Permit CI TY O F TIGARD D MECHANICAL PERMIT
i DEVELOPMENT SER PERMIT #: MEC2005 -00543
4111?,1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/1/2005
PARCEL: 1S125DD-03600
SITE ADDRESS: 09885 SW VENTURA CT ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 LOT: 044 JURISDICTION: TIG
Project Description: Gas fireplace insert (gas line in place).
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:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROBERT DEL BUONO Description Date Amount
9885 SW VENTURA CT
TIGARD, OR 97223 [MECH] Permit Fee 9/1/2005 $72.50
[TAX] 8% State Surcha 9/1/2005 $5.80
Total $78.30
Phone: 503- 244 -0447
Contractor:
T & K MECHANICAL
PO BOX 116
FOREST GROVE, OR 97116 REQUIRED ITEMS AND REPORTS
Phone: 503- 357 -4614
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: �,2 Permittee Signature: ;.,-
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business 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.
FROM ,IOTSPOT FIREPLACE PHONE NO. : 15036269138 Aug. 31 2005 02 :05PM P1
. Mechanical Permit A[pticatiot�. „
City of Tigard FOR OFFK'E 1,15E ONLY
= Aj Permit No . 7
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503 639.4171 Fax: 503 598.1960 plan Review ������J
f �+ ' � I ' D ate/B " ' - ,�,'!; i �i' d r li i ' Other Permit:
Date/By.
Inspection Line: 503.639.4175 _
Internet: www,ci.tigard.or.us „
Notibed/Method.
' �t� Date Ready/By _hart El See Page I rev
„ „ . •
_ : + ( i i
r Supplemental Information
.7 ' - � . ; +t` Yi' fL <` {' '.c ' , . s;lit(t i /,� F J .r: _ 1.
n + ■ . _ ,e1 , - ?p Jo.... 1 :0-. Q t l't4r Wt. M :' -,44 - tN?1 t ? , . 4 1 : 1: w1 r' J " e �uLAtt
�t New construction � .. � ���('1,Q,�
�• Additicm /alteration/replacement Meeheak.u/ponru z ees - are based on t the value of the work
p
▪ ❑ Demolition ❑ Other: Indicate the value
• v od- (rounded to
•.,? _ ; ,; z r . t : , r; _� .... y ;o r .,.7 mechanical materials, equipment, I the nearest d, ana dollar) of all
' ; -._ e •� 0- ]rP 'S ;. 68 M 6 a �, ` 4i i II. r ••Y ' ' ...., \ p labor, overhead, �1'Ofii.
-
3 _. .c r E 3,° yiJa Value: $ • ;.( 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building s ") � M " .. 'SYSTEMS :FEES'
111 Multi- family 0 Master builder
For special
in information cklist.
Other: f use cite
t. y sl y M r `�c l o ? r Description , L Qty. Ea.
