Permit 1RI CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MEC2014-00150
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ` Date Issued: 04/01/2014
T[ �R ' g Parcel: 2S111 CA08700
Jurisdiction: Tigard
Site address: 9950 SW KABLE ST
Project: schraner Subdivision:STATES NO.2 A REPLAT OF"GULF SII Lot: 31
Project Description: Hood vent.4/2/14:Reprinted permit to include gas piping for range.
Contractor: RUMBOLD HEATING&AIR COND INC Owner: TODD, ROBERT&MARY
PO BOX 397 9950 SW KABLE ST
BEAVERCREEK,OR 97004 TIGARD, OR 97224
PHONE: 503-656-0475 PHONE:
FAX: 503-632-8669
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 04/01/2014 $33.39
Type of Use: SF Fuel Piping 04/01/2014 $14.15
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/01/2014 $42.46
Occupancy Grp: 12%State Surcharge-Mechanical 04/01/2014 $10.80
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions tooOOUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _ Permittee Signature: ,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FAX NO. : 656 4572
FROM : R Apr. 01 2014 11:00PM P1
......____,..„................._____—„,.......
Mechanical Permit A lira CEIvE,f , , ,,„ „, 1 f( 1 I NI 0\11
City of Tigard Received AFASIMI - .
,71,„. ' I 3125 SW Hall Blvd,Tigard,OR 97223 APR 2 20'4 Dateilly flit N; ° fezo •-1r •
Plan Review
: Phone: 503.718 2439 Fax 503.598.1960
11:171
Dale/By:
T, ;\ T., Inspection Line: 503.639 4175
cm,of 1-KAHL) Date Ready/By: -tufe_ 0 Sae Page 2 to,
Internet. viww.tigard-or.gov
BUILDING INviRini. Notifiedim,thod, , „
&woe-Amami information
.;.',; 1:.,':.!'1::',1`,',.;'<.k:,,,,: ',6,:i-i.`1,1f.V;4:t7,`,'1.14***Olki:.'J,..., ..;',A'ggl----"--r--7-7'—' '''f',:N '14;ki ,'(, 11,:-.',`‘‘,'-'-' '-' '',':!: 3,441Mi'li:'.'.''..'4.•:`:.''
Mechanical permit tlxs*are based on the value of the work
0 New construction 0 Addition/alterationfreplacanent
.-Mired.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: .„,Ar , • ..., cal materials,equipment,labor,overhead,and profit.
4tall."''fr-,`>„77.41„,,,,,,FPry.,,,r,'.: '...,/.
:■.,.$, .'+':',z!A;N■11§';',Wg4■■•'0: ?'", ,. , ■11116!illi,.'"5:, ■."..l' ' :t'irlk: .'.A ',°-' \■ ''''.,.`..\:4jtti:,,:::--4, 6",'Tialtleri.-fg!` ":',F -F‘-wl'',,,..,-.'- .-*-7T41'' -''t ';.:4.',
0 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory b •••• :: jt '' For.rpecial Wannoaion Jae checklist
0 Multi-family 0 Master builder 0 Other: Description 1 may I 11—ii
%Afir,6gN4-4otiv.F.,. ..,$ ;.:::7,ferrelczzter,..t: ,:a vi.'.. .'-'4,Vkl, t,t' /9:atiaricoolieg: --
..s.,,..,. 4,., ),, sn.-,.,„-. - , . • .,, ••,.:,' . . •-', ' ''''''"L"- '' "'kA' , ' Air cond ink 46.75
Job site adtkcss:
Furnace 100,000 BTU(chaels/vents) 46,75 _
City/State/ZIP:
i Furnace 100,000+BTU(ductrivenrs) 54.91
.-
' Heat pump 61.06
Suite/bldg./apt.noj Project I:,.,ifl APSE 'Sillill li lir Illir DM WCAL __. 23.32
C"stivet/.; Ai,' 4 job s'ar. / MibillIffil Hydronic hot water system 23.32
Milli UR VIIIMIIII. Mir Resicianial boiler(noliator or
hydronic) 23.32
1 ',.. ../..,
1 Unit hearers(het-type,not electric),
in-wall,in-ducl suspendeketc. 46.75
Flue/vent for any of above 2332
Subdi i Other; 23.32
vision: Lot no.:
Other fad appliances!
Tax map/parcel no.: r.aIIMIIIIIMIIIIIIII Wiger hcatcr
23.32
Gas tireplace/inscrt
33.39
uc vent for water hatter or gas
reV/ 12 Anci 61-5-i-i)ie, _lace 2332
1111Irir r7vye-- tpc'e— /27 Z.k; Wood/pellet stove 33.39
q/c2//? '.-Z-7L1 Wood fireplace/insert 23.32
Chimney/liner/flue/vent 2332
23.32
re• ;.,,-7.: "7.--"c;',V: .':,'..};'C 4'■S''" . '4'4 ''It3,64;40‘,.‘'.
...■; Eaviroumentat exhaust and ventilation:
Nam= Range hood/other kitchen
equipment 33 39
Address:
Clothes dryer exhaust 33.39
Singk-dIrct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax( ) Attic/aawlspace fans 23.32
Other 2332
2332
Business name:
$14.15 for first four;54.03 for each addidonal
Furnace,etc.
Contact name;
Gas heat pump
Address:
. Wall/suspended/und beater
City/State/ZIP: water heater III
i Fir ,lace
Pheatel( ) Fax::( )
L (5
Range
E-mail: Barbecue
"';',:'t Iritl‘''rt-40,1.47.44V;Ir':4**4440(04*: CletlICS dryer(gas)
III
, . tit.. -. ,,, ,,, . . . :
Business name: .4_4,1)6(.1,7 l,kevi,/y4, kz a,,;- (-cy,9//1.0/1/,4.7(,
Address: , ignX . 77`j , ,.../
Minimum permit fee(S90.00)
City/State/ZIP: ec..c ti-ecepetk ()A. '77)9 V ------ Plan tevicw(25%of permit fee)
Phone:(jt,)3)‘:,-, ,,,—02_,/ /I Fax:( ) State surcharge(12%or permit
GCB tic.: -.Airr , AP . TOTAL PERMIT FEE
jilifirritillirloPm el 'Me permit edpapHyscsateariteratrabeemiratteeptedpeessitwitesocLaeotsiasdpiete, withis
Authorized signature.' ir . -4 . . Fee methodology set by Tri•COeety Building Industry Service Board
Print name: I Date:
-
440.4617r(11/02/COMNIES)
1:\Boildiag■Peneit24.11K_PeanitApp.04011)doc
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9950 SW KABLE ST, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00150
George Heimos
Checked gas piping installation.
Violation Summary:
Inspector Contractor