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Permit • °v CITY OF T I G ARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00059 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/5/2008 PARCEL: 2S 110BA - 05700 SITE ADDRESS: 11885 SW WILDWOOD ST ZONING: R -2 SUBDIVISION: SHADOW HILLS LOT: 008 JURISDICTION: TIG PROJECT: BALMER Project Description: gas fireplace insert; gas line in place. 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: 1 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: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES MARK & ROXANN BALMER Description Date Amount 11885 SW WILDWOOD ST TIGARD, OR 97223 [MECHJ Permit Fee 2/5/2008 $72.50 [TAX] 12% State Surch 2/5/2008 $8.70 Total $81.20 Phone: 503- 684 -5356 Contractor: T & K MECHANICAL PO BOX 116 FOREST GROVE, OR 97116 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 626 -4652 FAX 503- 626 -9138 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" L Permittee Signature: �p � Call 503..639.44175 by 7:00 a.m. for inspections that buu lay. 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 ,F OJ1 : .ag ,1 FAX NO. :5036269138 Feb. 04 2008 10:42AM P1 Me�chanica,,,1 ]Pe emit A nu li ca ti on , (r , 1I 1(1 • come ; ' City of Tigard • h, a- 40, c m i m. : Puerto! Calm Permit: . ... �Intere t 1 w Litt tJ 503.639.4177 - , i. ' L % 'Y D M. R dy l8y: M � -- pp ihr t r i' V---9') . 1 • NotiBaNMed,ad: 9applseensel a, ram OF W. op ccESMERCIAL Mr SCHEDULE USE CITECELISF ' y ❑ New construction Addition/aJtet asst , .. pow r a• are bats . oa ebc oe of die vomit Demolition 0 Otbar: ' perforated erformed. IndioeIndio/ea die value (roomed to es nearest dollar) of all _ to lankal: tutorials, toga labor.ovaAerod.n4pross. aKTEGIORY OF value: S 1 1- and 2 nily dwelling 0 Coa'>rnereialPtridu5trial 0 Accessory building � m © Mrsli.flaftily Mast= builder 0 Other: ika. veal, fgfw+xolan sae checklist • Deserietiou _ 1 Qty.) Ea, 1 Told JOB arc INVOPM7l7;ON AND LOCATION c : . Ion ate aednosa 1 t -5 S ,SVJ (.0-,IA, ..p r( A,r iv. � a �etl 14.00 f e1 .l ace ■ . CityPsc (i A iq'� � r -a-� � Future 10 ,,, 0000 a 1•, ,,.,,, ) 14.o0 0 l Forolee 1 / • 000+STU (Aieehvia 17.90 Suite/bids/apt. two Project game: ( • L H€(2.....„ rite Aext • uma 1 4.00 — Cross stsaet/dirsdioos *jolt site: Duct MOO I ydrnnic hot water dyafam 1440 IIIMMIIIIIMMIIIIIIIIIIIIIIIIIIIIII Itodl oiler (radiator or lsvdooni l 14.00 Unit hntars (1ba1.1ypa, oot deco ), u ws1l. t "v.; eta. I. 00 Ssrbdi�naion: Lot no.: — Flue/vent Poe an of above 6.80 Tax may 1pvarcl no, Mb= MI moo Otter fort umlisseea ■ JpESCIIIPTIOx OF WORK Wsstsx hater 10.00 • as .. Gat fireplace i 10.00. Z + • ♦ • . i _ — / e, S 4 Flut vent far water heater or gar 'P a (4 -. 4 ivy 1 • law 10.00 Woolf e lict stow III 10.00 Wood I 4 ,1 • Wien 10.00 !. P�P$RTY OWM/a D =icon CA9rnnnw7hreHfivglvcat 10.00 odwr: WO Mk": Jr A • 'R e ' h * , lovtronsnems f exhaust an radiation Address: D i 5 .51-0 ■ t V9,17' +r� e4u4 e elser (dlCm MI H100 rnanet �) b'36 Par: ( ) toilet 3 , : �t • �t u t i. ■ .. Mr" . .� tl1 � i APPLICANT D CONTACT 1 Aa4o►o>xwl, 2 .,: NM 10.00 MIMI sU3>aaemama: ti ,zob Pi t/ pI4 c e_. Odor. 1C.0o Gantaet roam • e. h h H P i 1 1- $6.40 far dal feert 11.00 Ter aWh additional Address F eu II5 5 c5i+.) eatoy0►•••,- Gadhcatpunt at:Atare/ET: ,a e • •0 v ‘ O. VC) 0_5 widt/soaradetVanit hews Phone: • 6, 61 - Lhasa. pax::O3 -the � i• MIMI • cormurroa Barbecue 1111111 Rosiness wane: id - ( .. t e / . jr_I Clotho d+Iar tits) - Other As: 's . _ MECHANICAL loser rm. ty : r e&1 C vo o e Or q`7 /I to subtotal o phone: • )40:16 - 44, Fax: ( ) Miaisnsan pennitfet(37150) P CCB Stc : (a j (ps Plan ssviewJ2544of . , ,. . • State aordu78o (12%cerm It Se) j , ' Author Irxd sl„ ..,. TOTAL PERMIT FEE r 20 Alg I e ��! / � ' oath s CONS ua pe wit b not Gana within lP days attar It ho been motad maeempleto. . Primarwma; Meng ♦ QtVt. e EM ? • rem ?hechnddtoo rat byT zauaty sashar bar" Unice award Bruillihat . , i - . I1/19007 • 44aIt IL IV2/ 0WW0 ) CITY . OF TIGARD BUILDING DIVISION PERMIT #: MFC20011- 00058 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/6/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 I �.. INSPECTION WORKSHEET FOR DATE: 2/19/3008 TIME: 7 :01AM PAGE: 16 SITE ADDRESS: 11885 SW WI LDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: QQQ TYPE OF USE: PROJECT NAME: BALMER DESCRIPTION: gas fireplace insert; gas line in place. OWNER: BALMER, MARK & ROXANN PHONE #: 503 -681 -5358 CONTRACTOR: T & K MECHANICAL PHONE #: 503.626 -4652 Inspection Request Scheduled For: Date: 2/19/2008 Pour Time: Code # , Inspection Description Confirm # Contact # Message 699 Mechanical final 065201 -01 503.844 -9173 N Corrections/Comments/Instructions: • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - Date: Z — 1 rr 6 S Phone #: (503) 718- --- e_4-4-6 •