Permit CITY TIGARD MECHANICAL PERMIT
j
i b I' DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00532
DATE ISSUED: 11/1/2006
: ° - --�'' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S109BA - 03600
SITE ADDRESS: 14114 SW BENCHVIEW TERR ZONING: R -7
SUBDIVISION: HILLSHIRE SUMMIT LOT: 021 JURISDICTION: TIG
Project Description: Install woodburning fireplace, gas log lighter and gas piping.
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: REPAIR UNITS:
1
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
GARY WILSON Description Date Amount
14114 SW BENCHVIEW TERR
TIGARD, OR 97224 [MECH] Permit Fee 11/1/200€ $72.50
[TAX] 8% State Surcha 11/1/200€ $5.80
Total $78.30
Phone: 503 -524 -8303
Contractor:
FERGUSON ENTERPRISES INC
2121 N COLUMBIA BLVD
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 644 -9525
PRI 503- 646 -9525
Reg #: LIC 157743
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: ��Z� f2 Permittee Signature: e� /
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
10/02/2006 09:17 FAX 5035981960 CITY OF TIGARD j001/003
• - . •
Mechanical Permit Application 1()R 4)11 ic (.
City of Tigard Received
noway ,-' i Peftni"° et9 --ao 53 :;L
11 1312 S W Hall Blvd, Tigard, OR 97223 / Are am H /
Plea Review
• PbeetC: 503.639.4171 FEL 503.598.1960 Dete/By. Other Permit:
I : ,., \ ;,• 1 .,
Inspection Line: 5031139.4175 Dee Renly/By. FM 0 Sec Page 2 tar
Internet: wvAviigard-or.gov MOW/Method: Supplemental Informstim
1',4 g •iitriltitit*Citt$'-' S. ';;;', . ' .: ' .:;',:.:- : : ...;.' :.!:',..4 '' .:
O New construction "Addition/alteration/replacement Mechanical permit foes* art based co the value of the work
performed Indicate thc video (rounded te the nearest dollar) of all
13 Demolition 0 Other: mechanical materials, equipment, labor,overbead, and profit
e'3!".'' :.. 01STE4:4ORtOirr*OSRTIOILlrir3W4: 7 `c'''' ; ;: . ..7 "'' ' -:',''.:?.;''': value: s
!
Illi I- and 2-family dwelling 10 Commercial/industrial 0 Accessory building * 0#.0.0**
For special Worm:don usc check/tn.
1:1 Multi-family 0 Master builder 0 Other: Description 1 Qty. j Ea. 1 Total
^ : :- 4efit,tiTE*111 4 4 . 104nOri:41 . 41 1. .0;k4VOWn:*: .! ''tr: . 4 ' .- IhillitIgigOetil*
Air conditioning or heat pump
Job site address! a ,4 ._),.. , ,wi -, .... (as Maiden Movdtut elacenimil) 14.00 ..
