Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2013-00533
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/23/2013
Parcel: 1 S125DB08800
Jurisdiction: Tigard
Site address: 7137 SW LOLA LN
Project: HARRIS Subdivision: RAZBERRY PATCH,THE Lot: 8
Project Description: Gas piping for water heater,barbecue,range,and fireplace.
Contractor: T&K MECHANICAL Owner: HARRIS,COLLEEN
PO BOX 116 7137 SW LOLA LN
FOREST GROVE,OR 97116 TIGARD,OR 97223
PHONE: 503-844-9173 PHONE: 503-643-3018
FAX: 503-846-0195
FEES
Specifics: Description Date Amount
Type of Use: SF Fuel Piping 09/23/2013 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/23/2013 $10.80
Occupancy Grp: Occupancy Load: Minimum Fee Adjustment-Mechanical 09/23/2013 $75.85
Stories:
Project Valuation: $0.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP: •
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning: 0
Heat Pump: 0
Appliances
Vent Fans: Vent Systems: Total $100.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 0
Fire/Smoke Dampers:
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � Permittee Signature:
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.
Sep 19 13 11:00a T&K Mechanical 503-846-0195 p.2
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lechanva Permit ApplieaCiorRR
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City of•figard
.1 13125 SW Hell Blvd„Tigm-d.OR 97223
MI
I---• Phone- 30.1,639 4171 Fax: 503.5.!?8 1960 1 PsEceircd
i Datdge: //////3 /3-rr-
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SEP 1 9 20 ' .
1 Macilly:
I Permit No.:/sTer.„.96 I_R-015-33
;
/. tither Perm-al:
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-----=----''-.--=--'-'-'' inspecnori Line: 5.33.639.4173 ! feris Ea See Page 2 for 1
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--4.j4i. CITYOFTIGARD Faw ilcd I
. :1.;.. *:, Internet: www.tmard-or.gov -Nofdied'htethad: Sapp:nom:a Informatiou
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BUILD1NGDIVISION
• - 'rem of NORK - • ! CUTrIMIACIA.L. 1,-Kf:' ti(elf;Dt.it,:: - USE ChtECKLIS'i I
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tvicchatical permit fees"are based on the value of the work
rrlit'.4cw construction (._ .Aciclitionialiffaricmireplacemen!
performed.Eradicate the value(rcvmded to the nearest dollar)of all
0 Demolition Li Other: mechanical materials.equipment.labor.overhead,and profh.
"%rattle.S 1
. . . C.41-rt.-70:21; OF CONST3ll'CT:07-: - . ,
R.F.SiliENTIA.E.EOU:P5i ENT i SY'S fENi", i'F.ES4 '
• 1
I
ISI
1-and 2-family thsait.ing 0 Ccmmercial/industri ______al 0.A.eceory'building i
For sp.:-..iaf frrriltiion UM'0'02d:fist
0 Multi-family 0 Eyiaster builticr 0 Damn Desc:riptiort .Qry. c.a.
.50.72; SLIT 1:Ni--C101.1.TiOr, ,/.Ni; Li.)LA.1.•:ON limb 'tooling
Air conditioning
Job site address: -1 I 3.--1 SLu I 01 a t_
(.,-\ . (reqetie s site'elan sheaving pfzeerfieno I 46.75
CilviSt atc2.IP: -I t ' c .,-01 0 t_ ci--1 r).3.3
c k 1 Furnace 106.000.13Th fducterve-nts) ,
! Furnace 100.000+BT1J(ducts/vans) 46.75
_.........=
51.91
1...._........„._____,.........____.._____.....
Suite/bldg.:apt no.: I F11,0_3 e C I 1 AT i 1 : 1st c ..iv. ir t S
i Heat plain 6U*.06
!Tie H
Cross street:direct/0as to jot-.she: . I Duct y ork_ .23.32
I Hydrunie hot water sysic:r. .L 23.32
I Residonial boiler(radiator or
---- i
t hvdror ic) ---i- 23.32
Uin-.
h,ts(fu,e_ tyoe.riot,lec.trc),
L
46.75
I Finely=for ar.v of:love 23.32
Sub di visiCia: 1 Lot O. ---I
I Other: 23.32
Tax map/parcel Ito.: Other fuel appliances I
.DtSCRIPT;Oti Or WORK • i Water heater J 23.32
- . ! Gas fireplace 33.39
I .0 S-.k-C,k 1_ C.))Os,c--; i r R. - C\C\'N l.c2...C.,,.‘Q--'r k()C44 E./. Flue vent for water heater or gas
fireplace 23.32
4
) k .-). N CN(-4), C".r 11:13 C.) - ' I Log tidikr(gas) 23.32
C co.V-- CT CO-N.c\. \t !.' r •?, U1/4( L 1 Wood/pellet stove 3139
Woad fireplace/insert 23.32
TY-1.1 t(3-r _C).Ao.k‘ c't
1 Chimney/liner/fluelvoit 23.32
. 0 PROPERTY OWNER 0 TEN- iT
I Other: 23.32
Name: Or k \-Ac -r i S' Environmental exhaust and ventilation
Range hood/other kitchen
Address: ---71 -• -7 5 1..0_ Lo I c _ .y\ 1 equipment 33.39
City/State/ZIP: 1i c.,_ r,‘„. ct Q„.,.o.. 97 , ,3 Clothes diver exhaust 33.39
, Singh,-duct exhaust(bathrooms,
Phone:(5‘13) (0-k 3_-)Roty Fax:( ) toilet comparrnien15,utility moms) 23.32
9 APPLICANT 0 CONTACT PERSON LAnicicrawlspace fans 23.32
I Other 23.32
Business name: --T.A v... n'')e_ CJ'-..sxf■i C.r.,,\ i Fuel piping
Contact name < ; r.N....,, I S14.15 for first four;S4.03 for each additional
Address: Po B O ' llv
, I Fumax,etc.
j Gas hmt pmnp
City/State/ZIP: CCnt e s--k cV v t Cr1(t 4 {Walliswpendediunit heater
IFax::( egl) ,..(.1(e ..- 0 i CA c.:)- I Water heat LT \ tt-1 C.
Fri-r-eprace i
F..-maii: 1 RarfF l 7
. CONTRACTOR 1 Barbecue I
Cloth.% (gas
Business name: T4- 1 . '0.1ackc,i-v; c3_ Other dryer )
1 }
Arkfress:
City/StatelZIP: a 0 X I t6
i i
ri,,,,,e:( .7,3) <-6Lt tiC-c-Prct kelt c)c-FC5VaX:(e-SUM. )9-..s.:-Cji::10(1( CDC.i s- .
il ECEANIC.4.1.PEP.MIT FEES"
Subtotal ,I
Minimum permit fee($90.00) la . _
M
CCB lic.: aas__). 1 \ ,, ,-:.-.-..- 1 rcharge(1 rh of permit fee)an review(25%of permit feey
State su
I._
TOTAL PERMIT FEE I kic.),751.)
Autnorizeta at Lure N,1/4„:_11---- This lermit anolication eferires if a permit ic nor ornires.l w.ff!lir iSti
days after it has been accepted as complete.
Print mune: c:',k t 1 krAck_ Ie. .1,-)An Y\..- - i Dat,Q1 1% -L I".. . * Fe, methodoloKy scf'oy Tti-Couoty SailditiA Ica-daily Scr..',..7.:3.-e-.1:.:
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