Permit ,„, f CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00053
TIGARDs 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/31/2008
PARCEL: 2S 110BA - 04401
SITE ADDRESS: 14315 SW MCFARLAND BLVD ZONING: R -
SUBDIVISION: SHADOW HILLS LOT: 021 JURISDICTION: TIG
PROJECT: GENTRY
Project Description: install gas lines and vents to (2) new gas inserts
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 4
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
TODD GENTRY Description Date Amount
14315 MCFARLAND
TIGARD, OR 97224 [MECH] Permit Fee 1/31/200E $72.50
[TAX] 12% State Surch 1/31/200E $8.70
Phone: 503 - 572 -8134
Total $81.20
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.
Issued By: 1 i1 Permittee Signature: G/ ' /C
Cal !39.4175 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.
111 2008 -01- 3017:49 » P 2/2
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' 13125 SW Hall Blvd., Tigard, OR 97223 3 ' t3
11 .la, Phone: 503.639.4171 Fax: 503.598.1960 JAN 0 L U U
(.Aber Permit:
�; Inspection Line: 503.639.4175 CITY /�
l7i 1 h: Internet: WWW.ti ardor, Ov CIT C OF I Ili D M'(` RcadYBy: Judo 0 See Page 2 for
""'' B B Notiiied/1Ne0u4 Supplemental Information
BUILDINGOIVISIOF'
-
TYPE OF WORK COMMERCIAL FEE* SCHEDIII,F: — USE CHECKLIST
❑ New construction .. Addition /alteration /replacement Mechanical permit fees' are based on thc value of thc work
performed. Indicate thc value (rounded to thc nearest dollar) of all
❑ Demolition ❑ Other; mechanical materials, etauipmen(, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value; $ 11 1 J . rr,
RESIDENTIAL EQUIPMENT / SYSTEMS FELS*
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
Multi -family Master builder _ For special igformarion use checklist.
y Q ❑other: Description I Qty. I Ea. I Total —
JOS SITE INFORMATION AND LOCATION Ileatfng/cooling
Job site address: 14315 SW McFarland Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /Slate/7TP: Tigard, OR 97224 Furnace 100,000 RTIJ (ducts/vent) 14.00
I - umace 100,(100+ BTU (duds/vents) 17.90
Suite/bldg. /apt. nn.: Project name: pump
/�> Gas heat pump 14.00
Cross street/directions to job site: / Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
.. Unit heaters (fuel -type, not electric).
in -wall, in -duct. suspended. etc. 10.00
Subdivision: lot no.: Flue /vent for any of above 10.00
_— _Other: 10.00
Tax map /parcel no.: Other furl appliances
DESCRIPTION OF WORK Water healer 10.00 _
Gas fireplace 2 10.00 20
Install gas lines and vents to 2 new gas inserts ,M Flue vent for water heater or gas
fireplace — 10.00
-••-- - •• -- Log lighter (gas) 10,00
Wood /pellet stave 10.(1(1
Wood fircplacc/insen 10.00
PROPERTY OWNER — 1 CI TENANT C'himncy /lincrlfluc /vent — 2 10.00 20
--- Other; 10.00
Name: Todd Gentry Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single- duct exhaust (bathrooms.
Phone: (503)572 -8134 Fax: ( ) toilet compartments. utility rooms) 6.80
® APPLICANT C] CONTACT PERSON - Attic /crawlspacc tans 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 heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone; (... ) I Fax:: ( ) Water heater
Fireplace 2 5.40
E -mail: Range
CONTRACTOR Barbecue ,
Business name: All Fuel Installation and Service, LLC. Clothes dryer (pas)
- Other:
—
Address; PO Box 69 MECHANICAL PERMIT FEES"
City /State /LIP: Troutdale, OR 97060 Subtotal 45.40
Phone: (503) 674 -2350 Fax: (503) 674 -2693 Minimum permit fee ($72.50) 72.50
r Plan review (25 % of permit fee)
C:C13 lic.: 169503 State surcharge (12% of permit fee) 8.70
'l'O'l'AL PERMIT F F:F: 81.20
Authorized signature: ,1
\ V i ll This permit application expires if a permit is not obtained within 180
days after it has been accepted al �vmpkte.
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CITYY'OF TIGARD
BUILDING DIVISION PERMIT #: h,lC200800053
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31,2008 Phone: (503) 639 -4171 /y i 1ploi,�
Inspection Requests (24 Hrs.): (503) 639 -4175 I / Avoe -000s3
INSPECTION WORKSHEET FOR DATE: 2/7/2000 TIME: 7 :03A1,4 PAGE: 41
SITE ADDRESS: •14315 SW MCFARLAND BLVD CLASS OF WORK:
SUBDIVISION: SHADOW HILLS LOT #: 021 TYPE OF USE:
PROJECT NAME: GENTRY
DESCRIPTION: install gas lines and vents to (2) new as inserts 1 a 3t 30 Pnl
a'.
OWNER: GENTRY, TODD LQA PHONE #: 503 - 572 -8'i34
CONTRACTOR: ALL FUEL INSTALLATION & SERVICE LLC PHONE #: 503 - 674 -23510
Inspection Request Scheduled For: Date: 217/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 064647 -01 503.572 -8134 V
Corrections /Comments /Instructions:
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n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
' O Inspector: r, / Date 7 ` 0% Phone #: (503) 718