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Permit 4 CIT Y ' OF TIGARD MECHANICAL PERMIT ! v ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00337 TIGARD DATE ISSUED: 6/27/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 DD -05900 SITE ADDRESS: 15920 SW STRATFORD LP ZONING: R-4.5 SUBDIVISION: STRATFORD LOT: 056 JURISDICTION: TIG PROJECT: THORSON Project Description: Line for gas range and BBQ CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: 2 > 10000 cfm: GAS OUTLETS: Owner: FEES MARLYNN THORSON Description Date Amount 15920 SW STRATFORD LP TIGARD, OR 97224 [MECH] Permit Fee 6/27/200€ $72.50 [TAX] 12% State Surchai 6127/200€ $8.70 Phone: 503- 245 -3185 Total $81.20 Contractor: BEN'S HEATING & AC PO BOX 80607 REQUIRED ITEMS AND REPORTS PORTLANDD, , O R 97280 OR Contact #: PR! 503- 233 -1779 FAX 503 -651 -3345 Reg #: LIC 64597 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 OU NC by calling 503.246.6699 or 1.800.332.2344. Issued By: 9—ryt Permittee Signature:. 4' I / i ;j / Call 503.639.4175 by 7:00 a.m. for inspections that business �-a 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. JUN -27 -2008 06:55 AM BENS HEATING 503 651 3345 P.01 A Nileei anical Permit Aa l t tl( (/1 t It I t i t)N1 , City of Tigard CEIVED . • `ed Permit No.: • 13125 SW Hall Blvd., Tigard, Pate/11 ' 'I / • V I. 2 bI , -be) Bard, OR 97223 • lap Review / 0 Phone: 503.639.4171 Fax: 503.598.1960 p : Other Permii: Inspection Line: 503.639.4175 J U N 2�C Al. I Dab Ready/By: ' pile Pogo 2 for (Internet: www.tlgard- or.gov Nom Supplemental Information ■, CITY OFTIGARD 'a1a[�v' a�'r'3^ ✓ �. 41:' +, y ( s{ I �'frik .p�,` MA'rt 9 �''` •�aa;P -a r. r.,. • �Imw'(u1IT,E1ta7 i � /,,• 1 , rt ry 9 o a i SC I L DULE ; -' , 6 S - MAST • H .dl ii t..5�It4 /�fii;d n �... ..sails'. »).�:G�.at;l. ill /, ; �•�. ;�� ��! � ,.._ �:, -, _ ❑ New construction Ig Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials, equipment• labor, overhead, and profit, K K:a � a �'� l,l l v , :i +'�q `l 1 t�Iepti ) Y''p�,r1 �+lnn.y 1 o i .r1 ; " 2 �? S �C �y h� 1�{ r Value :: y S f �i �i�IrtAx(9+ tMli iV��t�C�1'J3; 'I.Ruak.,vl d��:l.. co-eitb4,k7i'tiii i li�u.•r.. � 1� � .. ,r'��61'... 0.1*: . Vin: 11 lV 'r d . / EM F _ 40 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building t / 1 � � . : For special igjormallon use cheekltsl ❑ Multl family Yw ��yy © Masters builder l isp � Other: Description r Qty. ( Ea, 'total ,' : " C . , , :;n 104 - T 1'r_ . � ii Q!�' lY tut RE"01!'� �I�`s4 {,. "41 11d4�, ii • Heating/iticool {ng � � Ddr'. ira�c .n.:11JR M1I:.. %3�,T� �jahYAVf'0:.3X�!'45hhR Job site address: • Alt con or heat pum l , I ry 1 v� (regPlrQs sits plan showing placrindnt) 14.00 City/State/ZIP: .f 4. 9721 Furnace 100,000 BTU (duals/vente) 14.00 Q Ranee 100,000+ BTU (duotalvents) 17.90 Sulte/bldgJapt. no.: 1 Prgject n e: Oas heat pump v 14.00 Cross street/dlrections to job site: Duct work _ 14.00 Hydronic hot water system 14.00 - Residential boiler (radiator or hydronic) _ 14.00 - Unit beaters (tttol -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Other fuel appliances ♦ ,� fF a.xs d / /vm{� r° , F:+ r v }r • Y'(<C Water heater 10.00 ' I I .,ti (r''� R u 1'k} 0 p��N7'1 !i( �1 py�i u� t�,N { 'ri Ci"�,1. "'Gnu / �•MN I dWwriM.rWi \ltiiA1G0.11 1 ',1�.