Permit r 1111111 o CITY OF TIGARD MECHANICAL PERMIT
e COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00552
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/7/2008
PARCEL: 2S 104 BA -03700
SITE ADDRESS: 14066 SW NORTHVIEW DR ZONING: R -12
SUBDIVISION: CASTLE HILL NO. 2 LOT: 070 JURISDICTION: TIG
PROJECT: SMITH
Project Description: Installing gas line and gas log lighter.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
SCOTT SMITH Description Date Amount
14066 SW NORTHVIEW DRIVE
PORTLAND, OR 97223 [MECH] Permit Fee 11/7/200E $72.50
[TAX] 12% State Surch 11/7/200E $8.70
Phone: 503 502 - 3562
Total $81.20
Contractor:
ALL FUEL INSTALLATION & SERVICE LLC
PO BOX 69 REQUIRED ITEMS AND REPORTS
TR OUTDA LE, OR 97060
Contact #: PRI 503- 674 -2350
FAX 503- 674 -2693
Reg #: LIC 169503
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.
r
Issued By Permittee Signature: ..,0 `� /�c 75?i'l./
Call 75 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.
Mechanical Permit Application l (0; (aim l I .• ()Ni ,
City of Tigard ��
13125S al l 4 71 T Faxtl 503.59 ±' , ' ^ o � �� ehher Permit' / • _ ,
Phone: , i , ; t is , , Inspection Linc: 503.639.4175 `' tuff. ® See Page 2 for
Internet; www,tigard-or,gov WI 1 `o ,�.� 'p�"� Tr& Supplemental Information
TYPE OF W 0 V 1 ‘�1� Sl � N COMMERCIAL FEE* SCHEDULE — USECHECKLIS'T
* ace - Mechanical permit fees* are based on the value of the work
❑ New Construction ® Addition /xltcrtt -
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑Other:
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION _ Value: $
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
For special information use checklist.
❑ Multi - family ❑ Master builder
❑ Other; Description I Qty. r Ea I 'total
JOR SITE INFORMATION AND LOCATION Hcatioe?cooling
Job site address: 14066 SW Northview Drive Air conditioning or heat pump
(requires site plan showing placement) - 14.00
City/State/ZIP: Tigard, OR 97223 FumaeC 100.000 Hill (ducts/vents) 14.00 -
Fumace 100.0001-BTU (duets/vents) 17.90
Suite/bldg. /apt, no.: Project name; s f►�y Gas heal pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential hailer (radiator or
hydronic) 14.00
Unit heaters (fuel -type. not electric).
in -wall, in- duct, suspended, etc. 14.00
Subdivision: IAA no.: Flue/vent for any of above 6,80
Other: 10.00
Tax map /parcel no.: Other fuel appliances _
_ DESCRIPTION OF WORK Water healer 10.00
Cas fireplace . 10.00
Install gas line and gas log set
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) _ 1 10.00 10.00
Wnruf/pellet stove 10.00
Wood fireplace /inserl 10.00
® PROPERTY OWNER [ 0 TENANT Ot y/liner /flue /vent 10.00
Other: 10.00
Name: Scott Smith Environmental exhaust and ventilation
Range hood/other kitchen
Address: Same as above equipment 10,00
City/State/ZIP: Clothes dryer exhaust _ ! , 10.00 -
Single -duct exhaust (bathrooms,
Phone: (503)502 -3562 Fax: ( ) toilet compartments, utility rooms) 6.80 .
® APPLICANT ❑ CONTACT PERSON Anic /crawlspacc fans 10.00.
Other: 10.00
Business name: See Below Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: �~ _ Furnace, etc.
— Gas heal pump ,
City / State/LIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater ,
Fireplace 1 5.40
E -mail: Range
CONTRACTOR Barbecue
Business name: All Fuel Installation and Service
Clothes dryer (gas)
- - Other.
Address: PO Box 69 MECHANICAL PERMIT FEES*
City/ State/ZIP: Troutdale, OR 97060 Subtotal 15.40
Minimum permit fee ($72,50) 72.50
Phone: (503) 674-2350 Fax: (503) 674-2693
Plan review (25% of permit fee)
CCR lie.: 169503 - State surcharge (12% of permit tee) 8.70
' z TOTAL PERMIT FEE 81.20
7 (� �/ This permit application expire if a permit is not obtained within 180
Authorized signature: \ lJ p days after it has been accepted as complete.
4 r i r e• l r, r., n
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C!Ty 9F TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00552
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2000
Phone: (503) 639- 4171 0-.:�i
Inspection Requests (24 Hrs.): (503) 639 -4175 I ..
INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7:O0AM PAGE: 4
SITE ADDRESS: 14066 SW NORTHVIEW DR CLASS OF WORK:
SUBDIVISION: CAS1LE HILL NO. 2 LOT #: 070 TYPE OF USE:
PROJECT NAME: SMITH
DESCRIPTION: Installing gas line and gas log lighter.
OWNER: SMITH, SCOTT PHONE #: 503-502-3562
CONTRACTOR: ALL FUEL INSTALLATION & SERVICE LLC PHONE #: 503-57423,0
Inspection Request Scheduled For: Date: 11/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 ( Gas Tine _ -_ - 07798(} -01 503-502-3562 N
Corrections /Comments /Instructions:
if — ...c: l i S " C
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
do4
Inspector: Date: / i — / 2---a o Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200B -00552
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: '11/7/2008
Phone: (503) 639 -4171 iA iii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7:00AM • PAGE: 35
SITE ADDRESS: 14066 SW NORTHVIEW DR CLASS OF WORK:
SUBDIVISION: CASTLE HILL NO. 2 LOT #: 070 TYPE OF USE:
PROJECT NAME: SMITH
DESCRIPTION: Installing gas line and gas log lighter.
OWNER: SMITH, SCOTT PHONE #: 503 502 - 3562
CONTRACTOR: ALL FUEL INSTALLATION & SERVICE LLC PHONE #: 503-674 - 2360
Inspection Request Scheduled For: Date: 11/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 078009 -01 503502 -3662 Y
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /1— !¢--e98 Phone #: (503) 718- ?4.--46j