Permit CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00468
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/16/2008
PARCEL: 2 S 102 BC -01400
SITE ADDRESS: 10250 SW WALNUT ST ZONING: R-4.5
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT: 027 JURISDICTION: TIG
PROJECT: FRAZEE
Project Description: Relocating 50 ft. of gas piping for furnace and water heater.
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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 3
> 10000 cfm:
Owner: FEES
JOHN & NOREEN FRAZEE Description Date Amount
10250 SW WALNUT ST
TIGARD, OR 97223 [MECH] Permit Fee 91161200E $72.50
[TAX] 12% State Surch 9/16/200E $8.70
Phone:
Total $81.20
Contractor:
PORTLAND MECHANICAL CONTRACTOR
2000 SE HANNA HARVESTER DR
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 656 -7400
FAX 503- 655 -0620
Reg #: LIC 151807
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Pennittee Signature: yr Ln r A te /
" 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
W 16 -2008 THE O :14 PM - P• 004
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Re`ei„d /w
° 13125 S W Hall Blvd., Tigard, OR CEO pet dBr; ��� !r �7/ //!� �i : _�L! (p�
Plea Review Other Pennit;
Phone: 503.639.4171 Pax: 503.598 DateJBy:
T is A R n Inspection Line: 503.639.4175
y b 200 Date Ready/By See Page 2 for
Internet: www,tigard or.gov ': S Notified/Metlod: Supplemental Information
C � r:! _ ,.,s.' � .;: �� Zji � • � `i, � r �fr�...t . .7 ;�'r ���:.,at ^'"t .,r•vr „ ��g,: r �, : r ,-1 r
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W�� ?,�d, ''` tc�.lc.t. ��i y�i.^J t9�kAtri�riv _$",�.�':!,bl;`.?I.ta. •i ti !! ..�,;��t,�, ."!�"` ` W ; t��t� •• ► c �� n ;��( �1' L�i�, �1q,.,
p.. N.`" jl.' F+• "�+r. a �.•n":•.Yy .uW.' A.,•�GV3 ei t,1�..,,,. �.4
❑ New construction w Addition/alte� r II 1 '`celmt nt Mechanical 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, equipment, labor, overhead, and profit.
^, 1 , ,'
a e e . O. . 4i
r; F � _�n r ' � •r � s;.t� en. value: $
`. � .V s , �..,7�C , „ � 3�.'??}.`,T. �♦ Ur r, e. '� "� S,: '�:,`fiY .p: Y.•.,, ;�,,� �., t y��y ,gy � p
:1 I end 2 -famil dwellin ;r`•t 'iZ1i .,$1 ,! 10• fi'h') k°?:4> 1
y g ❑ Commercial /industrial ❑ Accessory building
■ Multi family ❑Master builder For special It forn,aflo,r use c%eckllst.
❑ Other:
p :q ' , r • �t ,.. r Description I Qty. I Ea. I Total
,, rtil': , S't,l -::. :a5' "' �:•. n: �,Q e41...i�i T:.1�,7•Ki�l'r.P . ?• �. { '� r
�� � �' ;� " �,. �� ^• tleattnp/caolln)< _
Job site address: /Q 6-O S VV aJ nij Air conditioning or heat pump
�/ n (requites site plan showing placement) 14.00
City /State/ZIP: W a rrd Ulm % •7� 3 Furnace 100,000 BTU (du cts/vents) 14.00
Suite/bldg. /apt. no.: ..J T Project name: I Q Furnace 100,000+ BTU (duotslvems) 17.90
��,t Z- Gas heat p ump , 14.00
Cross street/directions to job site: Duot work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in - wall in -duct . : , ended, etc. 14.00
Subdivision I Lot no.: Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcol no.: Other fuel appliances
T t 3'r" o�i'o r'.:
t' `. i t ! ° , t r_`�' . ' h % . F a .. .., • riAte Water heater 10.00
'4 ab . -. hBh °� f�.: .r.:i'::.ti <. -fir;• fi >'= c}T, .!'.
. - .I .J / I4 ,1 / (J 1 r .. Gas fi f oe 10.00
5 ^� p _��.1jr . Flue vent for water heater or gas
/� / fireplace 10.00
'�1 1 �.� 1./ •� / Log lighter (gas) 10.00
. Wood/pellet stove 10.00
! c,�� �g� Wood fireplace/insert 10.00
tic y. li e1 " �, . "al :rJ�`!., ` ` Fr k h t s 1 , rl f Clutnney/Itner/llue/vent 10.00
' Z;L. fc a 'µamX.
