Permit CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: MEC2022-00808
Date Issued: 9/6/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S114AB15400
Jurisdiction: Tigard
Site address: 9300 SW DURHAM RD
Project: Whitney Subdivision: 2003-031 PARTITION PLAT Lot: 2
Project Description: Replacing wood stove and adding a chimney liner.
Contractor: SEYMOUR REMODELING LLC Owner: WHITNEY, ERIK&ALAN
801 E HENRY RD 9300 SW DURHAM RD
NEWBERG, OR 97132 TIGARD, OR 97224
PHONE: 503-443-0953 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Wood/Pellet Stove 09/06/2022 $33.39
Type of Use: SF Chimney/Liner/FlueNent 09/06/2022 $23.32
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/06/2022 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 09/06/2022 $33.29
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatio vv� i of t)IFI( I. I �1•: OyI.1
City of Tigard EC E I Y E .eceived /� / /, . ]/7
Date/By: / tr(:)
13125 SW Hall Blvd.,Tigard,OR 97223 SEP 6 2021 Plan Review
r. Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Otl e Pelf[
k r, Inspection Line: 503.639.4175 Date Read B : lures
Internet: www.ti d-or. ov CITY OF TIGARU y y See Page 2 for
I g Notihed/Method: Supplemental Information
BUILDING DIVISION
' 46 Mechanical permit fees'are based on the value of the work
0 New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit
0 Demolition El Other:
:. ,..,:�. /.,mir. r,. .x?sds4r Value:$
a, r
CI I-and 2-family dwelling ❑Commercialindustrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. Fa. Total
11,I l i 1111 i a Heating/cooling:
1::,,,
Air conditioning 46.75
Job site address: 9J¢v S(<cl Ntif 1,t4ell (Lei. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Trim O 1( CJ t7 J Furnace 100,000+BTU(ducts/vents) 54.91
A//n"/ Heat pump 61.06 1
/
Suite/bldg./apt.no.: I Project name: V /I Duct work 2332
Cross street/directions to job site: A f 4,(3 ,r --95 � c 4y`FlATL� in Hydronic hot water system 23.32
+ / �" Residential boiler(radiator or
Pr` (t`l real'_ 50.m t e —f ,�R 601F 67�9 -5; he Residential
23.32
;� I li i cD , p,.' Unit heaters(fuel-type,not electric),
�F� l ✓L ®9 {�( 9- in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: �u(.� Lot no.: Other: 23.32
�4�%n �S'f(g4g l51(0o Other fuel appliances:
Tax map/parcel no.: 14-,P I! ' q8-.2 Water heater 23.32
' - 1 �� v.: t = ffSnit Gas fireplace/insert 33.39
p�
J -- 0 Flue vent for water heater or gas
PE 1)L4 (-) l�l C I ci L-' D Li 0/��f <J��y-� fireplace 23.32
y t..kk .A.Lv3 2 d U -rjt i C-t-T7^(l"'-Gt�l I'LZ i) Log lighter(gas) 23.32
Wood/pellet stove 1 33.39
.'A-(I. Cam-/111,27 1 Trier Wood fireplace/insert 23.32
�11 Chimney/liner/flue/vent I 23.32
t ,,: ay Other. 23.32
line 'S �r }'.( fttf`',. '
Environmental exhaust and vendlaHoe:
Name: L.,;tt LA)In 4.t.1,..-4.4, p Range hood/other kitchen
Address: !1'3L rC sv v�/(�q en 14� equipment 33.39
, Clothes dryer exhaust 33.39
City/State/ZIP: e ciL 0 9 t7 . y Single-duct exhaust(bathrooms,
T toilet compartments,utility rooms) 23.32
Phone:(97O (yt/5- 2`f 7 i Fax:( ) Attic/crawlspace fans 23.32
F1 / w ! Sal.- Other: 23.32
Business name: Fuel piping:
$14.15 for first four;S4.03 for each additional
Contact name: t w11l 1, Furnace,
Gas heat pump
etc.
Address: /� p may-/-jf e e S(Rr i,,,r -'f'1 / /• Wall/suspended/unit heater
City/State/ZIP: t o a Of- ,7„y
Water heaterrI atPhone:(q71) (,1 I 07z 1. i Fax::( ) Fireplace
1 Range
E-mail: Qd6 k I.t)k;-+- r Q( k'r(t 1.F), I f - Cirri'? Barbecue
+4�� ..,�.,«:''' `� " ._ .. IVantatt Clothes dryer(gas)
Business name: .H
W rd l te . 14.m.(41„, a n ci f Other
Address: 1 i 60.5- (v E t4-,q sic,,,,,, 1.4(Ay Subtotal
City/State/ZIP: Aiv C t C lit / Minimum permit fee($90.00) 7(1 LS,3.
Phone:(Ili I) 2 % /�0 !9 Fax:( ) Plan review(25%of permit fee)
State surcharge(12/a of permit fee) I®, $c
CCB lie.: 02 133 1 a TOTAL PERMIT FEE /oo.go
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: < Fee methodology set by Tri-County Building Industry Service Board
Print name: rr„4 Date: ?Mr/ a?
B 2
11uildmg1 Penaes 1 ME!EC_PemitApp_04011 . c 4404617r(11/02/COM/WEE)