Permit �� CITY OF TIGARD MECHANICAL PERMIT
'� ° COMMUNITY DEVELOPMENT
PERMIT #: MEC2006 -00583
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/21/2006
PARCEL: 2 S 114AB -03700
SITE ADDRESS: 16530 SW 93RD AVE ZONING: R -4.5
SUBDIVISION: KNEELAND ESTATES LOT: 024 JURISDICTION: TIG
Project Description: Gas fireplace insert & gas piping.
CLASS OF WORK: OTR 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:
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
TIM & SHERY STEVENS Description Date Amount
16530 SW 93RD AVE
TIGARD, OR 97224 [MECH] Permit Fee 11/21/20( $72.50
[TAX] 8% State Surcha 11/21/20( $5.80
Total $78.30
Phone: 503 -593 -7414
Contractor:
G P & W SYSTEMS INC
732 MARBLE RD
WASHOUGAL, WA 98671 -9601 REQUIRED ITEMS AND REPORTS
Contact #: PRI 360 - 835 -3516
FAX 360 - 835 -5716
Reg #: LIC 108176
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: / f. " r ^ ..J Permittee Signature: \
Call 503.639.4175 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.
Nov 21 06 11:02a GP &W Systems, Inc. 360- 835 -5716 p.1
Mechanical Permit Application A FOR OFFICE USE ONLY
IIity of Tigard EGEIVED Date/By: ,k o6 Permit No. tk • e iy
Y
3125 SW Hail Blvd., Tigard, OR 97223 Plan Review
hone: 503.639.4171 Fax: 503.598.1960 NOV 2 1 200E 4 ` ), ' e Date/By: Other Permit:
�yi
nspection Line: 503.639.4175 � !.. r, •• Date Ready/By: tvrtS/ fa See Page Z for
nteme( www.ci.tigard.or -us CITY OF TIGARD Nobficd/Mcthod: !�1 Supplemental Info
BLtsl D! -NG DMSION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
New construction El Addition/alteration/replacement Mechanical permit 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.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
El Multi - family ❑ Master builder ❑ Other: Description Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling •
Air conditioning or heat pump
Job site address: 16 w �3 .41/44€ (requires site plan allowing placement) 14.00 cel
City/State/ZIP` Gpoe + O� ci ��y Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+137U (ducts /vents) 17.90
Suite(bldg. /apt. no.: Project name: 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
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other: 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater ' 10.00
Gas fireplace 10.00
■U4 ` E 1 S'I l N C- V1:) ' ,) JST A (:.10\S Flue vent for water heater or gas
y fireplace 10.00
U��jC� %/ eri sip ? APtS ?iC ` Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
PROPERTY OWNER ❑ TENANT Other: i [0.00
Value: — C I , 7 Z, jIR1s - L S ET)s.. 6 Environmenta l exhaust and ventilation
Range hood /other kitchen
Address: t ( Std '2 r A.(.6-- equipment [0.00
City/State/ZIP: \ G1 irilzsp C) I�'j L9 Clothes dryer exhaust 10.00
• Single -duct exhaust (bathrooms,
Phone: (5 X93 — 14 Fax: ( ) , toilet compartments, utility rooms) , 6.80
APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
P r IL) S �sT£ ms 2 ' Other: 10.00 .
Business name: Fuel piping
Contact name: e-- VAJAJe- _ 55.40 for first four; $1.00 for each additional
7 i Z d Furnace, etc.
Address: Z Gas heat pump
City /State/ZIP: LL)4S iz T6 -L al /`f— 13:6,7/ - Wall/suspended/unit heater
Phone: (30 5 _ 35/4 , I Fax: ( ) 835-57A. Water heater
3 Fireplace I
E -mail: Range
CONTRACTOR Barbecue
'�.� (( Q Clothes dryer (gas)
Business name: d-(y `S / S n S o��L - Other:
Address: -73)._ yy , _,J, /e ,� MECHANICAL PERMIT FEES*
City/State /ZIP: L,134-g/44/3 1J 6 4-L zA3A- ` L,77 Subtotal 15,4b
Minimum permit fee ($72.50)
Phone: ( /4 g3 5 g.& 1 Fax: g5'- 7)( Plan review (25% of permit fee)
CCB lic.: f a8 Ale $1 39s_ State surcharge (8% of permit fee) $ , X50
TOTAL PERMIT FEE - ; - 1 -4: b, 315-_,'
-- .. This permit application expires ifa permit is not obtained within 180
Authorized rig re: 111111111 days after it has been Accepted as complete.
C ( . ,,Y001.1010 ` Print nam(.,,Y001.1010 I Date: it r 2 ` i f 0 c * Fee methodology set by Tri -County Building Industry Service Board
CITY OFTIGARD
BUILDING DIVISION • PERMIT #: MEC2006-00683
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2006
Phone: (503) 639-4171 i#0
Inspection Requests (24 Hrs.): (503) 639-4175 ,-,- .44. - .tLL.
INSPECTION WORKSHEET FOR DATE: 12J1/2006 TIME: 6:68AM PAGE: 11
SITE ADDRESS: 16530 SW 93RD AVE CLASS OF WORK:
SUBDIVISION: KNEELAND ESTATES LOT #: 024 TYPE OF USE:
PROJECT NAME: STEVENS
DESCRIPTION: Gas fireplace insert & gas piping.
OWNER: STEVENS, TIM & SHERY PHONE #: 603-593-7414
CONTRACTOR: 0 P & W SYSTEMS INC PHONE #: 360-835-3516
Inspection Request Scheduled For: Date: 12/1/2006 Pour Time: '
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0405E4-02 360-772-6328 N
Corrections/Comments/Instructions:
/'*--
[ fl PARTIAL APPROVAL I I CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ' - Date: /1.--/ & Phone #: (503) 718-
CITY OFTIGARD
BUILDING DIVISION DIVISION
PERMIT #: MEC2006-005133
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1112112006
Phone: (503) 639-4171 A\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1211/2006 TIME: 6:58AM PAGE: 22 ,
SITE ADDRESS: 16530 SW 93RD AVE CLASS OF WORK:
SUBDIVISION: KNEFLAND ESTATES LOT #: 024 TYPE OF USE:
PROJECT NAME: STEVENS
DESCRIPTION: Gas fireplace insert & gas piping.
OWNER: STEVENS, TIM & SHERY PHONE #: 503-593-7414
CONTRACTOR: G p & W SYSTEMS INC PHONE #: 360
Inspection Request Scheduled For: Date: •211/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 040554-01 360-772-6328 N
Corrections/Comments/Instructions:
--------...----
PASS El PARTIAL APPROVAL El CANCEL I I NO ACCESS
n FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 4 Date: /1-- f Phone #: (503) 718- ---9-4.--&----