Permit . CITY OF TIGARD
MECHANICAL PERMIT
w� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00134
r,J II DATE ISSUED: 4/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25111 BD -02100
SITE ADDRESS: 09755 SW PEMBROOK ST ZONING: R -3.5
SUBDIVISION: CLOUD CAP LOT: 003 JURISDICTION: TIG
Project Description: Install (2) gas fireplaces, (1) wood stove; extend gas piping.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: 1
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 2
> 10000 cfm: GAS OUTLETS: 1
•
Owner: FEES
ANNETTE SAARINEN Description Date Amount
9755 SW PEMBROOK ST [MECH] Permit Fee 4/7/2006 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 4/7/2006 $5.80
Phone: 503 639 - 3921 Total $78.30
Contractor: •
GP &W SYSTEMS INC
732 MARBLE RD . REQUIRED ITEMS AND REPORTS
WASHOUGAL, WA 98671 -9601
Contact #: PRI 360 - 835 -3516
FAX 360- 835 -5716
Reg #: LIC 108176
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 Permittee Signature , � ' : 4/71/'
�— Call 503 - 639 -4175 by 7:00 a.m. for inspections that busin -�s 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.
Apr 05 06 10:11a GP &W Systems, Inc. 360 -835 -5716 p.1
Mechanical Permit A � �i E4t lV E ® FI USE OFFICE, SSE ONLY
Chid Tigard ����
l � y /� - o�,� mt X P Imo.: �y�6 /3
13125 SW Hall Blvd, Tigard, OR 97223 [ ), � • �oO � �
Pho �
ne: 503.639.4171 Fax: 503.598.1960 A p to 0 Permit
Inspection Line: 503.639.4175 — �'' ` 1 �! I ` ��Y Date Ready/By: e /
Internet www.a.tigard.or.us CITY OF TIGARD Notified/Meshed: 1 plemen e2for
I . � Iarormatloe
BUILDING DIVISION
• J TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST '
❑ New construction {y J Addition/alteration/replacement Mechanical pmt mss' are based on die valne of the work
❑ D lition [] Other performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value S
]- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL HQIJIPAItNT I SYSTEMS FEES*
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description 1 Qty. I Ea; I Total
JOB SITE INFORMATION AND LOCATION Heating/coaling -
t ;a 5 S‘1,1 PEM�R�D`k C . Air Tres s i t e plan ng ho wing pump
Job site address:
J (requires site plea showiaR Plaameal) 14.00
. City /State/le: Tt CV4 ILZ I OIL, g-4ZZM. Furnace 100.000 BTU (dues/veins) 14.00
Furnace 100,000f BTU (duos/vents) 17.90
SuitelbldgJapt. no.: Project name:
Gas heat Pump 14.00
- Cross street/directions to job site: ..- •
. .. -- .. . ..... ... . ... _ —. . -.. _. Daitworir� : •:::.:...:.. - ..14.00.. . .
Hydronic hot water system 14.00
Residential boner (radiator or
hydronic) • i 14.00
. Unit heaters (fuel -type; not electric),
in-wall. induct, suspended, etc. 10.00
•
Subdivision I Lot Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances •
DESCRIPTION OF WORK Water heater . 10.00
t _ . Gas fireplace 1. 10.00
At�Sa..l t GS ....b1 % /s..� u. - 1 't'pr sRp for water heater or gas
IV1s1 0.1\ sob V tr rkma vs%-e:wes 10.00
$
bit i-0. ` t. S0e1Cx 5W vJt %.0.4 .)1,,,k- t� � .)1,�. Ste) 10.00
Wald/pellet Wood � >cnserc 10.00 !p
E.xA- q as fir) A ( m Chimney/liner/flue/vent 4 10.00 NS
e PE.O o ❑ ;
_ ` Other 10.00 ,
ynSf '
Name: �r S � IV ��� Environmental exhaust and ventilation
Address: C1 � . r ilk �e a.y�I, Sr.
Range plod/otberYiDchsa
City/State/73P: ^' ( (R t��. . . Clothes dryer exhaust 10.00
- 1 Single -d a exhaust (bathrooms.
Phone: ( 3 C 1 39 Fact ( ) toilet compartments, utility rooms) 6.80
APPLICANT I„ El CONTACT PERSON Attiricsawlspace fans ' . 10.00
Business name: 4 P tr Scfs1E ms Z Other _ 10.00
Contact Mme 7 Fuel piping
G /dLJ jE $5.40 for first foam $1.00 for each additional
Address: 73 2 MIL wog- ..} Furnace, etc.
pump •
city/stat�ztP:
W Aia:I At, aj 4- f4167/ W alV / suspendedhmitheater
E -mail : one: (30 -• /(P I Fax:: ( ) g3 I57i4 Water heater 5-{�
Fireplace
Range
CONTRACTOR Blu
Business name: 6 p/-& ..5. y 5 47.15 , �/LL
Clothes dryer (Ras)
Address: 7 73,1 y1r b/ Azad City /State/: � e `� � •' I C '-` /� MECHANICAL PERMIT FEES* 7
W us &4 c inv Subtotal ' V • .,;
Phone: ( ? g J 35,� I Fax: gas- S71� M re permit fee permit f ee) e)
� O .7-� Plan review ( 25% ofpemnit f f.
