Permit v CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00067
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/17/2009
PARCEL: 25111 CD -03700
SITE ADDRESS: 09575 SW BRENTWOOD PL ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.9 LOT: 526 JURISDICTION: TIG
PROJECT: PRATT
Project Description: Install gas insert.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
Owner: FEES
JOHN & MARJORIE PRATT Description Date Amount
9575 SW BRENTWOOD PL
TIGARD, OR 97223 [MECH] Permit Fee 2/17/2005 $72.50
[TAX] 12% State Surch 2/17/2005 $8.70
Total $81.20
Phone: 503- 639 -2642
Contractor:
LUDEMANS INC
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005 -2129 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 646 -6409
FAX 503- 646 -8034
Reg #: LIC 51469
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: OnOk�� S • � Permittee Signature: a(2.e 71/44)) I QC�-}
Vt
Call 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.
FEB. 16.2009 3 :36PM i � ��rnr 0.735 '.2/3 a
, ;Mechanical Permit Applict'I Y `1l jV' - i c�it cx i < ou
- City Of Tigard Received - 4C' _ ♦ remit Ne
1 111 1 131 zs SW Hall Blvd., Tigard, OR 97223 FEB 17 1009 DatcR3y: ' .�t. - r ��27
Plan Review Other Permit:
t P .' . Phone: 503,639 -4171 Fax 503.598.1960 Date/By: ■
Inspection Line: 503.639,4175 CITY OF TIGARD Date Realty /ray: Saris Pi See Page 2 for
• Internet aunv.rtgard- or.gov BUI DIVISION Notified/Method: I /: ., Supplemental information
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El New construction / 1 Addition/alteration /replacement . Mechanical permit fees" ire based on the value of the work
performed. Indicate the v iue (rounded to the nearest dollar) of all
❑ Demolition I: Other:
�q mechanical materials, c. ui.ment, labor, overhead, and .rdfit.
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NT I • and 2- family dwelling ❑ Conullercialfindusnial ❑ Accessory building
Forspecial :irsformution use checklist.
❑ Multi - family [] Master builder ❑ Other; Description I Qty. I Ea, I Total
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Job site address; Gj5' e J /en- 714)(90 r� r e g conditioningorheatpump
< _ , (requires site plan shoving ph:cement) 14.00
City /State/ZIP: D g 9 V Furnace 100,000 BTU duties /vents 14.00
Fumace 100.000+ BTU (ducts/vents) ■ 17.90 III
Suite/bldg. /apt, no,: Project name: x• Gas heat num. 14.00
Cross street/directions to job site: I Duct work 10.00
Hydronic hot water system - 1111111 14.00
Residential boiler (radiator or
hydronic) 14,00
Unit heaters (fuel -type, n¢t electric),
in -wall, in -duct, suspended, etc. . 14.00
Subdivision: Lot no.: Flue./vent for any of above ill 6.50
Other, 10.00
Tax map /parcel no,: Other fuel appliances , _
7,T1 1 j5,; } ;; }I " ITt ll. ` 'IIT4t • e V TW,l4It .fly'. tl Al
rij�4 Oil ¢ t tikl j l Water heater 10,00
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/ �^ Gas fireplace / 10,00 r..4 g
7 h .3_fi_ q - /7 , e Y I ^ Flue vent for water heater or gas p
fire lace 10.00 /d•Cla
T ( . 29 a g 03/i/7 ) _ - Co li ttter gas 10.00
U E; Wood /pellet stove i0 -00 -
Wood fir lace /insert 10.00
? � I', 5t 1 a Chimney/liner/flue/vent /liner/flue /vent _ 10.00 -
1;3i,t +Ii ii , r,i l ;9 "i i 1 I1il +.;1''!. d , ➢1 ,f1 d,', t .„.,
- � 7 Other, 10,00
Name �/ /.=?rL.' t , l , P!-.q .7 7 Environmental exhaust and ventilation
Range hood /other kitchen
Address: Q 7 .5— / • id 0 e / p4. e.ui.mem 10,00
City/State/Z1?: / 4 i `77.,:9,-.4i Clothe dryfr exhaust 10.00
Single - duct exhaust (bathrooms,
Phone: 3) 6 +_ 1 Fax: ( ) toilet compartments, )
.. G• 02 o artzncrttb, utiliti�roonts _ 6.80
h I t IFS Attic/crap/space a
M ill } i t i `) . i a i`T MA, )R I, r ENV, 1. s ac '' 4 o v i�! ' 1 fns 10.00
Business name: L 6 , d Iri Fu i 10,00
�.[ �/ _ Fuel nipinR
Contact name: ep I A4 C e R _ S$.40 for first fo'uri $1.00 for each additional
Address: �J Furnace, etc.
eR 4 7 ,. eo. tJ a rd Rd. _ Gas heat pump
City /State/ZIP: �/
O
el T r1 _ 0A 9 74Q,� Wall /suspended /unit heated
Phone: 4 65/6 , ep yo 9 Pax:: cf j CpY6 "CU, Water heater
Fireplace
E-mail: On. ff .4 em44
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y., .i1, fin a, . , it+�rlt' ' .t11 r�ni b5 , l, .t 1 %, 1 �,� � l , r, r { ,.� 4 , ll(� ! , i Barbecue
Business name: . Sv, on Clothes dryer (gas) 1111
Address; Ocher F
City /Statc/ZIP, _ Subtotal Q7p ao
Phanc: ( ) Fax: ( ) Minimum permit fce ($72.50)
- . Plan review (25% of permit fee)
CCB lic.: .$ /.5/(q State surcharge (12% of permit fee) ? 7Q
• TOTAL PERMIT FEE - c- in
Authorized SIgttatar�r T hls p ermit
application expires if a permit is not obtained within 180
data after It hits been accepted as complete,
Piint same, 6-411111, 1 _ fce -
Q 4 It Du re ` + a Fee methodology set by Tri•Caunry Building ledwtry Service Board
or
I \buitdmg\Pci rr s\MEC -P nuApp doc Si /19I07 450 - 4617r (11 /02 /COMAVPB)
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CITY ���������������
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, BUILDING DIVISION PERMIT #: M[C2O09-041067
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3117/3009
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION �
|NSPECT|ONVVORKSHEETR]R DATE: 2/23/2009 TIME: 7 : 0OAtyl PAGE: 9
SITE ADDRESS: [>95765W BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUK460ER|lELD LOT #: 520 TYPE OF USE:
PROJECT NAME: PRNT
DESCRIPTION: I gas i nser t .
OWNER: PRATT, JOHN &kdAnJ0R|E PHONE #: 603
CONTRACTOR: LUD[MANS)MC PHONE #: 503.646-W9
Inspection Request Scheduled For: Date: 3y23V2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 080741'01 503639- 2642 N
Corrections/Comments/Instructions:
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,.4-A El PARTIAL APPROVAL Ei CANCEL n NO ACCESS
/ | FAIL ri CALL FO" INSPECTION n ADDIT NAL F ASSESSED
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Inspector: � Date: 28 rPhone #: 8503\ 718- Al■