Permit N - CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00692
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/28/2007
PARCEL: 25111 CC -05700
SITE ADDRESS: 10020 SW CENTURY OAK DR ZONING: R -12
SUBDIVISION: SUMMERFIELD LOT: 080 JURISDICTION: TIG
PROJECT: COOBS
• Project Description: Run 10' gas line 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: IT
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT S:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
KATHERINE COOBS Description Date Amount
10020 CENTURY OAK DR
TIGARD, OR 97224 [MECH] Permit Fee 11/28/20C $72.50
[TAX] 8% State Surcha 11/28/20C $5.80
Total $78.30
Phone: 503- 650 -9550
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: P ermittee Signature: , ?7?
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.
A -.
Nov 27 2007 2:03PM KOEHLER CONCEPTS LLC 503 -G50 -1220 p.2
Mechanical Permit A. tiarlti FOR O} FICL UNIT ONLY
:� r Received $. Permit Ne.: t 7 t�
City of Tigard � � nate/By: l 07 $ - 007 -d
1 3125 SW Hall Blvd., Tigard, OR 97223 rr,, r Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 N U ? r "` ; � { i " �' Dat
Inspection Line: 503.639.4175 X14- 'i I Date Ready/By: rare: RI See Page 2 for
L r Supplemental info rasa lion
Internet: www ct ttgard.or.us ® �'�Ygp ®�/i±p -
I C � � ® Nonficd,'Method
B l ®INe' i ... I 1 ) 5': r - , 1 ..i., ts�e '-'' MT:Ts'� <r H is
s , .: x w _.s ' -a P:r" ; l3 a. fl t� I t �� E st Rs s . r, : or
*y• . . "': "' -, Mechanical permit f ees ' are b ice on the vitae of rite work
New construction 12-Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of
0 Demolition ❑ Other: mechanical materials, equipment, labor overhead and profit
-v-st - aza' '_ rmtp +`i44it -. F LV =fRi e .side-' 02,41 :y . i t : a ".r >x r1 h . 5 jAkip P-4,31'
., ` ' ,/- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ...:. ": -� � �v*ur.A4a"s % . 4e., k. -li r.. � .�. rr= . &zlM('� -e`` - )t" .,�. :4:5 • f ix r" �- > G � "_ ja.„ . ,i .i ,. Ta,. - „,.
M t For special information use checklist.
0 Multi family ❑ Master builder ❑ Other: Ea. Tote
Description Qty. I I
-0 1. 1� `22 AZT = €t .} i , - . e t � 1 , er Heating/cool ng . ip; rt ° b l Air conditioning or heat pump
. Ct.- .t. Es- : ,.. zuy . • 1.,.i l �➢r _ .t..;.W , 2.1. ,.1..ru - ,-,, ....•• L,, . .� a � •
Job site address: \ , � 0 ' ` . , ` ' C ~ p s i , . v .`! C 2 L >C (requires site plan showing Placement) 14.00
Furnace 100,000 BTU (ducts/vents) 14.00
++e Funace 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 i
Hydronic hot water system 14.00
Residential boiler (radiator of
hydronic) 14.00
Unit heaters (fuel -type, not electric), i
in -wall, in -duct, suspended, etc. 10.00 1
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
.. ...sm -v, gip; t. u: c y .: i s r r lif x Water heater 10.00 1
i i,' 'O � - I. .a , =, s.? h..
