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Permit CITY OF TIGARD MECHANICAL PERMIT g- • COMMUNITY DEVELOPMENT Permits/: MEC2013 00086 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/12/2013 Parcel: 2S 115AA03900 Jurisdiction: Tigard Site address: 10579 SW KENT ST Project: Selland Subdivision: DOVER LANDING NO.2 Lot: 78 Project Description: Install gas insert and gas piping Contractor: GASPRO INC Owner: SELLAND, JACK A & VIRGINIA E 7603 SE LOUNSBERRY LN 10579 SW KENT ST PORTLAND, OR 97206 TIGARD, OR 97224 PHONE: 503 - 775 -7020 PHONE: 503 - 968 -8096 FAX: 503 - 775 -7019 FEES Specifics: Description Date Amount Gas Fireplace 02/12/2013 $33.39 Type of Use: SF Fuel Piping 02/12/2013 $14.15 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/12/2013 $10.80 Occupancy Grp: Minimum Fee Adjustment - Mechanical 02/12/2013 $42.46 Stories: Fuel Fuel Types: Natural Gas Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct ons to NC lling 503.232.1987 or 1.800.332.2344. \\ a • Issue By: 1�\ Permittee Sign: ) .te -0' ,. ce i ' i Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. • 1VIeelailtea1 Permit Appli " 1 ()I .1:i( 1 -,.. .11 SW Hall Blvd., TigardOR 972 ETVED ''' ice-,--,: . ' 91 iffil01101, :7 Nc • I . : tity of Tigard 1 .,,, • 13125 , • Other Pesunt Plan Review • ' i,17 phone; 503.639.4171 • Fax: 503.598.. . 19 ...1 1 1 2013 Dgemy: • Inswoofion Line: 53175 Datilleady/Br. . . , ' ' - ,-, lilt 2 . . smal......gfA6.,, . . \ ,, i . LT,Qe-, www-tillard-nt.gav CITY OF TIGARD N°ttwri riecud-. ... "•.'. •. . ' .. P ''''.... , : ::':-..;::: ' .. I i ,,, I I ... .., ! .... . ', , .1. ,,, ' 1 • . - „ ,, . -- - ' 7 - .3 : ,-•:"-::.::: :.:d:,"- _. z ,:-; ,-' 7- .,- , : -' :-- / - - - - - - z .- - - - ... ,-: c: • : -:,- #- -:- :.: -.,. .Fiiarmiffees.Aro-based ontiii":4&isithi-viedie- . 0 New construed on (idditiOD/alteruti0D/replacement ' • • -... - • ' • ,Indicite the Value (rounded b ike nearest dollar) of all . muchanicalmatea - .14=j.. .. . . 0 Demolition Other: labor, overhead, and - ' ' --• ' .. 1.11MINElle ____ - -.- ,— .- . -,- ;(,;,..„ _ , .. - ,• - •: -- ;.7-:: - , - -;-,-,:;..- , ,;y-- i - :=7 •7 7_ •41 , 7 ,T., - .. ' i - :;, f • ..' ': ._ . - - - — ,--- -, --• .1 - ,. - . 77 - 7 7.7 7 - :5 - . ..; . , - ,' ',",': ' ."." • -: l ",," , , ,-." "; - % ,-- ,' . - -",:-: , ,', ..: - '''' ' ...- - - ' ' . -- ' ' -" 2 - ',.. -,,. _•.- ' -,-• • , - - , --';. : - .',',1. ' 15(1 end 2-fainily dwelling 0 Commet ••cial/inchs.strial 0 Accessory b - uilding r : i. , .. , , • 77 - i - ors2 . xiiiarwonnatioil we _ : checklist. 0 Multi-family 0 Master builder 0 Other: - • , ' : . , DeStallni0.11,:. !-: . =1 Qty. Ba. Total - ----- ------- - -- _ _ -_. — 7 -.:,-- —, - . 