEHLER CONCEPTS LLC 503 - 650 -1220 p.2 Mechanical Permit Applicatio l r,J�iv , . > s r ! ° l , ' , F` ` ` ` .1::;-; 1t " + I r ., !b e „; � _ „hC1R� , 0 1 I IC =I l 1r co n+ALl C �� � �b , , - - � " • Received ( . 21 P / J permit .io.:� 2- r tiare/H; • City of Tigard - 13125 SW Hall Blvd., Tigard, OR 9722 / �� Phone: 503.639.4171 Fax: 503:598.1960 r- • Plan Revie k ; "M , [hte/By: Other Ferran. 1 Inspection Line: 503.639.4175 NO v L' 1 ' } thx Date Ready /By: " runs Id See Page 2 for Internet: www.ci.tigard.or.us Noti 1 r �"' �1�� 11;71 -. I�Notified/Method: Supptemenral lrtlormalion .a s rf Y y_ T Lr t:::4. T'T��Z Ti4t 5 i '- xc ' w ".- '3F .. Inl k(6S IP'I'r4 _ • 1 '= ?+k� f mss= a �F ? .Si' A t v Ll r�..1 "i .y gay= �.zti. .. tai_ L3Y..ai�. "�1�irixt3 ''c -� - ���_ �. _ 1 -: ❑ New construction [ ddition /alteration /replacement Mechanical permit fees* are cased on the value of the work performed. Indicate the value (rounded to the nearest dollar) a , : H1 Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. �� r[L 1`"�3 39, U1 h1 ! T b ;1; i .� 1 , AA( t{ -: i i Ql t r'Z}A ' ' t - ., ^ 7p « rt r t„ ..-x Val se: $ . a.-. r „ N rY„Ia iti?1L' , *>a: c -Alarm' .:!.; Nt.,?.', :r ,-, i!.z r-" ri:'=:, ,,, r 1F g " gNP:Z�911 f �) I �- and 2- family dwelling ❑ Commercial/industrial El Accessory building For special itljirmation use checklist. ❑ Multi - family ❑ Master builder ❑ Other Description f Qty. 1 Ea. I T i. rl s '_. .a^ rautlar (w S,t a sP..:.6" r� -'z„r a F� >Eae I e B . t' Y �,> { ` » ar- ° ,yr `..,„ t ai :; + 1 , 1 x,, Iklh L Heating/cooling y•. •,'.•« :>''''' �J,15i -'1 V ''-'"'-"-n-'-. `k "917, ''' Job site addtrss: \'?' ) (2P-\ C � ti ��� r \e.... a (requires s showing placement) 14.00 City/State/ZIP: ---N\ !.`ma ` _ C C AZ --j Furnace 100,000 BTU (duetsl-aerds) - 14.00 i Furnace 100,000+ BTU (ducts /vents) 17.90 . Suite/bldg. /apt. no.: I Project name: ' Gas heat pump 14.00 Cross street/directions to job site: Duct work • 14.00 11 Hydronic hot water system _ 14.00 ii Residential boiler (radiator or hydronic) 14.00 �� Unit heaters (fuel -type, not e=ectric), 1,1 in -wall, in -duct, suspended, etc. 10.00 Subdivision: l Lot no.: Flue/vent for any of above 10.00 ,'j Other: 10.00 _ Tax map /parcel no.: Other fuel appliances 1 ' ... _ , " Z ac- . ,r',�3?` . .s" 3 fy 7 t''9, L. i� i c . t Lt'"lts i 1 a.. ! - ' Water heater 1 1 . 0. 00 ;� .`.c't67G'fE 5� .�. ... i.m,at'?Sc"'1 - 1 i .. a : a:�.Ua +�. i Gas fireplace _ 10.00 . �`4"....‘t ice. CA..-11/4:::K V c- a -e dc- Flue vent for water heater orgas e �1.. _ . C o� r ∎ a \ ,. �. fireplace 10.00 c*,..„,-..,... c*,..„,-..,... - Log lighter (gas) 10.00 ij _ Wood/pellet stove _ 10.00 I Wood fireplace/insert 10.00 d - . rah � __,�. fY �t , r,sr, :. m,r Chimney/liner(tlue/vent 10.00 a � . 1 8s fij i �i �� � .r. - "t - t,a .t- ' �F' - t3 u: - ' ,..rr.,..t13F"' 4a3e_.a., ,'2i ", :;- �fi.,'<nr._ " YS.