Permit ' kw
'' ..i. CITY OP TIGARD MECHANICAL PERMIT
- COMMUNITY DEVELOPMENT PERMIT #: MEC2007-00199
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/11/2007
PARCEL: 2S1 10 DA -08600
SITE ADDRESS: 15101 SW 107TH TERR ZONING: R -3.5
SUBDIVISION: ERICKSON HEIGHTS LOT: 047 JURISDICTION: TIG
PROJECT: SUNNY
Project Description: Gas line and outlet to patio fireplace.
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:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: • AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
RENAE SUNNEY Description Date Amount
15101 SW 107TH TER.
TIGARD, OR 97224 [MECH] Permit Fee 4/11/2007 $72.50
[TAX] 8% State Surcha 4/11/2007 $5.80
Total $78.30
Phone: 503- 980 -8728
Contractor:
SHAMBURG HEATING LLC
PO BOX 829
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -5563
FAX 503- 691 -6855
Reg #: LIC 126881
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. c.4 / ,G '/% z2 -. Permittee Signature: earl , trA ca41____
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.
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13135 SW Hall Blvii, Tigard, OR 9 ECEIVED
Plan tt -
Phone: 503 Fan 503.598.196On D C) 1 1 ?nn7
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hope-mkt:1Ln= 503629.4175
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Supplcanstat Information
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0 New construction V. • . • ition/alterationireplacement Mechanical permit fct:s" are based an the value of the work
0 Demolition 0 Other Performed. lorticate the value (rounded m the nearest dollar) o(1?
tucciuminal materials. equipment. labor. overhesul, and profit.
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firi_ and 2-family dwelling 0 Commercial/industrial 0 Accessory building .I r"...R011)1tiiSyS-11*Siltgs^:''.1.-.:,.
0 Multi-family 0 Master builder D Other For special information use checklist
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ijik SETE 4 .41t 0iWrlOif-Allil itOCA - -...! 4 : • ' I i' . • ..- ' : : . Beatlikg/emlina
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lob site ackIrcss: /5/0/ „....,‹.,..0 / --,-/-e-,?-4_cer.... Air condi:Moine or hcat pump
kauirca simplansbowineolacerarro) 1 14.00
CitylState/Z1P: -7 19 ,e- 4 9 . ,f2c2 Funzace 40.000 Billidocrs/vcruel
Suite/bldg./apt no.: I Project nag= Furnace 100,1/0dor BTU m1erthans1 17.90
Gas heat 14.00
CroSS stlecr/directionS W job Site:
Duct Watt 14.00 •
Hydranic hoe water 51/StdM 14..09
Residential boiler (radium or
hydronie) 14.00
Unit heaters (fnel-type, not nittatiC), .
in.orall, in-duct, suspended. etc. 10.00
Subdivision: Lot an.: Flat:Nem for uny of above 10.00
Other: 10.00
Tax map/pareel no.:
Dater feel appliances
- . ..:, . .;!..; .: .,• : i:. _ .-: . OF:WORIC :: . ...:- : '..'. 7 ; .. ' t : ..- . ' W A t a hcalrr -- 10.00
Gas iamb= 10.00 .
6 le:/u, ( /e) , a,a--e-1, 1 /i/ac-e- RUC verd far water heater or gas
. fireptate 20.00 .
U ll . ..ii h ttiSP 5 ) 10.00
Wood/pellet stove 10.00
Wood fircalormlinurt _ 10.00
. . ;. . .,. • Clxisuuey/lincrifteriveza
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N-nc: 06,4,te 02e482021-6/ Environmental exhaust and ventilation
Range hood/other kitchen
Address: /670/ . Sit.3 /a - cquip.1 10.00
Ciry/State/ZIP: -7 oz, ,9, a t y Ctotbcs dryer exhaust
Sinsle-docr exhaust (bathrooms, 10,00
PhOne: ( ) re•a-g°2.411 Fax: ( ) toilet contpratmcats. utility moms) 6.80
. . .. , Auiderawlsoace Ercas 10.00
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10.00
Otitnn
Business name: fttelpidng :
55_40 for lest four; 51_00 for melt additional
Contact name:
Furnace. cm - .
