Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00309
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/18/2008
PARCEL: 2S 102CA -00243
SITE ADDRESS: 13290 SW ASH DR ZONING: R-4.5
SUBDIVISION: VIEWCREST TERRACE LOT: 002 JURISDICTION: TIG
PROJECT: HAYS
Project Description: Installing gas fireplace and fireplace 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: 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: 1
> 10000 cfm:
Owner: FEES
RON & SHERI HAYS Description Date Amount
13290 SW ASH DR
TIGARD, OR 97223 [MECH] Permit Fee 6/18/200€ $72.50
[TAX] 12% State Surch 6/18/200€ $8.70
Phone: 503- 702 -6399
Total $81.20
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 B / Permittee Si nature`s _e / n
Call 5 X 9.4175 by 7:00 a.m. for inspections that businiseday.
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.
Jun' 16 08 03:30p Alina w nne 5 03 - 846 -0195 p.2
y EIVED
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Caty of Tigard
Received -
13125 SW Hall Olvd., Tigard, OR 9 N 1 6 2008 itiraa rr,:.: m 2�): _ _ , •
II • Phanc 503.6394171 Fax: 5015983960 neemr oflserPermle
' ' k' - ,: l - g , ITE OF TIGARD C > 1 :
BUILDING DIVISION NeriGe att MI LEMMEIII
- rum or
- sainvtae- -- dat
0 New ronstriGtdaa DErAdditionialtentionfreplacancrit Me annical permit fees' as bed on de Indoe or the weep
❑ Demolition ❑Other. performed. Mime the value (sorunded to dm noires( doper) of all
meriumical menrial9, equipment, leba. overhead, and profit
• " • . ' • CATEGORY OF o01VSTRUCI1 N . va1vc $
Al- and 2- family dwelling 0 Commetciel4ndamial ❑ Accessory building � P 17AI:FiQ ?1 %SHSCfiJIIQTBE�
& For rirrla!
1:1 fam
Molti- ily ❑ Matt builder 0 Other: rtpd �anrwriar we cheekily_
peaeml I Qty. I Ea. Trued
• .JOB 5118C i 5 INFORMATION 'A]9D LOCATION .- . - .. N
Job a to addtesl I 3 ' �.) Ac.---,4.z._ � 1
kit (machos or heat pump - -
1 . - ) --U [�► s+scniooMowing p axma() 1440
City/state/7AP - 7" j r , c.k.\ C�v�- 9 3 F 0( 0 BflJ ) 14.00
^ SelitrJbldglapt ma,: .1 Prrtyeet name: femme 100,0001- BTU (duct Mi u) 17.90
c � {
Gashes pump 14.00 •
Civet itrecticlireciions to jots site: Ductwork 10.00
. Iiydronic [tot vista system 14.00
Residrn0al heifer (radiator or
1lydmrc) 14.00
Unit heaters (ftwi -type. not electric),
• in -wall. in-duct. syspcndeed.etc. 14.00
Fhtedvent for any of above 5.84
Subdivision: 1 Let no.: Other 10.00
Tax msplpanzel ram Other JIM sp srsets
. nE8[ T1Dlq OP W _ Water halo 10.00 ,
Gas Trrepla c / 10.00 . ( ,
It. 11. . e E. \ • 7 el. ' I Flue vent for water hearer argas
fieeplace 10.00
1-cg lighter (pas) 10.0
Wood rr stave 10.00
Wood fireplacentaut 10.00
77 - 0 � OwIIR - - • .• - . . 0 TEN .:_ I nielctmttelvan 1 1000 ;2 � ��
Nom: (� H absurd and munition -+
E c: t� rl 7 Range hoodrothor kitchen
Address: I aCI Q yS q .0 r eczipmcM /0,00
My/Stare/MP; c • Cv1G\ �. c-( as 3 Ckih *ferrnhaost 10.00
RCA Single- duet
"`
Phone (5c3) j0 D R � \ � ( ) toilet iet. etitiyn o es} 620
0 . :.. • p_ CONTACT rumour ~ .-.; • McICI IaWrspotz rasa 10.00 ,
Other. ` 10.00
tl3nsiness rare= N - Lk , -\ o. la ti Fuel Wuhan
Contact name' f� -, r-y $5.41 tier fersl foam SLOG for each additional
Address: ? 0 P) 0X_ 1 1 l_ 0. Cat h l:e etc
caty/Stateizlp: ( - 1 .,i- e., S - ;n 0 - 0 G ! l l� . vial .. , • - •.. - • h M
Phone: ( ,c07)) 'is L . - C 1 n3 I Fwc : (c (9 S5 t ( •- 01 COS— water barer •
F.•rtesil: Fireplace ( 5 �4 c: - rat
• • • CONTRACTOR 1 l3onc�cue 111
ci
Business name: --(, . _ 1L tAj i c.,,.n 4 Ck_. " `�.' ,
Address: ?0 { a 'x ) l l v / ... o - maimac . moat iaii� . - -
Ci(y/5tatcIZI1:
` - CAr Q ,,-+ 'V - [ �V 4 V e - i l Lp Mi svbtvht �, . Lt 0 1
1 Minimum pc,mie fee (S77.50) -7 R - -70
Phone: ( S ) u L( .- 0.o:: ( 113 cc L-1 LD - O f i > Mau review (25% of pariah fee)
CCB tic.: 1 R 1 j L (' ) - Stale surcharge (1296 of permit fee) . '7 0
'DOTAL PER FEE . , ;-,
Authorized Si petal= L�
Two vermeil �e 1
Print hams: " . _ ♦) ( rl d • Date: , - ' Eve me91e6etngy r0. by r i eonnty rtwlfi■F inanta y Service Eland
1:1am7d It .7e t*Arg Arc 4 4 404617r(11 Weep
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200100309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6118/2000
Phone: (503) 639 -4171
J Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/19/2008 TIME: 7:00AfMI PAGE: 7
SITE ADDRESS: 13290 SW ASH DR CLASS OF WORK:
SUBDIVISION: VIEWCREST TERRACE LOT #: 002 TYPE OF USE:
PROJECT NAME: HAYS
DESCRIPTION: Installing gas fireplace and fireplace gas line.
OWNER: HAYS, RON & SHERI PHONE #: 503 -702- 6399
CONTRACTOR: T & K MECHANICAL PHONE #: 503-844-9173
Inspection Request Scheduled For: Date: 6/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 071605 -02 503-1344-9173 N
Corrections /Comments /Instructions:
I IDASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
,i ll • Inspector: � Date: C — if —0 & Phone #: (503) 718- Z4-} - "
•
CITY OF
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BUILDING �U�U�U���'
~~.~.~°.~="~ PERMIT #: kAEC2008-00309
1312SSVV Hall B|vd.. Tigard, ORQ7223 DATE ISSUED: 6/10/2O08
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639'4175
INSPECTION WORKSHEET FOR DATE: 6/19/2008 TIME: 7:00AN| PAGE: O
SITE ADDRESS: 13290 SW ASH DR CLASS OF WORK:
SUBDIVISION: V|EACREETTERRACE LOT #: 002 TYPE OF USE:
PROJECT NAME: HAYS
DESCRIPTION: Installing gas fireplace and fireplace gas line.
OWNER: HAYS, RONR, SHERI PHONE #: 503-702-6399
CONTRACTOR: T & K MECHANICAL PHONE #: 603-844'9173
Inspection Request Scheduled For: Date: 6118y2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 071806-01 603'844-9173 N
Corrections/Comments/Instructions:
•
•
fl PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS
I | FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
|nopeotor ^q^�� Date: g Phone #: (503) 718-