Permit L1. ;
; ; a CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00378
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7(2112008
PARCEL: 25111 DD -14900
SITE ADDRESS: 15675 SW 87TH AVE ZONING: R -
SUBDIVISION: MILLMONT PARK LOT: 026 JURISDICTION: TIG
PROJECT: PEREZ
Project Description: Installing gas fireplace insert and gas piping.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. !NCIN:
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: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
SERGIO PEREZ Description Date Amount
15675 SW 87TH AVE.
TIGARD, OR 97224 [MECH] Permit Fee 7/21/200E $72.50
[TAX] 12% State Surch 7/21/200E $8.70
Total $81.20
Phone: 503- 620 -2911
Contractor:
FIRESIDE DISTRIBUTORS
18389 SW BOONES FERRY RD
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -595 -3726
FAX 503- 620 -5699
Reg #: LIC 40979
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: `/4/ - Permittee Signature: -`�
Ca 3.639.4175 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.
' 07/18/2008 11:55 5036707905 WIDDOWS PAGE 02
1 ,`1.GC11.al,_,.;.12.1 ;) •Litt ',.l.l; i,i:(:'s,1_i ,,,I. 170 CFf10EUSLONLY•. .
City of Tigard d
_ Received M
`1 Recv / %� Perm �' it No.: ^�
e ? � ,A__,/, ,A__,/, �
Ill 21. 't 13 i25 SW Hall Blvd., Tigard, OR ' - � t% a Review jjj I /� Other Permit: ► .
• Phone: 503,639.4171 Fax 503.5 °t. ' t 0.,.„....... ‘ ` ►ate /By: .111 /P
T t G A RD Insp Line: 503.639.4175 Date Ready /By: ® See Page 2 for
Internet: www.tigard
� 2008 Notified /Method: Supplemental information •
1y6k, :0.' rH 1 0 ; ?. COMN R 14L F t.. , 00 ii7SI , CIiiEcxl,1sT'
Mechanical lermit fees* are based on the value of the work
❑New construction ❑ Additio n .'"•• performed. I tdicate the value (rounded to the nearest dollar) of all
El Demolition ❑ Other: �+t �+ mechanical materials, equipment, labor, overhead, and profit.
Value $
; - CATEGORY OF CONSTRUC 1 '
C CN;Tt L E'OUI'`' MENT / VSTEMS RPES
'- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
-JOB SITC "1NTO1 MATIO1 :AND• LOCATION;; Ileatinfi /coati
Air conditirrling or heat pump
Job site address: 1 �� S S ' h p (requires site 1 tan showing placement) 14.00
-
City/State/ZIP: - cc f ` 612. -7D-D.' Furnace 100 000 BTU (duets/vents) 14.00
Furnace 100 000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.: Project name: ry,,c_2___._ Gas heat put ip 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic ho: water system 14.00
Residential 1 .oiler (radiator or
hydronic) 14.00
- Unit heaters (fuel -type, not electric),
in -wall, in -d act, suspended, etc. 14.00
Flue /vent fo• any of above 6.80
Subdivision: Lot no.:
Other: 10.00 ,
Tax map /parcel no.: Other fuel : ppliances
water heat 10.00
-�; g� SCR[X'TtON DR . .: : . ,
Gas fireplaa: r 10.00 /Q,
v(1Sktyl ‘I @as ,1. Iv) t $(3a1 vilVx1 Flue vent fo water heater or gas
fireplace 1 0.00
Log lighter I gas) 10.00
Wood/pellet stove 10.00
Wood firepi.tee /insert 10.00
Chimney /liner /flue /vent 10.00
• ' : - ERTY OWNER : ' i TENANT Other: 10.00
Name: Environmeital exhaust and ventilation
Address: \ l t C AA) , s--141- A Range hood other Kitchen
U equipment 10.00
City /State /ZIP: g;iaur-ct ` DR a -7�-�Li Clothes dry( rexhaust i 10.00
Single -duct :xhaust(bathrooms, '
Phone: (51) /5 -j 53°r Fax: ( ) toilet compartments, utility rooms) 6.80
.%( ' APPLICANT ,,.( CONTACT PEKSON A tt i c / craw l s race f ans 10.00
c- I� L , /� Other: 10.00
Business name:
l� 1 feS‘�C .L� ‘ST b t &J'i)n Fuel piping
Contact name: A ly , \A $5.4,0 for first four; $1.00 for each additional
\ $3gh C 1 i ,� g oD( o C Fetal , A Fumace, etc
Address: v JW J ]C
Gas heat pur np
City /State/ZIP: 1). ` 1/ D 7 aay Wall /suspended /unit heater
Phone: 0 0 6C) . 3 7 u Fax: : (5 D ,, D - a Water heate ll
Fireplace ( j , l e)
E -mail: Range
CON 1Qk barbecue _
f I Clothes dry(r (gas)
Business name: rpsIAti MST -Q 0 n O r) - - -
-_ -- � aS. L I -_--OJ �- ,
- - -- - ._..._- Other - MECI1ANICAL PJ✓RNNIT FEE -
Address: . - -_ - - -- r *
City/State/ZIP: .50 Minimum f ernut fee $72- -
- - -- =- -- - ---
Phone: ( ) Fax: ( -) -- _ Plan review (25% of permit fee)
1 C-CB ltc.. ''-'j o State surcharge (12% of permit fce
' _ - - PERMIT FEE 2. • -
Authorized signature: This permit ,pplicaiion expires if a permit is not obtained within 180
_ Alit ..(I. 4 . ___ days after it has been accepted as complete.
