Permit .,..
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Ili I I CITY OF TIGARD MECHANICAL PERMIT
. COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00046
TIGARD 13125 SW Hall. Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/23/2007
PARCEL: 2S 104DC -00700
SITE ADDRESS: 13652 SW BENCHVIEW PL ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT: 007 JURISDICTION: TIG
Project Description: Gas line and Fireplace insert.
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
GARY BALDES Description Date Amount
13652 SW BENCHVIEW PL.
TIGARD, OR 97223 [MECH] Permit Fee 1/23/2007 $72.50
[TAX] 8% State Surcha 1/23/2007 $5.80
Total $78.30
Phone: 503 - 430 -7887
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 OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: �/A or 0
Call 503.639.4175 by 7:00 a.m. for inspections that business •ay.
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 11 :05AM P1
: . A > plicatian
i i • • : ; � Foci OFFICE USE ONLY
City of Tigard _ Rec
13125 SW f lull Bfvd., Tigard, Olt 9722.3 8 , 1)a, ° /u �v t4rinit Na�a7— 00 0 / 7 / 4 "
Phone: 503.639.4171 Fax: 503. e � � 9 , '� Plan ity. Other Hermit:
�TJ
/ 4?�,r, -: ,. natrJR
Inspection Line: 503.639,4175 ;_.- $ I'�yr t ljj y _ .__
: : : ; _ w > Date Re ulyJBy' farts. 1 El See P ag e 2 far
Internet: www,ci.tigard.or.us NotiIal/Muthod:
SAN 2 2 200 _ _ / SUpp1°,uent fn rotwatiun
,u t. tti a • y ,:i� {�y. � ;yt 46,19;,, ••105: p
_, s,? '„ri:iti,.a a,:..ya.-,)"`,,:TeF2:, r. - -,r.. 4r,w.. 1 'r.. A
❑ New construction 1 ton /allertltiorl/t'cplace:lient Mechanical permit fees* are bused on the value of the work
❑ Demolition ❑ Other:
perforated. Indicate the value (rounded to the nearest dollar) of all
r nech,3 nrc al matcrialg, equipm labor overhead ,.and profit.
. fir , ;-r:.4 �: t� ,:, . a:, �. ,,,.. , a~•r
t; 1�S -`. r` , Ysf`. i'•'�{'1 Value;
1s4:a, F ,; ire. t � xar, w� b y s •,,, rke;..x.,r�p•.;j„,.,; �. . �
�l- and 2- family dwelling 0 Commercial/industrial Accessory building ��' � F ' s5 ,::k a' "f
� ❑ Y � ,�; �.�
❑ Multi - family ❑ Master builder ❑ Other.
For special information use checklist.
Description f Qty, I 6a. Total
�S$ '`rr'y"�, -
r �" T � ' �' t 7 r� ", �, v a�''�" x .. �;' r � �'fi'� � tjL"
. s. a ,. ? .:O8 , �l�9»,w. , 1.� ' it lei ^ . ti, a yi ?l a t Heating /coolin _
Job site address: 131,6a , � Air conditioning or heat pump
tom` i&c.IN t,Z ��4.+ :, "Pi (requires site plan showing placement) 14.00 _
. City /State/ZIP; 1 ^Act t C a -3 Furnace 100 BTU (due /vents) 14.00
` 1�) Furnace 100,0004- 13..'1)(deetWvcnts) ' _ 17.90
tin
Se/ bldg /apt, no,: Project name: Gas heat pump 14.00
• .Cross street /directions to job s -ite: .. -. . . ..... ....... . - - -- Y1uct -work- .14.00 •
Ftydronic hot water system J 14,00
Residential boiler (radiator or
•
• lsYdronic) 14,00
Unit heaters (fuel -type, not electric), '
in- wall,in -duct, suspended, etc. 10,00
Subdivision: Lot no.; -- Flue /vent for an of above 10.00
Tax map/parcel no.:
Other 10.00 _
Other fuel appliances
1 d .r 404 z � vo , r� � s,,:w. . ' - iy x.i.', � . .. � Water heater 10!)0
Gas fj l � r gas
10.00 • /��
•
QS t 4CQ Q P _ Flue ven for water treater a �`
• tirepia 1 10 .00 _AZ::
Log lighter (gas) 10.00
- _____ Wood/pellet stove 10,00
Wood fircQ}ace/insert 10,00
• �' r t w , " t r ` , t • .., ,,� • • a n , ... . (:hi /liner /fluelvent
•
tiK t t' i ls�',t�F.efe AT ' YCC• er A!S t d g' rx w 10.00
F2 . v ' ass- r^xsr^m•esa.�.tx',cr.., < t.aty t(. �F , k1nn12 "�` ' 1, r fuller:
• Name: (at' q .' +DJ m al - 10 - 1)O
Enviroaents1 exhaust and venal lob
Address: Sa Stk. , 1P.t 4� Mange hood/other kitchen
Ili m eat 10,00
City /StatelZI}� ��k ' O , Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
' Phone: j ) (-1 - A - 7s Fax: ( ) toilet compartments, utility rooms) 6,80
• E d CC . ' t R �� e s�'t s?r f ' ` K 77 W� ". . i rs.ace fans 6' ., ak 2 1 a xmr'.%. ,.. ,.rtiffwt t3.(f•7Ylef a V k n :, �. a1 ,J ,r, Attie/cawi f
1 10.!)t)
Business name: ' ! �4C-2 •
Other: 10.00 •
i P Fuel pi ping
Contact name: Ta.f? (�11-� 4-! e \ �� z $5.40 for first four; $1.00 for each additional
Address: 1 1 6oZS 5� , J Furnace, eta
l Vl 4 �.4t Ca heat pump
' City /State/ZIP: ' :,, •
p _� y� C t'i 7Z tyr
+� ,Wall /suspended/unit heater
Phone: (5!)3) 61,L7 fn 4
- (� -, Fax:: 3 )6, — 1/38 /38 Water heater c 7
Fireplace 111111.1
E -mail:
F W Barbecue _
. • Business name: 4:-• K 1" le4 Clo thes dryer (gas) •
.
