Permit • 08/04/2008 03:16 5036652375 CLAWSON HEATING PAGE 02/02
echanical Permit-Application ,s‘0.10 1.111111111P.Itill
Receiv
City Tigard mileB f / of g ` ,;tN
P em° , "/EC6200, — M9/ c 2.
v 13125 SW W Hall Blvd., Tigard, OR. 9 ��
X
14 0 : Phone: 503.639. Fax: 503.598.1960 Other Permit:
ins Line: 503.639,4175 � r y
Inspection
T I G A P. I) p �1C3 ACM Date Ready/By; , ® Pao Pa 2 for
Internet: www.tigard- or.gov ,` � 1• ;v1 Notiftcd/Method: � Supplemental Information
„ , . ::''IVE , `.W a CS14" G� "0 1T10itit ' 0'40i: i.
Mechanical permit fees* arc based on the value of the work
Li New construction ❑ Addition/altcration /replacement
performed, indicate the value (rounded to the nearest dollar) of all
Cl Demolition ❑ Other: mechanical materials
,equipment, labor, overhead, and profit
. ' 1. ' CA _
. , •: ':: :.'.... ; �,:
:..:, ' f�Gfi1��'=: .bl?'',�Ci'}�fST'R�i1C�'tbN':'; ' :.`. .' .:. .
,, Value:
dwelling Commercial/industrial
r:..at�>Ii�i>;NC /SVSil1.F�chs '
- and 2 -famil . .
y $ 0 building
ro
❑ Multi - family ❑ Master builder ❑ Other: [tar use checklist
Ea Total
For special information
Description I Qty.
,. <...:.:.'.,.:: ' ''ibil:Ire .foe l ttia# <Ai i I..dCA' tON.:' •' Heatin /
Job site address: � �0 5 .I S e Air conditirnilng or hem pump
gv:Mires site phi, showing PlacemcM) 14,00
City /State/ZIP: 7Q", 0( 2. II Furnace 100.000 BTU (duos/wets) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite /bldgJapt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: r _ d� Duct work 10.00 f )
_ �11:
A, ` - � / Hydronic hot water system 14.00
��y �Ab 4 ar Residential boiler (radiator or
hvdronic) 14.00
Unit heaters (ihel -type, not electric),
in -wall, in -duct, suspended, eta 14.00
Subdivision: I i Flue/vent for any of above 6.R()
ot no.:
Other. 10.00
Tax map /parcel no.: Other fuel appliances
` ; . ".:., :•::..: > ,r. �[I' Water heater
]TJE'S .'f`[r(11iQ' Ufa- W(IRK . 1000
Gas fireplace. 10.00
-e„-1 -'-C& - ,7) S Flue vent for water heater or gas
�Z2 r ..� G� {� fireplace 10.00
�C-I`� Log lighter (Fa9) 10.00
Wood/pellet stove 10.00
Wood frreplace/insert 10.00
t A Chimney/Iiner /flue /vent 10.00
l :S 'LR'I`V .b0. 1` . r: Q: ii1 rcr::_:,::
,:., •' 10.00
Nam C: r.. ( �:.er
/(J �� � n 1 Environmental exhaust and ventilation
Address: Range hood /other kitchen
! A _ equipment 10.00
City/State/ZiP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms.
Phone: (5) 6u ¥fly Pax: ( ) toilet compartments. uglity rooms) 6.80
:: :•:❑ I D``c spec
... .. .' ; ' ; API')JI � '• �'.` . ,. .. ON�'A+CI'Cl?ERSON,, =: Attic%awl a fang 10.00
Other: 10.00
Business name: -
Fuel piping_
Contact name: $5.40 Ibr first tour, $1.00 for each additional
Address; Pomace, etc. I .5-,
Gas heat pump
City/Statc/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax :: ( ) Water heater
Fireplace
E -mail: Range r
CON'>TItA `sit Barbecue
Business name: -_ �� �' /� w Clothes dryer as
d V , . Other:
Address: ! o , d - , 7 i7' i
;crt>strCr.>Miti rxS
City /State/ZiP: _ :2 7) J) Subtotal
�(�� c � Minimum permit fcc $72.50
Phone :V r`� Fax: • ) 4.4...„5— c2 /C _ Plan review (25 "/" of permit fee)
CCI3 lie.: /Z3 / State surcharge (12% of permit fee) 1 7D
_ TOTAL PERMIT FEE ,
eiKe... Authtrrixed signature: _ This permit application expires If a permit Is not obtained within 110)
days after it tins been accepted an complete
[ Print name; / �c,c� �' L ` Date: ef � s � • Fee mcihadnlopy set by Tri -County Building industry Service nnnnt
l
lAre MmWP�n _ l . � tslME�c-- PemitA�pp.dx 01/19/07 4di • 17r(1 ovcoM/WF,.A)
. i
CITY- OF- TIGARD
BUILDING DIVISION PERMIT #: MF1�200 0t]112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: en/2008
Phone: (503) 639- 4171�� �,� +
Inspection Requests (24 Hrs.): (503) 639 -4175 %#' `---
INSPECTION WORKSHEET FOR DATE: 8/20/2008 TIME: 7:02AM PAGE: in
SITE ADDRESS: 15930 SW STRATFORD LP CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 055 TYPE OF USE: I
PROJECT NAME: F3f 1
DESCRIPTION: Replace electric furnace with gas furnace; gas piping for furnace and (2) fireplaces; other work
includes duct work.
