Permit ti V• '4 4
. 1 11 CITY bFIIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00211
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/18/2007
PARCEL: 2 S 103 B B -00800
SITE ADDRESS: 12525 SW 124TH AVE ZONING: R -4.5
SUBDIVISION: BROOKWAY LOT: 008 JURISDICTION: TIG
PROJECT: DURHAM
Project Description: Replace existing wall mounted gas heater with direct vent gas stove
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. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVRS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
DURHAM, STEVEN W + SHELLEY L Description Date Amount
12525 SW 124TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 4/18/200 i $72.50
[TAX] 8% State Surcha 4/18/200i $5.80
Total $78.30
Phone:
Contractor:
T & K MECHANICAL
11525 SW CANYON RD
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 6264652
FAX 503- 626 -9138
Reg #: LIC 121165
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: Permittee Signature: / /
Call 503.639.4175 by 7:00 a.m. for inspections that busines d. .
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.
FR(M : HOTSPOT FIREPVICE PHONE NO. : 15036269138 Apr. 17 2007 11:26AM P1
� }M
f' • t... a! r ''' FOR OFFICE USE'ONLY :
Nreehatile Permit A plication,
— Received 1'c,nu2 No.'
City of Tigard Us2tc:/ny' _ . aoa� – ao a if
13125 SW Hall Blvd., Tigard, OR 97223 It Plan Review '
Other Pe n
Phone; 503.639 4171 Fax: 503.59 g.1960 fewl,... °` '&01, . time /0
JnsptCTion ',inc. 503.639,4 375 r. y _ fate Ready /lty: 1 " ^s f See Page 2 far
Ap R 1 ' 4 2 _� .: Su tveaLol ,Aforulbtieu
Internet' www.citigard,or.us , Ntrii6ta1liY1Cf310(if - -- , - –
at . M ,�.� Pa � ;pp. . , A o , W R '7'
,;;,'',4," .A.0-4,1-4,f, q msz t y c , t t '1 ffi ` - zr.71 ": J t � ' +, v xn? =r ' ..:1--.1.7k2..1 ' ,� tPrgere k � - tor r;
1 11
. Y , ;fF, R ,' , ; ' t \; , Srl ii , .).);fine . , ,, , � c .'t(4.4 , I ll e t .. " ? -s . 0 . ...,,ji( S t ,' . . re7 ° . � "^1" ,e .•..t.
1.44' McChanical permit fees/ are based on the value of the work
0 New construction 21 • dditi " =10(.1i/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ hcmolition ❑ Other: mechanical materials, equipment. labor, overhead, and profit
v , , em 1{e t y, 2 � Value: $ e
v s ' $Yi $ X , !?9 - i t g .P ° a S l +. .,2i. ,NP.iB�I1 ,1�F i 2
►.1 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building for special information use checklist, _
❑ Multi- family ❑ Master builder ❑ Other: Description Qty, j La. 1 'total
• y, `� � , , t, v" g li "� i 4 r 1Ieatiug /cooling
` ° IA Air conditioning or heat pump 1
l
Job site address; , -r S 5� f • , 1 Jc (requires site plan showing placement) 14,00
City/State./ZIP: I / av 0 ✓ q 7g-a_.3 Furnace 100,000 BTU ((toots/vents) 14.00
,
—. Fupace 100,000+ 13'rU (ducts/was) ,_ 17.90
Suite/bldg. /apt: no,: . Project name: Qas heat pump 14.00
Cross street /direotiorts to job Rite: • ' . -- . - - _Duct work-... ..... - 14.00
'"` Hydronio hot water system 14.00
Residential boiler (radiator or .
