Permit CITY TIGARD MECHANICAL PERMIT
4 11 4 DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00527
� , 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/1/2006
PARCEL: 2S 104AA -05500
SITE ADDRESS: 12205 SW 127TH AVE ZONING: R - 4.5
SUBDIVISION: BELLWOOD NO. 2 LOT: 076 JURISDICTION: TIG
Project Description: Installation of gas insert and flue. Gas line existing.
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:
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:
1
Owner: FEES
BRIAN PUGH Description Date Amount
12205 SW 127TH AVE [MECH] Permit Fee 11/1/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchart 11/1/200€ $5.80
Phone: Total $78.30
Contractor:
HOT SPOT FIREPLACE & PATIO
11525 SW CANYON RD REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97005
Contact #: PRI 503- 626 -4652
FAX 503- 626 -9138
Reg #: LIC 71782
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_1_
Permittee Sign ture: („ ------.
-- 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.
�„ I
FROM : HOTSPOT FIREPLACE PHONE NO. : 15036269138 Oct. 30 2006 03:15PM P1
Mechanical Permiit[�ARpikla.ti.on -- �• .. FOR O ONLY ' .
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City of Tigard W �te«Ived Q � f
t.),„&uy: 49 ()2,t% mC% _!: 1 N (nut No.: � C e. ' / - „„05 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 50'3.639.4171 Fax: 503.598 pi, Plan Review: Review: 20 2006 iCrar %; r rc Date/Il Other Pcntdt.
Inspection Line: 503.639.4175 V ` t r I I
L i1 � I):Qk Ready/13y: 1 'B" Elf See Page for
Internet: www. ci.ligard.or.us Nonne(l/MCthod: ( / , Si/13001m utat i nfarrustio n
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(] New construction Of Addition /al terntiorl/rcplaccmcnt Mechanical permit fees are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) ()fall
❑ Demolition El Other: mechanical materials c ui ro
ment, labor, overhead, and ft.
d w , vi . s....�� P
� > ' ., r �,,; y+ 4 i:`3?: t �'a.. a+' ,��i ' a - + f 414; ,,i '7‘,144,r,-.74,, - .� . 40 Value: $
l and 2-family = ' "'l t d , t � * t ' r • i '
timily dwelling ❑ Commercial /industrial ❑ AcceSSO building *( `' c .
For special information use checklist,
❑ Multi - family ❑ Master builder El Other: W
Description -
t tion
k��7,pDM, , nay, `h� 11 y 'v`Y N 1 P 'N y� p � Qty- �a. � Total
4 ,s rt 5 5 s1 q ,, o it, �3® J� 4:y„t .. ; k l i A , 0 k `. }' l teating /cooling • Job site address: i b S 5 to 1 a- 7�,C, l - Air conditioning or heat pump
eilu,re site plan showing placement) 14.00
(r
City /State/ZiP: 1 4..rei f (1, 9 �3 Furnace 100,000 BTU(duats/vcnts) 14,00
• r roj cct na :a o: Furnace 100,000+ BTU (duets/yeas) 17.90
CF,;t'r.,1 ,Id - . /astir nn Gas heat J)unlp 14,00
Cross street /directions to= ob -site: • __.
