Permit 41111 CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00193
" 'i 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/10/2006
PARCEL: 2S 110DC -90191
SITE ADDRESS: 15605 SW 114TH CT 19 ZONING: R -25
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO LOT: 019 JURISDICTION: TIG
Project Description: Install gas fireplace insert.
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
BOB YOUNG Description Date Amount
15605 SW 114TH CT #19
TIGARD, OR 97224 [MECH] Permit Fee 5/10/200E $72.50
[TAX] 8% State Surcha 5/10/200E $5.80
Total $78.30
Phone: 503- 624 -2046
Contractor:
ALL FUEL INSTALLATION & SERVICE LLC
PO BOX 69
TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 674 -2693
PRI 503- 674 -2350
Reg #: LIC 169503
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 j. fis . ‘ y Permittee Signature: j -e
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.
2006-05-08 16:08 » 5035981960 P 3/3
Me hanircal Permit Application r 1.01:, O I 1.I( t 1 `l t t\ r 1
t• ved Recei . ,
City Tigard �� 1�atell Jd' b ��
Permit ' \ utNo.� , ' . -- a / 9
13125 SW W Hall Blvd., Tigard, OR 9722 Plan Review
Phone: 503.639.4171 Fax: 503.598. IV O% .�,�<r "8Ws! ; Date/By: Other Permit: ism C
Inspection Line: 503.639.4175 : i, C
ff\\ ;„ : fl Date ReadylBy: RI See Pape 2 for
Internet: www.ci.tigard•or,us Ma V . D NvtifiediMett„d; Supplemeatallnforrration
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TYPEt. 01 V 151O COMMERCIAL FEE* SCHEDULE USE CHECKLIST •
El New construction "{ Addit o1i'/e era1ion/rcplaeement Mechanical permit fees' are hayed on the value of the word li
performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor overhead andprotit•
value: S 31 t\ "--
CATEGORY OF CONSTRUCTION -
pia I- and 2- family dwelling El Commercial /industrial ❑ Accessory building RFSIbE■ i iAL EQUIPMENT / SYSTEMS FEES*
❑ Multi - family ❑ Master builder [] Other: For special i►?Iorararion use checklist.
lhscription I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: ` q Air conditioning or heal pump
15 ( O5 l \+LJ . 11_9 C. 1 9 (N.J. me plan Ahuwrnl placement) 14.00
City /State /ZIP: T i r J ;t r t Q 0 j 1 , , 3 `l Furnace 100.000 BTU (duos/vents) 14.00
Furnace 100 BTU ducts/vents) 17,)0
Suite/bldg - /apt. no.: 11 I c1 Projcct name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
— Hydronie hot water system 14.00
i(esidential boiler (radiator or
hydronic) 14,00
- -- - - . Unit heaters (fuel -type, not electric),
in -wall in -duct sus ,ended etc. 10.00
Flue /vent for any of above 0
Subdivision: Lot no,: ,_ . -
- Other: 10.00
Tax map /parcel no.: Other fuel appliances _
DESCRIPTION OF WORK Water heater 10.00 —
T Gas fireplace 1 , 10.00 1 ()
1 N I i u CIO, , b F; c e p I , g 3, vim, S e r 4. C 'S Flue vent for water heater or gas -
fireplace _ _ 1 10.00 1
E,> 61. vt Log lighter (gas) . . , 10.00
c7 Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ® TENANT ChimneyAiner /tlue/vent 10.00
Other: 10.00
Name: t C & ( ) r \ ,,t h) Environmental exhaust and ventilation .�
ie Mange hood/other kitchen
Address: j r. i ,,, y r r, s u C.,...)Q equipm _ _ _ 10A0 _ _ _
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5a ,) ( -,\ - a 0 y k Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT Q CONTACT PERSON Attic /crawtspace fans _ 10.00
Business name: Other: _ - 10.00
I t � v,c) I. }wll s1\* 4 _S (rvtLf ILc Ftttio0_9,
T
Contact name: e l ` C r{ f _ $S.40 for prat four; $1.00 for each additional
Address: p L •. 4X c 1
City/Siate/ZIP: - -F ro n Furnace, etc,
Gas heat pump
J i 1 �\ Wall/suspended/unit heater
` L Faz:: (� "tl . ) � Water heater
Phone:
( J '�) (%1 I •,z 3 S() j (fi 7 Li rd (J ci Fireplace
i E -mail: � � 4 -1 0 ll cti t.I c { av+c c. .4 . 0 t /- Range
('ONI RACI'OR Barbecue
Clothes dryer (gas)
Business name: Other:
\ Y ! Address: MECHANICAL PERMIT FEES'
City/State /GIP: - Subtotal OD cc
Phone; ( ) Paz: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit tee)
CCA lie.: 6 rt ( V ,\ • Clete. curch"r (11 of permit fie)
J �_ TOTAL PERMIT FEE p 5j t)
Authorized signature: / �1 Thin permit application e:pirea if a permit in net obtained wit a 1 8a
r � - ^ days after it Lea been accepted as complete. ? , 3 4,
.. _ _. • F .- 41....1.,1 . r 1.. - r — r`...... fl 'I 4' I...1.....• a- Ft
CITY OF TIGARD
BUILDING DIVISION , - * PERMIT #: 1\4E:C2005.00193
13125 SW Hall Blvd., TigA, OR 97223 DATE ISSUED: 5110/2.00
Phone: (503) 639-4171 i A\
,.,...
Inspection Requests (24 Hrs.): (503) 639-4175 ztyl
INSPECTION WORKSHEET FOR DATE: 5/12/2006 TIME: 7:03Alvl PAGE: 60
SITE ADDRESS: 16606 SW 114TH CT 19 CLASS OF WORK:
SUBDIVISION: FOUNTAINS AT SUMMERFIELD COND LOT #: 019 TYPE OF USE:
PROJECT NAME: YOUNG
DESCRIPTION: Install gas fireplace insert.
OWNER: YOUNG, BOB PHONE #: 503-624-2046
CONTRACTOR: ALL FUEL INSTALLATION & SERVICE LW PHONE #: 603 -6742350
Inspection Request Scheduled For: Date: 6/1212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final • 029753-01 503-572-7102 N
Corrections /Comments/ Instructions:
- 6, 5 A4. -7 ,../..A '2,09-",c
.. •
,..--.
ASS El PARTIAL APPROVAL 0 CANCEL pi NO ACCESS
El FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: a d
7 Date: C Phone #: (503) 718-