Permit " CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: MEC2015-00835
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2015
Parcel: 25111 CB01308
Jurisdiction: Tigard
Site address: 14905 SW 104TH AVE
Project: LAPIDUS Subdivision: DEL MONTE SUBDIVISION NO.2 Lot: 15
Project Description: Gas fireplace insert and venting.
Contractor: FIRESIDE CONTRACTING SERVICES LLC Owner: LAPIDUS, DAVID J/KAY W
18389 SW BOONES FERRY RD 14905 SW 104TH
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503-684-8535 PHONE:
FAX: 503-620-5699
FEES
Specifics: Description Date Amount
Gas Fireplace 12/15/2015 $33.39
Type of Use: SF Flue Vent for Water Heater or Gas 12/15/2015 $23.32
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: 12%State Surcharge-Mechanical 12/15/2015 $10.80
Stories: Minimum Fee Adjustment-Mechanical 12/15/2015 $33.29
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: er tteeSiQnature: 2 ':4 4 j
Call .639.4175 by 7:00 a.m.for the next available inspection date. L
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.
a
Mechanical Permit Aonlication �����
City of Tigard � e Date Bed /� r S 15
Permit No.: 5
■ 13125 SW Hall Blvd..Tigard.OR 972_3 Vt 1 o I �)
$ �� (.0`S Plan Rex ir«
' g Phone: 503.718.2439 Fax: 503.598.1960 �C, Q Da[e Bv. Other Permit
T 11,A R D Inspection Line: 503.639.4175 Q �f..�`GA�tnn^pate Reade B} Tuns: ® See Page 2 for
Internet: s«csv.tigard-or.gov �`w �t� D\v,.7 V otitied Method. Supplemental Information
rire
\\]],LQ,``t� COMMERCLAL FEE* SCHEDULE – USE CHECKLIST
TYPE OF Wuaex Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition alteration replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead.and profit.
0 Demolition figOther: GAs 0204ow34.15, 2>+U6l 42.T. VAJW.. Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
ig I-and 2-family dwelling 0 Commercial.industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: r-tiOlj 5,0 (Oef f ,4./, Air conditioning 46.75
City State ZIP: -rt& .cp Op_ Ci 7Z Z,if Furnace 100.000 BTU(ducts vents) 46.75
Suite bldg.� Q/(apt.no.: Project name: h ,A Furnace 100.000–BTU(ducts vents) 54.91
��L f`AO� Heat pump 61.06
Cross street directions to job site:
Duct work _'3.32
Hvdronic hot water system '_3.3_
Residential boiler(radiator or
hydronic) '3.32
Unit heaters(fuel-type,not electric).
Subdivision: Lot no.: in-wall.in-duct,suspended.etc. 46.75
Tax map parcel no.: Flue vent for any of above '3.32
DESCRIPTION OF WORK Other: '3.3_
A�G1 (( Other fuel appliances:
A."1 l.ot/�. D Cr CICI,S l - 0.K4 Vt.YI,4-1,t Water heater '_3.3_'
(� S41"5., ft rpf lq';.¢, Gas fireplace insert , / 3139 33.31
Flue vent for water heater or ea.
fireplace / 23.32 2.3.32-
Log
3LLog lighter(gas) '3.32
21sPROPERTY OWNER ❑ TENANT
Wood pellet stove 33.39
Name: Dkuku ,. tDuS
J Wood fireplace insert '3.32
Address: Hies—ies— 3uu iO LI re A'VE
Chimney liner flue vent _'3.32
City State ZIP: G4kV,,p1 On--- /Z 2_,-)Ji Other: _3.3_'
Phone: (eh( ) 2_ '7 (i I ax: ) ) Environmental exhaust and ventilation:
APPLICANT a CONTACT PERSON Ranee hood other kitchen
equipment 33.39
Business name:
Clothes dryer exhaust 33.39
Contact name: p O .3 LA-to/DOS Single-duct exhaust(bathrooms.
r � S� /O�tL AV� toilet compartments.utility rooms) '_3.32
.address: L OL, CC
r Oa--
(J q �/ Attic crawlspace fans '3.32
City State ZIP: "rt.T„ '+� I '"`"' ! l �i-i Other: '3.3''
Phone:4-17 1 ) —- ..-/- 1.1 Fax: .) Fuel piping:
E-mail: K"v"`^^.(cy t el 7 Q..., t,C , LQV� S14.15 for first four:S4.03 for each additional
r
CONTRACTOR) Furnace.etc.
Business name: /1,,CLE.St l-(ow e �j[�.0 t'(,O J 5 Gas heat pump
Address LC138`1 S t(J gealt/15 QS) Wall suspended unit heater
City State ZIP: Qo.0-TLArNj)t DMZ.- -24...q Water heater
Phone:(43) 16i_- I'J1_ Fax ( ) Fireplace
CCB 1ic.:de/s�) 42_710 Range
[ }
•
/ Barbecue
Authorized signature: / l�Wv�J Clothes drver(gas)
T1�1C) 1 LAI°l I Other:
LV/ ,S �Z.�1���, GS (al.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14905 SW 104TH AVE, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
FAIL
MEC2015-00835
David Young
Find leak in gas line, leaked 1.5 lbs in 15 min. Pressure test: not holding. Minimum 10
psi, 15 minutes with no perceptible drop in pressure for less than 14 inch water column.
Systems over 14" water column shall hold 60 psi, 30 minutes. G2417.4
Violation Summary:
Inspector Contractor