J. Duetw .... .... ...... ]4.00..
Ilydronic 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
•
I. Subdivision: Lot rte : - Flue /vent for any of above 10,00
Other: 10,00
•
Tax map /parcel no.:
Other fuel appliances
•
4 .' kr; �+. Vie' qS P ;>6 h, o '1' t ,, n.,'s drt h p�k" °ex rn Q a" Water heater 10,00
oti o t t MC
Gas fireplace 1tlgeVJ / io.00 Jo
•
gitS i VlS'e rd - r L(,, )iN ¢ 0 Vl P /ele Flue vent for water heater or gas
•
fireplace 10.00
- Log lighter (gas) 10.00
• Wood/pellet stove 10.00
Wood tire.lace /insert 10,00
' ' s F P a ., 97 ?ai 4 �. T Kd T• i • t rrr - inn: r ,s'e, v, Chimney /liner /flue /vent 10.00
Name: /;�, Other: 10.00
"t'1Gf V1 - -( _I Environmental exhaust and ventilat • •
Address: I a a40 S ,Si ,o G -.7..a Range hood/other kitchen
equipment . , 10.00
City /State/ZIP: f f erc D, 97.,Z Clothes dryer exhaust 10,00
Single - duct exhaust (bathrooms,
Phone ( ) • Fax: ( )
�� �� ��� • r r y � , s f � •„ � toilet compartmorlts, utility rooms) 6.80
{ �.:..�e� r '�7i y R , 6Tll�''C � n i " 0i, ' `�F A 't (�' ,
cn ' : .J^'if; • tx, '.+a... ^ � `s i '^.,,. .Yt.Gl,�,r - `,.. l� skik:,. ?'_.n� P�ttic%[ewlspuuc fans 10.00
Business name: Other: 10.00 •
Contact name: g �� t 11
Duel piping
t�! e ► cA,A Z, $5.40 for first four; $1.00 for each additional
Address: 6 ., p ..:5 � Furnace, etc.
�� Gas heat pump
. City /State/ZIP:
AJ,v.✓ ✓ / - zo QS WWall/suspended/unit heater
_
Phone: ( 3) 619 (n _ qL0 Fax: • 3) � 13 18 Water heater
1: -mail: Fireplace
s Range ._7'�i+�'S. wn���`��v�'kt:4 ': •a. t ,. , = iar., vriir v ;�EL r r : Barbecue
Business name: Clothes
�2� / �y hi k Clothes dryer (gas) . .
Address; / 4 25 - '�', } La �cher
•
City /Stare/Z : _a ye 6, Subrotal _ •
Phone:60 )(7G,, (� I Fax; ( ) ,� / _ Minimum perrnit fec fee . 7a,
Q Plan review (25% of permit fee)
• CCB lie.: 7 78, / - State surcharge (8% of permit fee) .4,g 0 •
/ TOTAL PERMIT FF.F. n 1
This slgnatUr • f' us p appllcatiuu upirexitn Permit is not ed,vichia0
Sz ✓ I da after it has been accepted as complete.
• Print name; ` � c R I V i Ser e, • Tee methodology set by Tri- County Building Industry tcc Beard ',.
• i:t Batdina\POnniiswgEC- Pamiw..,doe 12/03 440.46110'(Ii/02/COM,WEal
----,
CITY OF TIGARD ,. , 6
. BUILDING DIVISION PERMIT #: NIEC2006-00627
___ . DATE ISSUED: 11/112006
13125 SW Hall Blvd., Tigard, OR 97223
Phone: (503) 639-4171 NOVA I lit\
Inspection Requests (24 Hrs.): (503) 639-4175 AvilIF 'IL
1
INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6 PAGE: 50
SITE ADDRESS: 12,05 SW 127TH AVE CLASS OF WORK:
SUBDIVISION: BELLWOOD NO. 2 LOT #: 076 TYPE OF USE:
PROJECT NAME: PUGH
DESCRIPTION: Installation of gas insert and flue. Gas line existing.
OWNER: PUGH, BRIAN PHONE #:
CONTRACTOR: HOT SPOT FIREPLACE & PATIO PHONE #: 503-626-4652
Inspection Request Scheduled For: Date: 1211/2006 Pour Time:
Code # Inspection Descrip on • Confirm # Contact # Message
695 Misc. inspection 040523-01 503-6264652 N
Corrections/Comments/Instructions:
( e l 4 ) 14t4L .
Z jL
1 ltf .
/6 __-, ivx,L,i" . •
, f9$kpik.#451‘,J ,
• A
ASS I I PARTIAL APPROVAL EI CANCEL III NO ACCESS
I I FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date:
At f.).4 V‘ /o Phone #: (503) 718-
±, . .