Address: Gas hat wurp ,
visithu - .. unit heater
City/State/ZIP:
Webs heater
phone: ( ) Fax: : ( ) FInsplace 00- / b , yl
Ronne .
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ttiliditACTOF.I. '. ;' - - • . : - - .;- ' - : - - clothes dlyer (00
Business name: ‘.. 4,01 itt a e . ' - .4 4/./siedali Li...„6...
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Addrcm: '0 /3.42x g',A4 Subtotal 5rf. o o
. 6 4 0 3 7a(.41 Knsimum petmit fee (S72.50) 1,-2 . SO
City/State/ZIP --
run review (25% afPcnnit fee)
Fax: (6D3) ----
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CITY .Q,F TIGARD ° , `"
BUILDING DIVISION PERMIT #: MEC2007 -00199
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171 4@��i i
Inspection Requests (24 Hrs.): (503) 639 -4175 ,=�� A__..
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 87
SITE ADDRESS: 15101 SW 10Ti`H TERR CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 047 TYPE OF USE:
PROJECT NAME: SUNNY
DESCRIPTION: Gas line and outlet to patio fireplace.
OWNER: SUNNEY, RENAE PHONE #: 503 -980 -8728
CONTRACTOR: SHAMBURG HEATING LLC PHONE #: 503-692-5563
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046838 -01 503 -692 -5563 Y
Corrections /Comments/ Instructions:
0 ,e i Y 4. 4_,..-7-c. . - ra ' . 7'- .c.i , Z? `.mac. ,oLA -c.
: �( 1 ,i, '.,- / c, ,,i V (r1,4< 1-/v0 Jr $9A -/-Z L_.
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I' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ¢ - o"? Phone #: (503) 718-
CITY OF TI "ARD
BUILDING DIVISION ' PERMIT #: MEC2007 -00199
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171 44 11 A /4fivit Il k
Inspection Requests (24 Hrs.): (503) 639 -4175 A. r ':_..
INSPECTION WORKSHEET FOR DATE: 4/16/2007 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 15101 SW 107TH TERR CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 047 TYPE OF USE:
PROJECT NAME: SUNNY
DESCRIPTION: Gas line and outlet to patio fireplace.
OWNER: SUNNEY, RENAE PHONE #: 503.980 -8720
CONTRACTOR: SHAMBURG HEATING LLC PHONE #: 503 - 6915563
Inspection Request Scheduled For: Date: 4/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 046494 -01 503. 980-8728 Y
Corrections /Comments /Instructions:
•
PASS _ PARTIAL APPROVAL El CANCEL I I NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4 — /G —¢ 7 Phone #: (503) 718 - -7.c�j
CITY OF TIGARD
I BUILDING DIVISION ' - - PERMIT #: MEC2007-00199
I . 13125 SW Hall Blvd., Tigard, OR. 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639-4171
,4 1 ,111 1 1lit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/16/2007 . TIME: 7:00AM PAGE: 61
SITE ADDRESS: 15101 SW 107TH TERR CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 047 TYPE OF USE:
PROJECT NAME: SUNNY
DESCRIPTION: Gas line and outlet to patio fireplace.
OWNER: SUNNEY, RENAE PHONE #: 503-980-8728
CONTRACTOR: SHAMBURG HEATING LLC PHONE #: 503-692-5563
Inspection Request Scheduled For: Date: 4/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046494-02 503-980-8728 N
Corrections /Comments / Instructions: r'
at ,, — - .. I .... .'Ali." r, # A.," i.- ' _ , P _ ,,- -
•
..-- -
1 1 PAS I I PARTIAL APPROVAL 0 CANCEL l I NO ACCESS
FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: _A .-.
Date: 4 - l 6 -6 - 7 Phone #: (503) 718
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