Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00615
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/19/2008
PARCEL: 2 S 112 CA -03700
SITE ADDRESS: 15540 SW 79TH AVE ZONING: R -12
SUBDIVISION: DURHAM ACRES LOT: 019 JURISDICTION: TIG
PROJECT: BROOKS
Project Description: Gas insert and gas line.
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:
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:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
BROOKS, WALTER J + JOAN MARION Description Date Amount
15540 SW 79TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 12/19/20C $72.50
[TAX] 12% State Surch 12/19/20C $8.70
Total $81.20
Phone: 503- 626 -4652
Contractor:
T & K MECHANICAL
PO BOX 116
FOREST GROVE, OR 97116 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 844 -9173
FAX 503- 846 -0195
Reg #: LIC 121165
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: ` g & & h. Permittee Signature: j Ut Q tt
ll
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.
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CITY OF TIGARD a ..„ . _ - -
BUILDING. DIVISION PE RMIT #: MFC2OOl -Oa61
13125: SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/19/2003
Phone: (503) 639 -4171 / 7/ jPu 1
Inspection Requests (24 H'rs,): (503); 639 -4175 , ,
INSPECTION WORKSHEET FOR DATE: 12/3012008 TIME: 7:00AF PAGE: 12
i - , - 444 ib . Y., 4-- ,
SITE ADDRESS: 15e0 SW 79TH AVE CLASS OF WORK:
'SUBDIVISION: DURHAM ACRES Lon t: ' 0ig TYPE OF USE:
PROJECT NAME: BROOKS
DESCRIPTION: Gas insert and gas line.
OWNER: BROOKS, WALTER J + JOAN MARION, . PHONE #:
CONTRACTOR: T &,K MECHANICAL PHONE #: 503,4w-9173 -
Inspection Request Scheduled For: Date: /2130/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
99 Mechanical final 079258 -02 503-844-9173 110 >
Corrections/Comments/Instructions:
•
•
•
ss
a PASS' ❑ PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
j.
Inspector: — ® Date: / 0
. ' Phone #: (503) 718
CITY OF TIGARD a
410
BUILDING DIVISION PERMIT #: MEG2008-00616
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/19/2008
Phone: (503) 039,4171 4 - 46 40010.
Inspection Requests (24 Hrs.); (5Q3)639-4175
INSPECTION WORKSHEET FOR DATE: 12/3012008 TIME 7•'00Alvi PAGE: 13
SITE ADDRESS: '16540 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: DIJI-ci'llAM ACRES LOT #: 019 TYPE OF USE
PROJECT ,NAME: BROOKS
DESCRIPTION: Gas inseit and as line.
OWNER: BROOKS, WALTER J JOAN MARION, #:
CONTRACTOR: T & KMECHANCAL " PHONE #: 503-844-9173
Inspection Request Scheduled For: Date: 12/30/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
• 610 Gas line 0792%01 •503-844-9173 400 •
Corrections/Comments/Instructions:
• •
•
•
•
• PASS PASS PARTIAL APPROVAL
n CANCEL NO ACCESS
• --
FAIL CALL FOR INSPECTION El ADDITIONAL. FEES ASSESSED
•
/NW
Inspector: • • AiLarell■.— Date: SO OS Phone #: (503) 718-
•