Permit CITY TIuARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00035
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 1/20/2006
PARCEL: 2S 104AB -06300
SITE ADDRESS: 12162 SW 131ST AVE ZONING:
SUBDIVISION: MORNING HILL NO. 4 LOT: 092 JURISDICTION: TIG
Project Description: Extend gas piping for 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: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
BRAD & LAU ROAST Description Date Amount
12162 SW 131ST AVE
TIGARD, OR 97223 [MECH] Permit Fee 1/20/200€ $72.50
[TAX] 8% State Surcha 1/20/200€ $5.80
Total $78.30
Phone: 503 -590 -3314
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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: Zr Permittee Signature: 3712
Call 503 - 6394175 by 7:00 a.m. for inspections that business da
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 Permi rjj e,6 _,. ..iOn FOR OFFICE USE ONLY
City of Tigard t f Dat -- 8 - a l `�'� Permit No.. J _ 0 - M (J(la
13125 SW Hall Blvd., Tigard, OR 97223 Jr Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 'JAN Permit:
�17'c< ° i I n Date/By:
, �
Inspection Line: 503.639.4175 Date Ready/By: See Page 2 for
Internet www.ci.tigard.or.us JAN 2 0 2006 H
Notified/Method: Supplemental Information
a T.`•::'',,' _ D'art d O l d . . g 4, ` , '� , ' . ' . COMMERCIAL: ,FEE* SCHEDULE T =F USE CIIECKLIST'
El New construction ®A dditi'.ment Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
pr,..: - ;`
CATEGORY , =OFti CON .,,'^ `q ,,_, ° . . _ _ Value: $ ,..„,. „
'� ° RESIDENTIAL. EQUIPMENT /,SYSTEMS ;FEES' ° ,, •y "
® 1- and 2- family dwelling El Commercial/industrial ❑ Accessory building "
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total
> ' 4 :''''''' ' ',;,! ' z'' , w J OB,, S ITE , INFORMATION"AND`LOCATION - ' , . v '``, :.,, ,. „- - Heating/cool'mg
Air conditioning or heat pump
Job site address: 12162 SW 131` Avenue
(requires site plan showing placement) 14.00
City /State/ZIP: 97223 Furnace 100,000 BTU (ducts/vests) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name:
Gas heat pump 14.00
Cross street/directions to job site: SW 135 Avenue to SW Morning Hill Drive to SW Duct work 14.00
Katherine Street to SW 131 Avenue
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Morning Hill 4 Lot no.: 92 Other: 10.00
Tax map /parcel no.: 2S104AB 06300. Other fuel appliances -
;r >t:.. .' . w.. • Water heater 10.00
•��^, 4, V. -,, M1; � " Q . ", &°4DESCRIPTION OF7WORK'-.Z9y :^,.� : ; 4r` k ' ";'m ,''''' .`'a' '
a OR , . 1, re _ _ �?_ . . - ,. _ _ . . ,, .. _.,. s,..,, , •7 - . .. d . Gas fireplace 10.00
Extend piping for gas range Flue vent for water heater or gas
fireplace 10.00
- • Log lighter (gas) 10.00
• Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue/vent 10.00
« �•a. •
" a r s !- , , A, : i,- a � ., 4, - oth =; t�,' �; �: �'`u. ®PROPERTl'pOWNER r��`" ❑•T ENANT " ^� W � � : O� 10.00
Name: Brad and Laura Roast Environmental exhaust and ventilation
Range hood/other kitchen
Address: 12162 SW 131 Avenue equipment 10.00
City /State/ZIP: Tigard Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)590 - 3314 Fax: ( ) toilet compartments, utility rooms) 6.80
w , s . -�' „, ,'"6 •t 7z . o ,• r v . ,� : 4•,) :'r, ® .'.APELICANT;w` p- 4, 73,'„,, , � ' , :„ ❑; ,CONTA r,,'ITRSON *y . • ' Attic/crawlspace fans 10.00
,
,t �_ � . ate- , � . e., . ,. Other: 10.00
Business name: Owner Fuel piping
Contact name:
$5.40 for first four, $1.00 for each additional
Furnace, etc.
