Permit It
CITY TIGARD MECHANICAL PERMIT
Aope DEVELOPMENT SERVICES PERMIT #: MEC2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1 0/27/2005
PARCEL: 2S104DC -00700
SITE ADDRESS: 13652 SW BENCHVIEW PL ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT: 007 JURISDICTION: TIG
Project Description: Gas line and insert.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES . 0 - 3 HP: DOMES. INCIN:
LPG 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
GARY BALDES Description Date Amount
3653 SW BENCHVIEW PL [TAX] 8% State Surchar€ 10/27/20C $5.80
TIGARD, OR 97223 [MECH] Permit Fee 10/27/20C $72.50
•
Phone: 503- 885 -2402 Total $78.30
Contractor:
T & K MECHANICAL
11525 SW CANYON RD REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97005
Phone: 503 626 - 4652
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: Permittee Signature: /lf
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.
. FRON : HOTSPOT FIREPLACE PHONE NO. : 15036269130 Oct. 24 2005 03:44PM P1
• t ee
;.,. r.
Mechanical Permit Application • J:OR OFFICE USE ONLY
City of E Alio Received Pe rmitNr i j.
Y pate /ray. 0 .� 05 { -�5 fib 2
)3125 W Hall Blvd.. Tigard, OR 2 Plan Review
Phone: 503,639,4171 Fax: 503.598.1 %10 ze r,i, , Dat c /By.
Ins 001.1 P0i
Inspection Line: 503,639,4175 P Misr. i
p OCT 2 4 2 005 , _ WI1! . Dale ste Pate2for
Internet: www.ci.tigard.or.us NotifiaUMcthod: SuDDtems°talInformation
CITY
the value of the work
are based o
N,,•..,, ''' ;cr'aee; i• OF TI 'l, f� :�:�': ... IL 't1w.0*. 4. I'tE . 5 ,. ;
�,. .: ,:.:::'. •"=�. ,:.. r!: t .�i: t .., .,,., y .. v, .,.: ... ,. t Wi
Mechanical permit fees* ut
❑ New construction Addition /altcration/rcplacement performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
;�E> - - jy ` +qs� ° �': b�" • },� `T • ye.:, ;f;b �'��! �yi <.:.,;a;;: ; Value: $
N''' : :: • :"1 : : ; '.J :.ti itedtlipk's3'. • UN t •t(' li�: .;;.014.x; '.:%S <W..,• rr .;.,,.i�
�4. ;:=.. \ : - ,i +ti::r.( y ,:IS.,. ,,.n...- r..,..� :r>.Y.7! : ?. .7 ,� .c...;. . ,rr
l- atld 2-family dwelling ❑ Commercial /industrial ❑ Accessory building `
❑ Multi- family El O
For special information use checklist.
El Master b --
4 � Description I Qty. I Ea. I Total
i ;aF 'v,�a c :,,Y.'y t
7k .: '-'•� .. . kl u •�+' t" tS. nf;k'�
}, ;rl -,:,, w� �� .f: �u.�� ' "�,. ',� .. �4��.' ���:io�:: r,�:�:..:�,r���,� ..rr� ;,,«+�l,r: /cootie _
2 ! }:: ••S, m.:�4 �4:4'.F�. Q '� •AS' .'if/: F� 1. h< I1eat1 u
Job site address: �/� � 1 Air conditioning or heat pump
A` 47LO c /lc.V' V t eu.-) (requires site plan showing placement) 14.00
• City /State/ZIP: m eackY4 „ 5 e . '3 Furnace 100 000 IITU ducts/vents 14.00
• Furnace 100,000 +BTU duets/vents • 17.90
Suite/bldg./apt. no.: Project name: Gas heat pump 14.00
Gross streeUd erections to job site: •' Duct.work• . • 14.00. •
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fool -type, not electric).
