Permit C ITY OFVTIGARD MECHANICAL PERMIT
� DEVELOPMENT SERVICES DATE PERMIT #: MEC2205- 0711
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CB 12800
SITE ADDRESS: 15000 SW KENTON DR ZONING: R -7
SUBDIVISION: ASHFORD OAKS NO. 3 LOT: 137 JURISDICTION: TIG
Project Description: Gas fireplace install.
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:
•
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
BRENT CALDWELL Description Date Amount
125000 SW KENTON DR. [MECH] Permit Fee 10/24/20( $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 10/24/20( $5.80
Phone: 503 - 586 - 2209 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #120 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
Phone: 503 640 - 3607
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 OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: 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.
1/2005 le: FAX a 002 /002
Mechanical Permit Application ; * d
1 FOR OFFICE USE ONLY iza � ' -'
City of Tigard Receive l
,
13125 SW Hall Blvd., Tigard, OR 97223 D4te/B y' /0 °� � � Permit No.: u. � —�" 4. '"0078
Phone: 503,639.4171 Fax: 503.548.1960
Plan
fi pate /By By Other PerntlC
2 n Fa� „i,ti, I
Inspection Line: 503.639.4173 c) Dace
Internet: www- ci.d T gard.or.us �, Ready/By;
y: a See Pzge 2 for formation
Q Notified/Method; d/Method: 9u Lemental I
A� pp n
• '''-'-.I'.....”: '1 ' ;, ;,., 'r . t '{ • , t 'l i! ,, ' e W ,1, a s' rp , 0,1 . . , ,T9� %�� ' ,a � � ,• • C � 4" Y.A. i FEW' 4 SC .'Dux.E -
t` US14'
B t Mechanical f
❑ New construction ❑ Additio�Iter�[ion/replacemen[ permit fees' are based on the value o the work P
Cl Demolition El Other;
performed' Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit, • ,:;I ..1'1'1`; 1,,;.' f'y' :.' 1 1: i., V.A,L,CATEIaOR I'O '! CON „r ;r •. , Value, S
and 2 -famil dwelling Commercial/industrial ' ','• RZSXIJ NTI•AL EQ MENT / SYSTEMS, FEES!
- Y $ ❑ ❑ Accessory building For special Information :ue checklist.
0 Multi - family ❑ Master builder ❑ Other:
_ Description I Qty. I En. I Total
' ,a,' Yi': , .,
. '.; , "1 " ," 7 08„0ITT';''11Yk48MATIO,N :QI4 LOCH ,,ty , ',! Heutln (coolin
Job site address: 6 �n �. Air conditioning or heat pump
' c S _ / -4 i-1 QY froeuires_site plan shawiet placement) 14,00
Cary /StatelZlP: 9 9- Z . a - Furnace 100,000 BTU (dilate/vents) 14,00
Furnace 100.000+ BTU (ducts /volts) 17.90
Suite/bldg. /apt' no.: Project name:
Gas heat pump 1 41 .00
Cross Street/directions to job site: but 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
Subdi Ins ion: Lot no.: Flue/vent for any of above I 10.00
Other: l 10.00
Tax map /parcel no.:
Other fuel appliances
:a.` :.
;^ -,1•• ; c .y , ' ,'' Water heater
l'� 1„ i' :1U�tiSCR�P`T.ION•`OE�.V�DIYIC � � „' , ,', � ,.''i ,G • . r "--- 1 0.00
Gas fireplace 1 10,00
Flue vent for water heater or gas
fireplace 10.00
` J ∎r`~ ...b.. Log lighter (gss) 10.00
Wood /pellet stove I 10.00
Wood fireplace /insert _ 10.00
,' '':'''''•'” '�' iiiiiElaY''ONVAR'IAr1 :''5,4141 ". ' �fiTE ' ,ANT Chimney/liner/flue/vent 10.00
- �, ' , „hv '. •:,.,. Other: 10'00
Name: �,�k C Db- .-CAA Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10,00
]°hone: ( ) J ��` �-�� °) • Fax: ( ) --- Single -duct exhaust (bathrooms,
_ toilet compartments, utility rooms) 6.80
4;. ; t "•', A Eor,7,GAANTr :1,,:,,,..1 „ I$ , •,f• .„ ...1.,' �a,ry ttc / craws
”' ie , I .. .I'
, 1,�iS • CONTAOC PERSO Ai lace fans 10'00
P
13usirxess arena: , t • r ( C.r( I-11 ( -Gy -/ /' Other: _ 10.00 f Fuel piping
)
Contact name: /`1 r \LL 6^ c c' (:/ r,�- ,� J S5.40 for first four; $1.00 for each additional
tC-
`
Address: —÷ c c c S 1....... -i( L F. r• _ # Gas heat pump
Furnace, etc.
