Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00047
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/23/2007
PARCEL: 2S104AA -02900
SITE ADDRESS: 12205 SW 126TH AVE ZONING: R -4.5
SUBDIVISION: BELLWOOD LOT: 037 JURISDICTION: TIG
Project Description: Install gas insert and gas line.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
DAVID & MARY SAUNDERS Description Date Amount
12205 SW 126TH
TIGARD, OR 97223 [MECH] Permit Fee 1/23/2007 $72.50
[TAX] 8% State Surchaq 1/23/20W $5.80
Total $78.30
Phone: 503 - 590 -3532
Contractor:
T & K MECHANICAL
11525 SW CANYON RD
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 6264652
FAX 503- 626 -9138
Reg #: LIC 121165
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued A r . Permittee Si gn - f
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FROM : HOTSPOT FIREPLACE PHONE NO. : 15036269138 Jan. 22 2007 10:04RM P1
Mechanical Permit A� n��E .? ` FUItC}F1FIC:l1USQNLY
City o f'Ti ar n«e��t ,/
C y a RI.Li d � 0'7 ' y i'crmitNo.: EL+ko?OD(4Z7
1312$ SW Hall Blvd., "Tigard, OR 97223 p JAN •'+ .) r Hall Review
JAN
Phone: 503.639.4171 Fax: 503.598.1960 6., �.. 2 IL�, ^,,.....- '` . Dale/By: Other Pernic
Inspection Line: 503.6.39.4175 -/ I.. , Date Re:u(y/13y runs: lid Sec Page 2 f trr
Internet; www.ci.tignrd.or.us CITY OF TI e = 1) Notir.dit ctiwd: � c 1 Supple,ueataf fat
BUILDING DIVISION
;..r - :. -. - h.�..q;�C.jc y. {r� :r.. /�� f' w:�in' kJ '•:aa... ".'.\M +.a ;��,�„ r• - r . y ,� ; , F ,, y
. r0. :d�° .:,�°£ix.:r"> i.f{ . X':t ' f 70 .' t ')'` �}�� r,�;.. ',1. .: •, +,. Ott ,,-;�„t' .;.4 � • y . .x 4 t ,�k��r� a t �� . ,,14:1.
�.�.- � .�: ^, . i � ,.. w� .:.a�: .� '�': � � ..,Y.Y '!'i �' ..r, 7'e�ia .' � fF��'A :n..,. '..�' .l..v �v•
❑ New construction X Addition /alteration /replacement' Mechanical permit fees• are bused on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ mot Other: mechanical materials. et ui'merit, labor, overhead, and rofit.
Value: $
t x7 y
t '•., t e _0. ;l'.' '4It.1�'(`;';. gk y ; »i +1- *•v`S� r ,rr\ //e .e ; • . e . , c, '' , L ,``
rill i- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description _____,
Qty- En. Total
R.. �}, w �, r_.r+,u•+,{g '...712,41W .r. C, ,.ro q � ell- T,fr • � �� V ° 1 " r o ,' ,, .
r n 4r,�-'o ' . - Ftentin: /coolin_
• Job site address: wa rSW i set AC)� •uirca site . • an ahowin Air conditioning or hoar pump
.i tcemettt 14.00
� - mace i AU t I •ua vontg�_ 14.00
City /State/ZIP; f. 4.1..„. r F'urriace X 100 000+ BTU duct_ Den s i 17.90
. Suite/bldg, /apt, no, 4 Fr name:
-, Gas heat •urn • MI 14,00 -
• Cross street/directions to job site;
.1)uct'.work- 14.00' Milli
H dronic hot waters stem 14.00
Residential boiler (radiator or
h ironic 111 14,00
•
Unit heaters (fuel -type, not electric),
• in -wall in -duct, sus.ended etc. 10.00
Subdivision: Lot no.: -_• Flue/vent for an of above IIIII 10.00
•
r N-_ _ Other: 10.00
Tax map /parcel no.: Other fuel a • liancea
•
VI �� liT t a y n . v t , "91 Mt :O ,
` fit'' `a en ` " ® � it � �w , '� � + .`0.i, �k 4 , Water heater 10 00 IIIIIIII
,�kc, P a Si,�+. : •.r an �+a
1 j et. t rte._ (,N � \ , y Flue vent for water heater or gas = 10 00
6re•laee 10.00
Lo. 14 ter t as 011.1 10,00
Wood/.cllet stove 10.00
WlE» 10,00 /6 -
' .. r �` W . r� k - a te '• r, 1 0.00 Mil 1 , r ` � u ��{r• 0.