�ra;i '1 --- ' . __..... Other: 10.00 N Name: V ^vh� Can Environmental exhaust ant ventilation Address: \Z..\-o tac:\ ¢ } Range hood /other kitchen �� `h�s� -. �` equipment 10.00 1 '+ City/State/ZIP: Clothes dryer exhaust 10.00 . Single -duct exhaust (bathrooms, Phone: �D3) q7j .. �C \ -- Fax: ( ) toilet compartments, utility rooms) 6.80 +r" - ra rr� ^ 5 5r 1`t�' "e+ ' .••-. €mg7t .rsc. 8 ,.:: °r+ nisi; �I sr -4..a3 ,� " , e r rr ` < f h ,�, j , z., r ,. A j i I • k 1 „-' Attic/crawls facts 10.00 s i 1 , :s- ..ztr... .....: -.arr r :.:.'.' iffl . - a' c � G3 etz...u_c w.d'1_'- ILI'Asyszi. "'"tow � ._-.1, v \ � � 1 \....\_i___ Other: 10.00 aro Business Be: r � Fuel piping Contact name: �A....3,,--..e.,%-.)•.„ ;1 55.10 for first four, S1.00 for each additional Furnace, etc. 'i Address: %,,,--\- vz... � Z\z_ Gas heat pump `.i City /State/ZIP: c t QretVY\ ° \ - 0S WalVsuspended/unitheater i Ph .,' I ) Water heater 1I one: �� �S I Fax :y�) '�C�.J tnai�t. Fireplace E• 1 ea �/e CS>' VA: t► Range / 1 b P7 "'1 7g1 ?� 1 'U r+ •� � i x � h c� qG aamt'�*xr''0� s , a_-�. r�aL sa � s "ia Y'�',"4" d r' "l ' ' i. a 2 �, 8 s. b 1 r d * ,., a -Ss r .^.,a " 2 d Ti t P �y 2 r, tr'-I Barbecue 1 _ r as13 �.lL � .:i : r ;...,., r -� . S, �m <�°,xti 17: �t a. ..L...._iv, ktrt 7 3 1 a'Lsasu " s...4..... f > Q v' �� \ . . Clothes dryer (gas) Business name: 4 Other: Address: ¢ t r trr r " ! ''�1 r S r rP v t - .. Ri li 7T . I.. to ! .,.„4,r.....1.:..] ' . .., CitylStatelZlP d. �"� Subtotal ,I `� ` r Minimum permit fee ($72.50) "•17_ . .ti► Phone: � t p ..0 "\SS Fax: v.aJb " \Z S. Plan review (25 %of permit fee) CCR tic.: \"'L0-Z� --1 State surcharge (Woof permit fee) r 'b . : TOTAL PERMIT FEE 1 tit -?y Authorized signature: Th is permit application expired a permit b not ohtained wiM[n 10 ■ � �, days after it has teen accepted as complete. .1 Print Warne :`,`�`j �..J\ Date: \\-7_, . I • Fee methodology set by Tri County Building industry Service Boar 1:Building1Penniu\MEC- Perm *App.dac 1 203 440-4617T (11/02/C014/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00693 13125 SW Hall Blvd., Tigard, OR 97223 ` DATE ISSUED: 1112812007 Phone: (503) 639 -4171 � ca Inspection Requests (24 Hrs.): (503) 639 -4175 Jai /`7 6C cd © 7-0063 / INSPECTION WORKSHEET FOR DATE: 12/27/2007 TIME: 7:00AM PAGE: 42 SITE ADDRESS: 12689 SW FALCON RISE DR CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMERLAKE PARK 4 LOT #: 130 TYPE OF USE: PROJECT NAME: SU DESCRIPTION: Running 35' gas piping to range. OWNER: LUU, CHRISTOPHER D C AND, PHONE #: 603 -92g -7611 CONTRACTOR: KOEHLER CONCEPTS LW PHONE #: 603 -55U -9550 Inspection Request Scheduled For: Date: 12/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 6Ili Gas line 062180 -01 503. 650 -9550 �I Corrections /Comments /Instructions: Foe_ l S drr rr` / 7 PAS PARTIAL APPROVAL n CANCEL I l NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' Inspector: _ Date: 1 Z 07 Phone #: (503) 718 - f'CV/7/