Permit rpil CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00575
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/2/2007
PARCEL: 1 S133DD -03300
SITE ADDRESS: 12611 SW BRIDGEVIEW CT ZONING: R -4.5
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT: 072 JURISDICTION: TIG
PROJECT: COOK
Project Description: Install gas fireplace and piping.
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
JOHN COOK Description Date Amount
12611 SW BRIDGEVIEW CT
TIGARD, OR 97223 [MECH] Permit Fee 10/2/20W $72.50
• [TAX] 8% State Surcharf 10/2/2007 $5.80
Total $78.30
Phone: 503 - 579 -3122
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
PRI 503- 620 -5643
Reg #: LIC 66578
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 OU NC by
calling 51.. 46.6699 or .: 00.332.2344.
� 1
i
I sued By: .0_ ___ Permittee Signatu e: ,I ,,�J�4I�/ A.
Call 503.639.4175 by 7:00 a.m. for inspections •usi ess da .
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.
OCT /02 /2007 /TUE 02:18 PM FAX No, P. 002
". Mochanical Permit Application FOR OFFICE usr. ONLY
City of Tigard , • ,cam x+� Receives
/ Permit Tigard ' ' Date/By: �►�� T x etmu o.: t[ �./
#i 7.+ 741
I1125 SW Hall Blvd_, Tigard, t3R. S V "'�" plan Review
Phone: 503.639.4171 Fax: 5 ,59 9, 60, . , ,o , ,, f �, � it Date/By: Other Permit:
Inspection Lino: 503.639.4175 �, j ;:�_� 1 Date ReadyBy. ®See !Pepe 2 for
Internet: wwcv.ci.tigard.or.us c � .� 2 20 0 i2; Notified/Method: Supplemental Information
fOri ? {r 4 , ` },,':il'i tie 14 fy La eC:1�1N al �V�`;`y ti1" Vii i A'� ltki;
i ,11; ,t +pT. a rl " `H� e�. o ly� f i 'iY:i 3 r "��;l h as I: CI u,:1
tab,. V!'"';', , t ; iv '''' 1 'f' , 442;1 3 :1*' F L.�ttli.: '.�.k 4R '^ t � ,. :3a._''''— -': 6jk ' F .,) .: t � .,. , , 5'Nc� t,..� .,.„4.: 5 v_ - -, LY .+rs -, 1 , -. 1 .
u. T '' 7 ' M echanical permit fees* are based on the value of the work
El New construction fi� r a d l i a .. p : amen performed, Indicate the value (mounded to the nearest dollar) of all
III Demolition • I ei r: mechanical materials, equipment. labor, overhead, and profit .
t� r ell c C2f P 7uy �a t 'Fj d 'r �� iJ "�"1,:`r „ ,i ' qp mss. a i�:,r�4ct:, v"r,: Valuer
` � � I,nk�.ri i l� F SSa€ Y � ' t i'yt'ht 'i ts�". l ` i. m:l. "`lrf' , rn`� n rt ll.. ? . {' ... %. ; ' �T ' 1.' ' 1 r < ' "" vg �*. + t1a s ° t, ,rc r-:"- .
1t1..,ihdd.e -&-. n4. ?: f .s k to S,cs *-• - l t" - " ', ' i ' I L a a is N i' j .t s9 I M1'� a l
l - and 2- family dwelling 111 Commercial /industrial ❑ Accessory building Ia " ' �� ` '° ��
Fur special Information use checklist,
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
2 Witt it t r txtiklq t`r aa; 1 tt isms l/r[ . a ;53 U� p , c F�, . . ,� / Y. ` ;. Heltin coolin
' nr a , t � u t., � n � , g„m" sr � uxrul:�ftM t..C� SLR
C pp Air conditioning or heat pump
Job site address: L. (0 I 1 tk,,) {) U� " f_ �� ( Ly a- r- (requires site plan showing piaeemexa) 14,00
City/State /ZIP: Furnace 100,000 BTU Lucts/vents) 14.00
Furnace 100,000x• BTU (ducts/vents) • 17,90
Suite/bldg. /apt. no.: I Project name:
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14,00
Unit heaters (fuel -type, not electric),
in - wall, in - duct, suspended, etc, 10,00
Subdivision: I Lot no,: Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
• +�,g ,TZ� ^ r . { l£Y i r r .• rr� ^l,�r gr�o. r i �, a£ ti t , 3Vz" -r 403 't ^ r,': s'."" ter heater 10.00
,� r it ' t i`3 Iy ° z? • � pMF„ :ta.• e t '? a ,; r i t 11 - ' � -d� .,14/1.5,1,-, i Wa
tl a dk1r, 'ya "` m " "" Gas fireplace 1 10,00
Flue vent for water heater or gas
fireplace 10,00
hiteri.,r-t...e Log lighter (gas) I0.00
_ Wood /pellet stove - I0.00
Wood fireplace/insert 10.00
°}' S ^ t ie t' 1`} " i
9131 Chimney /liner/flue/vent 10,00
�t i .l�v u, cl t r s ,l" i .70 � ', ` + u� !7:"*� , '.•ie ( ` • ;: ' t�r l i i1 g • t'l �a-
t va , , Other: 1 0.00
Name: Coop, John FP07406 Environmental exhaust and ventilation •
Range hood/other kitchen
Address:
12611 SW Bridge View Ct. equipment 10.00
City / State/ZIP; Tigard, Or. 97223 Clothes dryer exhaust 10.00
5 579 3X22 Single -duct exhaust (bathrooms,
Phone: ( ) - toilet compartments, utility roomd) _ 6.80
',[ PA S £� • f `f. y : tI
h * tw y ,4. rX - r'11.,"14*{.'" rF:VII„ ��ro l�yt Attic/crawispace fans 10,00
,w+ ' 1,r r },1d r, 5t d 4 $•: d,' . - ®_ e r,_!�t ' , a r ' a l ft't
.1, ..a:_,,, ra.,t r,.. �,,, a / "lt..f.!,�, , 't?;,7 thst •.. u� ,.,. t 1 . i lr,•E a wl n: @1 0 _��.