Address: Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Water heater
Phone: ( ) Fax:: ( ) Fireplace
E -mail: . Range /
4 4 , , ,,; •`. •• .,r.7.!1 ,.i{,. ,,;.,,..T ''"'= z' - - ;1 y-; :4r .. " • Barbecue
" .. ' :.', ..:a < " 44, - , P Ff4 *0 , .I,: �. «:� ;; .5'A OR . _, "_ +my g„i. r-.,A, C. 4 "rtr "
= Clothes dryer (gas)
Business name: Owner
Address: "`a; , °+ - MECHANICAL ° PE1 IT FEES r: I' =
City /State/ZIP:
f Subtotal
Minimum permit fee ($72.50) 7�, 5 0
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB tic.: State surcharge (8% of permit fee) 5 e 0
/------ TOTAL PERMIT FEE 78 32
This permit application expires if a permit is not obtained within 180
Authorized signature: - Atimp _ � ___,., ," — ■-',5'. Q 6 days after it has been accepted as complete.
I r . I • Fee methodology set by Tri -County Building Industry Service Board ■ r ,. �/ZA17 Rc'f°.- -1
CITY TIGARD MECHANICAL PERMIT
..� a DEVELOPMENT SERVICES PERMIT #: MEC2006 -00035
61 11(, DATE ISSUED: 1/20/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 104AB -06300
SITE ADDRESS: 12162 SW 131ST AVE ZONING:
SUBDIVISION: MORNING HILL NO. 4 LOT: 092 JURISDICTION: TIG
Project Description: Extend gas piping for 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: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
BRAD & LAU ROAST Description Date Amount
12162 SW 131ST AVE
TIGARD, OR 97223 [MECH] Permit Fee 1/20/200E $72.50
[TAX] 8% State Surcha 1/20/200E $5.80
Total $78.30
Phone: 503 - 590 -3314
Contractor: F11
OWNER
REQUIRED ITEMS AND REPORTS O
T'
Contact #:
Reg #: ,( W
11 � (V 1 v`
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 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: ! ,' n Permittee Signature: c^ p
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business da
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.
•
Inspections Required for: MEC2006 -00035
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover •
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set-up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing X 610 Gas line a 4 / 9,
287 Suspended ceiling X 615 Mechanical rough -in
• 295 Misc. inspection: 620 Hydronic piping
_ 899 MFG - Structure fmal 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
X 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 _ Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005
FT a4RD ' �� rn EC_.
CITY IG
BUILDING DIVISION PERMIT #: 20 06 - 00033
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Aki ypi� �
Inspection Requests (24 Hrs.): (503) 639 -4175 ......
�
•
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / i a. 13 f AA,--e__ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 ,, 3-- C Pour Tim
Code # Inspection Description Confirm # Contact # Message / `
/,_ 6's 4 131,6)-1 , - 3 3 � 4 ' / . ,� orr ct /Comments /Instructions:
•
ASS 'PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I I/6AL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .4
Date: - 23 - C_ Phone #: (503) 718- 2- 5
CITY W. .,vv , R. 1 3 L 5 * -
CI OF TIGARD
BUILDING DIVISION ' PERMIT #: IMIEC20U(; -00O
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1120/200v
Phone: (503) 639 -4171 /�mr 7l��yp glfj�l�l`
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: inwoo6 TIME: - 7:03AM PAGE: 74
/
i
SITE ADDRESS: 12162 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 4 LOT . 092 TYPE OF USE:
PROJECT NAME: ROAST
DESCRIPTION: i xrend gar piping for range,
OWNER: ROAST, BRAD & LAURA PHONE #: 503 - 590
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: gt:5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
610 Gas line 026672 - 01 503 590.3314 Y i- /I?4'2/t'1'1 "
Corrections /Comments /Instructions:
' 4r. 'Ili Tt 3
&l ice aA it ,s( I" iC Q
2
:.
PASS n PARTIAL APPROVAL ❑ CANCEL - NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL F ES ASSESSED
1? - ,/ O . - z't
nspect Date: a! Phone #: (503) 718