City/State/Z1P: - - 7 (e) ta_prAl 7 7 2_ 2 y Furnace 100,000 BTU(ductehents) 14.00
i Furnace 100,000i BTU (destavents) 17.90
Suite/bldg./apt. no.: 41 Project name: Gas heat titunP 14.00
Crass street/directions to job site: a ,. // , c ,, ,i_4, ,.,j 47 Gi, ..,_,..c Dim welt 14.00
Hydronic hot ender system 14.00
4, R e /U C4 11: e-4_.4.) / r 4 C Residential boiler (radiator or
hydronic) 14.00
Itilit heaters (fuel-type, not electric),
in-well, in•duct,,snsperodui, etc. 10.00
-• Flue/vent for any of above 10.00
.Subdivsion: 14 / /5.4 , s 1,.._ S t..04.1 A/ '.%- I Lot no.: a 1
Otha:
• Tax map/parcd no.: i C 9 _T s Other tad epittliantet
1'.: : ...- : , : s. •••--'.:::: : : w a t er hlatcr 1000
, i , , _ 47 ,... ,, , QM fireplace
=.1.1 5-1--A ll LAj a r.,44 6,4 r-&I 1■1 i v.e-1 'Rae- . h/i/ Flue vent for water heater or gas 10.00
Gird AA) cl
) ks Le, Wi)If tfe-r *coact
Loa lighta(as) 10.00
i 10.00 /0
. Wood/pellet stove 10.00
Wood tireptsce/inscrt , / 10.00 . I ,
- i 10.00 IP
'.!,:::•;, Thi .:.,.:.t. ,-....,:, ,.....7.;,:,..41:14 . .";,7■,, ::4 .:,.: other 10.00
Name: a kit t o e
Gd i6l ') Environmental exhaust tad ventilation
. Range hood/other kitches
Address: 1 q II 4.1 s i.t) 6 z_AJ a ii i .'Al /- r 4-ccz- equipment 10.00
City/State/ZIP: -- Ti 7 1 iti-LQ ,e 1-4 1 7 2-z_zii Clothes Vtr exhaust , 10.00
Sin othaust (badueoms,
Phone: (5q3) 5 9,14 - q 35 3 FKK,(50 5 30 ,...g s / 9 toilet 4:envenoming. utility rooms) 6.80
.: :: ' ...N ' .::.: :'' .,'''. ::';•::"'.; .1 1. : ..''...iii; a ..egiii:**0, ititgare Anicianwisme 6,.. 10.00
Other: 10.00
Business name: Feel Dining
Contact name; W , t.,..)93 55.40 for first fear; SLOG for each additional
Address: 1 1..., S LL. I s exicjfi v .., 4_4, j ---? y _ r ii_c....e., Gas beat pump
City/State/ZIP: -E 1-4 0 rd " c / 7 .-2../ Wall/suspendedAinit beater
/ Water heater
Phone: (S) 3 ca . q ?) 1::,-.. 1 Fax: ; GO3 5'30 - ce_siy t 6
Fireplace ,
E-mail: 9 »j I- `■;■ '1 S °Ai 0 CrOftriC A/ 19-- I Range .
,.. •:, ' .:!:::; : ; .,.:; ., ',,, '• ': ::., : -1 :::.:(:: :::': '," Barbecue
aothes drya Nes/
Business name:
Other!
Address: 2 ... 1 p &), CO (-A-t. "-L. (0 -'11 . i 1 1 e- :: ..,;:•::!: , .': koicaisitak.tOgit. -.,;•.!' '' ''. .
City/State/VP: 1 t'''
- - - - / 7 1- 1 7 Sabtotal 4V .
V Minimum permit fee (S72.50) 1 2
Phone: (5'03) (p 9 4,- 9 5',5 r7 Q 3 ) (a Lig - ( iS 2-5 Plan review (25% ofpomit fee) 5zorgir i.r
CCB lic.: j C - 7 7 3 r (,6,- ee:t State surcharge (8% of permft fee) c ..grrej „.$1 s1,.. , )
TOTAL PERMIT FEE
Authorized signature: ' I/ (1g-V1 .
This permit epplicence repines it e permit li oat °Moine watY 90111
days alter It bas bees accepted es complete,
• Fcc methodology set by Tri•County Building Inc/War Scrwice Eloed 7 . D
I Print name: .i-ky IA 15. . Date: /C 2. , p, i, 1
imsdisingletasiuSli2C-PaniitApssisc 0/O6 (7? /02000/4/9/11B)
.. .
CITY OF TIGARD
BUILDING DiVisioN
PERMIT #: M0052
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639-4171 _. i
Inspection Requests (24 Hrs.): (503) 639-4175 ....,--tim, - 47---. riGr , C, — 00 532 .-)
INSPECTION WORKSHEET FOR DATE: 121612006 TIME: 7 PAGE: 62
SITE ADDRESS: 14114 SW BENCH VIEW TERR CLASS OF WORK:
SUBDIVISION: HILLSHIRE SUMMIT LOT #: 021 TYPE OF USE:
PROJECT NAME: WILSON
DESCRIPTION: Install woodburning fireplace, gas log lighter and gas piping.