r Other: 10.00
Business name: 10e.C J.4.1.±.4 Ue 22 Lr `� 1 d PIA) x'4 4/
'Fue
Contact name $5.40 for first four; 81.00 for each additional
Furnace etc.
Address: . • 1 • I G heat 'urn,
City/State/ZIP: T a 4_ hi `? e2a-B Walllsuspended/unit heater
Phone: ( ) '5 66041... Fax: Fax :: ( ) Water heater
III III
Fireplace
E -mail: Ran:e
,A7 5F •� k gFb ' s � ,i'q R •: r, � r. ; ,;
.4•11,',11! l tf� 611 - r i F• �. a r 0 p,10 re IC ,. 4 n , 1' 1 r�, , �. t J 1 f. tR Barbecue •
.,/, : r �� V + >Vr"l�h� � ,. i� s>?tr +�,� ' _ o �ra � ,a /� , r.�, w � n¢ 'l�h�rl Clothes dryer (gas)
Business name: � peA .l - d.1� Q 4041 4 C -L �I kid
Other:
n ., ^ti
Address: s e Y e �' +1. o
'�5o0 5 � t'e t r *. l .3 r= i lu,'� .: <. v
F{ :1_,,,,1 ati
City /State/ZIP: f � br. .a 7,� Subtotal I
,�+ t O .5 t . 4 3 F 3) 5 q g - o ' Z 1 Q Plan view (25% of r mit fee
Phone:
V n ) Q Plan reviow (25/0 of permit fee)
CCB lic.: i9 G 5 -1 8 State surcharge (8% of permit fee) ��
TOTAL PERMIT FEE is .30
stare: This permit application expires if a permit is not obtained within 180
Authorized signature: I ` days after it has been accepted as complete.
Print name: •L„i_C Date: i / 64 ' ( 6 J ' Fee methodology set by Id-County Building Industry Service Board
i;�uildinePermits C- PermitApp.doc 12/03 440-4617T (11 /02/COM/WE6) t
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2007-00575
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1W2,2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7:01AM PAGE: 49
SITE ADDRESS: 12611 SW BRIDGEVIEW CT CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 3 LOT #: 072 TYPE OF USE:
PROJECT NAME: COOK
DESCRIPTION: Install gas fireplace and piping.
OWNER: COOK, JOHN PHONE #: 503-679-3122
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620- g 5643
5 .
Inspection Request Scheduled For: Date: 10/29/2007 Pour Time: ,
I r
Code # Inspection Description Confirm # Contact # Mes e
•
699 Mechanical final 058379-01 503-579-3122
Corrections/Comments/Instructions:
•
I /
IT: -ASS El PARTIAL APPROVAL LII CANCEL fl NO ACCESS
FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
„-
Inspector: Date: I bi tls 7 Phone #: (503) 718-
_ _ _
CITY ������ � ^ _ '
��o m m v�nw��n�p�m�mnu��
BUILDING DIVISION | ~~=~"~~"�""~~= ~~"~^~~"~~^~ ~ PERMIT #: k4EC280700575
| 18126SVV Hall Bkd.. Tigard, ORQ7223 DATE ISSUED: 10/2/2007
Phone: (503) 639-4171
'|nep*uion Requests (24 Hrs.): (503) 630~4175 jai
�U�� « ���
INSPECTION WORKSHEET FOR DATE: 1CK24/2007 TIME: 7:00Ah8 PAGE: 98
SITE ADDRESS: 12611 SW BR|DGEyEWCT CLASS OF WORK:
SUBDIVISION: VILLAGE AT SLIMMER LAKE PARK 3 LOT #: 072 TYPE OF USE:
PROJECT NAME: COOK
DESCRIPTION: |nwt�|gas fireplace and piping.
/
OWNER: GOC/��^J0HN -
PHONE #: 503-57g3122
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503-620'5643
Inspection Request Scheduled For: Date: 10/24C2007 . Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 06801i'01 503-579-3122 Y
Corrections/Comments/Instructions:
. .
.
•
.
•
.
| 1 PASS | | PARTIAL APPROVAL [7 CANCEL | NO ACCESS
| | FAIL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: ��, Date: /.~ Phone #: (503) 718' 2.5i-1--5
\
\' \ \