Permit n CITY OF TIGARD
MECHANICAL PERMIT
, INI::,. COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/7/2008
PARCEL: 2S110DC -90111
SITE ADDRESS: 15655 SW 114TH CT 11 ZONING: R -25
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO LOT: 011 JURISDICTION: TIG
PROJECT: BROOKS
Project Description: Gas insert and venting. Gas line existing.
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:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
HELEN BROOKS Description Date Amount
15655 SW 114 CT.
TIGARD, OR 97224 [MECH] Permit Fee 1/7/2008 $72.50
[TAX] 12% State Surch 1/7/2008 $8.70
• Total $81.20
Phone: 503 684 - 8935
Contractor:
ALL FUEL INSTALLATION & SERVICE LLC
PO BOX 69
TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 674 -2350
FAX 503- 674 -2693
Reg #: LIC 169503
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: P ermittee Signature; cz �2J 'i
•
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.
2008 -01- 0416:19 » P 2/2
Mechanical Permit Appli 11 e t , 1 OFFICE I 1: 0\ 1..1
it �1/
City of Tigard Received
- 13125 SW Hall Blvd., Tigard, OR 97223 Datc/By: _ .- nt {A
0 a - Pe N '^ v _ • • D r
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"p
' I ' Phone: 503,639.4171 Fax: 503_598.1.441‘1 �) 1008
(Rim' Puma:
1 r; 16 li Inspection Line. 503.63').4175 taatr kewly/Ry' See Page 2 for
Internet: www.tigard- or.gov %A l Y OF /GARD NoliticdfMedwd Supplemental Information
BUILD L. . D r _ � .
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
® Addition /allcrationhcplaccmcnt Mechanical permit fees• are based on the value of the work
❑ New eonstcuiA,on performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor. overhead. and profit.
CATEGORY OF CONSTRUCTION _ y~ Value: .S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
(23 1 and 2 family dwelling ❑ Commercial /industrial 0 Accessory building
For special in formation urn cltwekliet.
❑ Multi - family ❑ Master builder ❑ other. - - i--^~
- � Description I Qty. I La. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Joh site address: 15655 SW 114 Court Air conditioning or heat pump
Ireyuues sae plat) slowing placement I 14.00
City /State /ZIP: 'I'igard, OR 97224 Furnace 100,00(1 H711 (deck /venial .. 14.00
Furnace 100,000+ B'TU (Ducts /vents) 17.90
Suite/bldg. /apt. no.: 1 Project name; ° 2oolh9 (;as heat pump 14,00
Cross street/directions to job site: Duct work 14,00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
- Unit healers (fuel -type, not electric).
in in - duct, suspended, etc. 10.00
Subdivision: Nl lot nu.: Flue /vent for any2f above 10.00
• Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK — Water healer 10.00 -
"""' " Gus tirstuce 1 10.00 10
Install gas insert and venting, gas line is existing Flue vent tin water heater or gas
—
Fireplace I 1(1,0(1 10 -
-. I Aig lighter (gas) 1 11.00
Wood /pellet stove 10,00
Wood fireplace/insert 10.00
PROPERTY OWNER 1 0 TENANT Chimney /liner /flue /vent 10,00
Ol}ter: 10.00
Name: Helen Rrmukk I nviruntneatal exhaust and ventilation
Address: Same as above Range hood /other kitchen
equipment_ 10.00
City/State/ZIP: _ Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)684 -1935 Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ❑ CONTACT' PERSON Attic /ctawtspaee fans 10,00
Other: 10.00
Business name: Sec Below J""' ° - "
„•• Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace. etc.
_. Gas heat pump -- _
City /State /ZIP: Wall /suspended /unit heater
Water heater
F ax:: ( )
Phone: ( I _. ~-
- Fireplace ,,.
E-mail: Range
CONTRACTOR Barbecue _
Business name: All Fuel Installation and Service, I.LC. y Clothes dryer (gas)
Other':
Address: PO Box 69 MECHANICAL PERMIT FEES*
City /Stale /ZIP: Troutdale, OR 97060 Subtotal 20
I Minimum permit fee ($72.50) 72.50
Phone; (503) 674 -2350 Fax: (503) 674 -2693 -• vie
Plan review (25% or permit fee)
CCB tic„ 169503 Stare surcharge (12% of permit fee) ^ 8.70 A-4
TOTAL. PERMIT FEE R1.20 J�
This permit application rxpirta, if a permit is not obtained within IRO
Authorized signature: I �, 1 u 1 0 days after it has been accepted as e.mplete.
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BUILDING DIVISION PERMIT #: WEC208-00007
13125 SW Ha|| Blvd., Tigar . OR 97223 DATE ISSUED: 1/7/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 1 4.1N+ 'Li.
INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7:01AM PAGE: 24
SITE ADDRESS: 16666GW CLASS OF WORK:
SUBDIVISION: FOUNTAINS ATSUkxMERF|ELD GONC) LOT #: 011 TYPE OF USE:
PROJECT NAME: BROOKS
DESCRIPTION: and venting. Gas tine existing.
OWNER: BROOKS, HELEN PHONE #: 503.G348935
CONTRACTOR: 8LL FUEL INSTALLATION & SERVICE LLC PHONE #: 503-574-2360
Inspection Request Scheduled For: Date: 1M1/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
889 Mechanical final 06307401 503-884-8935 N
Corrections/Comments/Instructions:
.
| | |PARTIALAPPROVAL 0 OANCEL 0 NO ACCESS
n FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
|napgctoc '
�,.^�-� Oate� �-'�^ �� Phone#� /603\718'
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INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: i . -SAD REQUIRED ON GREEN INSPECTION CARD.
Ili—r Code Inspection Description I PASS Date rBy ./ Code Inspection Description • [ASS Date B
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underound /slab cover
410 Fill L 110 Temporary electrical service
415 Grading 115 Electrical service _
205 Footing 120 Electrical rough -in •
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain _ 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Ilot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wit proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final •
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing _ r` 610 Gas line
287 Suspended ceiling }( 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final _ 625 Duct work
498 Grading final I 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
, 699 Mechanical final / — / /—db' / —
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
T_ 310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection:
998 Alarm final 320 Plumbing rough -in
999 i Sprinkler final 322 Shower pan
330 Water service
•
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation _ 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing L 399 Plumbing final _
210 Foundation walls
215 Footing drain •
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
--
498 Grading final . _ 595 Misc. inspection: _
499 Final inspection . 599 Final inspection 1
T• \ Building \Forms\ InspCard- AOP- Blank.doc 02/02/07
7•
� CITY OF TIGARD. ' MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 '503.639.4171 DATE ISSUED: 1/7/2008
PARCEL: 2S110DC -90111
SITE ADDRESS: 15655 SW 114TH CT 11 ZONING: R -25
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO LOT: 011 JURISDICTION: TIG
PROJECT: BROOKS
Project Description: Gas insert and venting. Gas line existing.
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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm:
OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
HELEN BROOKS Description Date Amount
15655 SW 114 CT.
TIGARD, OR 97224 [MECH] Permit Fee 1/7/2008 $72.50
[TAX] 12% State Surch 1/7/2008 $8.70
Phone: 503- 684 -8935
Total $81.20
a
Contractor:
T„„,
ALL FUEL INSTALLATION & SERVICE LLC
P
PO BOX 69
TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS 0
00
Contact #: PRI 503- 674 -2350 0
FAX 503- 674 -2693 0
Reg #: LIC 169503 0
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.
r
Issued By: Permittee Signature: � T 1Z
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.