Permit •
•
C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00456
��) I 13125 SW Hall Blvd., Tigard, OR • 97223 503 - 639 -4171 DATE ISSUED: 7/29/2005
• PARCEL: 2S111AD -15200
SITE ADDRESS: 09059 SW REILING ST ZONING: R -4.5
SUBDIVISION: MALLARD LAKES LOT: 018 _JURISDICTION: TIG
Project Description: Gas piping to range.
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:
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: 1
•
Owner: FEES
BURR, NORMAN S /KATHLEEN E Description Date • Amount
9059 SW REILING
TIGARD, OR 97224 [MECH] Permit Fee 7/29/200: $72.50
[TAX] 8% State Surcha 7/29/200: $5.80
• Total $78.30
Phone: 503- 620 -4528
Contractor:
BURFITT PLUMBING INC
6223 NE HASSALO
PORTLAND, OR 97213 REQUIRED ITEMS AND REPORTS
Phone: 503- 287 -1267
• Reg #: LIC 1076
•
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. .
•
Issued By: � £ Permittee Signature: YP;Q
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.
•
07/27/2005 15:00 FAX 503 3313933 BURFITT PLUMBING, INC. 0 001
Mechanical Permit Appiicatio i Olt i Pi( I: l sr (, N l .1
City of Tigard V ' ° � Ph x � tj
13125 SW H a l l B l v d , Ti_ �')• : t El > Q '� �h;t o.. V • �U
Phone: 503.639.4171 Fax: 0 .98.1960 <... �,,, r .
Plan Other pent
,. �Y:
.Inspection Linc: 503.639.4175
Internet www.cillgard.or us U t) 6° 20 ' � ,I IL. ., 1)atBie/hy: �O Ready/BY: 83 Sec Page 2 2 for
Notified d: Supplementallnfornration
GaT f O TIG � A ,� R git' . .
. , wo ...,:. FEE. sC�£ • .... � .. ...... • comnvl�.Rt�AL � : nt�r �e�� - c1�cl�asr •
M
0 El New construction Addition/alteration/replacement
permit fees` are based on the value of the work
❑ Demolition Other performed Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipmem; labor overhead and profit.
CATEGORY• OF Value: $
(3 l- and 2 -fancy dwelling El Commeiciofmdusttiai ❑ Accessory building R1L4iDENi'iAL : EQYJIPMENi / SYSTEMS FEES"
11 Multi-family ❑ Master builder CI Other Far special !►{J6►madar use checklist.
Description 1 Qty- 1 Ea_ + Total —
: .. ;JOB -SITE, INFORMATION AND LOCATttflty • • : : fleating/cooing • Job site address: 1tO5a cut. E6 t 415 Air conditioning or heat pump
(requites site plan showing placement) 14.00
City/State/ZIP: - r 1 sox d DR Furnace 100.000 BTU (duetsivaets) 14.00
Furnace Suite/bldg/apt_ no.: I Project name: CA 1 •f 0 f vt ( � 1
100, poo +BTU (ducts/vents) ) 14.00
Gas beat Cross sfreet/diredions to job site: Duct work 14.00
liydronic hot water system 14.00
Residential boiler (radiator or ,
hydronic) 14.00
---• - Unit heaters (fuel-type, not electric),
in in-duet, suspcndod, cac. 10.00
Subdivision: I Lot no -: Flue/vent for any of above 10.00
Other. 10.00
Tax map/parcel no.: Other Nei appliances
DESCRIPTION • OF WORK ' .;:: ; . ' .. '.. .
�,} � 1� Q m afar heater 0 1 00
1 J'1�n 1 ��bdJi� glen vent for water heater or gas 10.00
fireplace 10.00
Lo fighter (gas) 10.0
_ Wood/pellet stove 10.00
Wood 5replaccJinscrt 10.00
. Chimney/liner/flue/vent _ . 10.00
' (] PROPERTY.: OWNIER . •. • � : �. � •.: - '. ' �(]:: T�TIAN'P_� " :. �� 10.00
Name: Environmental exhaust and ventilation _
Address:
Range hood/other kitchen
equipment 10.00
City /State/Z1P: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone ( ) Fax: ( ) toilet compartments. utility rooms) _ 6.80
la APPLICANT : .: CI :COIWTACT ]PERSON Attidcrawlapacc fans 10.00
Other .
Business name: -
Fuel piping
Contact name: $5.40 for first four, 51.00 for each additional
Address:
Furnace, ac.
Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) );ax:: ( ) Water heater .,
-- Fireplace
E-mail:
GONT1tA4T012' Barbecue
Business name; Ba,r4 W' '1 hov11o1,� c.. t n Clothes dryer (gas)
NI � Other
Address: (0 2. N e Ssa to • : •. • • MECHANICAL ; PERMIT FEES* • •
City/State/ZIP: POrf k.kin(Q 0 12 9, Z 2_1 Subtotal 5.40
Phone: ( 5(S) 2Q-1— 17-0 t Fax: ( 351 -31 33 Minimum permit fee ($72.50) 7 2.5r)
Cl� lie.: flan review (25% of permit fcc)
b1 � State surcharge (8% of permit fee) , SO
TOTAL PERMJT FEE Td
Authorized signature : f es
i/ This permit application pir+es if a perm is p
it ot obtained within 180
v II. days after it has been accepted as complete. •
r-' -• --- r i ,\ R ■- -trmicCe 1 s / 1 4 1 0 /• • Fr.. ,nnMvrin1 w hy Tr►!`..nv.. n..:U:.... 1...1...... C...� sxr�.h
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00456
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/29/2005
Phone: (503) 639 -4171 7016 Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/1/2006 TIME: 7 PAGE: 72
SITE ADDRESS: 09059 SW REILING ST CLASS OF WORK:
SUBDIVISION: MALLARD LAKES LOT #: 018 TYPE OF USE:
PROJECT NAME: BURR
DESCRIPTION: Gas piping to range.
OWNER: BURR, NORMAN S/KATHLEEN E, PHONE #: 503-620 -4628
CONTRACTOR: BURFITT PLUMBING INC PHONE #: 503287 -1267
Inspection Request Scheduled For: Date: 8/1/2405 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 012505-01 503- 287 -1267 N
Corrections/Comments/Instructions:
j i . V
k IA/
K-Rie9 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑
FAIL ALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: Date: 4 �'— 0 J Phone #: (503) 718-