Permit f r^
•
CITY TIGARD MECHANICAL PERMIT
� DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00442
DATE ISSUED: 7/21/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112C6 04000
SITE ADDRESS: 08447 SW ASHFORD ST ZONING: R -
SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 054 JURISDICTION: TIG
Project Description: Fireplace insert.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 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:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
BRADLEY, WILLIAM L + ANN P Description Date Amount
8447 SW ASHFORD ST [MECH] Permit Fee 7/21/200: $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 7/21/200E $5.80
Phone: 503- 624 -8435 Total $78.30
Contractor:
ENERGY SAVERS PLUS, INC.
3747 SE 49TH AVE. • REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97206
Phone: 503 777 - 0389
Reg #: LIC 103273
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 Ai r/ ` Permittee Signature _
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.
1 . . . . . . ........_ W...,1,,V.i.
... Mechanical Permit Appl:leation oeFIcF:u.k.. -.: , 4, 1- - ,:'.. - :'■ . '5, •",...'
City of Tigard
G. ENE() - A Roceivad
Datedlity: PI /04' 615 Permit No.: kgc __
13125 SW Hall Blvd., TtgarFAZ2.,
'Piss kevie
Phone: 301.639.4171 Fax: 503.598,1960 other Perrnic
_ ,„ c - 44 .P.' - telt4ii,'" ; 11stailly:
Inspection Line: 503.639.4173 JUL 2 1 2005 _.i. •• Deic Ready/By: J.* 0 See Page 2 for
Internet wo.w.ei.tigard.or.us Notified/Mothod .- A Suppleniontal Information
CITY OF TIGARD
. '. '..:-..,.. •• III nowl 19NYMtl5N '': • . .. ., . . .
. • :. ..: comi441 '71 VSt PitElalat
- Mechanical permit fees" are based on the value of the WQ1iC
fl New construction ai"‹
performcd. Indicate the value (rounded to the nearest dollar) of all
Ili Demolition D Other mechanical m. aterials, equipment, labor, overhead, and profit.
- ..:: . . • 1•• . -CATECOHI(OF .CONSTRUCTION • : -: ..: • • ' ; •':': ........,..-- Value: $
:.: ' ' • , ,'
Eg-1•=and 2-family dwelling 0 Commercial/industrial 0 Accessory building RESIDENTTAL EQUIPMENT / SYSTEMS FEES'
For special information We CIII2,7kI110.
0 Multi-family 0 Master builder 0 Other:
Description Qty. Ea. Total
JOB SITE INFO--. ANP LOCATION . • ' . • , - ' _ neating/eoplinz
Air conditioning or heat pump
Job
site addr %4 4 s j u ,, i , c, , ( 4 .. s.. 1 ...,
onuirc.§-it,plonshowinl 14.00
City/State/ZIP: -- 1 ten r , ei () re_ q 3 _ Furnace 100,000 BTU (cluctakents) 14.00
Suite/bldg./apt, no.: i Project name: Furnace 100,000+ BTU (duevivcins) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
• Residenbal boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duet, suspended, etc. 10.00
I
Subdivit'ion' Lot no.:
Flue/vent far sy cf above 10.00
Other: 10.00
Tax map/paree1 ne.: Other fuel appliances
:..:., . .• . BESCR1PTION OF ;WORK . • ' '': .. .. Water heater 10.00
•
Gas fireplace I tic, f r 1--- 1 10.00 10.00
-C I .,.. ." .-- ie. / 4 i • t A - Flue vent for water heater or pa
0 _fireplace 1 10.00 t 0
Log lighter (es) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
.. •
L Chimney/liner/flue/vent 10.00
• • .
11.44roomry (41.4-..ER. ::., .. •• : . TENANT ... : ... 7:1 ' . • . ,
Other: 10.00
ytnr,,
.,_ Environmental exhaust and ventilation
-re u-
Range hood/other kitchen Add fe": -Cy)-A ..SA- . equipment 10.00
Clothes dryer exhaust 10.00
' " Single-duct exhaust (bathrooms,
.
S Phone: ( O 6 ,,4 _ , , Fax: ( ) toilet companments. utility MOMS) 6.80
--.'
12. : • : " :. . . • EITONTACT PERSON - . Attie/era wIspace fans 10.00
Other: I I 10.00
Business name: F ,_ ,, ? 1 ri r.., - X5-"L . Fuel pipint
u e
$5A0 for first four; $1.00 for each additional
C° nmne: 2 4 ' ;\-• fr L4 a
Furnace, etc.
Address: F „..
Gas heat pump
City/State/Z7: - Wall/suirpended/unit heater
Water heater
Phone: (5 31a % . 1 tog c , i , it Fax::( )
Fireplace jo,5e,,--k- I I S.40
E-mail:
Ftange
, . • C.' • • • ONTRACTOE . - • . . ' ' , • ,: .... ' Barbecue
.•
Clothes dryer (pea)
13u3i11" name: Ehi r,.,,_ ? ■-.( I
Other:
Address: 3. - . 7 ....S 6 4 ,ci at- A 4, , ' ' '. , . ' MECHANICkL PERKET."FtES*-; - , : - •
1 1.2 t Y /Smic/ZIP: PO e a , 41 ()a._ ei - 7 ./3 c4 - Subtotal 1gs, 40
Minimum permit fee (572.50) /a .5 ID
Phone: cSI.D '1 - 1 - 1 Fwc (&.) \) "77 - 7,.. Plan review (25% of permit fcc)
CCB lie.: I 0_. ,a - - 0 (10 State surcharge (4 of permit fee) 1 5,g0
TOTAL PERMIT PEE I - 72,,..3.AD
- • 17, pottn a ppli cat i on expires p,m1t t ., obtained wit
it T , cz •9 hin ISO
Auth giOatilre ( <4.-4 - k,-t ..-, 4.- 1, „ .__„ d ays attar it hos been secoptea as complete.
c------
Print name L A /, \-4- ,...; ,A,, ,, , ,, ! pat - 7 • a?. 2 -- to S • Fcc methodology set by Tri-Coom Building hlein,Oy Service Etuac
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.0(442
13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 7/21/2005
Phone: (503) 639 -4171 i �w��iP�l�oipll�i�'i�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' _...
INSPECTION WORKSHEET FOR DATE: 7/28/2005 : TIME: 7:08AM PAGE: 61
SITE ADDRESS: 08447 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 064 TYPE OF USE:
PROJECT NAME: BRADLEY
DESCRIPTION: Fireplace insert.
OWNER: BRADLEY, WILLIAM L + ANN P, PHONE #: 503 - 624 -8435
CONTRACTOR: ENERGY SAVERS PLUS, INC. PHONE #: 503 - 777 -0389
Inspection Request Scheduled For: Date: 7/28/2005 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 012274 -01 503.312 -8769 V M"‘
Corrections /Comments /Instructions: •
- ' 9 ( " 5 T ) G 45 [. /./
Ali
1■11NO L -C L- S 5
C"
4 PASS al - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL r� -E L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� Date: Z8-OS Phone #: (503) 718 -