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Permit
CITY TIGARD MECHANICAL PERMIT A DEVELOPMENT SERVICES PERMIT #: MEC2006 -00268 „AO `�" c �� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/12/2006 ., r. PARCEL: 25111 BC -02600 SITE ADDRESS: 10310 SW CANTERBURY LN ZONING: R -3.5 SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 005 JURISDICTION: TIG Project Description: Install 3/4" poly pipe only for generator. Value: $200.00 CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 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: GAS OUTLETS: > 10000 cfm: Owner: FEES CITY OF TIGARD Description Date Amount 13125 SW HALL TIGARD, OR 97223 [MECH] Permit Fee 6/12/200E $72.50 [TAX] 8% State Surcha 6/12/200f $5.80 Total $78.30 Phone: 503- 639 -4171 ' Contractor: SUBURBAN PROPANE LP 10075 SW CASCADE BLVD . TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 639 -8691 FAX 503- 620 -1874 Reg #: LIC 147469 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. I Issued By: /' Permittee Signature: „ / . , : L � j Call 503 - 639 -4175 by 7:00 a.m. for inspections that business %ay. 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 Ap Ai 1: FOR OFFICE USE oN1 Y Cl of TI and Received ,�/ Permit No.: `J g Date /By WJ,� /O(/ q6 RZaQf� ' 4 / 11 13125 SW Hall Blvd., Tigard, OR ? 1 C Phone: 503.639.4171 Fax: 5035 I lu 598. 2006 Plan Revi w 1960 Date/By Other Permit / a .. coa t, T I G A R D Inspection Line: 503.639.4175 Date Ready /By: Jana: See Page 2 for Internet: www.tigard- or.g&I V OF i itj . Notified/Method: 774 Supplemental Information 'QUIT D1RTC, I'M /IQ irfi\i "� TYPE OF WORK '._v� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees' are based on the value of the work ❑ New construction ❑ A ition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ Oa dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 -and 2-family g ❑ Commercial /industrial ❑ Ace sory building For special information use checklist. ❑ Multi - family ❑ Master builder they: Description I Qty. I Ea. I Total • JOB SITE INFORMATION AND LOCATION / Heating /cooling Job site address: (D 3 / S � r /_ u Air conditioning or heat pump G hA lleJJle 114 ,}r y A) (requires site plan showing placement) 14.00 City /State /ZIP: T ` [4 71 ri V Furnace 100,000 BTU (ducts /vents) 14.00 Suite/bldg./apt. no.: Project name: Furnace 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 4w 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: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances . DESCRIPTION OF WORK Water heater 10.00 Gas fireplace , 10.00 / (( r Flue vent for water heater or gas ' ,' t C,j / 34 pat n fireplace 10.00 (N J JJJ "'� ( /�. �" Log lighter (gas) 10.00 . FP r V rC,i i Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER _ I ❑ TENANT Chimney /liner /flue/vent 10.00 Other: _ 10.00 Name: 1 , -)f 0 7 1 f j Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 (ZAPPLIC T ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: 5 u i4 r b aw P o fir a Fuel piping Contact name: (ra (� ( Furnace, etc. $5.40 for first four; $1.00 for each additional V . / Address: / 00 7..0 S, (,v GS G� ff 1/P ( � Gas heat pump City /State /ZIP: `t (4` ) ( 7 ) , 0 Wall /suspended/unit heater Phone: ( ) 6 �L(� f64 I Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Clothes dry r (gas) Business name: S 4,,i Q Al O..e Other: 0" e -Jo r Address: / V ® ',S S (.d C tierce"; d„ e MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) 7, , 56 Plan review (25% of permit fee) CCB lic.: l 1.I 7 q 61 y1111.0q State surcharge (8% of permit fee) 5 51.9 TOTAL PERMIT FEE /7c. 30 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: 6/1/216 * Fee methodology set by Tri- County Building Industry Service Board 1: \Building\Penn its \MEC- PermitApp.do /06/06 440 T (I I / 02/COM/WEB) • Mechanical Permit Application - City of Tigard Page 2`- Supplemental Information Commercial Fee Schedule: Total Valuation: ;. 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 .510,000.00 $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 #: MEC200S -00: 68 13125 SW Hall Blvd., Tigard, OR 97223 // DATE ISSUED: 6/12/2006 Phone: (503) 639- 4171°tl°I Inspection Requests (24 Hrs.): (503) 639 -4175 „.':W �f .. INSPECTION WORKSHEET FOR DATE: 8/1412007 TIME: 7:00AM PAGE: 57 SITE ADDRESS: 10310 SW CANTERBURY LW CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 005 TYPE OF USE: PROJECT NAME: WCCCA 911 MONOPOLE TOWER DESCRIPTION: Install 3/4" poly pipe only for generator. Value: $200.00 OWNER: CITY OF TIGARD, PHONE #: 503 - 639 -4171 CONTRACTOR: SUBURBAN PROPANE LP PHONE #: 503-639 -8691 Inspection Request Scheduled For: Date: 8/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 053927 -01 503-632 -2012 N Corrections /Co ents /Instructions: , r - v el,_,A---C- 7 . T.fi 3 ,..._ a lk_____ , 4 __. 4 4 ( \ r' • PASS ri PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " (.", Date: I " Phone #: (503) 718- 2-Y CITY OF TIGARD " X � BUILDING DIVISION �� .1 PERMIT #4;11)66 -p d2-4' 13125 SW Hall Blvd., Tigard, OR 97223 0 DATE ISSUED: I io Phone: (503) 639 -4171 „�ii0'll j r Inspection Requests (24 Hrs.): (503) 639 -4175 .. '=A °z__.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /03 / 0 / j / CLASS OF WORK: SUBDIVISION: / OT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: co PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: , - (S -0 CP .$eurT e: e __________ ...---___,______-. C ode # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: / 04-ia O /, ( J2 —10 ,/71-14/ e 77 a - 0 g� IN rA i ", 8 r - ( . to(u -- c? . 9 . , \O/a6 1 4 2- P 1 I PARTIAL APPROVAL fI CANCEL n NO ACCESS (l FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /� Cl d, ‘6 Date: lL f C o Phone #: (503) 718- 2.kf2 (l 1 CITY TIGARD `- BUILDING DIVISION PERMIT #: MEC0060068 13125 SW -Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12i2006 Phone: (503) 639 -4171 : A iNT Inspection Requests (24 Hrs.): (503) 639 -4175 =.. INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:22AM PAGE: 83 SITE ADDRESS: 10310 SW CANTERBURY LN CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 005 TYPE OF USE: PROJECT NAME: WCCCA 911 MONOPOLE TOWER DESCRIPTION: Install 3/4" poly pipe only for generator. Value: $200.00 OWNER: CITY OF TIGARD, PHONE #: 503 CONTRACTOR: SUBURBAN PROPANE LP PHONE #: 503 - 6:9-8691 Inspection Request Scheduled For: Date: 6/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 031608 -01 503 - 639"8691 Y Corrections /Comments /Instructions: r --7©.2 0 7e Q �'`j�yU1 l ik) -T4t4 3 7(e Zc.o9 I. _ . �► — i I A A ,-- c_i 1 • 1 PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ____ Inspector: Date: & C5 OCC Phone #: (503) 718 - ''''Z--1