Permit 1
CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00621
TIGARD DATE ISSUED: 10/25/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103CA 00213
SITE ADDRESS: 13170 SW HOWARD DR ZONING: R -4.5
SUBDIVISION: WOODCREST NO.2 LOT: 023 JURISDICTION: TIG
PROJECT: WILLIS
Project Description: Install gas line for future gas log set and range.
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
RICK W LLIS Description Date Amount
13170 SW HOWARD DR
TIGARD, OR 97223 [MECH] Permit Fee 10/25/20C $72.50
[TAX] 8% State SurcharE 10/25/20C $5.80
Phone: 503 449 - 4829
Total $78.30
Contractor:
FIRESIDE DISTRIBUTORS
18389 SW BOONES FERRY RD
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -595 -3738
FAX 503- 670 -7285
Reg #: LIC 40979
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 OU NC by
calling 503.246...'9 or 1.800.332.2344.
Iss ed By: / . � _. � . , Permittee Si • nature: �4jer d e .
R
Call 503.639.4175 by 7:00 a.m. for inspections at 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.
'
? 1 a
rilecltanicaI Permit A.1 i i k ; uCi , ; 1 ri)R Ol' 1''if i.115r (Nix
City of Tigard ' � N =. � . ' W` c [ Date/By: / D /24 $ Permit No.; 1 7 — 00ipzi
'R 13125 SW Hall Blvd., Tigard. OR 97223 Plan Review
I: ' Phone: 503.639.4171 Fax 503.5981 i 2 LUU I Other Permit:
Date TI C; A I? I] Inspection Line: 503.639.4175 � D Ry: Doa Rcady/8y, tur;e, El Scc Page Z for
Internet: www.tigard- or.gov i ,1. 1� otificdtmfthod: r Supplemental information
Y U I l ill
r , i , • i'� Il , 4�u �1 - •c ! - ,. � rt , a acr '�'" n i(� ' a? ,,,_ ,t 1 c •, l �r .,� �,. .. -, yy ppp tQ0 � { ,,+ yy ,�, yu � t �
.,' 1 i , ;gli % i l;i ; iV illlltl 111 {' li 'li':1( &,r +nl PF : 1 ! i , ] 1.:1 '' , lg `,1111i1r 1$ i , i 0 e la •' 0 I 'a }It➢A ! (Y�1',11
�� 1 �� � E'1 I, y � 1 : 1} .4' , l� 1,11!'1 'N4'"'` � + �'
,..'' New co nstruction I,<, "rt,l1,11,,,11 It Addition/alteration/replacement e.' } +,�„ , ,� i en n i»+rl, iaa,,,,, it , , s r ar e..•s -na r o m ,.W, tr..t 1, n, ,h••<, w . ,,.t . o .
❑ ❑ chsniCel p fees' are basal on the value of the work
performed indicate the value (rounded to the nearest dollar) of all
El Demolition ❑ Other: • mechanical materials, equipment, labor, overhead, and profit
�� h' 1 rat ��} „ S„t. UMW. q � fj �p { !i t q V i � Value: $
'1 „l' i ∎'d 4..$0 4' �.�flilriaiciakt`m` r° �i, °" I { 11 °"n f:,i.111111(111 lif ,}�i�lj�E ��+ � } Va i
llt - - . nd 2- family dwelling [0 Commercial /industrial P__, Accessory building •fimn■, , ,,, h ' „ , u'.tt +, 61 .,,, t.,, + w W ,,, , ,, „
For special information use checklist.
❑ Multi ❑ Master builder 0 Other: Description I Qty. I Ea, I Total
?I'„
� L. j H;f� �, ty; !il1i� t 1
� "' ""� ilt 11.
�� i�� +l SI ''l Beat inglcoolinlq
t� ".� v •• �h f�! IIri1 , „, ,,, l��h, �,�.i of ra',ur �a, i , o �,u,6,,,,{ Su „w e.,+n ,u w , ,,, � rt M,d e,c �,e, rn,•, m 4il L ,, .. � h ,i1 ii l �1��,�,,,, - -
lob site address: /,3/ 70 ,rL.V M44 ' t Air conditi plan heat pump
address: r (( .,,,h, site>flnn Fh pwing placomant) 14.00
City /State /ZIP: f r ',' / (9�, Furnace 100,000 BTUSducts/vcnts) 14.00
f — Furnace 100,000+ 13TU Sducte/vents) 17,90
Suite/bldg, /apt. no.: Project name: l � i I) S
Gaa Meat pump 14.00
Cross street/directions to job sic: Duct work 14.00 ,
' Hvdronie 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.: pp �{� �y�p y y Other fuel appliances
; I1�11 j�!l�{'(! �! (11!117i�j:'d }I'I ? " 'I+ %'', U f �'4 '�,, y },1W7 ' . . „;•ljl �Sip'� ,I 7 ,A , .l y e'�: {ItlEg1'0 E : � , ��y jJ l Nl Water heater 10,00
,,.;t t , ;iliilicf`i,!} if }E {� ;�1:'c lll, nk'1„1,, ,, ,i .,l�l .' i , rn,,, ,'f, 111 i �r, ,J�iefrrsr,liP.'t4iali,1 1 1 .1.4∎1 t1�},
/ Gas fireplace 10.00
// /,� 4 // ; _e / 4 /Je. Flue vent for water heater or gas
fireplace 10.00 ..., ,
Log lighter (gas) 10.00
Wood /pellet stove _ 10.00
Wood fireplace /insert 10.00
„ii 1y {r ; r ii 1; T irt' ".:1•y;,a;;ti "!`; Ili'u'%I , ■ Chimney/liner /flue/vent 10,00
. : � iIgi ,11,, + N�7'1I ii. ;�:!iiq.11n f1 il( '. ,''''',f,"1,�*6' ,
.. iG I �, U, ,.i l u ,� � ,,,., 1 gthcr: � Mt 3 / //! e ./ 1 0
Nam ": ?R G L L.L 45" Environmental exhaust and ventilation
[i / Range hood /other kitchen
Address:
3 t? U J 14 01,,,Arc bk equipment 10.00
City/State /ZiP: rifi.,:vd Q'r. R 2-2- ? Clothes dryer exhaust 10,00 _
Single -duct exhaust (bathrooms,
Phone: (S 3) i i L/9_ y 02-5' Fax: ( ) , toilet compartments, utility rooms) 6.80
*
"gl'i I pfd � 1PJt , t ,'il'. l 1 } li +l" t .,l�+{lld } ' �U! aI �' ;(!'1Pli'!! Attic/erawlspacefans 10,00
Aft / test+ Other: 10.00
Business name: A - 46e Di re/ drv�K' Fuel plp>ing
Contact name: Vt rt”' r. r)L rezr l L $5.40 for first 'bur 5I.00 for each additional
Address: I e., 3 g I c L) 8 Od 1- umacc, etc.
