Permit lc .. CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: MEC2007 -00545
TIGARD DATE ISSUED: 9/17/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DD-03200
SITE ADDRESS: 06630 SW VENTURA DR ZONING: R-4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 LOT: 040 JURISDICTION: TIG
PROJECT: MORLEY
Project Description: Extend gas line to cook - top.
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
MORLEY, RICHARD A +JOAN L Description Date Amount
6630 SW VENTURA DR
TIGARD, OR 97223 [MECH] Permit Fee 9/17/2007 $72.50
[TAX] 8% State Surchar€ 9/17/2007 $5.80
Phone: Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
T O BOX 230397
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 624 -2704
FAX 503 -598 -0270
Reg #: LIC 76359
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 y: e244611 Permittee Signet ` e: - , �' 4 -1� ; -----'\--
Call 503.639.4175 by 7:00 a.m for inspections th . ' usiness 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.
S�o 14 07 04:36p COLUMBIA HEATING 503 - 598 -0270 p.2
Vie ti Application
I ' l ) I 2 o i l lc l: I'S1: trill
City of Tigard ECEWED o a t e , , 9 iS■ 0 7 43( Permit No.: H Aar 7 —vo 5ii
• 13125 SW Hall Blvd., Tigard, OR 97 Plan Review
Phone: 503.639.4171 Fax: SO3.598.1960S E p 1 4 200 Date/By- other Formes.
1 [ t.i;t it U Inspection Line: 503.639.4175 n1�ttS9 Date ReadyBy RI See Page 2 for
Internet: www.tigard-or.gov G`TY OF TI Y Cf t® Notified+Mmthod: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE' SCHEDULE — USE CHECKLIST
El New construction ❑ Addition /alteration/replaeentent Mechanical permit fees• are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: _ mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION • : Value: $
• - RFSIDENTIALEQUIPMENT / SYSTEMS FEES''' i
❑ 1- and 2- family dwelling El Commercial/industrial El Accessory building For .special Information use checklist. •
❑ Multi - family ❑ Master builder ❑Other. Description Qty. I Ea. I Total ,
JOB SITE INFORMATION AND LOCATION - . _ Headily/cooling
6 3o 5,0 /Q [ Air conditioning or heat pump 1
Job site address: � 1,{,� ta t ore__ (requires site pines showing placement) 14.00 4 0
City /StatelZfP: -77 CD P ,"0 0 i., Furnace 100,000 BTU (ducts/vents) 14.00 ,
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: Gas heat pump 14,00
Cross street/directions to job site: Duct work 14 00 '
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. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK , . • • . Water holster 10.00
Gas firct lace 10.00
, OX 1 1 LA /L) 6' g ,C k r? 6., / d e 1 C -. I P Flue vent for water heater or gas
t--)/
_ fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
•
Wood fireplacermsert ` 10.00
_Chirnney/linet/flue/vrnt 10.00
❑PROPERTY OWNER ❑ :� : "" Other: 10.00
l �
Name /CC/I a r� ti Jet 04 and r / '7rr16 -!ovkl' /bin Environmental exhaust and ventilation
Range hood/other kitchen
Address: , �p 50, I/,(, frc .. . f equipment 10.00
City /State2IP• / D /2---* Clothes dryer cahaust 10.00 _
(a : Single -duct exhaust (bathrooms,
Phone: (5 — 2 4 j.1 / 1 7) / Fax: ( ) toilet compartments, utility rooms) 6. B0
❑ APPLICANT ❑ CONTACT PERSON . "r.,':`-,,. Attie/crawlspace fans 10 00 ,
Other: 1 0.00
Business name: Fuel piping
Contact name I7'? -p If, y $5.40 for first [our; 51.00 for each additional
Furnace. etc.
