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Permit ' ., CITY OF TIGPfkD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00559 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2008 PARCEL: 2S 109AB - 05100 SITE ADDRESS: 14233 SW 133RD AVE ZONING: R - SUBDIVISION: THREE MOUNTAINS ESTATES LOT: 044 JURISDICTION: TIG PROJECT: ADAMSON Project Description: Installing fireplace insert, liner for fireplace and gas piping for range and fireplace. 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: GAS PRESSURE: 50 + HP: WOODSTOVES: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 2 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2 > 10000 cfm: Owner: FEES CASALE, JOHN A + Description Date Amount HOCEVAR, JOANN MARIE 14233 SW 133RD AVE [MECH] Permit Fee 11/13/20( $72.50 TIGARD, OR 97224 [TAX] 12% State Surch 11/13/20( $8.70 Phone: Total $81.20 Contractor: G P & W SYSTEMS INC 732 MARBLE RD WASHOUGAL, WA 98671 -9601 REQUIRED ITEMS AND REPORTS Contact #: PRI 360 - 835 -3516 FAX 360 - 835 -5716 Reg #: LIC 108176 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. s Issued By: ,/ . 01 1 ,,c / �. Permittee Signature: _�� r‘ / .P Cal . .39.4175 by 7:00 a.m. for inspections that busines 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. Nov 13 08 08:50a GP &W Systems, Inc. 360 - 835 -5716 p.2 Mechanical Permit Application FOROFFIfCE Ii$1 ONLY City of Tigard 06 Received r , !7t. Permit No.. ' , 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Akirli.. Dat e/By: Other Perch Inspection Line: 503.639.4175 � / � � 'Date Rcad 18 RI See Pa e 2 for Z 1`1 NQ ':: Y y: Avis: g Internet www.ci.tigard.or.us ` t Naufiavt/Niethod Supplemental Information TYPE OF WOR ‘‘ L. COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees" are based on the value of the work ❑ New construction ❑ Addition /altetatio replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition G1 Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ / 0 Q . RESIDENTIAL EQUIPMENT I SYSTEMS FEES* 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling . 33 1 Air conditioning or heat pump Job site address: r 9 a 3 3 S , 3 3 r 4,,,..v (requires site plan showing placement) 14.00 City/Stale/ZIP: -} 1 q 04 0 R- cC `7 a a LI Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: Gas heat ,pump 14.00 Cross street/directions to job site: Duct work . 14.00 Hydronic hot water system /4.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue/vent for any of above 10.00 Subdivision: Lot no.: Other 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 . ."-)c.1--C--1". tz A- 3 ,/1 t t yLQ 2�}Ytdi ‘4--- Flue vent for water heater or gas f" J fireplace 10.00 F; ; 1^ 4 ( ra c--e- �'a.""` Log lighter (gas) 10.00 vt.31 4-1 f fee rt I 4- SP Y I- Wood/. ellet stove 10.00 . Wood fireplace/insert _ f 10.00 - /0 Chimney/liner/flue/vent I , 10.00 / 0 ( PROPERTY OWNER TEN Other. 10.00 Name: 0,0 ( 6 i Act .t S t Environmental exhaust and ventilation / Range hood/other kitchen Address: ` Li off. 3 3 S (.t] i 3 3 .....t 4- 0 -4.-.- equipment 10.00 q Clothes dryer exhaust 10.00 City/State/ZIP: l cl s> tr d Q r / o9 a f Single -duct exhaust (bathrooms, Phone: q9 s-1 7 g 5 - 3o o'T cf Fax: ( ) toilet compartments, utility moms) - 6.80 12 ❑ CONTACT PERSON Attidcrawlspace fans -_ 10.00 Other 10.00 Business name: P 4 9_ (� � ��g ins Fuel piping Z S'! cD Contact name: L4 /JAie- $5.40 for first four; $1.00 for each additional Address: C � a l gd Furnace, etc. Gas heat pump City /State/ZIP: . ) . ' L IV A- ' - ♦ ;�77 Wall/suspended/unit heater Phone: (a g „ a $ � / p Fax:: ( ) g3.5-57/4. Water heater Fireplace I E -mail: Range I CONTRACTOR Barbecue 6 eo e�e4 s tna J L-- Otheesdryer(gas) Business name: i k l� /► Address: '3 44 t hl a�� • MECHANICAL PERMIT FEES` City /State/ZIP: Li) a 61-L i A_ . fl7f Subtotal ,25 4 0 Minimum permit fee ($72.50) — 2 9 1, Phone: (3/00 835- g #y Fax: c ?. 3,5 , 5-2)(1= Plan review (25% of permit fee) COB lie.: O,g1 d 3 State surcharge (8% of permit fee) E."..* TOTAL PERMIT' FEE dl) This permit application expires if a permit is not obtained within 180 Authorized sig e: ` / days after it has been accepted as complete. • Industry Service Board i Print name: �� : ..,:,......e..