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Permit ` CITY OF TIGARD MECHANICAL PERMIT 'u'�' Io' DEVELOPMENT SERVICES PERMIT #: MEC2004 -00773 "'�I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/29/2004 PARCEL: 2S111 CC -05700 • SITE ADDRESS: 10020 SW CENTURY OAK DR SUBDIVISION: SUMMERFIELD ZONING: R -12 BLOCK: LOT: 080 JURISDICTION: TIG 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: 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: > 10000 cfm: GAS OUTLETS: Remarks: Installation of gas line for water heater. Owner: FEES COOBS, KATHRYN Description Date Amount 10020 SW CENTURY OAK DR [MECH] Permit Fee 11/29/20( $72.50 TIGARD, OR 97223 [TAX] 8% State Surcharl 11/29/20( $5.80 Phone: 503 670 - 9160 Total $78.30 Contractor: GEORGE MORLAN PLUMBING 2222 NW RALEIGH PORTLAND, OR 97210 REQUIRED INSPECTIONS Phone: 503 Gas Line Insp Final Inspection Reg #: LIC 2734 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. Issued By: :Z: ,t5 Permittee Signature: � p),p Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day M NOV -29 -2004 12 21 GEO MORLAN PLMG SVC 503 265 0538 P.01 echo ical �'erli�lt Cd u R eceived rv ►ti�..a.,. ,, Date/B : / / / V i Permit No.: } � .Buildi �e ..., City o ` Planning A B �� >G C -�U I `Tigard ^ O � Da_Sy; Permit No.: \\ 'l / 13125 SW Fall Blvd. �� Od L Pl Review Other 7 71 Permit No.• Tigard, Oregon 97223 O� � ' GQ +Q`o Date/By.: Land use A Post- Review Phone: 503 - 639 -4171 Fax: 5 0• �..A irs ; Date/By: Case No.: cte i `l) l �� See Page 2 for Internet: vnvw.ci- tigard.or.us 6 Contact - Name /Method; . J /(r $upplementallnforrnation. 24 -hour Inspection Request: 50 ::Ca111 ei1` `F1El {tSCIM 1 »1411: StiiGBECFI: 87 ' . ' • New construction Demolition Mechanical perrnii fees" are based On 'the total value of the work performed- indicate the value (rounded to the nearest dollar) of all n Addition /alteration/re•Iacement II Other: m anica equipment, labor, an o i . - " f " i , . . R• o - ..'' 1 i {I ?;rr::s;.• :.... , 1 O. i u cch I materials, c i m nt la or d pr t . • '�� - -� �� �' �- �� ���' Value: $ vTo See Page 2 for Fee Schedule 1 & 2 -1 anvil dwellin Commercial/Industrial ; .,5 A • ' e , � t � :'.,- : , ` che d ; • Accesso Building • Multi Multi-Fan Description Qty Fee(ea9 Total • Master Builder 1111 Other: ITcatlnpf Cooling � ` i Furnace - add -on air condition : :: � c$E�5 ,' )�� at ►d�2O:t�AT ,_ OAT�: ". +- :'� ° .. in ** 14.00 . i -. 44�{ I) rs G heat p um p . , 14.00 Job site address: MX) LC) G.. Duet work 14,00 Bld fA t #: = Suite #: g H dronic hot water 6 stem 14.00 Project Name: 00 6 Residential boiler Cross street/Directions to job site: (for radiator_or hydronic system) 14,00 Unit heaters (fuel, not electric) (in wall, in- duct, sus 'ended, etc. 14,00 Flue/Vent (for any of above 10 -00 Re air units - 12.15 Subdivision: — Lot #: • Othcr:Fuei Appllancea• , • • • Tax ma. /.arcel #: Water heater 10.00 r; E':. :: :i 10.00 'i u; ,r, ;:;::- :d,.. Gas ftrehlacc �r- r, ,D�E$.�RL : 1�T��.d1"'::V�.OR>EC:i�`:�... C j r. .e.. Ft ( �) � Flue vent (water heater /bas fireplace) 10 -00 - 5 Log liltter (gas) _ 10.00 .. - Wood/Pellet stove �� 10.00 Wood fireplace /insert 10.00 • Chimney /liner /flue/vent . —. 10,00 - Ot 10.00 IIELials "'j 1 ; r t'; firs'::, he r: l± nvit» iiiental!Exhaust •& Veotilatlon; Name C./>O • �� } r Range hood /other kitchen equipment 10.00 Address: ss: _ Clothes dryer exhaust 11111 10.00 City /State /Zip: _ _ Single duct exhaust Phone: , ' , ft; 6 Fax: (bathrooms, toilet compartments, "` utility rooms 6.80 Attic/crawl space fans 10.00 Name: Other:.. 10.00 Address: . . ' .. .. Euel"Pi.in : ' ._, City /State /Zip: **($5.40 for first 4, $1.00 each additional) Fax: Furnace, etc. s* Phone: r Gas heat pump ** E -mail: ' Wall /sus p ended /unit heater ** — e t,4i) • - r; y , Water heater «s CO�ilJ111<tA _ _ ` Business Name: /'_ L C� r'' i�h Fireelaee ** t? l q' — —" ** Address: A W l v Ra nge _ BBQ 4.4 City /State /Zip: . Q'- ! D Clothes dryer (gas) «* Phon _ -/ yN' Fax p u t s - .. ....cis P Other t plfj pis - 7-- - W — CCB Lic. #: Z Total_ 3 Me c ha nic a l Permit Fees" Authorized q �/ �� Subtotal: $ Signature: 4 I -'1.: `�� 1.. Date: �/ / '0 7 Minimum Permit Pee $72.50 $ 7„Z r D t w q - _ � ' Plan Review Fee (?5% of Permit Pee) S �.1 /V (Please print name) State Surchar a 8% of Permit Fee $ 5 ` TOTAL PERMIT FEE $ 1 , ,I'D Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry Service Board - 180 days atter It has been accepted as complete. ••Site plan required for exterior A/C units. i; \DSts\i'ermit Forrtls \MecPermitA,pp -doe 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection' Line: (503) 639 -4175 INSPECTION DIVISION Business °Line: (503) 639 - 4171 MST BUP Received Date Requested L AM PM BUP Location l Q b 0`6 -P '� Suite I V-6 7 3 Contact Person i Ph ( ) - PLM Contractor Ph ( ) SWR BUILDING Tenan • , r ELC Footing 69 - 76 - ! ad • Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear � 1 1 mop • Framing ` — Insulation li Z ® 4 -o 0 (.4„, ac , Al c \ Drywall Nailing ]-57 ,� Fi rewal I l� -C — z © 4 - g , C ; Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING - _ Post & Beam Under Slab Rough -In Water Service Sanitary Sewer C''\i • 'r ) � V L,1 Rain Drains ^ ) Catch Basin / Manhole A\L— � Storm Drain {J Shower Pan Other: Final PASS RT FAIL C CHAN ' AL Poste :earn 1 Rou as Lin ii • e Dampers S --mos PART FAIL EL L Service Rough -In UG /Slab Low Voltage farm • PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line % ADA Approach/Sidewalk l Approach/Sidewalk Date I / c Inspector Ext Other: Final DO NOT REMOVE this inspection record from the ob site. .PASS PART FAIL