Permit u:
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n CITY •
OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00588
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/22/2006
PARCEL: 1 S134CB -11500
SITE ADDRESS: 12241 SW MILLVIEW CT ZONING: R -4.5
SUBDIVISION: MILLVIEW LOT: 015 JURISDICTION: TIG
Project Description: Gas line extension to new 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
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
STEVE BEAN Description Date Amount
12241 SW MILLVIEW CT
TIGARD, OR 97223 [MECH] Permit Fee 11/22/20C $72.50
[TAX] 8% State Surcha 11/22/20C $5.80
Total $78.30
Phone: 503 -590 -2330
•
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.
� l
Issued By: � Permittee Signature: �c
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.
{' .... .. ._ , YJ , .
�'Iechaaical Permit ** VVV �D FOR FIC '
• City of Tigard ll ivy �� Of . F USE ONLY • . • • •
-Wait No. /1�
13125 SW Nall 81vd., T:gard, OR 97223 �ueBy /� I .� - - ) OD ]
�O� 20 06 plan ttev.ew
Phone: 503.619.4171 Fax: 503.598.190 4� e, , Dst Other Permit:
Inspection Line: 503.63').4175 _ 0 [ i j _+
De lea . the
-+-� ate Read fay: tcrls;,� Supplemental Pane rot
Internee wutiv.ei.tigard..:rr.ua CITY 0<r TIGAR Dat 55 See age 1 Information l
• BUILDING DIVISION
TYPE OF WORK I • COMMERCIAL ;FEE• SCHEDULE - USE OfIECKLIST
! Mechanical permit ices' are based on the value of the work
❑ New construction 1�. ltldttion talteration/replacenaent
performed. Indicate the va'uc (rounded to the nearest dollar) of all
• ❑ Demolition ❑ Other: mechanical materials, equipment , labor. overhead. and Profit.
CATEGORY OF CONSTRUCTION value:
RESIDENTIAL EQUIPMENT ! SYSTEMS FEES'
and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information uss c/weklitt.
❑ Multi-family ❑ Master builder Q Other:
Description I Qty. I Ea. I Total
JOB SITE LNFORMATION AND LOCATION li
Job site address: a Al conditioning or heat pu
`f t •S W j -,' 1 ■ t) r .4 L j C f • ; _ (r., uires aile 019n 'how t oh+cerncn:) 1' 00
C1ryiStatc/Z[P: I t is c _ b Q ... a s Furnace 100,000 BTU ( auetr /wants) 14.00
Suite/bldg.iapt. no.: D Project name: Furnace 100.000+ BTU (its i ven(S) 17.90
- G ae heat pump ! 14.00
Cross street/dimetions to job site: Duct work ( 14.00
Hydranic hot water system 14.00
Residental boiler (radiator or
hydroaic) 14.00
Unit hooters (fuel -type, not electric),
in-wall. in -duct, suspended, etc. 10.00 _
Sitbdiviyion: 1 L no.: Flue/ vent far any c1' above 10.00
Other: 10.00 •
Tax map/parcel no.: Other fuel appliances • DESCRIPTION OF WORK Water heater 10.00
•
_ Cu fireplace 10.00
r • • .' r k" Flue vent for water heater or gas
1 fireplace 10.00 '
Lo); lighter(gss) 10.00
Wood/ e Uet stove 10.00
Wood lace /insert 1 10.00 w "
alrI OPERTY OWNER 0 TENANT Chimney 1 10.00 1 0
( �� rt
Other: 10.00
m
Nae: o%.4 J e - •e Q n Enrironmentat exhaust and ventilation
Range hoodJothcr kitchen
Address:
.1 a. c - 4 l - L-> i--6 k ! 0 i w (� t equipment 10.00
City!State'Z'.P: T t i �(L, g I a a Clothes dryer exhaust I 10.00 •
�Q e t Single-duct =haul (bathrooms,
Phone: (5 6..,i, c.., 01_ d33 v Fax: ( ) toilet compartments, utility rooms) 6.S0
-
LICT �CI5NTACT PERSON Attre/crawlspeccfans I 10.00 .
_ AN
Other: r 10.00
Business name. r142 -r c S P.Lt ).D 0. l,..• s r 1--r. c . Fuel piping
Comae: name: �0 fir a 1 1 \Tt �. (vs_ ,, ,..4 $S.40 for first four; 51.00 for each additional
Addrec Furnace. etc.
Gas heat pump
CityiState/ZY: t WalUsrupendedlurit heater
Phone: 5 \ .. K e 4 4 Fax:: ( )
Water heater
Fireplace I I-4 •J
E-mail: Range I !
CONTRACTOR Barbecue I I
Bunn ss name:
13-e �� �� & Li-o .Q .- i " e I. r. M r • -
Clothes dryer (e�1 l Other:
Address •3a 4 -- S . 4 q A .e. MECHANICAL PER
catylState/Z[ 7p r ^ � l z.2 ' � O (0 Subtotal 1 0
Mlniaarrn permit fee (572.50) I
Phon Fa x: L O.1) �7 S 6 Plan review (2$% of permit fee) I
CCB vie.: 1 0 34 3 State surcharge (8% of permit fee) i S 0
TOTAL PERMIT FEE [ ,....1(..)
A'Jt011Zed +ig:latll l\ This permit application expires If a permit Ii not nb+nlocd within 180
� i -I til.� days niter it hiss been accepted as complete.
Prin aote.� l Iti t , Cr\ Gi J . Date: \ 1 - ;•? _.p s • Fcc methodology set by Tri- County Buildin Mehra: Service Bove
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MEC2006 -00588 -
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2006 Phone: (503) 639 -4171 /p.dl��� iii�
Inspection Requests (24 Hrs.): (503) 639 -4175 "
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7:03AM PAGE: 60
SITE ADDRESS: 12241 SW MILLVIEW CT CLASS OF WORK:
SUBDIVISION: MILLVIEW LOT #: 015 TYPE OF USE:
PROJECT NAME: BEAN
DESCRIPTION: Gas line extension to new fireplace insert.
OWNER: BEAN, STEVE PHONE #: 503 -590 -2330
CONTRACTOR: ENERGY SAVERS PLUS, INC. PHONE #: 503-7/1-0389
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040246-01 503 -312 -8769 Y
Corrections /Comments /Instructions:
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i 4 4 - - - .
, 3
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7
1
A SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
pi
Inspector: T/ Date: ' l P Phone #: (503) 718 -