Permit CIT OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00378
Ali DATE ISSUED: 8/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 125DC -04100
SITE ADDRESS: 07048 SW BARBARA LN ZONING: R -4.5
SUBDIVISION: THE RAZBERRY PATCH LOT: 034 JURISDICTION: TIG
Project Description: Gas piping to range, BBQ, and fireplace.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 3
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 3
> 10000 cfm:
Owner: FEES
BARBARA CARVER Description Date . Amount
7048 SW BARBARA LN
TIGARD, OR 97223 [MECH] Permit Fee 8/7/2006 $72.50
[TAX] 8% State Surcha 8/7/2006 $5.80
Total $78.30
Phone: 503- 892 -1969
Contractor:
SUBURBAN @ HOME
6014 NE 112TH AVE.
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 257 -5438
FAX 503- 257 -5430
Reg #: LIC 143335
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: Pa � Permittee Signature: 1—
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 h
Mechanical Permit Annlic O . FOR OFFICE USE ONLY ,
City of Tigard a ������ Date /By a • PermitN •
111 . 3125 SW Hall Blvd., Tigard, OR 972 2�1 G 7 200 a • ....„,6 •
:" 1 . 1 3 r' Phone: 503.639.4171 Fax: 503.598.1960 u Date/By. a Other Permit:
Inspection Line: 503.639.417
TIGARD r uns
p CITY OF TIGARD Date Ready/By: • r
Internet: www.tigard or.gov BUILDING DIVISION Notified/Method: ,J1 ®See Page 2 for
g Supplemental Information
TYPE OF WORK - 'COMMERCIAL FEE *' SCHEDULE USE CHECKLIST •
❑ New construction 7""- 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.
CATEG ORY OF CONSTRUCTION - Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB ,SITE-INFORMATION AND LOCATION ' Heating /cooling
Job site address: -Fd tJ S(,. f ( r-v (re q \ Lyt . Ai conditioning o heat a eq uires site plan shoo wing pllcem ament) 14.00
City /State /ZIP: - Try-4 ) 6 (L_ 97-zZ -5 Furnace 100,000 BTU (duds/vents) 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: 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
DESCRIPTION OF WORK Water heater 10.00
a S + p Z Gas fireplace 10.00 Ho
4 p P . 1 l 0 e_ t Flue vent for water heater or gas
C 1 w∎C e_ F laCf_ • / fireplace
..ec,ot-c, 1 10.00 n.�D
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
° -OWNER ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: i' &rr.. Co.. Environmental exhaust and ventilation
Range hood/other kitchen
Address: �0 y 8 5 . L. ■ . equipment 10.00
City /State /ZIP: l ' c r (51 9 ' 77.--3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) ( 69 - 7. - iq 6,9 Fax: ( ) toilet compartments, utility rooms) 6.80
''CAPPLICANT' ., • ❑ CONTACT, PERSON. Attic/crawlspace fans 10.00
Business name: 5,- .la - bcx✓� Ci'�- �gw•t: Other: 10.00
Fuel piping
Contact name: op' ,pica ck $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: CAD-Z.7,- A,PL I i 7-1. Mk_ Gas heat pump
City /State /ZIP: Pnr+'aAA , p a-- ' 7. Wall /suspended/unit heater
Phone: (51:55 ) 25 - - 5 1 196 Fax:: (S ) Z - -5141i5 Water heater
Fireplace I 6.qD
E -mail: -
Range 1 _
CONTRACTOR` ` ' Barbecue 1
Business name: L ��,�,�Ip c ,, L ., t a.r 14- 00 -AC'_ Clothes dryer(gas)
Other:
Address: C,b Z Z c ( j 2 Ili . MECHANICAL PERMIT FEES*
City /State /ZIP: Pts,rii d I ®ife.- a( 2 7„.0 Subtotal 26
Minimum permit fee ($72.50) . $ - 42 SO
_
Phone: (c03) 757 - s - 2f7 � � Fax: (5 7-57. 591 'C' Plan review (25% of permit fee) _
CCB lic.: I rcharge (8% of permit fee) $ ceo t
u � � State surcharge
PERMIT FEE f 3-f, •a)
Authorized signature: .44,64 - This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: - B,I &`J6 Date: 4 Lit ' Zoo 6 * Fee methodolo set by Tri -County Building Industry Service Board
1
I:\Building\Pennits \NEC- PennitApp.doc 04 /06/06 44 17T ( I I /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 : 'Supplemental Information ` 4 • .
Commercial Fee Schedule:
Total 'Permit' Fee: -
$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 first $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\Permits\MEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200&00378
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/20t)6
Phone: (503) 639-4171 Jicritiiii
Inspection Requests (24 Hrs.): (503) 639-4175 L.
INSPECTION WORKSHEET FOR DATE: 8116/2006 TIME: 7: 05Aivi PAGE: 77
SITE ADDRESS: 07048 SW BARBARA LN CLASS OF WORK:
SUBDIVISION: THE RAZBERRY PATCH LOT #: 03 4 TYPE OF USE:
PROJECT NAME: CARVER
DESCRIPTION: Gas piping to range, BBO, and fireplace,
_____
OWNER: CARVER, BARBARA PHONE #: 503-892-1969
CONTRACTOR: SUBURBAN @ HOME PHONE #: 603-267-5438
Inspection Request Scheduled For: Date: 8/16/2006 Pour Time:
c5 4 0--
Code # Inspection Description Confirm # Contact # Me (j,44) j)
610 Gas line 035048-01 503-892-1969 Y
Corrections/Comments/Instructions:
1
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bol_ b
,
.
.
E PARTIAL APPROVAL EI CANCEL I I NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: \ A i
Date: 0 (4 (‘-' ' Phone #: (503) 718-2—VZY