Permit /
IN CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00104
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/15/2007
PARCEL: 25111 CB -01703
SITE ADDRESS: 10128 SW LADY MARION DR ZONING: R -3.5
SUBDIVISION: HOOD VIEW LOT: 3 JURISDICTION: TIG
PROJECT: CORRIGAN
Project Description: New gas line to: unit heater, fireplace, range & BBQ.
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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PAT CORRIGAN Description Date Amount
10128 SW LADY MARION DR
TIGARD, OR 97224 [MECH] Permit Fee 2/15/20W $72.50
[TAX] 8% State Surcha 2/15/20W $5.80
Total $78.30
Phone: 503 -598 -4732
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.
1 C
Issued By: j - - - — - -- -- Permittee..Signatur cc x , ` f ( � _
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.
} .. ... ....., q r / r i u l
Mechanical Permit ,
fl v 1 , , `'+ :. FOR OFFICE [15F 0 \11�
City of Tigard t / rse�el�,a _ 2 `
Nic /B Pemut No ..
13125 SW Hall Blvd., Tigard, OR 97223 Review
Y c +Z I � 7 �C `.�y /�
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Phone: 503.639.41 71 Fax; 503.598,1960 C b +,. ,, u.. '" ..A Plan
ateBy: Other Permit;
I
•
nspection Line: 503.639.4175 r t) �' - .
Internet ww-w.ci.hgard -or.us FEB Daic ReadyBy: tuna; 91 See Page 2 for
Notified/Method: Supplemental toforntauen
1 -'1. ;d a
�( 4 • ~ • ` COMME1 CIAI BF FL'. •SCt�I D(JLE - USE PCKL[5T
❑ New construction f [ io feiterrnhor e cc firun �s ^ Mechanical permit fees* Luc based an the value of the work
performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead. and profit.
_ CATEGORY: QF •CONSTRUCTION • Value: $
p , . RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
d 2 -family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi - family El Master builder 0 Other:
For spacial inforntartnn use checklist.
Description f Qty. Ea. Total
JOB SITE INFORMAInON. AX) LOCATION , IieaEine coo lin!
Jab site address: !.v '` Air conditioning or heat pump
� (� � � � 5t.t7 �n P� - 1 • QX 1 C7 1,..‘ 1 � r . ( (requires sit; plan showin kolucernen) _ 14.00
City/State/ZIP: 0 Furnace 100,000 BTU(duetrlvents) j 14.00
Furnace 100,000+ 13TU (ductdvorts) 17.90
Suitcibldglept, no.; Q I Project name; Gee heat pump 14.00
Cross street/directions to job site: Duct work 14.00
I3xdrtmic hot water system 1. �.00
Residential boiler (radiator or
hydroaic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.:
Fluehrnt far any of above 10 -00
Other: 10.00
Tax map /parcel no.: Other fuel appliances • DESCRIPTION OF ' W ORK .• Water heater 10.00 I
/ One
yam f 10.00
_____ (�//i (` Flue vent for water heater or 63s
_fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove .• 10.00
Wood fireplace /insert 10.00
Chimney/liner /flue/vent 10.00
ROPLIZTY OW:'!ER : ' 17 TENANT
Other: 10.00
Name:
Q. '� 1 0 r r't G raw._ Environmental exhaust and ventilation
k\ \ Range hohood/00 kitchen
Address'
D I a. se S L.) 1_,_,, d.1,_. .61 t' s U aa, r , equipment 10.00
IA^ Clothes dryer exhaust
City/State/ZIP' 1 10 rz_ ( t � u i , X17 '�- Singl -duct cxhuuel (balluooms,
Phone: (5 o,3) S (,t is , 4 -i 3 a .. _ Fax: ( ) toilet compartments. utility rooms) 6.80
f - 'PUICANT CONTACT PERSON Attic/crawlspaoc fans I 10.00 I
^ ape Other: j I 10.00
Business name:
Pin Q.4 d � JJ .t. --- 5IF .a° #' E u5 „L r� G Fuel
tl piping
Cori se: name: 'hQr r>° 11 14 r hS� a 55.40 for first fear; $1.00 for each addltlonal
V Address:: Furnace, etc.
Gas heat pump
City /State/Z =P: WalUsuepeeded / unit heater /
Phone: I� Fax:: ( ) Water heater
P
50.3 3 a- in fo 9 Ce i i I Fireplace /
E -mail; Range l
CONTRACTOR • : Barbecue I"
J3 uiirtass name; -' c Clothes dryer (gas)
1'1 r C1 Lt,. *S aw ( rS 1 ` ts.l . e ►� Ot}aet
Address 3 74..--) .� .ci . Av • • • MEERANICAL PERRIIT-FEES*
L Eryl5tatel P: P C . ,.$.-'l4 6-,A 0 q 1al) Subtotal I
Minimu permit fee (372.50) 1 ,1 a., Sv
Phone: '7 1 ' t� � q Fax
� : ( ) a m Plan rtviow (25 °/. ofe*tb t fee)
-
CCB lie.; 1 o 1 . . State surcharge (8':S of permit fee) I 0
TOTAL PE1M IT FL1 -7R.3
Thin paarnit application aping tf a perent is not ubcatocd within 1 g0
Authorized siparure
/ .. r t .0 n .S (•a..n..J days nftrr it hue been accepted as complete.
Print name � v, , , .4 ( � 4 - 4 1 i Date: a . I S -01 . Fcc methodology set try T(n- County Building indw O Sery /tc BO.rrc
CITY OF ��mm o n�'m mn�m�mmm��
BUILDING DIVISION PERNl)T#: hAECI007'00104
13125GVVHall Blvd., Tigard, OR 97223 ''• - DATE ISSUED: 2115/2007
Phone: (503) 639-4171 avollogi
Inspection Requests (24 Hrs.): (503) 639-4175 ^ l ��
INSPECTION WORKSHEET FOR DATE: 2/30/2007 TIME: 709AN\ PAGE: 83
SITE ADDRESS: 10128 SW LADY MARION DR CLASS OF WORK: •
SUBDIVISION: HOOD V1EW LOT #: 3 TYPE OF USE:
PROJECT NAME: CORRIGAN
DESCRIPTION: New gas line to: unit heeter, fireplace, range & BBO.
OWNER: CORRIGAN, PAT PHONE #: 503'598-4732
CONTRACTOR: ENERGY SAVERS PLUS, INC. PHONE #: 503'777-03n
Inspection Request Scheduled For: Date: 2/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
639 Mechanical final 0436M'01 503-312,8769 Y
Corrections/Comments/Instructions:
YPASS r '
RTIAL APPROVAL _— - 0 CANCEL � NO ACCESS
| FAIL h CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
| k ' �' /
Inspector: .1("f �� �~'
Date: ^ 7Phone - . Y [�/ ��#: (503) 718-
' �~