•
°-',: - § '-I,' N 0.1 Other: _ 10,00
Name: I�i 5/2(.1W t Environmental exhaust and .ventilation
• Range hood/other kitchen
• Address: t5 j�� !! _ •ui meet .. , . 10.00
•
,City/Stste/ZIP: � 11 IArc1 Or q _ Clothes dr er exhaust 10,00
rn Single-duct exhaust (bathrooms,
Phone: 3 ) 5w - 35 Fax: ( ) toilet cor rtrnentg unlit rooms 6.80
^i a.. �. •� ,� 'tt r � J r r r �:n e � u0.
F 7._ r+
���. +��C�`�aa,� n`r�. �• ' • � . ��,���! J ' S . �,!• U ' eln�n,.l 'Yi m�}yh , Xipt Attic/crawls • ace fans 10.00 •
Other: 10.00
Business name; • JP IP. Em. p'ac fruei . i.in
• Contact name: P�'�_ l&v. t'S e i Z $5.40 for first four $1.00 for a additional
�1 Furnace etc.
Address: "_ 514,J l" t3 V - d> .... Gas heat .um • __--
City/State/ZIP: , v:i t , - • v G�' -7(�6c Wall /sus •ndcd/unitheater
Phone: (r)3)/_.••r - - ` 'Cl�✓ � -.^mo I Fax :: .:.3)6.d.1,,, ` fog Water heater
iC Dr Fire. lace / cAM
E Ran
iE t" ry' 2'7 v s; 5 .` ',i r s r : a >at�� , , 7- &003�+� 3 Barbecue 1IIIIIIMIIIIMIIIIIIII
' �a� ����'��'��:an�"���.'� :' . ,`rvr�.o °. t � B �3*Y_d. O »5. y'',� 40., ad�31•,; r2�' rk� �t(�:•:4��,`�'r� ..__,�____�...._ -
. Business' name: ',4-- Me r . � Clothes • at gas
-�� l Other
Address: �. 0.J ( / �. 4k a m�narka„t l,• r i
CitylState/Z t• i . A /.a ve y To h d v 9'; 2' Subtotal _ P. ' • •
Minimum permit fee ($72,50)
Phone; ) ` _ - _ Fax: C.1325 )( - / Flan review (25% of permit fee)
.. CCB lie.; /, State surcharge (R% of permit fee)
` TOTAL PERMIT FEE MIMI
This permit application expires if a permit is not obtained within 180
-mos Authorized sigta �:� / 4 ��: days after it bas been accepted as complete.
Print name: MP mir ` rise methodology set by Tri- County Building Industry Service Board \,
• I:tltuitoin5\Prf u\MSC.PermitA•• )2/D] 440 -4Glir (1vovCOMtWLO)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00047 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1123/2007
Phone: (503) 639 -4171 w
Inspection Requests (24 Hrs.): (503) 639 -4175 ' J� `�f � ..
INSPECTION WORKSHEET FOR DATE: 2J5/2007 TIME: 7 :05AM PAGE: 15
SITE ADDRESS: 12205 SW 126TH AVE CLASS OF WORK:
SUBDIVISION: BELLWOOD LOT #: 037 TYPE OF USE: •
PROJECT NAME: SAUNDERS
DESCRIPTION: Install gas insert and gas line.
OWNER: SAUNDERS, DAVID & MARY PHONE #: 503-590-3532
CONTRACTOR: T & K MECHANICAL PHONE #: 503 - 620852
Inspection Request Scheduled For: Date: 215/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 042973 -02 503 -844 -9173 Y
Corrections/Comments/Instructions:
L
fif'PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
. ❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 2 -5=- 0 7 Phone #: (503) 718- al-7-4.-
CITY OF TIGARD - r .
BUILDING DIVISION PERMIT #: MEC2007 -00047
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2007
Phone: (503) 639 -4171 , f � l
Inspection Requests (24 Hrs.): (503) 639 -4175 A. - p. ..
INSPECTION WORKSHEET FOR DATE: 2/5,/2007 TIME: 7 :05AM PAGE: '16
SITE ADDRESS: 12205 SW 126TH AVE CLASS OF WORK:
SUBDIVISION: BELLWOOD LOT #: 037 TYPE OF USE:
PROJECT NAME: SAUNDERS
DESCRIPTION: Install gas insert and gas line.
OWNER: SAUNDERS, DAVID & MARY PHONE #: 503.590.3532
CONTRACTOR: T & K MECHANICAL PHONE #: 503-6264652 ..
Inspection Request Scheduled For: Date: 2/5120Q7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 042973-01 503-844-9173 Y
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
A Date: '2 — ,5 .07 Phone #: (503) 718 - 2-