Permit x .. CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00312
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/18/2008
PARCEL: 2S112CA - 11300
SITE ADDRESS: 07755 SW ASHFORD ST ZONING: R - 4.5
SUBDIVISION: RENAISSANCE WOODS LOT: 039 JURISDICTION: TIG
PROJECT: JENSON
Project Description: Installing gas line for range.
CLASS OF WORK: ALT 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
DARYL & BARBARA JENSON Description Date Amount
7755 SW ASHFORD ST
TIGARD, OR 97224 • [MECH] Permit Fee 6/18/200€ $72.50
[TAX] 12% State Surch 6/18/200€ $8.70
Total $81.20
Phone: 503- 639 -7241
Contractor:
3 MOUNTAINS PLUMBING
20345 SW PACIFIC HWY SUITE 103
SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 925 -1342
Reg #: LIC 169499
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 __ Permittee Signature: •••'-'-
/.
Call 51' 9.4175 by 7:00 a.m. for inspections that busine s 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.
06 -19 -2008 12:01 3 MTNS PLUMBING 5039259104 PAGE
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0G -18 -2008 10:54 3 MTNS PLUMBING 5039259104
CITY OF TIGA.RD, .
BUIL DIVISION PERMIT #: MEC20003 -00312
' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Ei'1 W2009
Phone: (503) 639 -4171 Uiyrep
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_'
INSPECTION WORKSHEET FOR DATE: 7/2/2000 TIME: 7:01AM PAGE: 45
SITE ADDRESS: 07755 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS LOT #: 039 TYPE OF USE:
PROJECT NAME: JENSON
DESCRIPTION: Installing gas line for range.
OWNER: JENSON, DARYL & BARBARA PHONE #: 503 - 639-724'1
CONTRACTOR: 3 MOUNTAINS PLUMBING PHONE #: 503 - 925-1342
Inspection Request Scheduled For: Date: 7/2/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 072107-02 503 - 925.1342 N
Corrections /Comments /Instructions: / ,,
�
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: - 7--2...--o Phone #: (503) 718- -4-a'---