. hydroni4) 14,00
- Unit heaters (fuel -type, not electric), •
in- wall,•in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for anzof above 10,00'
_Other: _ 10,00
Tux map /parcel no.; Other fuel appliances
� i u� �. IF m iii' i nS i10 ` s Wnter heater 10 - 00 i
t Gas fireplace I0.00 ,�O
.. e.. / ct e ]i s‘ t v_ �..vtr.�-F' t't-- t" Flue vent for water heater or gas
0 a `� A ' ✓ • Y <PC-0 ,e / t 4P 6 fireplace_._.—
/ 10.00 /0 .. Log lighter (gas) 10.00
• 1,,,r-C._ Wood/pellet stove 10.00
Wood fireplace /insert 10.00
3;� rr
Y Ghin2n /liner /flueJvent 10.00
IS r G � ? a f(o - • � ' 1 ' ' .' Other: 1 10,00
S ,. , �,.w Q • CA V a : N Environmental exhaust and ventilation
� � s la � 'n Range hood/other itcAddress: Addrs: 1 C�.�^ _ I"T equipment 10,00
City /State/ZIP: ] 1'7 4 r t 0 Y q7a -a'. Clothes dryer exhaust ' 10.00
` Single -duct exhaust (bathrooms,
-
Phone: '� sj ` Y t �� ` Pax: ( ) toilet cgmpartmentg, utility roomsl 6,80
'�• ! Y `yipw ` "59tY �t$�'V a 1 k 2 4 ' i ! y 1 i'AF d ° �,
a z'"rci&' y. o f p 1 ` ww`s/a " ' rr� Altic/crawls ace fans 10.00
p
R Other: 10.00
Business name: ,a �. �7 Y la.C._ _
P b'uel piping _
Contact name; �e , 0 e ∎ 4 $5 :40 for first four; 51,00 for each additional
Address; Furnace, etc.
.a 5t� ea•Yl. rD v-∎ Qas heat pump
City /State/ZIP: \tev 4, , Ai ✓ q - dam Wall /suspended/unit heater _
. .Phone: ( •-'), - Fax:: car.)3_,"?�G _ 9/.;63 Water heater • fireplace
E-mail:
Range • " `"t o _ ^ , a ' 4 4'°1"° ® � F d . : k k ;4,44 . B ,
Busines's name: a , e i e
Clothes dryer (gas)
Other
Address: ! ._ •X34, r e ,r el
City /State/Z ': ) Subtotal
Phone: 5)3 )6' �L Fax: ( )-.7/ Minimum permit foe ($72 -54) •f_
CC8lie,: _ f Stat surebary (25% n f p n e, ait f ee )
CITY OF'TIGARD _
BUILDING DIVISION PERMIT #: MEC2007 -00211
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2007
Phone: (503) 639 -4171 . � r�p N� ii � 6 (
Inspection Requests (24 Hrs.): (503) 639 -4175 A
INSPECTION WORKSHEET FOR DATE: 4/25/2007 TIME: 7 :00AM PAGE: 25
SITE ADDRESS: 12525 SW 124TH AVE CLASS OF WORK:
SUBDIVISION: BROOKWAY LOT #: 008 TYPE OF USE:
PROJECT NAME: DURHAM
DESCRIPTION: Replace existing wall mounted gas heater with direct vent gas stove
OWNER: DURHAM, STEVEN W + SHELLEY L, PHONE #:
CONTRACTOR: T & K MECHANICAL PHONE #: 503 - 6264652
. Inspection Request Scheduled For: Date: 4/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 04712402 503.844 -99173 N
Corrections /Comments/ Instructions:
r'
f'
ZIIPARTIAL APPROVAL _ CANCEL ESS
n FAIL El CALL FOR INSPECTION Ti ADDITIONAL FEES ASSESSED .
Inspector; •, i Date: 4-- Phone #: (503) 718- X9-9 --
CITY OF TIGARD _ , c�
1 BUILDING DIVISION PERMIT #: MEC2007- 00211
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2007
Phone: (503) 639-4171 ,,,,,
Inspection Requests (24 Hrs.): (503) 639 -4175 & A i
1
INSPECTION WORKSHEET FOR DATE: 4/25/2007 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 12525 SW 124TH AVE CLASS OF WORK:
SUBDIVISION: BROOKWAY LOT #: 008 TYPE OF USE:
PROJECT NAME: DURHAM
DESCRIPTION: Replace existing wall mounted gas heater with direct vent gas stove
OWNER: DURHAM, STEVEN W + SHELLEY L, PHONE #:
CONTRACTOR: T & K MECHANICAL PHONE #: 503 - 5254 %2
Inspection Request Scheduled For: Date: 4/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 047124 -01 503 - 044 -9173 N
Corrections /Comments /Instructions:
40 � �u S _
•
/
/
1
PASS III PARTIAL APPROVAL CANCEL �0t • CESS
I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c Date: • ¢ —'?--a Phone #: (503) 718 - -