Permit C ITY OF F TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00703
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/4/2007
PARCEL: 2S110DC -90252
SITE ADDRESS: 15565 SW 114TH CT 25 ZONING: R -25
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO LOT: 025 JURISDICTION: TIG
PROJECT: KENNEDY
Project Description: Install gas line & gas fireplace
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:
OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
FRANCIS KENNEDY Description Date Amount
15565 SW 114TH CT #25
TIGARD, OR 97224 [MECH] Permit Fee 12/4/200i $72.50
[TAX] 8% State Surcha 12/4/200i $5.80
Phone: 503- 624 -1492
Total $78.30
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.
N.
Issued By: 7)/1 Permittee Signature: ._JY) /
4
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 .
BUILDING DIVISION PERMIT #: MCC2t�0! 00703
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •I2/4/2 1t07
Phone: (503) 639 -4171
A �u�tl
Inspection Requests (24 Hrs.): (503) 639 -4175 °''f 1 I
/16— CA00 7 " '0 70 3
INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00AM PAGE: 84
SITE ADDRESS: •155565 SW 114TH CT 25 CLASS OF WORK: -
SUBDIVISION: FOUNTAINS AT SUMMERFIELO CONO LOT #: 025 TYPE OF USE:
PROJECT NAME: KENNEDY
DESCRIPTION: install gas line & gas fireplace
OWNER: KENNEDY, FRANCIS PHONE #: 603.624 -1492
CONTRACTOR: T & K MECHANICAL PHONE #: 503
Inspection Request Scheduled For: Date: •12/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 061316 -01 60.4 -9173 Y
Corrections/Comments/Instructions: o//
': � 0 t+ , : t ' . - .7 I' `r1 ,, ->7 — 0s - - - S'< *7s , 4 / ... „
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL i CALL FOR INSPECTI ❑ ADDITIONAL FEES ASSESSED
In (503) 718 - 7
spector: ' Date : /�j� —o7 Phone #: (5 ) Z