in -wall, in-du sus ended etc, 10.00
'Subdivision: Lot no.; •
Flue /vent for Any of above 10,00 •
- - Other: 10'.00
Tax map /parcel no,: Other fuel appliances
• ,:a , • . �: $.� t , c' d ZY T v = 1 - 4N oo ! •.' % ,,' i A I) sk' S Water heater 10.00
' ; „2. . , {.n6`.vyii�4::+;)'a:}'i� i:"i�;E: ,l' • "i ( ��f��: { � r f � � �� "M'T ;v •�, � ry 1 � �RSt'i � `� `t 1 `�" A� • � •
" ' .,' ' aLS . 1 1 l VI to � ' Gas fireplace 10,00 /0
I VI , ,�' v �' Flue vent for water heater or gas
fireplace / 10.00 /o
. Log lighter (gas) 10,00
Wood /pellet stove 10.00
•
• Wood fireplace /insert 10.00
• f , ,. a . ,:, ;r; °' M ^'t>Z s' „ 1 „ '- ti "'" ; e :. ' Chimney/liner/flue/vent iner /flue/vent 10.00
. ,I c''�• the' '?��:".•1`="+i? . .: to „u: 4 r �K'i, .. ti 'y7:tf I R:
,',��,.�!.,,.,r•'��,���`fw''.. �v�x�'c >.n. . a.�_�t . ::f�,n;,•,.'1S1f3:���.�x..� a,. �'t�t,?�s:;l� }�,rr•.:,1. Other• 10.00
. Name: OQtr '\.t - jj Environmental exhaust and ventilation •
Address:
i 3 . Q so Y1,c!/\ f f°U..,J p
Range hood/other kitchen
_ eq e pment . • 10.00
City /State /ZIP; J 1. ck Y4 1 o a-� 3 { Clothes dryer exhaust 10.00
Phone:�//���� p �t Singlo-duct exhaust (bathrooms.
?7e�3) n - e2 (1�2- Fax: ( ) toilet compartments, utility rooms), • (.R0
.) ": •'r �� • J� a:.`v.a.�. Y�(w� �� .. w.,n3 ^... �f1,ri.- •:,:•n. .x� -. •
,t'' st. 1: •. a•. S .ef . NiW.?i:Sii ';if s ;,7,,�r.
' l°" L %) < ..Sr i , ,..;,..:,...,.,:,,,s:11...;•:. M ; P ' r ' {w Attidcrawlspat a tans 10.00
Business name: s " - t - Ot 10.00 a.
Contact name: ., £ .1 v ., ..v r Z_ $5.40 for first four; $1.00 for each additions!
Address: aG,9,..S +SLA) /�� Purnace
(-C& \J�0 ‘'� Gas heat pump
City /State/ZIP: ., v e,,/ �� 1 f q7.) as Wall/suspended/unit heater
•
Phone:.( )(o- 46,G ,2_ I Fax: : )6 ql Water heater
Fireplace / 5-Lip
E- ,Bail: . Range
•
'�."! .. 7t)R;.F ,•n i ,,, r, ! iftir - .;5. "�'' iy °..e.pv , . .4.,; ; n�" h'1d✓ � ..rn,... .� ` , ;, ,, 1
�� 9r •7 °y t�1� yy p-,`L� 7, �c� ..� c^.�•- r�r i. r3.• ". ).
4;`:;;pi ;:P4,- C �.0 5',;;11.g `�:; J:'.tai,:,a.`I�yr:vMh; 4W,.W W..�R:1,a°;:,.:.,y.... .ti.ft s ;414 ^,Fr :,.i ::tiFti`: Barbecue
f : �v
' P.usinesS name: jct. ' Me e a 01(1.7., 2 w � Clothes d ryer (gas) _
. Address : Uther:
s''`f�F } ':i•''.t: M , a c. ��
US-0.5 1/� is ; . ; <.� OAT ,t..
City /State/Zll?: Q j ev 4- t ( %: g'1 _0QS subtotal
Minimum permit fee ($72 -50) ?�
Phone: t�{Q _ _ Fax: ��)�' ,
Plan review (25% of permit fee)
CCB lie,: 49 State surcharge OM of permit fcc) c:
j / TOTAL PERMIT FEE
Authorized signature: , d, 911te permit aDDttCattpu B been if s permit is not obtained within tan
j hn days after it has been accepted as complete.
[Print name; a Q f la _ -_ O • /44Y14,15- ^ • Fee me hodologv set by Tti- County Building Industry Service Board .
t: tauildina \PonnilsME,C- PermiiApo.d• 12/03 440- 44177'(I: /021COWWcc13)
•
CITY OF T`GARD ryiEc
BUILDING DIVISION PERMIT #: 7/ q
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171 l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /3(„ . r J P CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: //- Pour Time:
Code # Inspection Description Confirm # Contact # Message
6/0 c1 5 -G' ► 15_aLf
Corrections %Comments %Instructions:
ASS n PARTIAL APPROVAL CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: // #: (503) 718-