7 ;7: - . - ". , ' •': 7 -" 7 !'". - : • , „ ,,: coo ; ,. .... ' ., . . -- -. ''' . ... ' _ • - - - - - - - - --- - - :-;;; • A.it fondiZta. NU . • ; : - .' :•'' 4 1111111 Job site address: i 40 - 6 'ill" - T . Futiace 100.000RTU 46.75 City/State/ZIP: 7;611 02 ci ldj,/ ` • ' . Filrna&)tol'ocialtru.e.. -- ata 54.91 MIMI • Suite/bldg./apt. no.: • Project name: P.- f... I, L. li fJ . 61 06 IIMIN : .... Cross Street/directions to job site. Duet work — • If ' di6iit6 litit water ..,,.. 2332 " ' .. ' ' resideittia1VVci Or II . , 2332 Unit hesiertqfdel4type,atot electric). . . • 46.75 111111 - . 1r17 ' in-do '. • IFM1111.1. Plas of above Subdivision; j Lot a°4 - ' Oilier: ' ' • • ' 2332 111.. Other fuel a 1 , auces Tax tnapipareel no.: • 23.32 __ . ___. ---- -,-- - . - „, - - ',-. - 7 7- t -, .. Water hcalet . -,--,7.,-.---7.-- 7:-•:..7, ---,- -'-: - .47 .2 :;.;, - '`- --- -,', /, --. -.' -..--:•:-''' - ".." ' . ',, ;--',.' -;,! .--, - v....! • ' 7 iiirlizmin -,- .,- ••:- s._•. -, ,,,...., 4.s•-••E• 2 !,. -, '-• - ...• '. , , ‘, • ' ... ., •• , ,.. .,; 9 195 PIP''AJ Flue vent for water heater at Pa 'lace 23.32 5 iti - 5 :L 1 se kr" Lo l -: ii• : -- 23.32 MI= w.., . I. stove 33 3 9 Wood -.line/insert 2332 - ,,. ..... ,, _ ....-7.7—,--,-, • Chimn /lincriflueveat 2332 =MI .. -=_,, '....-.., .,--.:, .,..-,: ::,,:. . ,.- .,-; . - _.._ Oth • 2332 &page bkood/other kitchen pill Address: 0 5 -7 ei s-4/ . City/State/ZIP: caothes- ,, -, exhaust 3339 - 7„ -- i a -, 'Ka , 2 q 7,201Y Single-duct achaw4 (batintmalis, Etil ' ' ' . toilet : .. ,.,,.. ■ MOMS Phone. : ( 0 i • ; - .:. 0 ' .. Fax: ( ) tilet coin , , .. . , 23.32 IIMII IIIIIII 23 Business muue: 6 ,45f40 r4 yr ...... Fuel , " • ‘ I Contact name: „ / • , / ; $14.15 for first four S4.03 Sir each additional • 1111111111111111111 Address: 7603 sE L9ms-A.04 i pi 1 4/ Gas heat 'um . 11111 City/State/ZIP: Thd MA c....)/1_ q - 4 ,, _ . wawb , 1.. . &unit heat.- law wai.-.heat.r Elm . nom Phone: (6.)_ 775 I ( ‘ 4 0 ) 77 s -70 9 EMITIVM .4 E-mail: • Rau .:, • ... a ' 4 -. er 1,,,,. DuaineSS nantet 6 p , Other: II.. I Address: no 2 u• 10015'6 Nue y ?iv - . ' , •. 2.: -.' : r'_-- : .: , • • -• , .'. ...2,,,,-- N,.,-. . , . „ , . Subtotal ,r f Olty/Stater/TP.: g 04 q 7? hoiltdraum pemtit fee . ($90.90) "WE., Phone: ( 6 ) 5 . . • Fax( 4 , ; ) 5 - 74,1 - • Plan review (25% of permit fee ..--.--- CCB lie.: / State.surebtuse (12% of permit fee) /0 . : 0 6 77. .... ii.. .. 7 , 1 Date: TOTAL PERMIT FEE gr1,71ra - Authorized signallite: / IP This ' application empires if a permit is not obtained within 180 ( aftrr it hal, keel? ac ".P# 41 Pt , ..,_ • - • Fee methodology Set by in-OiluitS iltaldinifudiiiijgeivi6elloitd A r " „,_, )// tttadlelifiailleffeitsALIECIkrzoitAmdos 10/01/09 4404615T (11/02/COMPinn) Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10579 SW KENT ST, TIGARD, OR, 97224 Residential - Mechanical 610 Gas Line 02/22/2013 00:00 MEC2013-00086 PASS 30 lbs for 10 min Violation Summary: Inspector Contractor