Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00603
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/11/2008
PARCEL: 25111 CC -04900
SITE ADDRESS: 15950 SW CENTURY OAK CIR ZONING: R - 7
SUBDIVISION: SUMMERFIELD LOT: 072 JURISDICTION: TIG
PROJECT: EGGLESTON
Project Description: Installing gas fireplace insert and liner.
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: 2
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SEWARD & THERESA EGGLESTON Description Date Amount
15950 SW CENTURY OAK CIRCLE
TIGARD, OR 97224 [MECH] Permit Fee 12/11/20C $72.50
[TAX] 12% State Surch 12/11/20C $8.70
Total $81.20
Phone: 503- 639 -2080
Contractor:
LUDEMANS INC
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005 -2129 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 646 -6409
FAX 503- 646 -8034
Reg #: LIC 51469
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: Varm Q jjJJ Permittee Signature: / 0 - t • ( 0, _ -
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.
-- 11111L
' DEC.10.2008 1:24PM ... EDEEIvE ,., 0.376 - .2/3
M
echanical Fern it A ) I Heat' iii; . FoR cirricc I I: , ,, ,•
,
,. ,,,,-, - :'' ° City of Tivard • • eceived .
Da 12 .■a. oR Q P.ini'N-rnECzocasiou3
.!, 13115 SW Mali E hd., Tigard, OR 97223 DEC 1 0 2008
?hone: 501639. 171 Fax: 503.598.19¢0
I N
Plan Review
Dete/BY: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/13y; hrte, 63 See Page 2 for
Internet: www.ti.ard-or.gov
guiLoiNG DIvisioN Netified/Metbng: Supplemental information
It Vri :I
ritAli ,.)': f NO5 ' 11 l' VIT. Mit 31f*TRATV f:rar.`5: ''.11.4
t .1... t ,. t • . '' 41, .A. ' .", , tu . a ' ,--.,,, . ... ,,,,, , • ,, ,o , '.; ,‘• , ' . 0 „ 'if. ' •it ,, 7.'1 . r' , ' ., , . .,- I 4 ,,, ,
Mechanical permit fees"' are based on the value of the work
0 New construction K4 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
D Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
,c,.L,,.,.,,,,. ,,,,,,%, 3 3' , A;, 4,3333.U3i • 3 .• s 33331 de. Let .....s-itt - • ' r . • 3 3 93 ' [ .' • + . -3' . . ' 1 lititi -. :Ramon. mgelligt.MMElmoug
l 2 ' Sraalt , M1:811ttil M ISAMIt ca
X 1- and 2-family dwel lin. 0 Commercial/industrial 0 Anecssoty budding
For special information use checklist
0 Multi LI Master builder 0 Other: DeKripUon i QW. i Ea. Total
1 ,.0jtill . .`: i lliiji EIWI' r .i ii‘:''''P Heating/cooling
Air conditioning or heat pump
Job site address: i i..5 4 " Ze en . r x Cdp (requires site Q Ian showing placement) 14.00
C ity/StateJZIP: 0 R 9 , _ Furnace 100,000 BTU (ducts/vents 14.00
".. ,A. A JR.
Furnace 100,000- BTU (ducts/vents) 17.90
Suite/bldg/apt. no,: / • Project name: - , . ' • /7 Gas heat pump 14.00 .
Cross street/directions to job . ile: if • Duct work 10.00
Hydronic hot water system 14.00
_ Residential boiler (radiator or
hydronic) . 14.00
- Unit heaters (fuel-type, not clec
in-wall, ln-duct, suspended, MG- 14.00
-
Flue/vent fbr any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no,: Other fuel a . !latices
,'!•i tzAtit• ' , •
. '4 ti • ': Water heater
■''' I ` L' n'. 4 ' "1' 14 Wiiii ull&tWA ' ' itifMke`,2 ,ItIlt , .i. , l.; ' ..itti', TY, i . n 0 as fi lace 10.00
reP /' 10.00 A 0. • o
, AglellilM1111 Rue vent for water heater or gas .