Gas heat pump
City /State /ZIP: „-k a w 912 *—t Wall /supended /unit heater
Phone: ( Sd3) Slf - .. 37 3g f Fax: :(Sd' -7 745 Water heater
Fireplace
E - mail:
Range
,. ;. a: ;;)ll! „•'i, l.' +{f'a r 1•Jli'1Ri f 1 ,f. , {,n I +'i'.((
a i ::::le0:(,,O... � }} lr� ,1 l ,, .,l i, ., • G �l I ? �, r,.,I � Cl!.‘. � , } Barbecue
i "' 1. 1M`? ij1Sipe .2 + ts, d, s, 4 , 1 i! .!.N l.., .11.g ° <. ii, �'
Clothes d cr s
Business name:
Oth 41 V —
Addresa: ° r 1 :, ; ,,.,: : . , .'...,,� 1 ,. li � li:,11:
�`� �M � 3 k� d f' Iii; , ;tli∎I iil;fi l 'i. o bi , i +! i;'!r .. - • ' 11: „'';.
City/State /ZIP: Subtotal ,
Minimum permit fcc ($72,50) ' 2, • S er
Phone: ( ) Fax: ( ) "! Plan review (25% of permit fee)
CCB lie.: 'p ? 7 '7 State surcharge (S% of permit fee) j , YO
TOTAL PERMIT FEE, 1 3 0
Authorized signature: _ tk@ �
This permit application expires if a permit is not obtained within 180
clays after it has been accepted as complete.
Print natne: f It -- the ri Date: /0 — 2V-0 ? • Fce methodology ect by Tel-County Building lnduu $etvic= and
1: 1au ildinglPermltc\MEC•PmnitApp.doc 0410610 4404617T (I t/02/COM/wen) , p { S e T14� G. -- ��V
_ .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ME.C2007-00621
13125 SW Hall Blvd., Tigard, OR 97223 l/ 0 2,--- 7E IS •
UED' 10/26/2007
.,.....-----
Phone: (503) 639-4171 ll
'
Inspection Requests (24 Hrs.): (503) 639-4175 ,... ---,
INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7:01AM PAGE: 61
SITE ADDRESS: 13170 SW HOWARD DR CLASS OF WORK:
SUBDIVISION: WOODCREST NO.2 LOT #: 023 TYPE OF USE:
PROJECT NAME: WIWS
DESCRIPTION: Install gas line for future gas log set and range.
OWNER: WILLIS, RICK PHONE #: 6034149-4829
CONTRACTOR: FIRESIDE DISTRIBUTORS PHONE #: 603-595-3738
Inspection Request Scheduled For: Date: 11/6/2007 Pour Time:
Ali" I
Code # Inspection Description Confirm # Contact # Me-. age
699 Mechanical final 068962-01 603-684-8636 Y
Corrections/Comments/Instructions:
PASS El PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
El FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
H) ( A )
Inspector: Date: Phone #: (503) 718-
_ ..-,• - ,
. . r '
. mr.
CITY OF ' ''~
��n n m n�'�_ TIQARD �n��
BUILDING DIVISION PERMIT #: M 1
| 13125SVV� Hall Bhd, Tigard, OR07223 DATE ISSUED: 1�2612O07
Phone: (503)03Q~4171
Inspection Requests (24 Hrs.): (503) 639-4175 AA 411.
INSPECTION WORKSHEET FOR DATE: 1031/2007 TIME: 7:00AM PAGE: 114
SITE ADDRESS: 1317OSW HOWARD DR CLASS OF WORK: .
SUBDIVISION: WO0DCRFSTM().3 LOT #: 023 TYPE OF USE:
PROJECT NAME: VNLL1S
DESCRIPTION: Iifl gas line for future gas log set and range.
OWNER: WILLIS, RICK PHONE #: 503-449-4829
CONTRACTOR: FIRESIDE DISTRIBUTORS PHONE #: 603-695-3738
Inspection Request Scheduled For: Oate: 1O/�1/�OO7 PourTimno: `
Code # Inspection Description Confirm # Contact # Message
610 Gas line 068045-01 503-6B4'8535 N
Corrections/Comments/Instructions:
.
PARTIAL 0 ALAPPRO\�L �ANCEL --
7 NO ACCESS
| \
FAIL ) CALL INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: ^�-� � Date: A ') Phone #: (503) 718-