Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00593
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/5/2008
PARCEL: 1 S133CD -03000
SITE ADDRESS: 13665 SW ASHBURY LN ZONING: R -25
SUBDIVISION: COTSWALD MEADOWS LOT: 028 JURISDICTION: TIG
PROJECT: HAMILTON
Project Description: Installing gas fireplace insert.
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:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
JOHN HAMILTON Description Date Amount
13655 SW ASHBURY LN
TIGARD, OR 97223 [MECH] Permit Fee 12/5/200€ $72.50
[TAX] 12% State Surch 12/5/200€ $8.70
Phone: Total $81.20
Contractor:
T & K MECHANICAL
PO BOX 116
FOREST GROVE, OR 97116 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 844 -9173
FAX 503- 846 -0195
Reg #: LIC 121165
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: i �t� — �� Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
DEC -04 -2008 03:22 PM HOTSPOT 5036269138 P. 1
d- ,` C Sill it 1 A � {• <:►t: � ►t a it'>I. t �: \i.
a mivsd Parris No.; City 154 Tigard • �® Ds • ll :0 , y ,4 - --, 4 13
.,, • 13183 SW %1 Blyd., ard, 0 0 1. ,, ,� �,,,, OlherPardo
I P liane ; S03.d39.4171 P 50't •• 1 ',,, . ,
Ina ocsion Line: 503,631=.4175 • "C � prre • : y. n► vp(e a ray
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TYPE OF wry;,`'_ NSA
��a.mc nt
Machin • •pmt .a ere • ad oatba.s use of Ote weds
(� New construction lto Addition /a 'v` r posPprenad. Ittdielxettta value (rquaatedto the newts t dotl�) oPall
• c hmttattf annelid a., i•ma labor ovarh• • end •rO t
[] Demolition D Ofl1cr; Value; S
CATEGORY . OF •C01ytb"1 R>0G"L 1AN REBIDDMAIL EtnnL'131Q'1' / SYSTEMS n1+$"
%l. gad 2• k/oily dwelun8 p Cot mcreilfindustaiul 0 Acccebory baildin& — For apeafaf I,Ihrrmattan ima aukliar.
' ❑ Multkitmily ❑ Mister builder C] Othcr Description [ Qty, I Ea Told
400 Sr1'10 INFO&AdAT[ON An LOCATION _ , 'atin • e lln,
yob site addreat c7• (.i) A51 s L v.,. =,' „ t fni 1440 IIIII
City /StstrJZiP: r^ 1 • ewe" r _ {ea161�N1_ i� „ '
4 Aimee 100,000+ BTU (duet/wawa) 17,90
Frojzat tortes, L i / Goa ht -u • 14.00
Duct walk MI 14.00 - . -
11 - d nle hot water a atom 14.04
•
►t~K „ 1 . RT • 14.00
Unit hUUmra ■ ' of -typo, not metric), -
ln•wall, In -duos, mitinnIntled 14,00 _
lug/vent for all Of above IIIMI 6e
Other: 10,00
Tax map/parca! nn.: Othlt• + tuv1 }Aptfaves
D>tsou Of WORK Water hour 10.150
-- gas fireplace . rll 10.00 /0
as i e •., • \ i w- - t ,s -Q Flue vent for water heater or pi
v dm.laco 10,00
Lo ii hur . u 11111•11EMINIIIII
IVAVTMTUIIIIIIIMIIIII 10,00
wood .,Igoe /Insert 1111111 10,00
J� Cbinttte itituttneudveat 10,00 -
�• ►, .rr 1 .. � �' • ❑ TEN.►A'r Other; 10,a0
Name: Q y OM' .. V\ nvirnn , . 1 exha . I . r v t !lad .n
gs ood/aher kitchen
Address:
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$nslncaa name: 6 S'ptt.. f L �. Other, NMI t0,00
Contact nrme: additional
p_ . g6.40 for ANet fcem$1.00 for each
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mom: r • j ( 1. _ . _.
ory/91 ta/Z{P; - F f g . r cwt? Cy 7e1 , Subtotal
Phone: y,. • ) 626.4661)_.. Fart: { j . Minimum paaaithha 212.50 Wj '
Lori' d e . ♦ state slur. 12% of • • , It fbe) amp
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I: seam wscuMOrt:•9ermlNroAx e l /IP70/ 44441177 (I I/OIfl MIWn4)
CITY OF TIGARD - • -'
BUILDING DIVISION PERMIT #: riale2(70)0088-00693
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 v ilingl •A
Inspection Requests (24 Hrs.): (503) 639 -4175 .. 1 .1.
INSPECTION WORKSHEET FOR DATE: 12/152008 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 13665 SW ASHBURY LN CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS LOT #: 028 TYPE OF USE:
PROJECT NAME: HAMILTON
DESCRIPTION: Installing gas fireplace insert.
OWNER: HAMILTON, JOHN PHONE #:
CONTRACTOR: T & K MECHANICAL PHONE #: 503_844_9173
Inspection Request Scheduled For: Date: 12/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 079053 -02 503"844.9173 Y
Corrections /Comments /Instructions:
•
•
•
A .pz§_s n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
2
Inspector: Date: Phone #: (503) 718 - 42,�
CITY OF TIGARD ...
BUILDING DIVISION PERMIT #: MEC2008-00593
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/5/2008
.
,---
Phone: (503) 639-4171 egphooll111" 46,
Inspection Requests (24 Hrs.): (503) 639-4175
•
INSPECTION WORKSHEET FOR DATE: 12/160008 TIME: 7•00Am PAGE: 4
SITE ADDRESS: 13666 SW ASHBURY LN CLASS OF WORK:
SUBDIVISION: coTSWALD MEADOWS LOT #: 028 , TYPE OF USE:
PROJECT NAME: HAMILTON
DESCRIPTION: Installing gas fireplace insert.,
OWNER: HAMILTON, JOHN PHONE #:
CONTRACTOR: T & K MECHANICAL PHONE #: 503-844-9173
Inspection Request Scheduled For: Date: 12/15/2008 Pour Time:
Code # Inspection Description Confirm # - Contact # Me sag
610 Gas line 079053-01 603-844-9173 ' Ne
Corrections/Comments/Instructions:
. .
< Ej PARTIAL APPROVAL n CANCEL fl NO ACCESS
n FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
4),(.. ›u(
Inspector: Date: Phone #: (503) 718-
, ,. , •