OWNER: WILSON, GARY PHONE #: 60:3-624-8303
CONTRACTOR: FERGUSON ENTERPRISES INC PHONE #: 503.546.9525
Inspection Request Scheduled For: Date: 123612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 Mechanical rough-in 040715-01 503-624-8303 N
Corrections/Comments/Instructions:
/ ,,., 4.4 . • I- -A ti 4../
_,,,
_... L.:.■ ." - , ' Ar z• ,....' : t -,---- _ .. ' _." -
(10‘.-- ,7:P,e---- 1 ArAV,SC-771,0Li kJ/la-A_ )
,--- •
lill PASS - 7<NRTIAL APPROVAL 0 CANCEL fl NO ACCESS
FAIL
El , CALL FOR INSPECTION
. •
4 1 ADDITIONAL FEES ASSESSED
Inspector: / , Date: T2---6--c/ 0 Phone #: (503) 718- '"Z9 —c i - S -----
. _ ,
..
CITY OF TIGARD
BUILDING DIVISION
A PERMIT #: MEC2006-00532
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639-4171 infigNOilij`
Inspection Requests (24 Hrs.): (503) 639-4175 AO' IL Af Er Zoo k - 0053 a..
INSPECTION WORKSHEET FOR DATE: '1216/2006 TIME: 7:01AM PAGE: 53
SITE ADDRESS: 14114 ,.%Pi/ BENCHVIEW TERR CLASS OF WORK:
SUBDIVISION: HILLSHIRE SUMMIT LOT #: 021 TYPE OF USE:
PROJECT NAME: WILSON
DESCRIPTION: Install woodburning fireplace, gas log lighter and gas piping.
OWNER: VOLSON, GARY PHONE #: 503
CONTRACTOR: FERGUSON ENTERPRISES INC PHONE #: 503-646-9525
Inspection Request Scheduled For: Date: 12/60006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 040713-01 503-524-8303 N
Corrections/Comments/Instructions:
e ---/gii‹
I PASS, PARTIAL APPROVAL El CANCEL n NO ACCESS
7 AI CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: - Date: it-- ‹) 67 Phone #: (503) 718- 1 ----1 - 1 . '6 ---
-, . -, _ , • . •
CITY AIRIGARD
BUILDING DIVISION
A PERMIT #: MEC2006-00632
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/
Phone: (503) 639-4171 _ 1 1
Inspection Requests (24 Hrs.): (503) 639-4175 ATMAP. - '!--. / & .200 6 — 00 SSA-)
INSPECTION WORKSHEET FOR DATE: 12/6/2006 TIME: 7:00AM PAGE: 42
SITE ADDRESS: 14114 :AN BENCHVIEW TERR CLASS OF WORK:
SUBDIVISION: HILLSHIRE SUMMIT LOT #: 021 TYPE OF USE:
PROJECT NAME: WILSON
DESCRIPTION: histall viroodburning fireplace, gas log lighter and gas piping.
OWNER: WILSON, GARY PHONE #: 503-624-6303
CONTRACTOR: FERGUSON ENTERPRISES INC PHONE #: 503-646.9515
Inspection Request Scheduled For: Date: 12/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 , Mechanical rough-in 040626-01 603-524-8303 N
Corrections/Comments/Instructions:
-- , 6Ae - ...7-1' . _.■ ''' -
.1.. • ^ .4wAII" ' C;(1 4-4.- di i r ,1,4e 5 -7-74-/ 1„4-7-7. 0...-L/ -
- rg .)e (7--2-r-r---,-2-
:AO oter., - . -- — ; .. /1- ' . , ,-- — . —
.21.---
..,
,...-
,,,
...,
‚ V
17 El PARTIAL APPROVAL n CANCEL fl NO ACCESS
..,,,,
A_ FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ,./
Date: f', ..9 Phone #: (503) 718