j l 1 [ a� Other: W .
Address: /' cic-CJ (2 QI/_ "WAN c� �a, .
i:,,: t Mar ti EW.:i
City /Statc/Z i• _ . ' 1✓e l/ C3 i `6y _ , Subtotal a
f� Minimum permit fee ($72.50) ?
Phone: � )�; _ `1 Fax; (, )&76,-- 7/ Plan review (25% of permit fee)
CCE lie.: I„ i) State urcharge (8% of permit fee) Cr av •
1 Allerl TOTAL PERMIT FEE 7g .�
expires If a permit is not obtained
•
Authorized signatur �' ,�.. nit p ermit application Within 1R0,
./ / days after it ham been accepted as eompletc.
Print name: ,„ 1 t r; ff / ee-- • Fee n ethodo)op, act by Tri- County Building 1 duatry Service ItoaM x
is \HuildingTor.VicaWtEC-renn;A• ,doe 17/03 440 -46t7T (1UO2/COM/Wt;13)
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BUILDING DIVISION PERMIT #: h8EC2007-00046
| 1312SSVViHaUBkd, Tigard, OR87223 DATE ISSUED: 1/33/2007
Phone: (503) 639-4171
Inspection Requests (24Hmj: (503) 639-4175 ~_. tt
INSPECTION WORKSHEET FOR DATE: 2/12/2007 TIME: 7:05AM PAGE: 50
SITE ADDRESS: 13653SW13 []NCM91EWpL • CLASS OF WORK:
' SUBDIVISION: BENCH VI EW ESTATES LOT #: 007 TYPE OF USE: '
PROJECT NAME: BALDES
DESCRIPTION: Cios|iDe and Fire insert.
OWNER: SALQES,GARy PHONE #: 503'4307067
CONTRACTOR: T & K MECHANICAL PHONE #: 503-844-9173 ,
Inspection Request Scheduled For:- Date: 2/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 043254-02 503-844-9173 Y '
Corrections/Comments/Instructions:
`.
� ,
0 PARTIAL APPROVAL ri CANCEL | j NO ACCESS
n FAIL I I CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED
Inspector: , 'w ,— �� Date: 2 —/2--6°7 Phone #: (503) 718- "2-4��-5-
CITY -OF TIGARD °�-
BUILDING DIVISION PERMIT #: MEC2007 -00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2007
Phone: (503) 639 -4171 PO:" uII41
Inspection Requests (24 Hrs.): (503) 639 -4175 .1.
INSPECTION WORKSHEET FOR DATE: 2/12/2007 TIME: 7 :05AM PAGE: 31
SITE ADDRESS: 13652 SW BENCHVIEW PL CLASS OF WORK:
SUBDIVISION: BENCHVIEW ESTATES LOT #: 007 TYPE OF USE: •
PROJECT NAME: BALDES
DESCRIPTION: Gas line and Fireplace insert.
OWNER: BALDES, GARY PHONE #: 503 -430 -7087 rF
CONTRACTOR: T & K MECHANICAL PHONE #: 503 -a44- 0173
Inspection Request Scheduled For: Date: 2/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 Gas line 043264-01 503. 844 -9173 `I' '
Corrections /Comments/ Instructions:
PASS I I PARTIAL APPROVAL I I CANCEL f NO ACCESS
I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: Z ! o 7 Phone #: (503) 718- '`S`—