1 �J C � l �' t-,7 Gas h
City /State /ZIP: 4 a,. G'
( I fit C � � 1- L L j Wau/suspcnded /unit heater
J 7 Fax: !! l Water heater •
Phone:
(s�3) Li o ° � (., V : (1 0 :c ) ty , 5 - (- 4
E -mail: I Fireplace '
r ,rr F .r, 3 Range
: h'ihl',W -7 }i; 'i•'. �i�y' ^' i l r'';'' �"'''�. I Tree ,t - rOR Y 1', i .', .: l �ri :gi` i,.'. ;:it %' =P ! V . Barbecue
'' . l clothes her:
Address: d er as)
Business name:
1 T' C.- �L`L� I (—�e' mot •./.--.. Other:
,ii; '' • ' :' ''; ►S4. C N[ICAR;'PER.,'�NXT FEES*
City/State/ZIP: Subtotal
Phone: ( —) Fax: ( ) Minimum permit tee (572,50)
/� - - Plan review (25% of per --
permit fee)
CCB tic.: C.: ij, S -- ' S' State surcharge (8% of permit fee)
.TOTAL PERMIT FEE _ /,f O
Authorized signature: C� { . .C" ` ` le perntt[ application etplres Its pdrmfr la nor obtained 'within Lao
(" �� Mid days after it has been accepted as complete.
Print name: t;- 1 , 1 4,( - r�,•-- e '. S C �-‘ I Date: 1 O ja,i ((,;&. J , Fee methodology set by To-County Building Industry Service Board
i:) Blritdiny \PerrnitalMEGPerndWOO.dec 1:/00 440.46 17T t 11/03/C0 MIWE )
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005-00711
13125 SW Hall Blvd., Tigard, OR 97223 r DATE ISSUED: 10124/2005
Phone: (503) 639 -4171 ulpu�ij +I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/2/2005 TIME: 7:19AM PAGE: 40
SITE ADDRESS: 15000 SW KENTON DR CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 3 LOT #: 137 TYPE OF USE:
PROJECT NAME: CALD'WELL
DESCRIPTION: Gas fireplace install.
/ =
OWNER: CALDWELL, BRENT PHONE #: 503 - 586-2209
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 50:3 - 6400.3807
Inspection Request Scheduled For: Date: 12/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 - Mechanical final 022750 -01 503-640-3607 Y /1 flq
Corrections /Comments /Instructi s: ,
//)7.0.4 Z S -- et
(7:,, Gze / -7,
7 4.___:,, w .
_ PASS__ ____ ❑_ PARTIALAPPROVAL n CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r
Inspector: �4 Date:,, /.2 /Z/ 17,E Phone #: (503) 718- 27 0 6
l;
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00711
13125 SW Hall Blvd., Tigard, OR 97223 t DATE ISSUED: 10/24/2005
Phone: (503) 639-4171 i k
,... /itiIi)
Inspection Requests (24 Hrs.): (503) 639-4175 ;t
INSPECTION WORKSHEET FOR DATE: 11/8/2006 TIME: 7:00AM PAGE: 97
SITE ADDRESS: 15000 SW KENTON DR CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 3 LOT"*: 137 TYPE OF USE:
PROJECT NAME: CALDWELL
\7 7 -
DESCRIPTION: Gas fireplace•install.'
OWNER: CALDWELL, BRENT PHONE #: 503-586-2209
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 603-640-3607
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 020662-01 503-640-3607 N
Corrections/Comments/Instructions: ..
•
W PASS El PARTIAL APPROVAL 1 CANCEL 0 NO ACCESS
I FAIL fl CALL FOR INSPECTION 0 .ADDITIONAL FEES ASSESSED
Inspector:
Date: li-V15/YC Phone #: (503) 718-