Permit ,1 ti u CITY OF TIGARD
MECHANICAL PERMIT
- t= ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00187
: DATE ISSUED: 4/4/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 134AD -07200
SITE ADDRESS: 10545 SW WINDSOR PL ZONING: R -
SUBDIVISION: WINDSOR PLACE LOT: 009 JURISDICTION: TIG
PROJECT: SHIRES
Project Description: Install gas fireplace and log lighter. Run gas line to new range and gas fireplace.
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:
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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 2
> 10000 cfm:
GAS OUTLETS: 2
Owner: FEES
JO SHIRES Description Date Amount
10545 SW WINDSOR PL
TIGARD, OR 97223 [MECH] Permit Fee 4/4/2007 $72.50
[TAX] 8% State Surchar€ 4/4/2007 $5.80
Total $78.30
Phone: 503- 620 -1875
Contractor:
BEAVERTON PLUMBING INC
13980 SW TV HWY
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 643 -7619
FAX 503- 643 -7620
Reg #: LIC 12889
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issue y: ,, 0 / ih A L J / Permittee Sign. ture: ; .40 �' m, /�
Call 503.639.4175 by 7:00 a.m. for inspections t • busine 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.
Apr 03 07 05:24p Beaverton Plumbing Inc 5036437620 p.2
Mechanical Permit Application °. ' p i l e ' FOR OFFICE US ONLY „
era ./ r s ll c .
City of Tigard : .• lip �� / A Q/� ooi8
.c ry ���' t D� �� I' CTlrlll Nu.. � ���_
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13125 SW I Lill Iltail., Tigard, OR 97223 '1nr, RKVtew
GA' '12
f Phone: 51)3.639.4171 Fax: 543,Sy503,598,1960 q;ddlly• Oth rPermit:
APR - 4 ZUU/
f 0 Inspection Line: 50 ?.6:19.417,5 ITtle 1c;ldy /Ity: �In ' Id Sec rage 2 fur
c�.*Imawl Internet: www,tignrd- pr,g('v CITY OFTIGARD Nolif,al/Me1,od: Supplemental Information
.BLILDJ119G ._. fr/C _ : _.._
1 OF WORK COMMERCIAL FEE* SCHEDULE - USE CIII?CKIJS'f
['New construction ® Addition /alteration /replacement
Mechanical permit Ices* arc based on the v;tluc of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical tmlterials, equipment, labor, overhead. aril protii.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIA.L LsQt.11PMEN'1' / SYSTEMS EELS"
® 1 • and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For n t/,('( iu1 ur /rirrno1 t n use c hecklist.
❑ Multi-family ❑ Muster builder' ❑ Other: Description Qty. I Ea. I Toutl
.1013 SITE INFORMATION AND LOCATION Renting/ending •. ... ._
Air conditioning or heat pump
Jith site address 10545 SW WINDSOR Pl. (requires site planshnwin);placenlentl , 14.0(1
City /State / /II': 'l'ICAR ORECON 97223 furnace 100,01)1) Ii'1'U (dt`ct.Nvcnts) 14.0(1
- Furnace 100,000 DTU otiets/vmtts) _17.9(1
Suite/bldg./apt. no,: Project name: JO SHIRES - Oils bent pump 14,00
Cross ilreel /direcliorts to job site: Duct work 14,(11)
-'" - l lydronie hot water system 14.00
Residential boiler (radiator or
hv(lronie) . 14.00
--.- ... - -- Unit heaters (fuel -type, not electric),
in -wall, in -duct. suspended, etc. 10.00
-
Flue/vent for any of above 10.00
Subdivision: Lot no.: .- , - 10.011
- Other: --..._
"Fax map /parcel no.: Other fuel applinnces ,.. - _-
I)1sS(RIN'fION OF WORK Water heater -T 10.00
(ins liin:place _ I 10.00 10.00
RUN A GAS LINE TO A NEW 12ANCE AND GAS FIRE PLACE Flue vent for wpter heater or gaff
Iireplace 11).1)0
- _ - .... Log lil;htcr (gas) r l 10.00 10,0)1
Wouel/pullet stove 111.0(1 , •_
WOO() 1 ireplacc/inscn 1(1.00
Chimney /liner /line /vent I n.00
® 1'ROI'I :R•I'Y OWNER ❑ TENANT ..._
(Mix: I (1.00
N :une:.10 SHIRES Euvironruentttl ex Nano srml ventilation _...
Address: 10545 SW WINDSOR 1'L Range en tdlother kitchen
W - -.- equipment . `.. _ - 10.40
City/State/LIP: '1•IGARD. OREGON 97223 Clothes l - y r er exh lust 10.00
Single-duct exhnusi (hulhraums,
Phone; (503)620.1875 Fax: ( ) , _toilet compartments, utility )Corts) (,,80
- CI APPLICANT ❑ f:ON7'AC"r PI RSON Attic /env /1'ipace tuns - 10.00
- - -_ Other: 10.00
Business name:
Fuel pipiu); _.•_
Contact name: $5.4(1 for first four; SI fur each Additional
Furnace. CtC.
Address:
(ins heat pomp
City /State / /I1': Wulf /suspdti/ unit heater
-- __.. __...- en Water heater .
5.40 5.411
pin (ace,
E Railgc 1 5.40 5.40
CONTRACTOR 13arbceuC
Business name: BLAvEli'I ON PLUMBING, INC. Clothes dryerty:u9 ..,_
Other:
Address: 13980 SW •I'UALA I'IN YAI,I,I' V IIWY MECHANICAL PLKM FEES*
City /State /ZIP: RE,AVA :R'I'QN, OREGON 97005 _ Subtotal 30.80
Minimum permit tic ($72.511) 72.50
Phone: (503) 613.7619 Fax: (503) 643.7620 Plun review (25% of permit la)
('CR Iic. :0128119 State surcharge (8 %ofpel Iec) 5.)i0
- •--- ' -'-"" w 'CO'I'Al, I'I' tvll'l' b'h:i. i 78.30
�" � •Ihia permit applieulinn r,rpima if a permit is not obtained within ltlll
A si)nattirt: QSt x,T , a Joys uhrr 11 tuts !Wen accepted u9 Complete.
Fein( name: SUSAN DEAN Date: 04 /03/07 1 • Fee methodology set by 'fri- County Building Industry Service Dowd
1 Ui.. d. tin <C- teeneenpp.dec U4/UD/00 44U•4k171 ( 1 I /u2/COAt/W(irl)
CITY OF TIGARD
., A BUILDING DIVISION PERMIT #: MEC2007 -00187
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/4/2007
Phone: (503) 639 -4171 "�,u�f�h
Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. / o 00/
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: 44
SITE ADDRESS: 10545 SW WINDSOR PL CLASS OF WORK:
SUBDIVISION: WINDSOR PLACE LOT #: 009 TYPE OF USE:
PROJECT NAME: SHIRES
DESCRIPTION: Install gas fireplace and log lighter. Run gas line to new range and gas fireplace.
OWNER: SHIRES, JO PHONE #: 03 -6.0- r
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503- 643 -7619
Inspection Request Scheduled For: Date: 4/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes -
610 Gas line 046024 -01 503-643-7619 � � �
s / ? � `
Correcti
on Comments /Instructions:
Aar1 7 6Z J
i n' PASS I RTIAL APPROVAL [l CANCEL ❑ NO ACCESS
F* IL r ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 4 1- 3 7 Phone #: (503) 718- OCg7°1