Address: Gas heat pump
City /State/ZIP: WalUsuspended/unit heater
Phone: (5-13 f Fax: b3 - C p 6 a , 7 d Water heater
(•7� �'� C) D — Fireplace
E -mail: Range
' CONTRACTOR Barbecue
ll Clothes t ens)
Business name: cat- !C (; r
Jt;C -116, Cs/ it "pi � '�n C.�{7't7 � `- i O ther:
Address: pa p J � : MECHANICAL PERMIT!' FEES' X c 7 d 1 Subtotal
City/State/ZIP: ()/t,. CO
_ Minimum fee ($72 50) 7 .
Phone: (9)3) -■a-7v ! Fax: ()) 5; 91 — 0 ?7b Plan review (25% of permit fee)
CCB lie.: ? b 3 S * State surcharge (8% of permit fee) 6 - SO
TOTAL PERMIT FEE 7s .30
(—` This permit applicadon expires if a permit is not ohtaincd within 180
Authorized signature: Qr.. N`13'"17.1•4 days after it has been accepted as complete.
S�`Z' -' Date: G/ / 1 / • Fee methodology set by Tri- County Building Industry Service Board
Print name: 1 f! / a / / r /
l :usugd.ag\PermitrbtEC PcmltApp doe 64106/06 0 -4617T (1 1/021COMIWEB) I
.IN CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00545
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/17/2007
PARCEL: 1S125DD-03200
SITE ADDRESS: 06630 SW VENTURA DR ZONING: R -4 5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 LOT: 040 JURISDICTION: TIG
PROJECT: MORLEY
Project Description: Extend gas line to cook
s upg�
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
MORLEY, RICHARD A + JOAN L Description Date Amount
6630 SW VENTURA DR
TIGARD, OR 97223 [MECH] Permit Fee 9/17/2001 $72.50
[TAX] 8% State Surchart 9/17/2001 $5.80 3
Total $78.30
Phone: J /�
RI
el e 7o7' -o � l7 1( /a /W l O . 0
Contractor: N
COLUMBIA HEATING & COOLING INC d
P O. BOX 230397
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS _ .4
0. „ ovi
0
Contact #: PRl 503- 624 -2704 r
FAX 503 - 598 - 0270 • `: ' E®
Reg #: LIC 76359 , b / 0 ' t, ',
/ / .. vt".. 04 -+,N,x ,,„, `,° F
This permrt is issued subject to the regulations contained in the Tigard Muniapal 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 y: 4 Q7 iy2 Permittee Signat , e: , , ( �_ �-
� _ � �i
Call 503.639.4175 by 7:00 a.m. for inspections , usiness 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.
INSPECTOR'S SIGNATURES ARE NOT
Inspectioris"Re'quired for: H tC 9,tjQ7_ cf5t /5 -'REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Descnption PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc inspection
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wti. proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc inspection.
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
•
285 Drywall nailing 'x 610 Gas line 7 - (y _ Q7
' 287 ' Suspended ceiling 615 Mechanical rough -in
295 Misc inspection. 620 } ydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper •
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
• 920 Suppression trip test 310 Crawl drain
995 VLsc unspecton: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain dram
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation - 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc inspection
205 Footing _ 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc inspection 505 Sanitary sewer
498 Grading final 595 Misc inspection
499 Final inspection 599 Final inspection
I \Building \ Forms \InspCard -AOP -Blank doc 02/02/07
�_
CITY OR- TIGARD
- BUILDING DIVISION PERMIT #: MEC2007- 00545
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/17/2007
Phone: (503) 639 -4171 A j l n
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 9/19/2007 TIME: 7 :00AM PAGE: 41
SITE ADDRESS: 06630 SW VENTURA DR CLASS OF WORK: .
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 040 TYPE OF USE:
PROJECT NAME: MORLEY
DESCRIPTION: Extend gas line to cook-top.
OWNER: MORLEY, RICHARD A + JOAN L, PHONE #:
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
•
Inspection Request Scheduled For: Date: 9/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 055924 -01 503.624 -2704 Y
Corrections /Comments /Instructions:
2' -' T`S — 17S' -1 , -- /( c
AS / -. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
, "- __' __ p CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 47- L -d Phone #: (503) 718- Z-