Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00516
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/20/2008
PARCEL: 25111 DC -06800
SITE ADDRESS: 09450 SW BRENTWOOD PL ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.9 LOT: 496 JURISDICTION: TIG
PROJECT: CHANDLEE
Project Description: Gas line to 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
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
GENE CHANDLEE Description Date Amount
9450 SW BRENTWOOD PL
TIGARD, OR 97224 [MECH] Permit Fee 10/20/20( $72.50
[TAX] 12% State Surch 10/20/20( $8.70
Total $81.20
Phone:
Contractor:
HEAT RELIEF CO
13122 NE DAVID CIR # 800
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 261 -9915
FAX 503- 261 -9814
Reg #: LIC 122424
•
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: Se
Call 50 .639.4175 by 7:00 a.m. for inspections that business
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.
'.J
Mechanical Permit Applicatio FOR OFFICE USE ONLY
City of Tigard CC Date/By: Received /v , g Permit • .
13125 SW Hall Blvd., Tigard, OR 97223 , 's 54
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 1 0 . , 10 Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 r Date Ready/By: guru El See Page 2 for
Internet: www.tigard-or.gov 0tJ ® ®t Notified/Method: c Supplemental Information
FEE* SGII u
� � ` � " �� � , x P � �. , A . '.`<: � G,�OM1YfERC I AL U L`-E� -- �
❑ New construction 0 A t �t CS� M e c ha nic al p erm it fees* are based on the value of the work
11�� " �` performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: C tiA mechanical materials, equipment, labor, overhead, and profit.
7 l T ! a n g
® Multi - family ❑ Master builder For special information use checklist.
❑ Other Description I Qty. I Ea. I Total
:,. R1
..s ,1fATI(?NID- I:(TAT[OI:
.�=.�: � �� : -�,� Heating/ cooling
Job site address: q 3Y �i(1-ir' Air conditioning or heat pump
1 A 11 �I 1 L (requires site plan showing placement) 14.00
City/State /ZIP: "1-1 E7 tk (1 a a Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: J Project name: lr�� Gas heat pump 14.00
Cross street/directions to job site: , Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I Lot no.:
Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
` :.: ._ fit t ESC1 IPTtO F`.�VORK -- N ,: Water heater 10.00
Gas fireplace 10.00
• Flue vent for water heater or gas
rAn ``� C� .C1 - `�l .9 \C fireplace 10.00 Q
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
441.44#4 ARt O - n . � I!j_el '_t z - . o y/liner /flue/vent 10.00
' .. �. � � =` ... Other: 10.00
Name: G e (Q- \� 0 • , Environmental exhaust and ventilation
<4 ?� � (`/0 (��nN� Range hood /other kitchen
Address:
equipment 10.00
City/State/ZIP: Clothes dryer exhaust. 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility moms) 6.80
: � 12 " , °" i o - t Os 9; Attic /crawlspace fans 10.00
Business name: HEAT RELIEF 10.00
Fuel piping
Contact name: MARK DEFRANCISCO $5.40 for first four; $1.00 for each additional
Address: 13122 NE DAVID CIR DR # 800 Furnace, etc.
Gas heat pump
City/State/ZIP: PORTLAND, OR 97230 Wall/suspended/unit heater
Water heater
Phone: (503) 261 -9915 Fax: : (503) 261 -9814 Fireplace G >;
E -mail: Range
r¢.. ��- � ..Q R A ¢R � = Barbecue
Clothes dryer (gas)
Business name: HEAT RELIEF
Other:
Address: 13122 NE DAVID CIR DR # 800 " 4A m �g �.a
Subtotal syo
City/ State/ZIP: PORTLAND, OR. 97230 Minimum permit fee ($72.50) 1 a
Phone: (503) 261 -9915 Fax: (503) 261 -9814 Plan review (25% of permit fee) ^e_
CCB lic.: 122424 State surcharge (12% of pennit fee)1 L^)
TOTAL PERMIT FEE g i 20
\ � This permit application expires if a permit is not obtained within 180
Authorized signature: 222/241 � . ", _ y days after it has been accepted as complete.
Print name: MARK DEFRANCISCO Date: • Fee methodology set by Tri-County Building Industry Service Board
I Va..:1,..... \D -.... A.=r_D.....:. e..., e,,.• nnnum. AAA e<.•.r 111,,11,... /S...-.,,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200B -00516
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1000/200B Phone: (503) 639 -4171 / , dq iii6lf l,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10131`2008 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 09450 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO .9 LOT #: 498 TYPE OF USE:
PROJECT NAME: CHANDLEE
DESCRIPTION: Gas line to fireplace
OWNER: CHANDLEE, GENE PHONE #:
CONTRACTOR: HEAT RELIEF CO PHONE #: 503. 251 -9915
r
Inspection Request Scheduled For: Date: 10/31/2008 Pour Time:
O S lam'
Code # Inspection Description Confirm # Contact # Mes: • -
699 Mechanical final 077397 -01 503-620-2257
Corrections /Comments /Instructions: (0) � 3( - teu93- i • 2 "
n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e aS Date: 3IocTo Phone #: (503) 718 - 24/23
.. . _
CITY OF TIGARD -
- .-U,,
BUILDING DIVISION PERMIT #: MEC2008-00516
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: to/V/2008
Phone: (503) 639-4171 li k04111t\
Inspection Requests (24 Hrs.): (503) 639-4175 A.44, II.
INSPECTION WORKSHEET FOR DATE: 1 0/22/2008 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 0450 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMFRFIELD NO. LOT #: 496 TYPE OF USE:
PROJECT NAME: CHANDLEE .
DESCRIPTION: Gas line to fireplace:
OWNER: CHANDLEE, GENE PHONE #:
CONTRACTOR: HEAT RELIEF CO PHONE #: 603-261-9915
Inspection Request Scheduled For: Date: 10/2212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
cE
699 077036-01 503636-6262 V
Corrections/Comments/Instructions:
CoreSSo re- it
25 ; Ac- i c td, I
1 ‘70c18. 7
A ) k-e : au
Ca 5-e- . 1 ---7 ■ , Ac•- I
V PASS 7 PARTIAL APPROVAL D CANCEL 7 NO ACCESS
I I FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: S Date: ,WA Oc '76i Phone #: (503) 718- 2 `47 3
. .