Permit ,s:: r
CITY TIGARD MECHANICAL PERMIT
`fir �6 DEVELOPMENT SERVICES PERMIT #: MEC2006
- - g� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/17/2006
PARCEL: 2S102DB - 08700
SITE ADDRESS: 09076 SW HILL ST ZONING: R - 4.5
SUBDIVISION: CHELSEA HILL NO.2 LOT: 064 JURISDICTION: TIG
Project Description: Install approximately 40' of gas piping to range location.
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:
< =10000 cfm: OTHER UNITS:
FURN > =100K BTU: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
RICHARD SMALL Description Date Amount
9076 SW HILL ST [MECH] Permit Fee 1/12/200€ $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 1/12/200€ $5.80
Phone: 503 624 - 6495 Total $78.30
Contractor:
KOEHLER CONCEPTS LLC
10772 SE HWY 212 REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Contact #: FAX 503- 650 -1220
PRI 503- 650 -9550
Reg #: LIC 120277
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 0 - ° *01 -0180. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1-8e1-332-2344.
�
Issu - d By: _ __ A Permittee Si • ,.� .� AA,� r ;
Call 503 - 639 -4175 by 7:00 a.m. for inspections tha •usiness 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.
CITTOF TIGARD
BUILDING DIVISION - PERMIT #: M EC2006. 00027
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2006
Phone: (503) 639-4171 at
inilii
Inspection Requests (24 Hrs.): (503) 639-4175 .. ......-, --
INSPECTION WORKSHEET FOR DATE: 1/19/2006 TIME: 7:03AM PAGE: 63
SITE ADDRESS: 09076 SW HILL ST CLASS OF WORK:
SUBDIVISION: CHELSEA HILL NO.2 LOT #: 064 TYPE OF USE: /
PROJECT NAME: SMALL
DESCRIPTION: Install approximately 40' of gas piping to range lowti!.?rt.
OWNER: SMALL, RICHARD
)..------- PHONE #: 503624-6495
CONTRACTOR: KOEHLER CONCEPTS LLC PHONE #: 503-650-9550
Inspection Request Scheduled For: Date: 1/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 025249-01 503-624-6195 N
Corrections/Comments! Instructions:
•
• 1 ,,. -d et.. 2.0 e / _.(__A" _.t .9.77...40.--
Z PASS ri PARTIAL APPROVAL 0 CANCEL H NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 4
9- Date: 1/9_1___/ 6 i Phone #: (503) 718- 27O 0 4
CITY OF TIGARD
BUILDING DIVISION - - '
A PERMIT #: MFC200600027
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1i1ii2006
Phone: (503) 639-4171 47 4114
Inspection Requests (24 Hrs.): (503) 639-4175 4 . 7 13-4 1.L.
INSPECTION WORKSHEET FOR DATE: 1/23/2006 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 09076 SW HILL ST CLASS OF WORK:
SUBDIVISION: CHELSEA HILL NO.2 LOT #: 064 TYPE OF USE:
PROJECT NAME: SMALL
DESCRIPTION: Install approximately 40' of gas piping to range location.
OWNER: SMALL, RICHARD PHONE #: 603-624-6496
CONTRACTOR: KOEHLER CONCEPTS LW PHONE #: 503-650-9550
Inspection Request Scheduled For: Date: 1/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 025392-01 603-624-6493 N
,7--
- tokr_Vect
t
C Instructions:
• CI( .
,
r \ .
__. ---------
PASS I I PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
n FAIL CALL FOR I , SPECTION 0 ADDITIONAL FEES ASSESSED
f
Inspector: Or Date: ( 7.-- 06 Phone #: (503) 718- 7IC0--