Print name: • ' C 1 .0 k! Date: )2_08 I " Fee melho lology set by Tn -County Building industry Service Hoard
1:1R \
uilding \Permits MEC- PermitApp.doc 0109/07 440 -4617T (11102 /CO1vI/VEB)
CITY OF TIGARD
BUILL1ING DIVISION PERMIT #: MEC2008-00378
13125 SW Hail Blvd., Tigard, OR 97223 DATE ISSUED: 7121/2008
Phone: (503) 639-4171 At
,ps
Inspection Requests (24 Hrs.): (503) 639-4175 1.L.
INSPECTION WORKSHEET FOR DATE: 7/2812008 TIME: PAGE:
7:03AIVI 65
SITE ADDRESS: 15675 SW 87TH AVE CLASS OF WORK:
SUBDIVISION: LOT #: 026 TYPE OF USE:
mutmoNT PARK
PROJECT NAME: PEREZ
DESCRIPTION: Installing gas fireplace insert and gas piping.
OWNER: PHONE #:
PEREZ SERGIO 503
CONTRACTOR: _,
FIRESIDE DISTRIBUTORS, PHONE #: 603-695-3726
Inspection Request Scheduled For: Date: 7/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073183-01 503-695.3726 Y
, Corrections/Comments/Instructions:
( fC)
..,
•
.-- -
0 PASS 0 PARJJLAP 0 CANCEL ACCESS
fl FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Jt Date: ' Phone #: (503) 718- 2 -4 1
•
CITY OF TIGARD
BUILEAG DIVISION PERMIT #: ME C2008-00378
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2008
Phone: (503) 639- 4171 °?
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7 :01AM PAGE: 66
SITE ADDRESS: 15f;75 SW t37TH AVE CLASS OF WORK:
SUBDIVISION: MILLMONI PARK LOT #: 026 TYPE OF USE:
PROJECT NAME: PEREZ
DESCRIPTION: Installing gas fireplace inert arid gas piping.
OWNER: PEREZ, SERGIO PHONE #: 503 - 620.2911
CONTRACTOR: FIRESIDE DISTRIBUTORS PHONE #: 503 - 595.3726
Inspection Request Scheduled For: Date: 7/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 072978 -01 503. 595 -3726 Y
Corrections /Comments/ Instructions:
AOP
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: z . , Date: 7 — a 2 -a gi Phone #:. (503) 718- �9,--
INSPECTOR'S SIGNATURES ARE NOT
Ins ecl:ions t ke uired for: REQUIRED ON GREEN INSPECTION CARD.
✓ - Code j Inspection Description PASS Date By ✓ Code Inspection Description I PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
•
410. Fill 110 Temporary electrical service
415 trading . 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab • 140 Sign installation
310 Crawl drain, • 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 _ Electrical final
240 Exterior sheathing
245 Firewall
•• 250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit'
. 280 Insulation 605 Post /beam mechanical
285 • Drywall nailing - K 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic,piping
899 • MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
_ 299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
/ y .
\ 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
PLM - Plumbing Permit
910 Sprinkler rough -in
•
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 S rinkler final 322 Shower pan
p 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 . Fill 350 Septic tank
415. Grading 395 Misc. inspection:
205 Footing • _ 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Forms \InspCard- AOP- B1ank.doc 02/02/07