Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00094
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/4/04
PARCEL: 2S104CA -10000
SITE ADDRESS: 13745 SW JENNA CT
SUBDIVISION: HILLSHIRE ZONING: R -7
BLOCK: LOT: 100 JURISDICTION: TIG
CLASS OF WORK: OTR 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:
ELE 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:
Remarks: Installation of gas stove and gas fireplace. Gas piping to be done by others under MST2003 00544.
Owner: FEES
TAYLOR, GERALD P + BETH Description Date Amount
13745 SW JENNA CT
TIGARD, OR 97223 [MECH] Permit Fee 3/4/04 $72.50
[TAX] 8% State Surchart 3/4/04 $5.80
Phone: Total $78.30
Contractor:
HOT SPOT FIREPLACE & PATIO
11525 SW CANYON RD
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Final Inspection
Reg #: LIC 71782
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 -00
Iss d By: %: �� ,� / 1 Permittee Signature: r/
Call (503)639 4175 by 7:00 P.M. for inspections needed the next busin=ss day
Mechanical Permit Application - - R OFFICE US -ON - - - --
A
R eceived
City of T 3j 14 I • P e rmit No.: Q i .
13125 SW Hall Blvd., Tigard, OR 97223 Date,' / !� I1 I yr( a�/jC����/ T
Plau Review
Phone: 503.639.4171 Fax: 503.598.1960 t . Date.By:
I I Other Permit:
Inspection Line: 503.639.4175 _ I _ I Date Ready/By: I Jw 1 See Page 2 for
Internet: www.ci.ti ard.or.us " "° r
g Notified/Method: Iz t �l„ 1 S Information
� ... I Print name: v I
- TYPE OF. WORK „
I ❑ New construction Z Addition/alteration/replacement CQMM RCIAL FEE'i SCHEDULE - USE CHECKLIST
❑ Demolition ❑ Other: I Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
CATEGORY O l O1'4S1 °KIJ( IOI +I ' I mechanical materials, equipment, labor, overhead, and profit.
I Z 1 - and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building Value: $
❑ Multi- family Master builder ❑Other: I RESIDENTIAL FQ(7I M NT /'SYSTEMS FEES5
. For special information use checklist.
- . JOB SITE IP{FO MATION .AR`D I OCATIO °: ' . .. Description Qty. I Ea. I Total
Job site address: 13745 SW Jcnna CT I Heating /cooling
Air conditioning or heat pump I
City/State/ZIP: Tigard, OR 97223
(requires site Plan showing placement) ( 14.00
Suite/bldg. /apt. no.: 1 Project name: Taylor I I Furnace 100,000 BTU T ;duets/vents) 14.00
Furnace 100,000+ BTU (duels/yews) 17.90
Cross street/directions to job site: Walnut/135 tt. at Bull Mountain. Turn on 135 a and go I
uphill and follow road to Westridge Terrace. At intersection with Essex turn left and go I (ias heat pump 14.00
two blocks and turn left on Jenna CT. Second house on the left. I I Duct work I 14.00 I I
Hydronic hot water system I I 14.00
Residential boiler (radiator or
I I hydronic) I 14.00
I I I (nit heaters (firel -type, not electric), I I
in-wall, in -duct, suspended etc. 10.00
Subdivision: Hillshire Lot no.: 100 Flue /vent for any of above 10.00
Other: I 10.00
Tax map /parcel no.: 2514CA -10000 Other fuel appliances
nFSCRWPION OF WORK - Water heater 10.00
fireplace in crawlspace/basement conversion Gas fire ,C I 10.00
Installation of fire
p I I Flue vent for water heater or gas I
Installation of gas stove in crawlspace/basement conversion I fireplace 10.00
cis)....0 t �/ Lu li (gas) 10.00 1
- 06.,, LLk aL 31 Or v?J° _60,,59.
CX.�r.� Wood/ pellet stove 10.00
Wood fireplace /insert I 10.00
1 Chinmev/iiner /fine /vent 10.00 I
PFtt7PER3.Y OWNER. ' ❑ :TENANT Other: A'J •z J e.-- JC 10.00 I
Name: Gerald & Beth Taylor Environmental exhaust and ventilation
Address: 13745 SW Jenna CT Range hood/other kitchen I
equipment I 10.00
City /State/ZIP: Tigard, OR 97223 I Clothes dryer exhaust 10.00
I I Single -duct exhaust (bathrooms,
Phone: (503)524 - 5457 I Fax: ( ) I toilet compartments, utility rooms) 6.80
a APPLICANT ' � , - ❑ CONTACT PERSON. Attic /crawlsgace fans I 10.00
Other: 10.00
Business name: Fuel 1 m
P g
Contact name: Gerald Taylor $5.40 for first four; $1.00 for each additional
Address: same as above I Furnace, etc.
Gas heat pump
City/State /ZIP: I Wall/suspended/unit heater I
)
Phone: (503) 524 -5457 I Fax: : ( ) Water heater I
I Fireplace
E - mail: tayior.jbii-uverizon.net
I Range
. - .CONTR.AcTOR Bar
I
Business name: Hot Spot Fireplace Shop Clothes dryer (gas) I I
Other:
• Address: 11525 SW Canyon Rd . MECHA NICAL •PERMTr FEES*
City /State/ZIP: Beaverton, OR 97005 Subtotal
I
Phone: (503) 626 -4652 Fax: (503) 626 -9138 Minimum permit fee ($72.50) 1 7,2 . J CJ
I I Plan review (25% of permit fee)
I CCB he.: 7 i 7 S I State surcharge (8% of permit fee) I J l-, g0.
TOTAL PERMIT FEE 7 $h
. .. . . . Tides..n;r onol;oAro.05 «0 ;f oro.;♦ :.rUd uifh :., 14(1
CITY OF TIGARD 24 -Hour
BUILDING • '911" Inspection Line: (503y6394175
75
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received l &'. 0 Date Requested ,0 Z / AM PM BUP
Location �v 74 (,
�
4 7�" Suite MEC� �-- ��Z�
Contact Person ��( /� Ph (_.&?:;)
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing � � t=s 2 =� ...; ry -�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
�I
_L _
Post
Rou•h-In
Smo e Dampers
• PART FAIL
TRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA 43 0 0
Approach/Sidewalk Date / - Inspector f Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL