Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
v CITY OF TIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00010 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/6/2009 PARCEL: 2S115AD - 05700 SITE ADDRESS: 10710 SW RIVER DR ZONING: R-4.5 SUBDIVISION: DOVER LANDING LOT: 040 JURISDICTION: TIG PROJECT: CROWDER Project Description: Install gas fireplace insert. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: > 10000 cfm: GAS OUTLETS: Owner: FEES FRED & BARBARA CROWDER Description Date Amount 10710 SW RIVER DRIVE TIGARD, OR 97224 [MECH] Permit Fee 1/6/2009 $72.50 [TAX] 12% State Surch 1/6/2009 $8.70 Total $81.20 Phone: 503- 684 -8951 Contractor: FIRESIDE DISTRIBUTORS 18389 SW BOONES FERRY RD PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 684 -8435 FAX 503- 620 -5699 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 OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: /�, ` A i ! /,� Permittee Signature: �a p Q [[C1�1Cn 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. 01/06/2009 13:01 503670����� WIDDOWS PAGE 02 Mechanical 1? e:rniit A.p x61;::0, u� �,.o oT .ier use ON Cl[ Of Tigard 3S� JAN 0 6 Z0E 1 Received ( � Permit No.:(� �/y��Q g Date/By: YQ _ 111c PAGE q 13125 SW Hall Blvd., Tigard, OR 97223�+ P lan Review °' C Phone: 503.639.4171 Fax: 503.598.19( _ _ _ OFTIQAR ':te/By: (hherPennit T 1 GA Inspection Line: 503.639.4175 BUILDING DIV1SI • is a Ready/By: - BI See Page 2 for Internet: www.tigard or.gov Notified /Method: Supplemental Information -,.. .� ... :,... •,:.r -.. �:... ,�.p,�• •., .,.: n,.. , t .: ni'•.a2. " �, tr' - 11:, •: ky, • .•v-{ "�1 _�.. , n:;..•.,q" ,.1. „• a :9 u• !a , . ii t.4 ;10. 1.,'V. „A„ A " }: .I. .1.j,^ '' liin ',1:' 'vie A, r . ir h t�%. ,�I. �•: i,:�;.:n'at' +, 5 , .i. ,. a; :, :� _ •.CO E � . r� ��,iClI�E�' °`•JSTp ..... ,. .�;._. :•, o., S.,.` , �Y- �'� =. „i..h:r�..,,'.'•;, •'.:.� .l 1. .. ❑ New construction ❑ Addition /alteration /replacement Mechanical permit fees" are based on the value of the work performed.: ndicatc the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. , ;.i. ;i; r ,::., t . e r . . Value: $ r'� , �t Y : iO F C OSGR j ON"',,'i : ,''.: ' -,:(:%'-,..,,, . �II:l,t!y > i, ,....:.'E..^:,, i7.,. r,,, „,. _ ._:(s, : ?n .-.....=,...... . �,.,.. .. ...• - .,u. , c ' ,, Li °•P � F " I ::c:B YI EPIi�AL .1:�'�� s'j'S " . �; and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building .'•' For special Wormation use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total V IAND `I C ;')..-:'.-:,..'n-,' i j '.. Heating/coding , r , , ��:�.,, , ;' JOB_ `. .... ......„ .. N . ., ... - ' , ` ; F Air (requires s e i ring or heat pump Job site address: 0� 10 `� l t (Ve. (requires site 1 dam showing placement) 14.00 City/State /ZIP: - 9ZZ�{ Furnace 100,000 BTU (ducts/vents) 14.00 ■ � 1 Furnace 100.000+ BTU (ducts/vents) 1 7.90 Suite/bldg./apt. no.: Q Project name: C. Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 ` Hydronic het water system 14.00 • Residential hoiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in-d Kcl, suspended, etc. 14.00 Subdivision: f Lot no.: Flue/vent fry any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel ippliances 'i> iN1,: ?j�.d: % +Yir +'- , ..t:: ` ° • y ^[I ' , rFl:: i '`:i ;i: it,._ :iii!,8 Water heate, 10.00 .n,. `;: - -,.,. iSC(YIP7TI � , bRK , ': ., i : e: ' :,n.