' l , ,.W,.... 't r lrc i '� i iII z Y. /:i.s.ei. 2'?n '°,in " :.1 Heating/coollug 4 Total
Job site address: Cr 8 J- .e v , Air conditioning or heat pump
City/State/ZIP: ty/StateJZIP: Ti Q t ( V `T / 3 Fu jutres site plan allowing
100,000 BTU p cts/ve t) 14.00 _
Fu (1(ducta/veats) L4.00
1, rS trJJbldglapL no.: - Furnace 100,000+ BTU (duets/vents) 17.90
Project name:
, - Cross street/diracdons to job site: Gas heat pump 14,00
Duct work 14.00
`'' .-ydronic hot waters/atom 14.00
Residential boiler ( radiator or
' hydronic) 14.00
Unit heaters (fuel -type, not electric),
in •wolf, in- duct, suspended, etc. 1 0.00
' Subdivision Lot no.: Flue/vent for any of about 10.00
1 '`•fart map/parcel no.: Other: 10.00
z ray ti x 1 y s Other fuel appliances
' � " : C• i t, : , t . � , i`I i �'h ±fiT �y����1 C ,;1 m� j ,crf�� `4� NM v v
. _, ai :' i= o...S:i.1 2'i : . tl . .. +'� rit:3 . ?y i[ .j]:: ee t, y �t t , ' W. 1 Water heater ter
� " ' � , h,� #�c' si�akt. 10.00
iQ$ , iV�j'J�al� *IhS�i/� " QCIrN� Gas fireplace 1 1000 70-
Flue vent for water heater or gas _
t9 n �) fireplace 10.00 �() ■
Lo lighter �$ B () 10.00
-
: " ' Wo Ilet store
10.00
Wood fireplace/insert 10.00
_
i � 3r iI21M � r �k la% d ,. o il t 4� . "'' : N; .' :j of Chime Rinr /fludvcnt _ 10.00
*ante: a Other 10 00
i° , # r Environmental exhaust and ventilation
Address: "Jr j(rr� • ' A Range hood/other Idtchen
4City/5tate/ZIP: T r ! a ✓1 O r • � Clothes dryer 10.00
O ,qq�� Clothes dryer exhaust 10.00
lione: 64.3) I -0 T L I Pam ( ) Single-duet exhaust (bathrooms,
_ toilet compartments, utility rooms) 6.80
..._.L;�tl,.� r�1Tii{, ih',112.iiit t - .
S4S u.t. }r} c.c r '' :-,- 1'1 ow. e
:Business r r im. 0 a.,QE ? : '.1. " ffieli i�1a O Attirlcrawispace fans 10.00
dame r 1,e q rive Ye QC Other: 10.00
tCoat>lct names Q ,e n vi t e(
$5.40 for first four; $1.00 for each additional
Ihrel Dlp
/
?A 1 Furnace, etc,
-
.J r
sl ry/Statr/ZIP: r i s v e v c) r Q Gas heat pump t
( OOLs Wall/suspended/unit heater
3 (9a6- s / e s = I Fax:: 6t3 )6:26 -47/38 water heater
: Fireplace
a I
•
:, v . . ■ ,Y w .T" i e4xr��u d ' in
e s e ,`$` N "ii�' u r i . ; rec Range
A., :.<. ,c .. . .: 'i. �. '� '. 4 y1- .b)M1 , w :_ x 3 Barbecue Oh 'ill
x58 nerve x e J Clothes dryer (gas)
�4dcrat:: 1I�2 S 51,) py. Other
/ �� ✓•�V( h I Qi,- 7 ?� �, z 1l
4 - y .�i :1 S l .. 7�,•i H _ Si` �'. :. q• •'. • ,-•.. • • /$tateiz P: .a�S 1 _tit- �x b r,a
� Subtotal
:533 lic ` ( ) (D,G~ /05 Fax: (563) 6 _ `i,i - Minimum permit fee (572 50) , 54) ,a ,, ' , Plan review (25% of remit fee)
/ / State surcharge (8% of permit fee) S" U
_ TOTAL PERMIT FEE 7 , 3p
Wired signaturC Lame. Q �.' � '-� / Tb! permit application expires Ira permit Is not obtained within 180
days after It has been accepted as complete.
I Qt v Z ( n ate: 31 aS _ • Fee methodology set by Tti County Building Industry Service Board
Mimi 1
CITY OF
BUILDING DIVISION PERMIT #: MEC2005- 005<i3
I � 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9110005
Phone: (503) 639-4171 !�* ' • +
Inspection Requests (24 Hrs.): (503) 639 -4175 �!: `
INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7:07AM PAGE: 95
SITE ADDRESS: 09885 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.; LOT #: O44 TYPE OF USE:
PROJECT NAME: DEL BUONO
DESCRIPTION:
Gas fireplace insert (gas line in place).
OWNER: DEL BUONO, ROBERT PHONE #: 503 -244 -0447
CONTRACTOR: T & K MECHANICAL PHONE #: 503-357 -4614
Inspection Request Scheduled For: Date: 9/202005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016048-01 503-244 -0447 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /f
Date: z& Phone #: (503) 718-