Permit CITY OF TIGARD `
MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00444
^�� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/13/2006
PARCEL: 1 S 134AD -07400
SITE ADDRESS: 10569 SW WINDSOR PL ZONING: R -7
SUBDIVISION: WINDSOR PLACE LOT: 011 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:
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: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
JASON ALLES Description Date Amount
10569 SW WINDSOR PL
TIGARD, OR 97223 [MECH] Permit Fee 9/13/200E $72.50
[TAX] 8% State Surcha 9/13/200E $5.80
Total $78.30
Phone: 503- 650 -9550
Contractor:
KOEHLER CONCEPTS LLC
10772 SE HWY 212
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 650 -1220
PRI 503- 650 -9550
Reg #: LIC 120277
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: �o � -c �� � Permittee Signature: S—
Call 503-639-4175 by 7:00 a.m. for inspections that business dal.
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.
r �`
Mechanical Permit App it atidn - t t ► t z ur l lc I: 11 ()N1.\
City of Tigard D Yd P " - / . - _ I , e ,
13125 SW Hell Blvd.. Tigard, OR 97223 C _
Phone: 503.639.4171 Fax: 503.5911.1960 J 2I (. :.... per„ Roving; Roving; , ply P�;
Date/By. Inspection Line: 503.639.4175 ; � �
Internet www.eltig,artLor.us ,/ - Data Reedy/By: Piga 2 for
k.. 1 b ll Ur i ltur tui Notified/Method; Will tedormation
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❑ New consttuCtiott [• ddition/alteratIon/repincetneat Mechanical permit foes* are bawd on tho value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other. mechanical materiels. • ui • I. labor. ov • - ' and • • fit.
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gal- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building L For special i,JormaNaru use drecklllr.
❑ Multi - family ❑ Master builder ❑ Other. Description Qty. Ea. Total
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Job site address: \t, 411,..,. . ., • 14.00 Ell
City/State/ZIP: ----,‘ - ?� Furnace 100.000 BTU euete)vaWe 14.00
L 111 F'' G: . -.. 1_ 17.90
Suite/bldgJapL no.: Project name: Oas haat • um • 14.00
Cross street/directions w job sits Duct work 14.00
_ 14.00 _
Residential boiler (radiator or
h drank 14.00 -
Unit heaters (fuel -type, nor electric), - -
in -wall in-duc sus • - . ed eta 10.00
Subdivision Lot no.: Plue/vent for of above 10.00
Other: 10.00
Tax map/parcel no.: Other Fuel a ' ' oce4
ri r �1i i 711 r . 71111 I It Il,u• IIIt l e_.lnl f C � 1 - I r I � , ln 1 O i I iir IL,
, 1 1 1 1i F F I p J Water heate 0 00
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10.00
•r
. ` - 10.00
A a • Lo: li . ter : • 10.00
Woo • • lot stove 10.00
Wood fi - • lace/insert 10.00
r f - Clllllla iner/fluefvent 10.00
ly i 1 I,.1; I.,.! . ;:Fill (.'f 1 I_ `- i! 1� . -,. _I F; ' 1 II .., i .. ( 1, _: Cf If 11:I'I I n •. ,• ''1. '
. .:
\_ ''-, - I Oth 10.00
Name: J�O'e. ' \ \*.P...b.
Address: \ '1,,,,, L \ \ I .�� . 10.00 • exhaust City/State/ZIP: „ c °C-172:J Clothes . 10.00
exhaust (bathrooms,
Phone: E) L4_ 5 Fax15(53 ) ESQ \Z,C) toilet coin ' eitn s. udli roams 6.80 -
..
f 1 I I i '' I ,' ' I �f 10.00
Business name:
I I fm I _ c l I, 10.00
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w Fuel ' ;'-
Contact name: $S.40 for Brat four; SLOG for each additional
Address: \c., C •..� G this heat • m __w
i' 04-..e ` WalUA .. • ed/tmitheater
Phoae j) �� Fax: �'�) l�..JJ ?1.�J F
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11 11 • f i I Barbecue
Clothes ' �� -
Business name QK .� _� L�� Other:
Address: ` Z G ,,,i.. - If . , ' 4} " I I - 411 I " ll l '. . I I j".'“,' I I F 1 I l
City/Stete/ZIPC, p`C `,a c'claC Subtotal
LQSO S Minimum permit fee (S72.50)
Phone: r Q Fax: �V (�p' ∎Z. P l an review (2546 of it fce State surcharge (8% of permit fee) c J
TOTAL PERMIT FEE E. 111
Authorized signature: - ® Thlr permit application expires if a permit li net obtained within 180
disc pace It has been accepted es complete.
L Print name: �.... � I Dam: J I • Fee methodology set by Tri-Co®ry Building Industry Service Board
i1euadinglrermiuME•termiU4p 12103 440.4617T(lAWCbbuvv®)
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i� , ..
At, CITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00444
}'46]11 °h DEVELOPMENT SERVICES DATE ISSUED: 9/13/2006
-•' =- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S134AD -07400
SITE ADDRESS: 10569 SW WINDSOR PL ZONING: R -7
SUBDIVISION: WINDSOR PLACE LOT: 011 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
JASON ALLES Description Date Amount
10569 SW WINDSOR PL
TIGARD, OR 97223 [MECH] Permit Fee 91131200E $72.50
[TAX] 8% State Surcha 9/13/200E $5.80
Total $78.30
Phone: 503- 650 -9550
Contractor:
KOEHLER CONCEPTS LLC
10772 SE HWY 212 )1342
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
t
Contact #: FAX 503 -650 -1220 u '
PRI 503- 650 -9550
l',2:4) o _ L , ihr8
Reg #: LIC 120277
( O J J ! /
N s ' 1i .bc6 $
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Speci: ty 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: ✓ /4 �° Permittee Signature: c :,? , vn
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business daji.
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
Inspections Required for: MEC2006 -00444 r REQUIRED ON GREEN INSPECTION CARD.
I ✓ Code I Inspection Description I PASS Date I By I ✓ Code I Inspection Description I PASS Date I 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 Wtr 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 (/ —21-46 //)
287 Suspended ceiling X 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic 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:
X 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test
315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
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 \Inspection Cards\Forms\AOP- InspCard- Blank.doc 12/09/2005
•
I _ •
CITY OF.TIGARD 0 r"
BUILDING DIVISION A PERMIT #: MEC2006-00444
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2005
Phone: (503) 639 -4171 461P (
Inspection Requests (24 Hrs.): (503) 639 -4175 °'I ��
INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 :02AM PAGE: 70
SITE ADDRESS: 10569 SW WINDSOR PL CLASS OF WORK:
SUBDIVISION: WINDSOR PLACE LOT #: 011 TYPE OF USE:
PROJECT NAME: ALLES
DESCRIPTION: Gas piping to range.
OWNER: ALLES, JASON PHONE #: 503650 -9550
CONTRACTOR: KOEHLER CONCEPTS LLC PHONE #: 503650 -9550
Inspection Request Scheduled For: Date: 9/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 0368.42-01 503-957 -1595 N
Corrections /Comments /Instructions: '
0 5 ' I - c . S • —rase = 24 ,.e–
di -&-e/' e 4 i ' - - , 6 A7 •--
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 9-ii Phone #: (503) 718- .2-1"