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Permit C ITY OF TIGARD MECHANICAL PERMIT NI . COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00545 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/7/2006 PARCEL: 1 S125CD -07900 SITE ADDRESS: 09909 SW LANDAU PL ZONING: R -4.5 SUBDIVISION: TIGARD WOODS LOT: 005 JURISDICTION: TIG Project Description: Installation of gas piping fopr BBQ 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: 1 Owner: FEES JIM NICOLA Description Date Amount 9909 SW LANDAU PL TIGARD, OR 97223 [MECH] Permit Fee 11171200€ $72.50 [TAX] 8% State Surchar€ 11/7/200€ $5.80 Total $78.30 Phone: 503 452 - 5560 Contractor: ALL FUEL INSTALLATION & SERVICE LLC PO BOX 69 TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS Contact #: PM 503- 674 -2350 FAX 503 - 674 -2693 Reg #: LIC 169503 This permit is issued subject to the regulations contained in the Tigard Munidpal 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. Issu y: j Permittee Signature .. ,\ g; � /�/,�1�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. Ipprr 18:06 » 5035981960 P 2/3 Mechanical P ri,Anpli�,cation - . ''', City of Tigard Received 7 Permit No.:� 7p 13125 SW Hall Blvd., 5 g RECEI Fi E® Date/By: rf C Blvd., Tigard, OR 972 Plan Review 1 II . Ph one: 503.639.4171 Fax: 50 3.598.1960 _ DateBy: Other Permit: ' t �, 1 t Inspection Line: 503.639,4175 NO V 6 2006 Daft keadyBy: Jurlf. See Page 2 far Internet: www- tigard- or.gov Notified/Method: 6. SuppkmentalInformat CITY OF TIGARD -- - TYPE OF 9 -DING DIVISION COMMERCIAL FEE' SCHEDULE -• USE CHECKLIST ❑ New construction jg] Addition /alteration /replacement Mechanical permit fees" arc based on the value of the work performed, Indicate the value (rounded to the nearest dollar) of all 0 Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value; $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family ❑ Master builder ❑ Other: For special tn/ori►urJion use checklist. Description I Qty. I Ea, 1 "Dotal JOB SITE INFORMATION AND LOCATION Ileating/cooling Job site address: 1 q 0 el S W Air conditioning or heat pump L y h 41 n 1^ F 1. (requires site plan showing placement) 14.00 City/State/71P: 41 0 r C 1 a a 3 Furnace 100,000 RTII (duets/weds) 14,00 Suite/bldg. /apt, no.: Project name: Ptunae a 100.000+ BTU Outs/vents) 17.90 Gas heat pump 14,00 ( :mss street/directions to job site: Duct work 14.00 W_. 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 Flue /vent for any of above 10,00 Subdivision: Lot no" Other: I0,00 'Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10,00 Gas fireplace 10.00 - 1 v< 5 . i '\ 1 ft S. i s n Co ,r iS ik Q, Flue vent for water heater or gas T fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 —m _ Wood fireplace/insert - 10.00 PROPERTY OWNER ❑ TENANT O eylliner /Itue /vent 10.00 Other:_ j 10.00 10. 00 Name; '' ■ tM k CO t e1 Environmental exhaust and ventilation p rw / Range hood /other kitchen Address: 1 t �I 54x) ( -krn)t to p \ . equipment 10.00 City /State/7,[P• 1 to <, ) � (i.:1_43 s C lothes dryer exhaust 10.00 0 r Single -duct exhaust (bathrooms, Phone: (Sp'3 ) 14 c a _ ss p Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.0(1 Business name: . Fuel piping Contact name: S5.40 for first four; $1,00 for each additional Address: Furnace, etc. Gus heat pump City /State/7.1P: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water healer • Fireplace - E -mail: Range _ CONTRACTOR Barbecue I S- B { Clothes dryer (gas) _ , Business Hume: ©`� cNtA Th , I .,,, ,kittA a $ (srv t (LC. Other; Address: 4 p Qx (0 ct _ , MECHANICAL PERMIT FEES* City /State/71P: -F 4 ti } J NI f 1 1 \ 1 .^ 1 Subtotal O (rl Q za: Minimum permit fee ($72.50) 1 S- `1 u 51) Phone: (S 0' ) -) 5(� M. Fax: ( ,� 0s) 0-1 y - ti 3 plan review (25% of permit fee) CCBlie.: I ( State surcharge (8% of permit fee) S. `, TOTAL PERMIT FEE r•• $ 3 Q ` Ills permit a ppleation expires if • permit is not obtained within 180 Authorized signature: Z / ( -- days after it has been accepted as complete. . 1= r.L .. 1.4.P t 11.3 CITY OF TIGARD A /0 BUILDING DIVISION \ PERMIT #: IvIEC2006- 00545 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2006 Phone: (503) 639-4171 . No 1 1141\ Inspection Requests (24 Hrs.): (503) 639-4175 • INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:041AM PAGE: 58 • SITE ADDRESS: 09909 SW LANDAU PL CLASS OF WORK: SUBDIVISION: TIGARD WOODS LOT #: 005 TYPE OF USE: PROJECT NAME: NICOLA DESCRIPTION: Installation of gas piping fopr 660 OWNER: NICOLA, JIM PHONE #: 503-452-5560 CONTRACTOR: ALL FUEL INSTALLATION & SERVICE LLC PHONE #: 503-6742350 Inspection Request Scheduled For: Date: 11/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 039621-01 503-781-4935 Corrections/Comments/Instructions: b77 MCCHAA),r f AJL Y ASS I I PARTIAL APPROVAL fl CANCEL NO ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: / 1/4/11 Nt/ Date: 11/13/ Phone #: (503) 71 -8/).