CCB tic.: /152774, Aiedie State
3� s ~— (8% of permit fee) 2._
TOTAL PERMIT FEE c . ; n -
Authorized sign -- . --.. ibis permit application expires eta permit b not abmloe within LBO
days after It has been accepted as complete.
I Print name: L1f I Date: 411 (p I • Fee methndobey setby'1ri -Canty Building Industry Semvice Bo e)
r 7�l
CITY OF TIGARD r
BUILDING DIVISION V PERMIT #: MEC200500134
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/006
Phone: (503) 639 -4171 / ,.: l
Inspection Requests (24 Hrs.): (503) 639 -4175 -,
INSPECTION WORKSHEET FOR DATE: 4/14/2006 TIME: 7:07AM PAGE: 29
SITE ADDRESS: 09765 SW PEMBROOK S r CLASS OF WORK:
SUBDIVISION: CLOUD CAP LOT #: 003 TYPE OF USE:
PROJECT NAME: SAARINEN
DESCRIPTION: Install (2) gas fireplaces, (1) wood stove, extend gas piping.
OWNER: SAARINEN, ANNETT / PHONE #: 503-639-39) I
CONTRACTOR: t; P & W SYSTEMS INC PHONE #: 30} -3016
Inspection Request Scheduled For: Date: 4/14 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 028069-0 300-772-G320 N
Corrections /Comments /Instructions:
-tey * 4 7 0 74-7
•
4 PASS El PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED PLZ
9 Inspector: Date: f 4 L i att Phone #: (503) 718 - re' /010
CITY OF TIGARD �/
BUILDING DIVISION PERMIT #: Z--a° 6 - °o
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 F'I � ..
INSPECTION WORKSHEET FOR DATE: k), /Z . TIME: PAGE:
SITE ADDRESS: q 7 QeM tSect5 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
q°1
Corrections /Comments /Instructions:
r./ C3 <Vl 6-bitP) S
C
I: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C #-/P Date: /0. /Z-b4 Phone #: (503) 718- _7_4W
CITY OF TIGARD
BUILDING DIVISION PERMIT #:z., v6 6 90/ 3 V
13125 SW Hall Blvd., Tigard, OR 97223 , j b DATE ISSUED:
Phone: (503) 639 -4171 \ Anot j l
Inspection Requests (24 Hrs.): (503) 639 -4175 �! " 'L L
INSPECTION WORKSHEET FOR DATE: / 0/40/d ‘Q TIME: PAGE:
SITE ADDRESS: 9i1-1 lIkvi 4 YDV k CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
P h V i I 4 51/tAl cvlod --f-D-vTfffittL ra00 idJ,. 5 bv--ca-
Ak oleutv
FAx ct14 ^ a4411 4 Q, g U Cbi 1{Z,ev• 5t 7 7 (L0'
❑ PASS P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ L L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /V/ / 0 0 6 Phone #: (503) 718- VV
\ c‘.1-.-1 R a t / t o e 4 A " 1 (:
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: MEC200t O(f 134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1 /2,(1X4
Phone: (503) 639 -4171 a ,, ,��; F'�I
Inspection Requests (24 Hrs.): (503) 639 -4175 :-�! . _L
INSPECTION WORKSHEET FOR DATE: 4/14/2006 TIME: T:07AM PAGE: 213
SITE ADDRESS: 09155 SW PEMBRO K ST CLASS OF WORK:
SUBDIVISION: CLOUD CAP LOT #: 003 TYPE OF USE:
PROJECT NAME: SAARINEN
DESCRIPTION: Instdl (7) gat fireplacc's, (1) wood :stove, a end qa 5 piping.
OWNER: SAARINEN, ANNETTE PHONE #: 503 639
CONTRACTOR: 0 P & W SYSTEMS INC PHONE #: :6G 03S - 351U
Inspection Request Scheduled For: Date: 4/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical Final 02006.9 360 7/2.632t1 Y .
Corrections /Comments/ Instructions:
/� 6y, el 0 1 - /
.,
IF ,
, 0 cr.
❑ PASS IV PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL RI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: i /1 Phone #: (503) 718 - 2- 7.,