Permit C ITY R O F TIGARD MECHANICAL PERMIT
• ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00170
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/4/2008
PARCEL: 1 S 125DB -06600
SITE ADDRESS: 07085 SW SHADY CT ZONING: R-4.5
SUBDIVISION: SHADY DELL NO. 2 LOT: 039 JURISDICTION: TIG
PROJECT: AYUB
Project Description: Installing gas line for stove.
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:
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:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
MOHAMMAD AYUB Description Date Amount
7085 SW SHADY CT
TIGARD, OR 97223 [MECH] Permit Fee 4/4/2008 $72.50
[TAX] 12% State Surch 4/4/2008 $8.70
Total $81.20
Phone: 503- 246 -3105
Contractor:
A 1 INSTALLATIONS
8116 SW DURHAM RD
TIGARD, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 620 -5657
FAX 503- 620 -1696
Reg #: LIC 150109
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ��, ` P- r ittee Si • nature: i / � -,e%r/)
Call 503.63 • 4175 by 7:00 a.m. for inspections that business da
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
..:,._
- glehanical Permit FOR OFFICE USE ONLY
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t -- - City ot"ligard "ceivm - AVAIV Pemth*
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, , q i 3125 SW Hall Blvd., Tigard, OR 97223
I •
APR 3 2008 Date/By: 4.4. No a ?t 4
Other Permit:
. m Flan Review
' `' Phone: 503.639.4171 Fax: 503.598,1960 Date/By:
inspection Line: 503.639.4175
TIGARD Date Ready/By: Juris: 0 See Page 2 for
Internet wvvw.tigard-or,gov CITY 0; TIGARD Notified/Method: Supplemental Information
BVILnirklr mvisinN .
.•-.oi7t ''::;:i;:;; !'[:;;':':':: 1COMiviikikt44°.::$, dtk.1104E
Mechanical permit fees are based on the value of the work
0 Ncw construction e 2rAddition/alteration/replacemcnt
plo twined. indicate the value (rounded tu die nearest dollar) ur all
1::I Demolition .
0 Other: mechanical materials. equipment, labor, overhead, and profit.
Value: $
: - ' :: ' '' '., " • .. '''. ''. •;• - - CATEGORY OF CONSTRUCTION . 1:'r ".:" "',.',; : ,:,:.:::':,!:: -1'!:!:- ';'
:1. I;t0111?Si l
1llgilM,SVEE*:' ...
gl- and 2-family dwelling El Commercial/industrial 0 Accessory building „.„. ............ .... .. „.. .„ „. ,.. ,........, ., ....,....... .,... . ... .
For special information a.se checklist.
El Multi ID Master builder 0 Other:
Description Qty. I F-a. I Total
''':• ' ::::•:'' ,, :":::: # Heating/cooling
Job site address: 7 o 2 c.,:-{ Air conditioning or heat pump
Creriurres sarc plan uhowinp, plummunt) 14.00
City/State/LIP: 'M 5 k „. 7 '491 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (duet.,/vent) 17.90
Suite/bldg./apt. no.: Project name; jry 4. , N
ow, licisl Fully 14.00 ,
Cross street/directions tojob site; Duct work » .10.00
Hydronic hot water system 14.00
_ Residential boiler (radiator or
—
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in- in-duct, 5uspcndsd, etc. 14.00
-
7 • Flue/vent for any of above 6.80
Subdivision: Lot no.:
Other; 10,00
Tax map/parcel no.: Other fuel appliances
0s,itRiorrloN,,0,:*0*;, .;;,:;k:: :;.:, .,:',.,,;i!i,;:.',, Water heater 10.00
—
1 . / 0
, ,■• ' - Ced -- 1 c 41n v-Q___ Gas fireplace
Flue vent for water heater or gas
___ 10.00
fireplace 10.00
-
Logliga11__
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
' H :. ' :: :, '. .;:••1 ''..' t1,0,MS.1q tj.; ; ;:al, ', :;. ot Cl' h i m e r n GY/1 i ncrifi uck cnt 10.00 i OM
Name: ill I A- Y U i. - Envirn
omen exhaust tal eaust a tio
nd ventilan
e len 'IA Aex 'a 1 -
tt,nge hood/otticr kitchen
AcIdts s 19taLe c...7
equipment 10.00
City/Slate/ZIP: '
I a,- a 9 q- (. 3 Clothes dryer exhaust 10.00
hone: (503) a.cr 3/ 0 5 Fax:( )
single exhaust (bathrooms,
P
toilet compartments, utility rooms SAO
12;:kRitie:e4; :':,::::::'.; ; i:';;:::;;;::;::,,1:1 l idiotki :::: Attiderawlspace fans 10.00
Other: 19.UU
13usincss name: A ._ . I K, s 4 ti -i-pvt._5
, 4 . .
F,_
Contact name: • • ..5.- / t 1.-■. $5.40 for first four; $1.00 for each additiona
Address: I 1 ( ....s D I., 0,4.....
E
- Furnace, etc.
heat pump
City/State/ZIP: r'r I Gt._ '"?' C f wall/suspended/mit homer
Phone: ( S)$ ) 4 A s 6, 5'. Fax; ; ( ) • Water heater ..
Fireplace
E-mail:
Range I
':.::• ..:::'::. : :.: : '.: : ,.;:: :::?. ' T :: ,!'':: (9SIRAti '''':':'::::': ! ,:.:;:::'':. ';::H'': Barbecue . . ..
Clothes dryer (
13,..sinc.55..
Other: 1
Address: ei t U 5 u j 0 .1.1. it itt i kisitdit ttittith:p.tts'4,.;::,:y:::
City/State/ZIP: rpi CI """ cl I 7 e-)2 subwoil 7.), 5
Minimum perrnit fee ($72.50) 7)._., SZ
Phone; SO) ) 4 0 se. 5 1 Fax: ($ Lc, ci 6,
Plan review (25% of permit fee)
C lie.
. 5 . 0 i_ 0 State surcharge (12% of permit fee) r 70
TOTAL PERMIT FEE g.., at
1t1 hew; zed signature: ,--c___ _
-
This permit 'application expires if a permit is not obtained within IRI
4
Date: 44/ ?lb 8
_rile days after it has been accepted as complete.
Fir,77 Sl". ' 1
;e: . - • Fee methodology set by Tri-County Building Industry Service Board
."-+ ‘...., o 1 . N.
1:\cuilai. 1111L Apy.Juu 0 1 / I 9/07 440.40 I TT ( 1 I /02/17.01'41/WER
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200`3 001 /0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /i /20aa8
Phone: (503) 639 -4171 1/4"' ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 _..' IL
INSPECTION WORKSHEET FOR DATE: 4/8/2008 TIME: 7:00AM PAGE: 33
7
SITE ADDRESS: 07085 SW SHADY CT CLASS OF WORK:
SUBDIVISION: SHADY DELL NO. 2 LOT #: 039 TYPE OF USE:
PROJECT NAME: AYUF3
DESCRIPTION: !ridging gas line for stove
OWNER: AYUE3, MOHAMMAD PHONE #: 503-246-3105
CONTRACTOR: A 1 INSTALLATIONS PHONE #: 503-620-5657
Inspection Request Scheduled For: Date: 4/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 068014 -01 503- 246-3105
Corrections /Comments /Instructions:
I L-i - Z - = i t l t••-/
Fmj _
4
(K PA - % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ i 718- Inspector: _ Date: ater O Phone #: (503) 718 C / r -
ell