- :'tiL'l�Ol. 1� ::�i! ' :'t0,.Y3v�A'� �f1..1�L.Cn� Gas fireplace 10 to mt5 hart. f 1(i M/ ' ,, dal Flue vent for water heater or gas { fireplace 10.00 Log lighter (ass) 10.00 Wood/pellet stove 10.00 Wood fire.lace/insert 10.00 „w"T{•F tF 1 , U y , p. r Fu,arm k � P ,�, ,y } , v .� Chimney /liner /flue/vent 10.00 i ^, o ' :i 7r ct i i �t� t `I.; Ik "7,1 h 1 1,52'ti5lt1 4 2 1§ 10. Other: 4 Environmental exhaust and ventilation " Range hood/other kitchen Address: 1s . W serAil-ConA i equipment 10.00 City /State/ZIP: II." . 44-d Ole q a v Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms. Phone: (,sir) - Fax: ( ) toilet compartments. utility rooms) 6.80 t � 1 sA r � Attiderewlspaa fans 10.00 Q APPLICANT... ,... • : r i ' . ;r '. . . " r,.'401 • ,p ` ' . IO.UO Other _ Business name: ( li { 4 4,'r, 1 ,4 L1-C., Fuel piping 55,40 for first fours 51.00 fo r each additional Contact name: C ( ..t. p, c,,..4:9 Fumace, etc, Address: Oas heat pump . City/State/ZIP: Wall/suspended/unit heater Water heater Phone: (5713) 3 13 - 3 9to [Fax: : C- ) ( ri - 73 yr- Fireplace E -mail: p� ns J Rattle 1 d, -� �� ,� v ;,�'I @ �' 4. i wtx ! Barbecue rr1� Clahes dryer (gas) Business names t N ` .(- f�P�t!ovir7'/bt�i�. _ �. 4 C other Adds Address: , I, , Q % s a 7 i 1 i1 Ir : ... it Al<_i' PERM T .. FEES' . 9 22� Subtotal 'la Cit /State/ZIP: Poa� - Ica ` �- M inimum p fee ($72.50) • "hone: (Sa3) e2 3 3 - 1) ! I Fax: (S03 ) rf/ _,3 3Yf • Plan review (25 %of permit feel --CB lie.: • U-S 9 , 4 ` State surcharge (12% of permit fee) ii. . • TOTAL PERMIT FEE Ff , a.l'J IINIK. �� ` rrlr Thla permit spplieatlon c If x permit b not obtained wIrhln 180 Authorized si ature: days after It has been accepted Of complete, �l r' • . Fee methodology set by Tri•County Building industry Service Board e s L u I' lauildin mlt,MEC•P4ImltApp.ddc 04/06/06 40oa617T(ll- lcOMIVynB) Psr CITY OF TIGARD BUILDING DIVISION' PERMIT #: MEC2008- 00337 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2008 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 �__— INSPECTION WORKSHEET FOR DATE: 8/26/2008 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 15920 SW STRATFORD LP CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 056 TYPE OF USE: PROJECT NAME: THORSON DESCRIPTION: Line for gas range and BBO OWNER: MARLYNN THORSON, PHONE #: 503 CONTRACTOR: BEN'S HEATING & AC PHONE #: 503233-1719 Inspection Request Scheduled For: Date: 8/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message it A 699 Mechanical final 074490 -01 503 - 233 -1779 Y 503 3/o 2j30 Corrections /Comments /Instructions: C Gi 5Q.,_ ' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector Date: a76A eV Phone #: (503) 718- 2`/a3 CITY OF TIGARD . BUILDING DIVISION A, PERMIT #: MEC200R -00337 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/27/20013 Phone: (503) 639 -4171 7 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/3/2008 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 15920 SW STRATFORD LP CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 056 TYPE OF USE: PROJECT NAME: THORSON DESCRIPTION: Line for gas range and BRO OWNER: MARLYNN THORSON, PHONE #: 503 - 245.3185 CONTRACTOR: BEN'S HEATING & AC PHONE #: 503 - 233.1779 Inspection Request Scheduled For: Date: 7/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Mess - • 610 Gas line 072109 -01 503-2331779 0 4t1 Corrections /Comments /Instructions: ZS 41 fr Fr— I AI /4. —1 1 / IA 'A - N PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /lei Phone #: (503) 718- 2-‘4.,‘