Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00026
,f �I DATE ISSUED: 1/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BB 01400
SITE ADDRESS: 08325 SW COLONY CREEK CT ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES LOT: 010 JURISDICTION: TIG
Project Description: Install gas fireplace insert.
CLASS OF WORK: OTR 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
DENNIS COCKREHAM Description Date Amount
8325 SW COLONY CREEK CT
TIGARD, OR 97224 [MECH] Permit Fee 1/12/200E $72.50
[TAX] 8% State Surcha 11121200E $5.80
Total $78.30
Phone: 503- 620 -4173
Contractor:
ENERGY SAVERS PLUS, INC.
3747 SE 49TH AVE.
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 777 -0389
FAX 503- 775 -6772
Reg #: LIC 103273
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 Signatu <, ._ c �. �1� --� -C � � • L .
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.
.. L'JUUl
Mechanical Permit a
Ap liction
P ' ' � sQit USE ONLY /
City of Tigard Da i °° � %' �i Parf No :mac
13125 SW Hall Blvd., Tigard, OR 97223 DuuBy: ��' ��
Phone: 303.639.4171 Fax; 503.598.1900 Plan Review
503.639.4175
n et, pi - on _ `• ' A Data/By: O ther Permit:
Inspection Line: �J
Internet wv tv.ci.tigazd.or.us ^^ >• Date lteady7By: t °�1A; 10 See Page 2 for
Nodfied/Method; �� Supplcnienta) Information
TYP';E OF WORK ' : ' COMME ;,;itt=.‘SetillP UJLE 7, USE9C'IIECKLIST •
❑ New construction s ddition/alterntion/replacemcnt Mechanical permit fees a:e be on the value of the work
performed, Indicate the value (rounded to the nearest
dollar) of all
Demolition ❑ Other. 1 mechanical materials, equipment, labor, overhead, and profit.
. .. CATEGORY. OF 'CONSTRUCTION ' H • : value: $
�.!an
ld 2-family dwelling ❑ Commercial /industrial ❑ Accessory building ' RESIDENTIAL EQUIPMENT / SY5TEMS FEESI
For special information use checklist.
❑ Multi- family ❑ Master builder 0 Other: Description
Qty_ I Ea. Total
J013 ,SITE IIYFORMAlI`I;ON. AND LOCATION ' . . .
.HeatinPJcoolinf
Job site addr ss: _ 'a C Air conditioning or heat pump
(requires at; plan showinsD Inc emom) 14.00
City/State/ZIP: —1- ►c u �i nit 1 C �a��f Furnace 100,000 BTU (duets/vents) 14.00
Suite bldg, /apt. no.: 1 Project frame: I Furnace 100,000+ BTU (duc1Jvrois) 17.90
Gas heat pump 1 4,00
Cross strcct/directionS to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 16.00
Unit heutera (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00 1
Flue/ vent for an of above 10.00 1
Subdivision: Lot no -: Y
Other: 10.00 I
Tax map /parcel no.: Other fuel appliances
,_ DESCRIPTION 'OF WORK. • : Water heater 10.00 I
•
. Gas fireplace 10.00
=-1.-,..s... =-1.-,..s... LA . (1 /`n1'1
C.- ' r II i& c -t I rni o -+ Flue vent for water healer or gas
_fireplace 10.00
Log lighter (gas) 10.00
Wood/ ellet Stove 10.00
-
Weod'4eeJaec /ustert 1 10.00 I IQ LvO
6�' ❑ TENANT Chimney/liner /flue/vent t 10,00 ) 0 et)
ROpEItTY• OWNTuR ' T '' -
(� Other: - _ 10.00 I i
i Name. -42... CO C - 1C %--2 k..., Environmental exhaust and ventilation
Address: Range hood/other kitchen
'b3_c .S� tR) no (0 r, 0 r• . ■� CA , equipment 10.00
City /State /Z PI t j-, q ),:••1- q Clothes dryer exhaust 10.00
Single-duct cxhauat (bathrooms,
Phone: 5 3) • . • , Fax: ( ) toilet compartments, utility rooms) I 6.80
I! • PLICANT : ' : .7.: • ONTACT' PERSON Attic /crawlapaoe fans I 10.00 I
---- other: 1 1 10.00 1
Business name: t r .. 1 .0.„. r , 1 1 ,Sc." 't tL7s I , `1—t -, , , Fuel pipiay
Contact name: ,,L,_ ,, ( t 14 t n , 4-. a w $5.40 for first fear; 31.00 for each additional
-
Furnace. etc.
Address: r
Cal heat pump
City/State/ZIP: Wall/auspended/unit heater
r —
Phone: ) -••,) '� a 1 a - S 10 e-e (( Fax:: ( )
Water heater
E-mail: Range
1
i Ran ge
CONTRACTOR`' Barbecue
Business name: �n i t �S t , Clothe dryer (pea) ______
Other
Address. 3 `7 i `t S 4cl µ= A.4., ✓ M E C H A NIC A L PE
_ MIT"FEES* •
CityiStattiZIP: � ( VY(L- D0,00 4'l Co , Subtotal D0,�
Minimum permit tee (572.50) 7 a - O
Phone:! d.?) "1 ;--C, 3 t6i Fax: (-..S0 -7--1 S - (4 - Plan review (2-5% of permit fee)
CCB lie.: , O 3..- 1 3 State asurcharge (8% of permit fee) 15j .35 0
_
_ TOTAL PERMIT FEE - 7 g -3:)
ma ` C C�� � - SV Thu permit epptication expires If n permit is nor ca ,vttaln 11;0
Authorized sig�•tature
4. , 4 _,2, Jaya altar it has bran necepteo as complete, plot plrtr.
r t name' 1.--e 0 � r4, . i . _, e__<. I Date: ' I i —o Fce methodology aer by Tr -County Building Indu ,try Se eo,re e.
. .
CITY OF TIGARD
IL ...,
,.... ,. •4.
BUILDING DIVISION PERMIT #: MEC2006.' 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111712006
Phone: (503) 639-4171 IM
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/23/2006 TIME: 7:04M1 PAGE: 12
SITE ADDRESS: 0325 SW COLONY CREEK CT CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES LOT #: 010 TYPE OF USE:
PROJECT NAME: COCKREHAM
DESCRIPTION: Install as fireplace insert. 1
OWNER: COCKREHAM, DENNIS PHONE #: 503-62(1.4173
CONTRACTOR: ENERGY SAVERS PLUS, INC. PHONE #: 603:m4)369
Inspection Request Scheduled For: Date: 1/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # - sage
699 Mechanical final 025405-01 503.312-8769 Y
Corrections/Comments/Instructions:
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177/ PASS n PARTIAL APPROVAL Ill CANCEL 0 NO ACCESS
I FAIL pi CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date:
' 14 ‘ ([ /C Phone #: (503) 7182-47-3