Gas fireplace 10.00
Flue vent for water heater or gas
1k - aria .L'- fireplace 10.00
ail, ma - ■.11s... Log lighter (gas) 10.00
Wood/pellet stove 10.00 _
Wood fireplace/insert 10.00
m r e r 1 a r = v 1 d` 'rF 7e.r t s• g rer '16`g, Chimney/liner/flue/vent 10.00
Chi
i ''.mss g ears g A l R f 7 t gai " -.,� Sl s r , ,,b n : ZiP ` ,, z•' 10.00
�'�^xb� ` ,'t�'€?'. &., :�6 .a,9��:i.F�r.. �o. �'9se� G,��,.a. .. ..a.c�iS�utIus Other;
Name' Environmental exhaust and ventilation
�- - -� Range hood/other kitchen
Address: \0 Z. ,‘,... ) C ,p,, _,,i . *ro equipment 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: r Q.� Single -duct exhaust (bathrooms,
Ph one: (CZ=■" La10 -C� \�3 toilet compartments, utility rooms) 6.80 ,
. , -, ,, � 1 c .fgl :t -q. 4 rt ray a Attic/erawls ace fans 10.00
:m,� �.. � . e � .a� �u � ,�r ,x,�iht� Other: 10.00
Business name: o,.�ex- ( - ■..\ -5-. Fuel piping
Cartier name: $5.40 for first four; $1.00 for each additional ,
Furnace, etc.
Address: 'v - Z \Z Gus heat pump 11
City/State/ZIP: m" 1/43 Wall/suspended/unit heater
Fax: \1775 Water heater
• • • e: ♦ ) O ° vs. Fireplace
E Range �� O I
"2' ' , T 7 ro � irifni t �t y .' el s ACI a ". „�' s
Y.�2 T'i '% $ .tt A; p . S 'n 3 .. i § 9 21 . & s7
.� t g" . 5 .9, ir s'-c }" r ,� , i - b..,' ,. ,: h?; �' , .A.... . ' ' i i } Barbecue
„
��5 � uW. a . . s � �x.�� a,�.�z�r��...�»,. . � Clothes dtyec
Business name: Ore t► - • Other
Address: \ Z - �-7 ,, f ep,�`" 't } z n ', € , :z 4 tV imaz . : " I r'
G-, its r�s�
City/State/ZIPQ. . t <�- .tai C:c�0 Subtotal
Minimum permit fee ($72.50) . `IL
Phone: J,- U2Cyp C 'VjS.Q F ax: ISI.S ..o-C -� Plan review (25% of permit fee)
CCB lie.: `Z..r State surcharge (8% of permit fee) IFX'�
TOTAL PERMIT FEE 1 '
This per ap plication expires if a permit is not obtained wilt I:
Authorized signature: days after it fats been accepted as complete.
Print name: Date: t Fee methodology set by Di-County Building Industry Service arc
i:\ Building \Permits\MEC- PermaApp.doc 12103 440. 46177(11 /02 /COMIWEH)
- -, — - r I
CITY OF TIGARD
BUILDING DIVISION
Ahi„A PERMIT #: MEC2007-00692
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/280007
Phone: (503) 639-4171 ioe v i11 /1141111
Inspection Requests (24 Hrs.): (503) 639-4175 ..,-4:0-' '1-.... /16 A Oe 7- DO
1 . INSPECTION WORKSHEET FOR DATE: 12/3/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 1002() SW CENTURY OAK DR CLASS OF WORK:
SUBDIVISION: SUMMFRFIELD LOT #: 030 TYPE OF USE:
PROJECT NAME: r00135
DESCRIPTION: Run 10' gas line to range.
OWNER: COOBS, KATHERINE PHONE #: 503-650-9550
CONTRACTOR: KOEHLER CONCEPTS LLC PHONE #: 503-650-9550
Inspection Request Scheduled For: Date: 12/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 060615-01 503-670.9160 N
Corrections/Comments/Instructions:
IP ii r..‘ --- ..7 .- -4-.-r - :—/-------Kr. -:- '-----f 7 -- Ac"
•
1 - ASS Ej PARTIAL APPROVAL
t.---< 0 CANCEL fl NO ACCESS
fl FAIL pi CALL FOR INSPECTION [1] ADDITIONAL FEES ASSESSED
Inspector: - Date: IL—J- Phone #: (503) 718- 294/
_ , ..., _ ..., - . e, ■ • . rt ■