Permit t 1
CITY TIGARD MECHANICAL PERMIT
*P DEVELOPMENT SERVICES PERMIT #: MEC2006 -00103
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/15/2006
PARCEL: 1S133DA-08300
SITE ADDRESS: 12641 SW SNOW BRUSH CT ZONING: R -7
SUBDIVISION: AMART SUMMERLAKE NO. 2 LOT: 143 JURISDICTION: TIG
Project Description: Gas 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:
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
BOB COATS Description Date Amount
12641 SW SNOW BRUSH CT.
TIGARD, OR 97223 [MECH] Permit Fee 2/15/200E $72.50
[TAX] 8% State Surcha 2/15/200E $5.80
Total $78.30
Phone: 503 -524 -4125
Contractor:
ENERGY SAVERS PLUS, INC.
3747 SE 49TH AVE.
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 777 -0389
FAX 503- 775 -6772
Reg #: LIC 103273
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: , /4 Permittee Signatur L.. (
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONI v '
City of Tigard Rooeived
13125 5W Hall alvd., Tigard, OR 9722RECEIVE ► »at�y '/.)/ �6 ► • � Na as - oa,o
Phone: 503.639.4171 . Fax; 503.598.1900 PI. Rev, °..
b , Date/By: Other �*mit:
Inspection Lino: 503.631.4175 FEB j , ( �r: _
Internet umw.ei.tigard.or.ua 6.I� 5 �O 1 ^� + Du a Re adyJBy: ru
S See Page 2 tor
ply-- Noefied/Method: upplrnlmtallefonnadon
, O 1 ""� "� I • COMM$Rf3IAI. BEZ• SCU DULL - USE 0.14ECICLIST
❑ New construction I85i7a1lPaatiir rn/ epl ace siment Mochanical permit feesu u: a ba sed on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑Other:
mechanical materials, equipment, Inbor, overhead. and profit.
' • CATEGORY OP CONSTRUCTION . valur.5
RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
errand - , 1mily dwelling ❑ Commercialiindustrial ❑ Accessory building
For special information use checklist.
0 Multi-family ❑ Master builder ❑ Other: Description Qty. I Ea. Total
JOB SITE INFORMA 'ION, AND LOCATION . - , Ifeatinekoolinf
Job site address: 1 Air conditioning or heat pump
le'+I .S.LL) . i ii
ev .� to/ 1 4.. Cr
•
City/State/ZIP: ( RQJIrya31te41pnSh0ain�pinermtnll Ia.UO
-
Furnace 100,000 BTU (duclr/venta) i 1 .1.00
1��i� � R _ C i1 �a3
Suitcubldg.: apt, no.:
17.90 l a.00
i r Furnace 100,000+ BTU (ducclvents)
Project name: I Gas heat pump !
Cross street/directions to job site: Duet wo 1x.
rk 00
Hydronic hot water system 14.00
Residential boiler (radiator or
r v hydronic) 14.00
Unit heaters (fuel -type, not electric),
in-well, in -duct, suspended, etc. 10.00
Subdivision: Lot no.
Flue/vent far any of above 10.00
Other. 10.00
Tax map /parcel no.: Orber fuel appliances
I • DESCRIPTION OF WORK • Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
1 tlreple 10.00
Log lighter (00 10,00
Wood/. - 10.00 i
W.. fireplace/insert G S ■ 10.00 :0,0
-I-- Chimney •er u- vent 1 10.00 !)t).
L ® OPERTY OWNER ❑ TENANT Other: 10.00
Name: .101' ( (I rc 4-i Ea 'Ironmental exhaust and ventilation 1
Address: a te4 1 .SC./) .5h to t ) r <!- t✓A- • Ran hod/othcr kitchen
u equipment 10.00 '
City/State'Z:P: T t „II t ., n t Z ()1 a Clothes dryer exhaust I 10,00
Single exhuuat (bathrooms, l l
Phone: (Sal S a4 - z} 1 aS Fax: ( ) toilet compartments, utility rooms) I I 6.80
C IiLICANT -eoNTACT PERSON Attie/crswlspaee fans I 10.00
- - Other: 1 I 10.00
Business name L n 0 .s.cw 1 • T 1t,.s>. ...ter, e • Fuel piping
Conwc: name: -- _...0. r 4 IA t.--\- t r.s t:,.e..J 55.40 for that fear; 51.00 for each additiona
Address: Furnace, etc.
Gas heat pump 1 1
City/State/ZIP: Wall/auapended/unit heater
Phone: ( Fax: ( ) Water beater I !
S ...3 I r. -g �T Loci 0. Q � F Fireplace
E-mail: Range
CO • Barbecue
Business name: r r h 4� JCC v . ,,- k u ,■ e . Clothes dryer (Aral
0 n " Other:
Addre . ,- 76 - - 7 . F 44 *' i i _ MECHANICAL PERNII4
Cm ;StatdZlP: l0 1 `t fr -a.,1 n fZ 9 7oZ (0 Subtotal 7. 0)
minimum Phone: So_. - ` _ a, gC Fax: -y . - IS - (a . 7 � - n review permit fee r mit ee) (� • s
Plan review (25% Of permit fee) I
CCB ac.: ti 03,--7 I State surcharge (8% of permit fee) j 5 ,t5 0
TOTAL PERMIT FEtr I'7 $ . •30
Authorized siL> tature: /
The permit application wine It o a permit it sot nbcolocd within 180
-.. ._ - _ _ Jaya otter it lira been accepted as complete.
Nal name. \ w Pl 4.- 4 t .-. \r1/4.c ! Date: a i 5 _ 0 co - Fee methodology gel by Id-Court" Building htdutry Service Bo,trc
•
5 , 44 .4,...e, Lam. An
CITY OF TIGARD
BUILDING DIVISION PERMIT #:;t�r0cl 1,�
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2r15/2iiik:,
Phone: (503) 639 -4171 Am, 11 P I (I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/22/2006 TIME: 7:02AM PAGE: 63
SITE ADDRESS: 12641 SW SNOW BRUSH CT CLASS OF WORK:
SUBDIVISION: AMART SUMMERLAKE NO. 2 LOT #: 143 TYPE OF USE:
PROJECT NAME: COATS
DESCRIPTION: Gas fireplace insert
OWNER: COATS, SO13 PHONE #: 603-624-4126
=,
CONTRACTOR: ENERGY SAVERS PLUS, INC PHONE #:
5034774a380
Inspection Request Scheduled For: Date: 2122/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 - Mechanical final 027247 -01 r)03- 312.8769 V 4-in .
Corrections /Comments/ Instructions:
•
a/j_ / I
J
x PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FE: ASSESSED
Inspector: Date: e° Phone #: (503) 718 -26