Loading...
Permit A -- CITY OF TIGARD MECHANICAL PERMIT I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00104 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/11/2005 PARCEL: 2S112CA -10800 SITE ADDRESS: 07551 SW ASHFORD ST SUBDIVISION: RENAISSANCE WOODS ZONING: R -7 BLOCK: LOT: 034 JURISDICTION: TIG 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: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Installation of gas insert, gas line is already existing. Owner: FEES SMITH Description Date Amount 15118 SW KENTON DR [MECH] Permit Fee 3/11/200E $72.50 TIGARD, OR 97224 [TAX] 8% State Surchaq 3/11/200E $5.80 Phone: 503 624 - 3661 Total $78.30 Contractor: SHAMBURG HEATING LLC PO BOX 829 _ REQUIRED ITEMS AND REPORTS TUALATIN, OR 97062 Phone: 503 692 - 5563 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 Notificati• C Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may • stain copie of e e rules or direct questions to OUNC by calling (503)24676699.. Issu - • By: /' I 4 ! Permittee Signatur • : Call (503) 639 -4175 by 7:00 P.M. for inspections needed • - ext 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. Mechanical Permit Application =FOR OFFICE USE ONLY - - Received City of Hall Date/By: , PermitNo.: �� ∎ 05-4e/ r A 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 m R N i t wl Date/By: n Re L Other Permit: Inspection Line: 503.639.4175 ! J Date Ready/By: turfs Ei See Page 2 for " � W Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information . a .YA' ; a ':xs;^;it�.e,,x:.' >.�'"�_ -,'�"? n „� .�.x.. "L::T s'*'» _ E. -;. �� ?:. ;;^,i� npt Pry .: a�"�"t;.4 :: r�s'.; a.:%4e's:#: x _ .;', >�.. ��� �� _ �`��I;EE. O =svV'(ZRI� � ,�.. - #� VW : 1W _�� .COMI�IERGTALi• =.FEE ,SCHEbiJ1�E TJE=CHECKF;IST' x�. �� .. - � ..... s° .... xk;rsse�t w._, . '"�if ❑ New construction - Addition/alteration/replacement 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. ga-k.,1 *' a -r*,,, w ":tk.. ,,p' y.�.'' : � :. ra..aE , za• m �, ^ �i ` , nto 7'K'. Value: $ ' ` .;:,» .. , ':::4 1- =.- E O - 7' �®NS., , iii;:: i7 R E FJ� . %S S`TEMS FEES* 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building f`:re AL .,x , ,; »__..:.:a€a.:' :: s ` , Q TR . >s_�: n - ,y..< - ,-, : . - - For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total Via` � � :. s. x =.M. :„.?, *xzay.� ;�: :n:a =: =',��.;�;<,x .�,�s,�.g ; � E,:� .,.. - . . �, I1 ,, � � f, OB SITE IN® ACi is 8, 611,P I e 11- .� Heating/cooling Job site address: " r '161 �'� Air conditioning or heat pump 4 . ' f, (requires site plan showing placement) 14.00 City/State /ZIP: i ,, o � q - 2'2, ti A, Furnace Furnace 100,000 BTU (ducts /vents) 14.00 Suite/bldg. /apt. no.: Project name: Fumace 100,000+ BTU (ducts /vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 • Other: 10.00 Tax map /parcel no.: • Other fuel appliances ;:-': °�;;; t -- -.: ae= n: r' rt ' � ', .�rvh €�;r«rE _.. -,s,�as -< .mac'?.- �'' °:;r� - . � � �, , 1 ESR IPT�F O NF OF OWI2I{ ' �� ` Water heater 10.00 :F:.1s .;. ,.a: q m , Ie� ,14tI �a+ ... .a i., -a .,. w, `: «a 6s .m._ :. .... 'E _.. Gas fireplace A 10.00 / ,n..� 1) C ∎ &S.2_, 4 , C c...),,, ' - ci k" Flue vent for water heater or gas fireplace 10.00 e_.- .Te VN.C--. Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 f.- 2: 11.N ` a ° . . t :. g '.r :. €- . s ,: r �'' :` r i ' £I, _ , . �a,: :<4 , � °> Chimney /liner /flue /vent 10.00 i � „,:z,ER 2 f4N-W OWNE O< :41-A ,., fe N r Y,t t i4 1 ���- � v , �.cr� s, � x,� .::� n .. ��� ... � � � Other: 10.00 Name: Environmental exhaust and ventilation Range hood /other kitchen Address: i i 1 S >,.i..i iCf2 fri+0 , oui-- equipment 10.00 City/State /ZIP: "T .� sz1 o _ q7 2 2 4 Clothes dryer exhaust 10.00 t Single -duct exhaust (bathrooms, Phone: (se C _ 3( 1 Fax: ( ) toilet compartments, utility rooms) 6.80 ,. `" ''A I Attic /crawlspace fans 10.00 : ®1AEI'L.,,,Z, �Tt" - i ONTAG!P1 PER,S.ON l ' :1 � ..�. .� ;., ,,� � .� , �>�=` � � � ..,� ,.�, ��._. �. � ,.� � >q,. Other: 10.00 Business name: 5 t v , ` r3 , -," g Fuel piping P'P' Contact name: (,--.--,,, Sco $5.40 for first four; $1.00 for each additional 1 Furnace, etc. Address: QG cr3 y Z`( . Gas heat pump City/State /ZII': --1- 'i a�'� ��--- et7©C0 `Z. Wall /suspended /unit heater Phone: -� Fax: i Water heater ( y) �� Z ` !1� CD ( �� J" ZG t �l�g 5 Fireplace E -mail: Range 4).:7,4x..4":1102:* ° c egfi 472; 4ON F2ArCrOR- 1 . v " Barbecue Clothes dryer (gas) Business name: ,\ - -, 1 Other: Address: 0 Z '` -. ; a,� k - x - �NFEGHAlvT-CAF"f`P•,,,, IT,FEES* City/State /ZIP: `7 L (a,��^ n )6 CO 7 Subtotal ) 1 Fax: (� / Minimum permit fee ($72.50) Phone: CO Z. :\ 103 ©� �� 1 - ID S Plan review (25% of permit fee) CCB lie.: \7_ 3l State surcharge (8% of permit fee) TOTAL PERMIT FEE 18. Authorized signature: C. - „ This permit application expires if a permit is not obtained within 180 - vw k d ays a it has been accepted as complete. Print name: - i.. g. / r C7 f',,' "f Date: ° �, l t_U * Fee methodology set by Tr - County Building Industry Service Board i:\Building\Permits C- PermitApp.doc 12/03 ' 440- 4617T(11/02/COM /WEB) Mechanical Permit Application - City of Tigard x. ..�, Pagel - Supplemental Information Commercial Fee Schedule: # fatal ' ?:aluatiop ` ° Permit Fee = f $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction - , thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the fust $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including , $50,000.00. • $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\ Building \Pennits\MEC- PernvtApp.doc 12/03 2 CITY OFTIGARD . - BUILDING DIVISION PERMIT #: MEC2006 -00104 13125 SW Hall Blvd., Tigard, OR 97223 i� DATE ISSUED: 3/11/2005. Phone: (503) 639 -4171 w ni g lmyligl�l�° � ; Inspection Requests (24 Hrs.): (503) 639 -4175 : ' I ''I INSPECTION WORKSHEET FOR DATE: 4/4/2006 TIME: 7:11AM PAGE: 79 SITE ADDRESS: 07661 SW ASHFORD ST CLASS OF WORK: SUBDIVISION: RENAISSANCE WOODS LOT #: 034 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Installation of gas insert, gas line is already existing. OWNER: SMITH, PHONE #: 603- 624 -3661 ' CONTRACTOR: SHAMBURG HEATING LLC PHONE #: 503 - 652 -5563 Inspection Request Scheduled For: Date: 4/4/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 003696-01 503- -692 -5563 N Corrections/Comments/Instructions: �/ QA (i7 R.1. ,,xiSi-7l S PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED A t Inspector: Date: I ---� Phone #: (503) 718-