Permit 7 9
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00568
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/28/2007
PARCEL: 2S 115AA -07800
SITE ADDRESS: 10544 SW TITAN LN ZONING: R-4.5
SUBDIVISION: BERKLEY ESTATES LOT: 010 JURISDICTION: TIG
PROJECT: BELAIR
Project Description: Install gas line, vent and new gas fireplace insert.
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: 1
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:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
GREG BELAIR Description Date Amount
10544 SW TITAN LN
TIGARD, OR 97224 [MECH] Permit Fee 9/28/200, $72.50
[TAX] 8% State Surcha 9/28/200i $5.80
Phone: Total $78.30
Contractor:
ALL FUEL INSTALLATION & SERVICE LLC
PO BOX 69
TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 674 -2350
FAX 503- 674 -2693
Reg #: LIC 169503
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.
i/'
Issued = • • // / y / / 1 Permittee Signature: E P � fiatif`0(1
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
his 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.
2007-09-27 18:22 » 5035981960 P 3/3
' Mechanical Permit Application 1.()k Hi tl(1 1,1 •t
City of Tigard ,�1 �
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13125 SW Hall Blvd., Tigard, OR 97223 �((�, 11 I 1 1
g Phone: 503.639.4171 Fax: 503.598.1960 �' Plan Review Date/By: Other permit:
I Line: 503,639.4175 FP ®
1 1 k ..\ 1: 1, 2 8 Date Ready/By: ���n,. ® bee P age 2 tar
Internet: www.tigard - or.gov Cir � (/( /� Notifced/Method: I 1 V Sapplewental Iutarmothm
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TYPE OF WO) "DO J/ COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
❑ New construction ® Addition/alteration/replacement Mechanical pt:mtit fees' are based on 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.
r CATEGORY OF CONSTRUCTION - Value: S
I -and2 L'amii dwelling Commercial/industrial RESIDENTIAL EQUIPMENT /SYSTEMSFEES*
® y g ❑ ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description L Qt Ea, j Total
JOB SITE INFORMATION AND LOCATION Heatioa cooling
Job site address: 10544 SW Titan lane Air conditioning or heat pump
(requires site plan slwwina placement) 14.00
City / State/ZIP: Tigard, OR 97224 Furnace 100.000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (clucts/ventt) 17.90
Suite/bldg./apt. no.: 1 Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydrunic hot water system 14.00
Residential boiler (radiator or
hydrunic) 14.00
Unit heaters (fuel-type, not electric),
in -wall, in -duct, suspended, etc. 10.00 ,
Subdivision: 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
Install gas line, vent and new gas insert Get fireplace 1 IU.UU 1 U
Flue vent for water heater ur gas
fireplace 10.00
-- Log lighter (gas) 10.00
Wood/pellet stove 10.00 ,
Wood fireplace/insert 10.00
® PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent I 10.00 10
Other 10.00
Name: Greg Belair Environmental exhaust and ventilation
Range hood/other kitchen
Address: Same as Above equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT 0 CONTACT PERSON Attic/crawlspacc fans - 10.00 ,
Other: 10.00
Business name: See Below
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: — Furnace, etc.
Gas heal pump
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) I Fax:: ( ) Water heater
Fireplace I 5.40
E -mail: Range
CONTRACTOR Barbecue
Business name: All Fuel Installation and Service
Clothes dryer (gas)
— Other.
Address: PO Box 69 MECHANICAL PERMIT PEES*
City/State/ZIP: Troutdale, OR 97060 Subtotal 25.40
Phone: (503) 674 -2350 I Fax: (503) 674 -2693 Minimum permit fee ($72.50) 72.30
Plan review (25% of permit fee)
CCB lie.: 169503 State surcharge (8% of permit fee) 5.80
- ��� TOTAL PERMIT FEE 72.30
This permit appncait permit is not obtained within 1
Authorized signature: &t
� — days after it bat been accepted as complete.
CITY OF TIGARD _ . ;
BUILDING DIVISION PERMIT #: MI:C2f107 -00566
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: g'78!7007
Phone: (503) 639 -4171 A il �
Inspection Requests (24 Hrs.): (503) 639 -4175 e_ ..
INSPECTION WORKSHEET FOR DATE: 10/26 /2007 TIME: 7:01AM PAGE: 64
SITE ADDRESS: 10544 SW TITAN LN CLASS OF WORK:
SUBDIVISION: BERKLEY ESTATES LOT #: 010 TYPE OF USE:
PROJECT NAME: BELAIR
DESCRIPTION: Install gas line, vent and new gas fireplace insert.
OWNER: BELAIR, GREG PHONE #:
CONTRACTOR: ALL FUEL INSTALLATION & SERVICE LLC PHONE #: 603-674-2350
Inspection Request Scheduled For: Date: 10/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 058139-01 603-620-0716 N
Corrections /Comments/ Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: p Date: /0 —2- Phone #: (503) 718 --4-
CITY •OPTIGARD
BUILDING DIVISION ' PERMIT #: MEC2007 -00558
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9.08/2007
Phone: (503) 639 -4171 I.
Inspection Requests (24 Hrs.): (503) 639 -4175 ,� . I �..
INSPECTION WORKSHEET FOR DATE: 10/12/2007 TIME: 7 PAGE: 78
Dug
SITE ADDRESS: 10544 SW TITAN LN CLASS OF WORK:
SUBDIVISION: B RKLEY ESTATES LOT #: 010 TYPE OF USE:
PROJECT NAME: BELAIR
DESCRIPTION: Install gas line, vent and new gas fireplace insert.
OWNER: BELAIR, GREG PHONE #:
CONTRACTOR: ALI.. FUEL INSTALLATION & SERVICE LL.0 PHONE #: 603. 6742350
Inspection Request Scheduled For: Date: 10,12J2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 057422 -01 503-620-0716 N
Corrections /Commen /Instructions:
SS 1p RTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
❑ FAIL i ' LL FOR INSPECTION ADDITIONAL FEES ASSESSED
i ■-
Inspector:
lop-
- � Date:
/ Z D Phone #: (503) 718- Z- 1-/Y