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CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00664
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2007
PARCEL: 2S103DB - 03000
SITE ADDRESS: 11310 SW NOVA CT ZONING: R-4.5
SUBDIVISION: GENESIS LOT: 006 JURISDICTION: TIG
PROJECT: LAVGRAVINESE
Project Description: Install gas fireplace and piping.
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:
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
ANDREW & CORINA LAGRAVINESE Description Date Amount
11310 SW NOVA CT
TIGARD, OR 97223 [MECH] Permit Fee 11/13/20C $72.50
[TAX] 8% State Surcha 11/13/200 _ $5.80
Phone: 503 620 - 5643
Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
PRI 503- 620 -5643
Reg #: LIC 66578
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 Signature: e A/
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.
- NOV /12/2007/MON 04:03 PM FAX No. P.002
Mechanical Per iri :•I, FOR OFFICE Misr ONLY
City of Tigard . ' 1►' Received e // a 07 r '%% • emlit r o Eead i -6
OR 13 125 SW Hall Blvd., Tigard, 0 97223 Plan Review
Phone: 503.639.4171 Fax 503.598 196D_ .':,_rr.'1 , D Other Permit:
Inspection Line: 503.639.4175 13 U l
P� 3 20 7 , L � I Date Ready/By.
la See Pape 2 for
Internet www.ci.tigerd.or.us '' - -u Noti6ed/Mahod; Supplements! Informatloa
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❑ New construction • Addition/alteration/replacement Mechanical Indicate fees* are based de 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.
« ::i a 7.1 T f Ic i .r 1r .u. �,_,r t g7 t+a e u 4"9 Value:
•131-.:J.04.4-",'4--':'4••0'.---‘! 7 i,�k -'C r YM :: -- - •! -.` .R wq \e .ti '��, ° =∎=- j � .. jam y
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ti 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special Information use checklist.
❑ Multi family ❑ Master builder 0 Other: Description Qty. Ea Total
!,i : S°5 F ` �.gi$5 id FF V ro A K3 1? I=tsiaS`a K' 4 ; . Heating/cooling
Job site address: (3 k O rr Ai p t f Q.., (I Alr conditioning or heat pump
1 (requires site plan showing placement) 14.00
City/State/ZIP;�' y`, c) .1. L 3 Furnace 100,000 BTU (duets/vents) 14.00
Suite/bldg. /apt_ no.: ma ( � y- r Project name: Furnace 100,000* BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job Site: Duct work 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: 1 Lot no.: Flue/vent for any of above 10.00
Other. , 10.00
Tax map /parcel no.: Other fuel appliances ,
^j +iG . ' ;'7. 574 ,tR }7„" -s - - .. r.,a. " ;1`17 r":rr
w Ps'' i 5 , t�r� � �. � ''t: � ,'t c'.'• �. ��y'.._a � Water heater 10.00
"` Gas fireplace l 10.00
Flue vent for water heater or gas
fireplace 10.00
Gzd A' Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/ 10.00
:r;,ta- °. ' g4T t r qty IwT K' r� r : an , ;-. ^r^^--, 17 n a Chimney/liner/flue/vent 1 0.00
+.a': ai _ { :. c , 9 P .1._4,-,5_, 2. 4 I:t • . r t o r�5wx,.' - f �'. t i.
X91 « , other 10.00
• Name: 2QQ fit.. �.J�°'_ V R 11 1)".J1-4-11 Environmental exhaust and ventilation
Address: Range hood/other kitchen
S t2"vtin Q� _ - equipment 10.00
City / State/ZIP: Clothes dryer exhaust 10.00 _
! }'1) t .-�p C b Fax: toilet comp r m ans (bathrooms,
Phone: (
Ip V ( ) toilet comparnnenlx, utllly rooms) 6.80
" 1 o rn � of ) ,nr rt r1 , �a rlcrawls 10.00
ace fans
1� : -. i r . ... r .. '--.---.1 � h � 1 ;; `' ppa 11 1....x , 1e I IfP; _ ` �1 yyy 0:•,. k7.0, . ; Alti p
.4a,. u......44. i'�:,.2_ ..,:..t- :.:.S,r,..i� 3'�.i: ti'i..[.i.il!,v •a v ,
Business name: Othee 10.00
. _ Fuel piping
Contact name: 55,40 for fired four; 51.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: WalUsuspended/unitheater
Phone: ( ) I Fax:: ( ) Water heater .
E =mail: Fireplace "i
Range
'y;,yr9 'offs' ,�,a�,�� lq�r,.;ti�:ea-.... ' +�r:•.^rr"�";3. a ° a " ^ ? }
rc, r .f ttY,• r � Nii ' "ot t ,igi�Glc i � e W ti i �1p ra'l { ' Barbecue
�t5 �tratM � r }1 .S,.a u tnn . _
- Business name: coQ (1 t• 4.1 , j 14- P et-1-7 ' 0 Q Clothes dryer (gas) -
J - � Other
Address:3 b y crk.i � R.4.41, 044,44-- Or i "76-7,WM ' v�� - r;r W P Iii° 4' V z ' ° 11#
City/ State/ZIP: 7 q �e,( p dl . 9 --_a. Z.1 Subtotal
..!! 1.4.3 1.4.3 1 Minimum permit fee (S72.50) ) rfo{ So o
�
Phone: (;) Z s � Fax: (j ) O 6 Plan review (25% of permit fee) .
CCB lic.: State surcharge (8% of permit fee) 5' 1 - 0
TOTAL PERMIT FEE %d 30
Authorized signature: / • -4..Q 4. This permit appiicatlon expires if a penult ie not obtained within 180
u_. days after It has been accepted as complete.
Print name: j r „ s t, t ,... t A o f , Date; I 0?- • l ee methodology set by Tri -County Building Industry Service Board
►;l auildin3Piratu \.¢C- PermitApp. 17/43 440.4617T(I IIo2COMAYED)
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00664
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2007
Phone: (503) 639 -4171 ' {�� i'll '
Inspection Requests (24 Hrs.): (503) 639 -4175 F:_..
INSPECTION WORKSHEET FOR DATE: 11/16/ 200 TIME: 7 :01AM PAGE: 66
SITE ADDRESS: 11310 SW NOVA CT CLASS OF WORK:
SUBDIVISION: GENESIS LOT #: 006 TYPE OF USE:
PROJECT NAME: L.AVGRAVINESE
DESCRIPTION: Install gas fireplace and piping.
OWNER: LAGRAVINESE, ANDREW & CORINA PHONE #: 603 - 620.5643
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503. 620 - 5543
Inspection Request Scheduled For: Date: 11/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 059787 -02 503 - 620 -5643 Y
Corrections /Comments /Instructions:
i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ • Date:// ^1/0 —O? Phone #: (503) 718- "74
CITY QF_TI,GARD
BUILDING DIVISION PERMIT #: MEC2007 -00664
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I - I/ I3/a007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7:01AM PAGE: 57
SITE ADDRESS: 11310 SW NOVA CT CLASS OF WORK:
SUBDIVISION: GENESIS LOT #: 006 TYPE OF USE:
PROJECT NAME: LAVGRAVINESE
DESCRIPTION: Install gas fireplace and piping.
OWNER: LAGRAVINESE, ANDREW & CORINA PHONE #: 503- 620 -5643
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503.620 -5643
Inspection Request Scheduled For: Date: 11/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 059787 -01 503- 620 -5643 Y
Corrections /Comm�e�nts /Instructions:
,(1)
i:I i tee_ • ar ur <TZ�
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
0
Inspector: / Date/A-1 - 0 7 Phone #: (503) 718- "21-1-1-S—