.111.11=11.11111111= fireplace 10.00
ME
I g list
W
47 ),
ood/pellet stove _
Wood fire•lace/insert 10,00
10.00
10.00
6'.v t" 1;');,,Vt li ' '',' 'gt '1 ril/ON T •r,,I;,;4- s.■ ii•: fir,',V.
, Chimney/liner/flue/vent 10.00
71, Y.,,In., ., it,. A, , „ l 0 J WIL k i )b IA 401. .1 t ■ ' ' .. 1 le, \ 44.. in ' ... = ,.., '''' Other: 10,00
Narne: ' Environmental exhaust and ventilation
e g I n• • ...c. . 6:7 ' .'" ,' /C.3 7 _ , Ran8e hood/other kitchen
Address: -- •fr ..-:^0 ,S ' " If ,e
. ',, e 0 1 7.,C C .--'
... a," equipment . 10.00
City/State/ZIP: 77 ..- . a / ‹.:20/ 9 7 de9 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( 6, o• 0 fo Fax: ( ) toilet compartments, utility rooms) 6.80
i il,:Al4,0"74,..iik.,..;k:r35,,J',,..r.e.,,:,',11.i.;f!,',011m.F1,2„cmarm Attic/crawlspace fans 10.00
10.00
Business naine: FlaggilligirMININIMMIN Other:
- . .&••• Fuel pipin
IZEMMSJ MPr.:IV - C. .gc A $5:40 for first four; $1.00 for each additional
Furn, etc,
• Or ace
Address: I a 4 75 1 ., 4 1 n ,,,, u e r d 1 .,,, Rd _ -
_Gas heat_purnp _
City/State/ZIP: 4 , , _ e e 0 . A 9 7c15 Wall/Fuspen cledhtn it heater .
Phone: L563) , ,. ... 6 yo 7 Fax: ; (5113) C. yo . eco • Water beater
CEIRM21 ., e MOO" S . • Fircp4,ce
Range
'X 5 ;IC MINK„ VV ft 13 ccue
SusiriesS name: C5 'PI •4? . Clothes dryer (gas)
Other:
Address: , ' . '.1WW.Figl i MitkiNtit,riMe F:-,Jf4' . 1 1
. i 1 ... ' .4 alstabit...laii!locia*.A.O.LAt.tme,„iaaa4si. ; Z4,0 A '' 1 .'..
City/State/VP: Subtotal 5 c7.cr - 0
- -
Phone: ( ) Fax: - . .
Minimum permit fee (S72.50)
( ) - -
Plan review (25% of pen-nit fee)
CC B lie, ; .5796 - 10 . 2, 0 . 2 01C) .. _. State surcharge (12% of permit fee) - F 7,
4-%-. TOTAL PERMIT FEE
Authorized signature- Thu permit application expires If a permit is not obtained within 180
days after it has peen accepted as complete.
AI/ .
Print name: - 4410 , 41 2 i . j ..irge ic Daic1/29./ t Fec methodology set by Tri.county Bedding Industry Service Board
. _._
r.tgujidin&errnifsIMEC-P tut App dac 0 til 9/07 4411-017T (I I (n/CONITWER)
CITY OF TIGARD
BUILDING DIVISION r PERMIT #: MEC200t1 00603
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12111/2006
Phone: (503) 639-4171 im 0 1 fl,
b
Inspection Requests (24 Hrs.): (503) 639-4175 2414- AJL
INSPECTION WORKSHEET FOR DATE: 12/1&2006 TIME: 7 PAGE: 8
SITE ADDRESS: •5950 SW CENTURY OAK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD LOT #: 072 TYPE OF USE:
PROJECT NAME: EGGLESTON
DESCRIPTION: Installing gas fireplace. insert and liner.
OWNER: EG'GLESTON, SEWARD & THERESA . PHONE #: 603,639.2080
CONTRACTOR: LUDFMANS INC PHONE #: 603.646.6409
Inspection Request Scheduled For: Date: 12/16/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 079066-01 603-639-2080 N
Corrections /Comments/ Instructions:
\
All
- I TMEO /„.,
•
111111i11111111W ... z
I- f lipr
WAINItillEr
...
flow
MI
- PASS El PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
fl FAIL pi CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: V//i i
Date) ./// / ° c(
Phone #: (503)