Permit '`
IN CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00699
`` DATE ISSUED: 11/29/2007
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111AD 03800
SITE ADDRESS: 08950 SW PINEBROOK CT ZONING: R -4.5
SUBDIVISION: PINEBROOK TERRACE LOT: 035 JURISDICTION: TIG
PROJECT: HALL
Project Description: Install gas fireplace, venting & gas piping. Install water heater venting & piping.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 2
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:
WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
ROBERT HALL Description Date Amount
8950 SW PINEBROOK CT
TIGARD, OR 97224 [MECH] Permit Fee 11/29/20C $72.50
[TAX] 8% State Surchar€ 11/29/20C $5.80
Phone: Total $78.30
Contractor:
R & D INSTALLATIONS
5246 SE 62ND
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 774 - 7142
Reg #: LIC 95236
This permit is issued subject to the regulations contained in the Tigard Muniapal 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.
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Issue By: dt" r Permittee Signature: /0 �_ i j�V�/
Call 503.639.4175 by 7:00 a.m for inspections that busine-- say.
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.
Nov 29 07 10:38a p1
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Phone: 5W .C39.4171 Fax: 503.1.'915.196D •'.. I nerelty: Ostur Parroic
.114°1 Supplomattint Information
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' AavirRromental ethaust And ventilation
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This perroil applitalien expires If A permit Si rior obtained rothm 1,
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CITY OF TIGARD . \I
BUILDING DIVISION
A,A PERMIT #: MEC2007-00699
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2007
Phone: (503) 639-4171 -ftritillT\
Inspection Requests (24 Hrs.): (503) 639-4175 .4,191. i i
-- /‘1" A of e 9 - 00 6 9 9
INSPECTION WORKSHEET FOR DATE: 12/3/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 08951) PINEBROOK CT CLASS OF WORK:
SUBDIVISION: PINEBROOK TERRACE LOT #: 035 TYPE OF USE:
PROJECT NAME: HALL
DESCRIPTION: Install fireplace, venting & gas piping. Install water heater venting & piping.
OWNER: HALL, ROBERT PHONE #:
CONTRACTOR R & D INSTALLATIONS PHONE #: 503-774-7142
Inspection Request Scheduled For: Date: 12/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 06059901 503-624-5608 y
Corrections/Comments/Instructions:
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- , PASS U PARTIAL APPROVAL
( Ei CANCEL . fl NO ACCESS
1 I FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
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Inspector: Date: / 1 PhOne #: (0)
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