Permit •
C ITY OF TIGAIiD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00839
ce 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/27/2005
PARCEL: 25111 DD -03300
SITE ADDRESS: 08885 SW HAMLET ST ZONING: R -4.5
SUBDIVISION: STRATFORD LOT: 025 JURISDICTION: TIG
Project Description: Install fireplace gas insert. Replace furnace (no new pipe or vent).
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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
RICHARD PEARSON Description Date Amount
08885 SW HAMLET ST
TIGARD, OR 97224 [MECH] Permit Fee I2/27/20C $72.50
[TAX] 8% State Surcha 12/27/20C $5.80
Total $78.30
Phone: 503- 620 -6784
Contractor:
SUBURBAN @ HOME
6014 NE 112TH AVE.
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 257 -5438
FAX 503- 257 -5430
Reg #: LIC 143335
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: ; f � � Permittee Signature: _L w
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.
A �
• Mechanical Permit A p i atio � FOR OFFICE USE ONLY •
Receive
City of Tigard d _
20135 Permit No. �/� �
13125 SW Hall Blvd Tigard, OR 972231 DEC 2 ', D �, V) GI U� ��
Plan R
Phone: 503.639.4171 Fax: 503.598.1960 //risq.� l{ \ Da te%B Other Permit:
B U SH
Inspection Line: 503.639.4175 • 1' x
1 Date Read B 1 ®See Page 2 for
� Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
a BUILDING DIVISIO ► - - •
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V ' A t ' x ''..'�' ei +s.4 3 I , ,x. •�. ', : '� ` b Z� , - . 's' - ` 1�V filet ci �r�vv�'4'
i
.,. �� TYPE f1E r►r0 w ..... a C®MMERCIA FEE SC�'R - 1ISEs
r
a Rs� ems. � �.
1 Mechanical permit fees* are based on the value of the work
❑ New Demolition `° uction // ddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of. all
} ❑Demolition. ❑0 Other: mechanical materials, equipment, labor, overhead, and profit
tl -`+��x :'F, 'h*z--- ' -.�- �'r * + / , .e :. -,er s»< ;row' aw'r -.r< �. H - _.. _. - .
-Value: $
- it - CATEGORY�OF CONST UGTbIONV , , _ v . ;
�.,._ s - �u.swus.:�+ - - wn4:.�,.sra.-.. A.,:.- �,:,f. - ,z.e� -- vim.. a x`.� �s.:�. +: w�ac � Q rr,.k.� -�,a, ;•rasa
: R'E�SID 1 re. aE'PII�' F SI5 " . 1� ' 15 +` ;
1 - and 2- family dwelling ❑ CominerciaUindusMal ID Accessory building "�
❑ Mul family ❑ Master builder For special information use checklist:
t 0
�,$t:.4s: �,t.,:.,,., „,. Description Qty. I Ea. Total
_� x - � �,��,.: �:`'e�n _ � Heatin coolin
r ` E t , JUB, '6SITE'° >lNFORMATION<' F.'; '.
Job site address:j ` .M\e Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP:7\ GQ\ 4: . Furnace 100,000 BTU (ducts/vents) 1 14.00• t4 ,o6
Furnace 100,000+ BTU (ducts/vents) 17.90
t Suite/bldg. /apt. no.: Project name: • •
- Gas heat pump 14.00
I Cross street/directions to job site: Ductwork .: -• 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: ' Lot no.: • -
Flue /vent for any of above 10.00
' Other: 10.00
Tax map /parcel no.: Other fuel appliances
D SGRII'TION OPt W: I* 1 Water heater - 10.00
Gas fireplace '. �. 10.00•CZ • OCA 'f. Flue vent for water heater or gas
fireplace % 10.00 i5.06
, ' -Log li (gas) 10.00
f ip1if;, � 0\4; -C � rat e.> .'. ); ck Wood/p s tove 10.00
• O• Ve.. 1 �” Wood fireplace /insert - 10.00
t x - ti , r„ G E Chimney/liner /flue /vent .. . _ 10.00 . .
�s . RQI ERTX140 x� ,' �� ; SIE �, , OiEN V53 . . . �
_. „�v�,�'r -' k�,�,•eua_ _ „*yaw.. aas_,a.:�,.Y.- .5.'�� tl �a'..'” ,&!.•,�,�.v: °s:� :.' .- ' 10.00
Name: (� 'e_.CA,Ca/
GY �■— Environmental exhaust and ventilation . •
Address: ' � - Range hood/other kitchen .