- = ` eji: .. , ; . ;, . "F - • ., r Gas fveplac: -! inciter 0.00 a�sV ieeplace /fart- Flue vent foi water healer or gas fireplace 10.00 Log lighter ( gas) 10.00 Wood /pellet stove 10.00 Wood firepl: ice/insert 10.00 i :�' , Chimney/lin:r /llue/vent 10.00 ,,;ROPTYt;QV1'15E 'f ='s n [jS;ENAIy[ _ •, ..,.. �a:- ::F� -. •:, ...,!::: �'.i: re'.,.. . ... .. .......: .. Othea: _ 10.00 Name: Fred G ow Environmental exhaust and ventilation Range hood, other kitchen Address: 01 I O 4z: k1/;_ `'y Y l V P equipment 10.00 City /State/ZIP: ^�„\ ©r . 9'1 'ZZ1k Clothes drye exhaust 10.00 b Q 'l t1 ,:xhaust rooms) 60 3) G7 Fax: ( ) toilet t compa tments, utility rooms) 6.80 ∎Hill.: •, i,i:',ti ; : Attic/crawis lace fans 10.00 ;�, °'AFR�,i CAJi14T --: � ® CpNTAG!r' �ERS +�Ni`vi ::'i 1 Business name: rP ...0 Other: 10.00 rIFES Lde _DIY 4 r r � /.IP- f t' Fuel piping. Contact name: V �r- \ t.e r y - a $5,10 for first four; $1.00 for each additional es3 eg SW �CC Furnace, etc. Address: _ vle. rr /0"d Q G heat put tp i City/State/ZIP: rr Cr" l 2.24 Wall /suspen• led/unit heater ( ,Sod) 49� P4' ( ( Su) 42_0 -6-699 Water heater • Phone: Fax: : Fireplace E-mail: v lC'\ctt;r, a c s c v ures �d.tsT. GOB Range •. I .: 1'. - _ rl . .,{ ! . std' . ,':i •;` ONTR�A' ,R m' • Barbecue ;'i`i „- `�i' ' . . -��i {ivi�•' �.�- .r , '. .•r� i ,:;ir..j;i:'�:� ". ,� Business name: Clothes drye • (gas) Other: n Nlyd! : ;'Y'ER�1�i1 F FC e::• It d ;i - Address S CaM2 0"44s Y� _ I ' i',- , . ;; S, rt a sl !' Ci ty /State/ZIP: Subtotal Phone: ( ) p ( ) - - - -- ` - __ _ _ Minimum permit fee ($72.50) 17 ,5 U _ Plan review (25% of permit fec) _ CCB lie.: 4 0 9 7 9 _ State surcharge (12% of permit fee) TOTAL PERMIT FEE S , , s-o This permit 1 pplication expires if o permit is not obtained within 180 Authorized si_ tature: ��� L ' ^ _ _ lays after it has been accepted as complete. Print Warne :, tS - tQ t � C et"/2$�^l Date: [/b /04 * Fee methoc ology set by Tri -County Building Industry Service Board I: \But idingWermia \MEC- PermitApp.dac 01/19 , / 440- 46t7T( n,02JCOM/WEB) r CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC200900010 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/6/2009 Phone: (503) 639 -4171 -i� ,li ,i � ii Inspection Requests (24 Hrs.): (503) 639 -4175 'L L INSPECTION WORKSHEET FOR DATE: 1/16/2009 TIME: 7:01AM PAGE: 18 SITE ADDRESS: 10710 SW RIVER DR CLASS OF WORK: SUBDIVISION: DOVER LANDING LOT #: 040 TYPE OF USE: PROJECT NAME: CR2OWDER DESCRIPTION: Install gas fireplace insert. OWNER: CROWDER, FRED & BARBARA PHONE #: 503 -684- 8951 CONTRACTOR: FIRESIDE DISTRIBUTORS PHONE #: 803 -684-8435 Inspection Request Scheduled For: Date: 1/16/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 079781 -01 503684 -8536 N Corrections /Comments /Instructions: _/ PASS % PARTIAL APPROVAL ❑ II] NO ACCESS FAIL j%' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4 ,..._ Inspector: _ Date: I (� 64 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2009. 00010 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/6/:009 Phone: (503) 639 -4171 a. . Ii Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/15/2009 TIME: 7 :02AM PAGE: 6 v i4.. t 1 SITE ADDRESS: 10710 SW RIVER DR CLASS OF WORK: SUBDIVISION: DOVER LANDING LOT #: Q40 TYPE OF USE: PROJECT NAME: CROWDER DESCRIPTION: Install gas fireplace insert. OWNER: CROINDER, FRED & BARBARA PHONE #: 503 - 6848951 CONTRACTOR: FIRESIDE DISTRIBUTORS PHONE #: 5036E84 -8435 Inspection Request Scheduled For: Date: 1/1512000 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 079739-01 503 -684 -8951 N Corrections/Comments/Instructions: 0 N —Si 77! l o cx 4 A 7 No 4c- .i-7 S ❑ PASS A PARTIAL APPROVAL ❑ CANCEL it 0 ACCESS ./ �;! C • L FOR INSPECT Ill FEES ASSESSED �-' A , L/ Inspector: . ,..0111• Date: i 1 S 0 7 Phone #: (503) 718- �' ��/ ..