OWNER: BERARDI, ANNA PHONE #: 503-639-4404
CONTRACTOR: CLAWSON HEATING PHONE #: 503. 618 -9646
Inspection Request Scheduled For: Date: 8/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Misc. inspection 074399-01 503 - 618.9646 N
Corrections /Comments /Instructions:
❑ PA II] PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: Date: / "O Phone #: (503) 718- 7-4-4'5--'
CITY.OF.TIOARD ..
BUILDING DIVISION PERMIT #: MEC200f -01112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/7/ 008
Phone: (503) 639- 4171��
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I �L
INSPECTION WORKSHEET FOR DATE: 8/21/2008 TIME: 7 :02AM PAGE: 1t1
SITE ADDRESS: 15930 SW STRATFORD LP CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 055 TYPE OF USE:
PROJECT NAME: BERARDI
DESCRIPTION: Replace electric furnace with gas furnace; gas piping for furnace and (2) fireplaces; other work
includes duct work.
OWNER: BERARDI, ANNA PHONE #: 503-639-4404
CONTRACTOR: CLAWSON HEATING PHONE #: 50:3,6 i a_9646
Inspection Request Scheduled For: Date: 8/2112008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 0741470-01 603.610 -9646 Y
Corrections/Comments/Instructions:
.1)
` .,Z S':■ .--r—o A w f=ix -- �.1' S S. '''-r-M S
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 Date: 8 -o' —D e, Phone #: (503) 718- ?q,
CITY. OFTIGARD ,
BUILDING DIVISION PERMIT #: MEC200R -00412
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8T1/2000
Phone: (503) 639 -4171 AI°
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/8/2008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 15930 SW STRATFORD LP CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 055 TYPE OF USE:
PROJECT NAME: BERARDI
DESCRIPTION: Replace electric furnace with gas furnace; gas piping for furnace and (2) fireplaces; other work
includes duct. work. 8125/08 ADDED (2) gas fireplace inserts and (2) chimney liners.
OWNER: BERARDI, ANNA PHONE #: 503 - 639 -4404
CONTRACTOR: CLAWSON HEATING PHONE #: 503618-9646
Inspection Request Scheduled For: Date: 902008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 075188 -01 503. 618.9646 Y
Corrections /Comments /Instructions:
, ��� . .�
--
[ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL P' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4
Inspector: Date: Q Phone #: (503) 718- � - �/
CITY OF TIGAR.D ..
BUILDING DIVISION PERMIT #: MEC'2008 -00412
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639 - 4171 II
Inspection Requests (24 Hrs.): (503) 639 -4175 ,, r:_..
INSPECTION WORKSHEET FOR DATE: TIME: TIME 7:00AM PAGE 27
SITE ADDRESS: 15930 SW STRATFORD LP
CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 055 TYPE OF USE:
PROJECT NAME: E3ERARD1
DESCRIPTION: Replace electric furnace with gas furnace; gas piping for furnace and (2) fireplaces; other work
includes duct work. 8/25/08 ADDED (2) gas fireplace inserts and (2) chirnne liners.
OWNER: BERARDI, ANNA PHONE #: 503- 639.4404
CONTRACTOR: CLAWSON HEATING PHONE # : 503. 618-9646
Inspection Request Scheduled For: Date: 9/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message 1A
A
6 99 Mechanical final 0755622 -01 503. 618 -9646 Y
Corrections /Comments /Instructions:
Ce,_ se-
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e aS Date: moo? Seed g Phone #: (503) 718- o 3