�]v c.: equipment' 10.00 •
City/State/ZIP: `i &) d 0 2 _, 7 _,.. k Clothes dryer exhaust 10.00
Single =duct exhaust (bathrooms,
Phone G � A § Fax ( . )1 . , • ,. - . toilet compartments utility rooms). 6.80.. .
a�i s terAN7' ° CONTACJ�9REI250N �_�v r
°' :f m 4,0 Attic /crawlspace fans 10.
`'
Business nam Other: . 10.00
' Fuel piping- - •` • . .
Contact name l $5.40 for first four; $1.00 for each additional
Address: l.� � i`� Furnace, etc.. .
\ , �( ` \ \� V (� 1 y� `` n ` Gas heat pump ,
City/State/ZII�A� (�'�c�0 Wall /suspended /unit heater ..
Phoile:�- 8 c tC\ t —\ Fax:: a t.--1 Water heater
Fireplace 1 5M0
E -mail: • .
. Range •
P', 7 'Ik °$ Wl• %� & k. ANcG.2, ':,;1E, - `Y£.e �
t , . CONTRACWTOR # Barbecue
Business name: \. PMe/ ' Clothes dryer (gas) • .
Other:
Address. N oe.; \`a �n a �ll� 'IA,, r N IC PERMI'T�F�EES* rg t
City /State/Z , -� c\ ` R a Subtotal `{(
/� _ � l'Jy C� �J �� Minimum permit fee ($72.50)
Phone V��� �� 3b Fax: J�C��� l W Plan review (25% of permit fee)
CCB lie.: \ (---Vo��6 • . . State surcharge (8% of permit fee) e60
TOTAL PERMIT FEE " - .4 1.4 30
Authorized signa '
igna . This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete:
Print name'`'-` . - • - ; ':.. Date' j� '^ " Fee methodology set by Tri- County Building Industry Service Board' -
10 /n'1 V - � ^ i •rr n un�rnn..rnvcn\ - - :
CITY OF TIGARD 6- 3 ,
,‘ .,_. .,. 0,
BUILDING DIVISION 0,!* t, PERMIT #: MEC2005.00839
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/27/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ...,44 eIJI.
INSPECTION WORKSHEET FOR DATE: 1/11/2006 TIME: 7:01AiVi PAGE: 45
SITE ADDRESS: 08035 SW HAMLET ST CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 025 TYPE OF USE:
PROJECT NAME: PEARSON
DESCRIPTION: Install fireplace gas insert. Replace furnace (no ne 'pipe or vent).
OWNER: PEARSON, RICHARD . PHONE #: 503-620-6704
CONTRACTOR: SUBURBAN 0 HOME PHONE #: 503-257-5438
Inspection Request Scheduled For: Date: 1/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 ,L2.. Gas line 4... 024760-01 503-25'7-438 N
ItM WI-ec/U .
Corrections/Comments/Instructions:
47 _t4- 5/ w
465 /5 da) /<'-- 41.44,f4
•
. .
, .
•
PASS
_ PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL p CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector:
C Date: / /; 4 Phone #: (503) 718-
(1
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CITY OF ��U��������
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BUILDING DIVISION + '' `--
~~~~"~~~°""~~° ~°"°"~~"~~"° PERMIT #: k4FC2005-OU339
13125SVV Hall 8|vd.. Tigard, OR07223 DATE ISSUED: 12/27/2OO6
Phone: (503) 639-4171
Inspection Requests (24Hmj:(508)G3Q-4175 Is, e�
INSPECTION WORKSHEET FOR DATE: 1M0/2008 TIME: 7:00Atvl PAGE: 38
SITE ADDRESS: UB@855W HAMLET ST CLASS OF WORK:
I SUBDIVISION: STRATFORD LOT #: 025 TYPE OF USE:
PROJECT NAME: PEARSON
DESCRIPTION: Install fireplace gas insert. Replace furnace (no new pipe or vent).
OWNER: PEARSON.R|CMARD PHONE #: 503-620-$784
CONTRACTOR: SUBURBAN@HOhHE PHONE #: 503-257'5430
Inspection Request Scheduled For: Date: 1/10K2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 024567'01 503-257-5458 N
Corrections/Comments/Instructions:
'
`
AL APPROVAL 0 CANCEL ri NO ACCESS
LL FOR INSPECTION E] ADDITIONAL FEES ASSESSED
Inspector: � Date: Z Phone #: (503) 718-