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Permit
� CITY OF TI "CARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00518 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/29/2007 PARCEL: 2S112CA -11200 SITE ADDRESS: 07727 SW ASHFORD ST ZONING: R -4.5 SUBDIVISION: RENAISSANCE WOODS LOT: 038 JURISDICTION: TIC PROJECT: RIVAS Project Description: Install new gas insert and run 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: 1 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 ERNEST RIVAS Description Date Amount 7727 SW ASHFORD ST TIGARD, OR 97224 [MECH] Permit Fee 8/29/2007 $72.50 [TAX] 8% State Surcha 8/29/2007 $5.80 Total $78.30 Phone: 503- 646 -6409 Contractor: LUDEMAN'S FIREPLACE & PATIO 12675 SW BEAVERDAM RD BEAVERTON, OR 97005 -2129 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 646 -6409 FAX 503 - 646 -8034 Reg #: LIC 51469 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: /J Jf ‘ / Permittee Signature:<SL y . • Call 503.639.4175 by 7:00 a.m. for inspections that business d y. Y P Y 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. AUG .28.2007 3 :53PM . NO.061 '.4/4 • rdechanical Permi �lpplic® "on, IUR01I l(Ltst -.OM.\ Ret City of Tigard �, Dne / nee �. - -lX)57 1, Dstemy: fl I Permit Nu.: y 13125 SW Hall Blvd., Tigard, OR 972 -EVE Plan Review pmt Permit: Phone: 503.639.4171 Fax: 503,598.1160 Aa DatdBy: Inspection Line: 503. 639.4175 AUG 7 � 114111111' Dale Ready/By! S See Page for Internet: www.ei.tigard.or.us • HUG 2�� : .�... .. Notified/ Method: 'G nppieloentnI Information CITVCF f ' 41 IV:- fin) lima COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees' are based on the value of the work 0 New construction Addition /altetation/replaeement pertbsmed, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other, mechanical materials, equipment labor. overhead, and profit, Value: $ CATEGORY OF CONSTRUCTION - - - RESIDENTIAL EQUIPMENT / SYSTEMS FEES* and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building - For special information use checklist. ❑ Multi - family ❑ Master bui der ❑ Other: Description Qty. I Ea. t Total JOB SITE INFORMAT_ON AND LOCATION Hcating/eoolin g . 7 � tqc A ^ Air conditioning pump Job site address: 7 7 a C f 5 f, (req amok= showing pt$eemont) _ 14.00 - City/Stato2lP: - * ®f� ' . - f V Furnace 100,000 13Th dumb/nom 14.00 Furnace 100.000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: /1 1/ pas heat .um. 14.00 Cross street/directions to job site: Duct work - 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronlc) 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: E0.00 Tax map /parcel no.: Other fuel appliances DFSCEWTION OF WORK Water heater 10.00 Gas fireplace 10.00 --1 f41/ 77 6. 4 -4 Scr,4 4 y� Flue vent for water hector or gas • fireplace 10.00 li t` el Q _si h es • Log lighter (gas) 10.00 �,J wood/ diet stove / 10.00 • /400 �- Wood fireplace/insert 10.00 Chimney/liner /flue/vent / 10 :00 /Q. CC: ( PROPFRTY OWNER ❑ TENANT • _ _ _ Other: 10.00 Name: n i) C • . . LU 0A Environmental exhaust and ventilation i A /'+ Range hood /other kitchen OS w Address: -7 7 t2 7 . I �s r tJ .5 f, equipment _ 10.00 City /State/ZIP: 7 r a O1e. 97aa V . Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (5 5) (paQ ., 7 // 6 Fax: ( ) toilet comportments, utility rooms) 6.80 1/ APPLxcorr ❑ CONTACT PERSON Attic/crawlspace farts 10.00 Other: 10.00 Business name: ..4- 4e,PC /yo Q h , Fuel piping . Contact name: '2 h / ' j2:4 90 e. /e $5.40 for first tour; SI.00 for each additional /7 Furnace. tic. I Address: . 0=� � l! 0s.i Raj'? Gas heat pump City /State/ZIP / ■i71 C P 7CJQ., Wall/suspended/uflt _ p Phone: (S'Q3) Co ‘,/6,_ 609 1I Fax: : (v Q3) t:/ yd0 ' cpcu y Water heater Fireplace / 3. _ CIO E -mail: Range - CONTRACTOR Barbecue Business name: ©�R lri Clothes dryer (gas) I Other: F Address: MECHANICAL PERMIT FEES* City /Statc/ZI.P: Subtotal ?ONO. - Minimum permit fee (572.50) +7 a SQ! Phone: ( ) Fax: ( ) Plan review (25% of permit ire) CCI3 lie.: / 96;79 a jJ off- State surcharge (8% of permit fee) J r r0 TOTAL PERMIT FEE 78 Q Authorized signature: (� Thug permit ipplicntian expires if a permit is not obtained within lea div after it has peen accepted na complete. Print name' /n g �, c i I Date: J �d , O 7 I Fee ate hodology set by Tri�ounty Building Industry Service nea�d CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007-00518 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/29/2007 Phone: (503) 639-4171 ivA t\ sir Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/21/2007 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 07727 SW ASHFORD ST CLASS OF WORK: SUBDIVISION: RENAISSANCE WOODS LOT #: 038 TYPE OF USE: PROJECT NAME: RIVAS DESCRIPTION: Install new gas insert and run gas line. OWNER: RIVAS, ERNEST PHONE #: 503-6416-6409 CONTRACTOR: LUDEtvIAN'S FIREPLACE & PATIO PHONE #: 503-6 Inspection Request Scheduled For: Date: 9/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 056103-01 503-620-7116 N 6 IC, Qp,- Pt Fil Corrections/Comments/Instructions: fl PARTIAL APPROVAL 0 CANCEL n NO ACCESS El FAIL fl CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED if Inspector: / .- Date: q-- 2 Phone #: (503) 718- - ".•-4,--4/2\ --- . .