Other; 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Phone: ( Single -duct exhaust (batltrootns,
Fax: ( ) toilet compartments, utility rooms) 6.80
):,,?:,' � ' �C e, ' ItT ,. '.� .' �':1 :,.. filll e e • fie` Attic /crawlspace fans 10.00
Buainvas name: , p % y j y /) � � � /� [� Other: 10.00
�"Ni! CLU'd 'ACL4u{ r �� 2 6.c ' / I. Fuel piping
Contact name: ne u�'() rnl' / /ev $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: ! ) . -I F 9(f (� P4/ j Dr s , ," Gas heat pump ,
City /State/ZIP: / / / `, q 7 2 , �/ Wallsuspended/unit heater
l I f
Phone: �) /�b�fo" � TQp Fax:: (,�3) �,�- � ( � Q Water heater
" Fireplace
E- nteil: a . 1 a ' ler p ant' nr'C -•t • O/ Range
'm ��� "6.iia (" , $ s'r ..' t ..,, .,. i.g..i -a�� r.,�n�:ila' c. pr
• , �u,' ay• ��}. �.. tA�? !��,),�fi *'�'� = .�'!i'�',, : i� i; ?�,.,:, °t%�Y;nik:,;'m, BarbBCUe
Business name: / � Ct /.,� Clothes dryer (gas)
Other: _
Address:
r ��lat c
�y'ii E ii ;r!iA' 4�p!� •tr �' �p� p�;p�(�!'� k.� � Yq'
Addrefate/Zi1P: 3'- L:2"tit� . :51'.¢F'j?�.S O .<.> F. / Ag t ,till,•`r,Sr;,••cS 'tif.-u..faS'e�t "3P
Subtotal
Minimum pennit fee ($72.50) 7 , ,�D
Phone: ( ) l Fax: ( ) Plan review (25% of permit fee)
CCB Jic.: /5 /ti 7 State surcharge (12% of permit fee) � 7/)
TOTAL PERMIT FEE 8/, d� j) .
Authorized signature: This permit application expires {f a permit Is not obtained „;thin 180
,yt days atter It has been accepted as complete.
i Print name: ev�i // / /Js pate: • Pee methodology set by T ri-County Building Industry Service Board
tabuitdlo ¢\PamtlAMECPer,ehApp.doc 01/19/07 440-4619r01102/COM/wa
Y T ..
CITY OF o IGARD
BUILDING DIVISION PERMIT #: MEC2009_00468
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 99,16/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 fL
INSPECTION WORKSHEET FOR DATE: 11/20/2008 TIME: 7:0()AM PAGE: 28
SITE ADDRESS: 10250 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 077 TYPE OF USE:
PROJECT NAME: FRAZEE
DESCRIPTION: Relocating 50 ft. of gas piping for furnace and water heater.
OWNER: FRAZEE, JOHN & NOREEN PHONE #:
CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: 5Q3- 656.700
Inspection Request Scheduled For: Date: 11/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
• 699 Mechanical final 078300 -01 503-1349-7927 Y
g A:5 (----- ws G - -7
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - Date: / /- 2o—el/ Phone #: (503) 718-
CITY OF TIGARD • `•
BUILDING DIVISION PERMIT #: MEC2008- 00468
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/16/2008
Phone: (503) 639 -4171 Argl
Inspection Requests (24 Hrs.): (503) 639 -4175 ^'� I ..
INSPECTION WORKSHEET FOR DATE: 10/23/2008 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 10250 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVII.LE ADDITION LOT #: 027 TYPE OF USE:
PROJECT NAME: FRAZEE
DESCRIPTION: Relocating 50 ft. of gas piping for furnace and water heater.
OWNER: FRAZEE, JOHN & NOREEN PHONE #:
CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: 5Q3,65E -7400
Inspection Request Scheduled For: Date 10123r2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 077057 -01 503 -793 -0904 Y
Corrections /Comments /Instructions:
m a 6 4 Ad w L i CG ' . '
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL O ACCESS
AIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: Date: 4—.23 -- Phone #: (503) 718 - 7.4.<
. CITY OF TIGARD F
BUILDI DIVISION PERMIT #:
ME C2008-00468 0068
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2006
Phone: (503) 639 -4171 A.
Inspection Requests (24 Hrs.): (503) 639 -4175 °'I �..
INSPECTION WORKSHEET FOR DATE: 10/13/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 10250 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT # : 027 TYPE OF USE:
PROJECT NAME: FRAZEE
DESCRIPTION: Relocating 50 ft. of gas piping for furnace and water heater.
OWNER: FRAZ.EE, JOHN & NOREEN PHONE #: 503 656 - 7400
CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: W3
Inspection Request Scheduled For: Date: 10/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 - Mechanical final 076568 -01 503. 849-7927 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL O ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .! i Date: l /3 i.. Phone #: (503) 718- -2.4I