- . ' 4r: � Date: if/ /77/ ,�'_;! ' f • Fee methodology set by Tri - County Building J CITY , OF TIGARD ., 1 BUILDING DIVISION „„A PERMIT #: MEC20011-00569 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 11/13/2008 Phone: (503) 639-4171 -lilt Inspection Requests (24 Hrs.): (503) 639-4175 , . . ,- t i 11. - - 7 . . ..... INSPECTION WORKSHEET FOR DATE: 11/26/2008 TIME: 7 al Aivi PAGE: 3 SITE ADDRESS: 14233 SW 133RD AVE CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 044 TYPE OF USE: PROJECT NAME: ADAMSON DESCRIPTION: Installing fireplace inset, liner for fireplace and gas piping for range and fireplace. OWNER: CASALE, lOHN A +, PHONE #: CONTRACTOR: G P & W SYSTEMS INC PHONE #: 360 Inspection Request Scheduled For: Date: 11/2612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 078506-01 360-772-6328 N Corrections/Comments/Instructions: ASS E] PARTIAL APPROVAL E CANCEL NO ACCESS - pi FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED /) , , /1.1 ., Inspector: Date:// -- 1 g., Phone #: (503) 718- . . CITY OF TIGARD , BUILDING DIVISION A. PERMIT #: MEC2008-00559 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1312008 Phone: (503) 639-4171 ""ll'411141t, Inspection Requests (24 Hrs.): (503) 639-4175 _4114. - 11.. INSPECTION WORKSHEET FOR DATE: 11/24/7008 TIME: 7:02AM PAGE: 10 SITE ADDRESS: 14233 SW 133RD AVE CLASS OF WORK: SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: t.M4 TYPE OF USE: PROJECT NAME: ADAMSON DESCRIPTION: Installing fireplace insert, liner for fireplace and gas piping for range and fireplace. OWNER: CASALE, JOHN A +, PHONE #: CONTRACTOR: 0 P & W SYSTEMS INC PHONE #: 360-835-3516 Inspection Request Scheduled For: Date: 11/24/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line - 078431-01 360-772-6328 N ' Corrections/Comments/Instructions: a . 2 FA PASS 0 PARTIAL APPROVAL E CANCEL 0 NO ACCESS I I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 7 / Date: //-2 g Phone #: (503) 718- -Z---(1-',e-5-----' CITY OF TIGARD u. BUILDING DIVISION PERMIT #: MEC 008 0051 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2008 Phone: (503) 639 -4171 Ad y�� Inspection Requests (24 Hrs.): (503) 639 -4175 I I.. INSPECTION WORKSHEET FOR DATE: 11!24/2008 TIME: 7:02AM PAGE: 9 SITE ADDRESS: 14233 SW 133RD AVE CLASS OF WORK: SUBDIVISION: THREE (MMCUNTAiNS ESTATES LOT #: 044 TYPE OF USE: PROJECT NAME: ADAMSON DESCRIPTION: lnsialling fireplace insert, liner for fireplace and gas piping for rang: and fireplace. ._ OWNER: CASALE, JOHN A +, PHONE #: CONTRACTOR: C P & W SYSTEMS INC PHONE #: 360 - 835-3616 Inspection Request Scheduled For: Date: 11/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 078431 -02 360 -772 -6328 N Corrections/Comments/Instructions: t6 // avzi___, . 7:-- 1 Ao 5 p\/ 6v &A, 4—ic.z-S',3 B6 / Ala- c -t�-L 7 • • PASS - -PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL f l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: it— 2,4-- ex" Phone #: (503) 718 -' . , INSPECTOR'S SIGNATURES ARE NOT - Inspections Required for: ,liE a $ --cu -1 REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description PASS Date By ' ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 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 Hot 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 Wtr 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 / \ X 610 Gas line i! .tea ---er Kk 287 ° Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work .. 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab 910 Sprinkler rough -in PLM - Plumbing Permit 915 Fire alarm rough -in 305 Plumbing underslab 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing . 995 Misc. inspection: 998 Alarm final 320 Plumbing rough -in 999 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 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 I: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07 CITY OF TIGARD MECHANICAL PERMIT - • °. COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00559 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2008 PARCEL: 2S 109AB -05100 SITE ADDRESS: 14233 SW 133RD AVE • ZONING: R -7 SUBDIVISION: THREE MOUNTAINS ESTATES LOT: 044 JURISDICTION: TIG PROJECT: ADAMSON Project Description: Installing fireplace insert, liner for fireplace and gas piping for range and fireplace. 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: 2 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2 > 10000 cfm: Owner: FEES CASALE, JOHN A + Description Date Amount HOCEVAR, JOANN MARIE 14233 SW 133RD AVE [MECH] Permit Fee 11/13/20C $72.50 TIGARD,•OR 97224 [TAX] 12% State Surch 11/13/20C $8.70 Phone: Total $81.20 Contractor: m G P & W SYSTEMS INC 732 MARBLE RD WASHOUGAL, WA 98671 -9601 REQUIRED ITEMS AND REPORTS o 00 Contact #: PRf 360 - 835 -3516 FAX 360- 835 -5716 0 Reg #: LIC 108176 Lri 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: / � . � = Permittee Signature: l.,,:/75 Cal • .•39.4175 by 7:00 a.m. for inspections that busines 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.