The URL can be used to link to this page

Permit `` ' n ' ITY OF TIGARD MECHANICAL PERMIT ` ' ° : - COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00744 TIG DATE ISSUED: 12/21/2007 {; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136AD -05300 SITE ADDRESS: 06606 SW PINE ST ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: WILTON Project Description: Wood stove insert with full liner. 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: WOD 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: REPAIR GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Owner: FEES STEVEN WILTON Description Date Amount 6606 SW PINE ST TIGARD, OR 97223 [MECH] Permit Fee 12/21/20C $72.50 [TAX] 8% State Surchar€ 12/21/20C $5.80 Total $78.30 Phone: 503 - 293 -1518 Contractor: TOM BISHOP CONSTRUCTION 11525 SW CANYON RD BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 626 -4652 FAX 503- 626 -9138 Reg #: LIC 155679 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC by calling 503.246.6699 or 1.800.332.2344. • Issu d By: (/ __ ) _ __ , �: ` Permittee S' • natur /� :f� /� __i�I d�� Call 503.639.4175 by 7:00 am for inspections that business d•i. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FROM : FAX NO. :5036269138 Dec. 20 2007 03:36PM P1 Mechanical Permit Application FOROFFI( E.USF ONILV — •••• ' ' City of Tigard Received �^ DatelBy. / RD 0 -f�7 P'nni t�e�,?00 �! 13125 SW Hall Blvd„ Tigard • `� ` - . " �I14 Other � ` P - ` / ° e PP�� Plan Review Phone 503.639.4171 Fax i rtil , • ; Date/By; J . -- c ''izAgi i i': y; u Pemtit: Inspection Line: 503,639.41 y \ 001 .i �! � „k, DoioReady/By: r fa SeePage2for Internet: www.ci.ligard.or.us D r (` 2 U Notified/Method `/ [ 6. Supplemental loformation a'.. ' fC.((( f t 1 4 141# rs y T� ` 7 i :7&" } '+ '. �� ) �� ' y� • ,} ^ � iNg q gI ..fs . .- a y t air a•c:'� e�^�, ar •=.:;r. .e.33 LJ,o ., nfM .,fr. it ' fC I'LL'. J , S, a. 1 � 4!.. :t$i 4 �` e, Wt' 1 4 •t� a' YIiVV J \ •� `: �.� W4; V ..' -:.LD: Sr .'L..�..� p .131 h N I! :!`m'r IYL�.. l ±!_A �r e 'J w.� �:1�{ • ,\ .V •. 'ur�.va�,Nwlr ., as..f.e a ❑ New construction .1 `a ; I • h o n/altcrat i on/replacement Mechanical permit fees" arc based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead. and profit. ? hfi •3`..H✓.r+7e cc rx ," ; z , f , ;,: + d �2 /:;. Value:$ i .. , :. • Y'.Ar f :, • ' tl u. 4 n e b li t,t1 5 1 ' t ,e . ."L .' t i ' . �r� x:A"dlCrt.. c•G.Y�. � L.'�'V,e�i".�1w� "n"" ` e � � �° �'f �••� `'�.f� 1- and 2 Tamil dwelling `.. al . t. 4, I ,. .k `" `. :. Y g ❑ Commercial /industrial ❑ Acce building For special information use checklist. ❑ Multi-family ❑ Master builder ❑ Other: „ Description 1 Qty. Ea. 1 Total � ` Y i P F G C� .. &' 0 - -; ti ° ' °+ t g ti e.,,.�?" �_.R�x � y.... ' 't �As ix z za.s Heating/cooling Air conditioning or heat pump Job Site address: 4,4Q ©( o _5L ) • •l t � �/ S �r -� r� . Sroquires site plan showing placement) 14.00 City /State/ZIP: l c7 a - d O y L.sp' ° 3 Furnace 100,000 BTU (duets/vents) 14.00 l �._e.�� Furnace 100,000+ BTU (Juctsivems) 1 • Suite/hldg. /apt, no.: Project name; Gas heat pump 14.00 Cross street /directions to job site: -. - _ .: _____ _ Duct- work... _ -:- 14.00 Hydronie, hot water system i4.00 Residential boiler (radiator or hydronic) 14.00 _ - Unit heaters (fuel -type, not electric). ' in-wall, in-duct, suspended, etc. 10.00 Subdivision: I Lot no.: Flue/vent for any of above , 10.00 Other: 10.00 Tax map/parcel no.: _ Other 1Lel appliances � a itt {,' t 1 a ' � "kc " " "` ,' j q Water heater j .G"•:r..e, ,c rasa, r1 . noes � ilB'2�L s'1.gt . 10.00 + Gass fireplace 10.00 t7 e 1 cS' 60 ` i . {,� ! P� �- Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 • Wood/pellet stove 10A0 wood fireplace /insert . 10.00 fo t �G�t¢'y`pc� f 7 �apFi va ,�'^ t na r' ` rr I Chimney/liner/flue/vent .at: 4 5575 ∎ ^. :L.:.l1tif,' � � � rari r• , 'Fa , "`H•Lr ' �.....V .:.'tilti -- . Chimney/liner / Other: 10.00 Name: .p i i Environmental exhaust and ventilation _ /- � \ / Range hood/other kitchen Address: /44467 (a u .v K. equipment 10.00 City /Start /ZIP: rr' a. /e( _O y _ Clothes dryer exhaust 10.00 • • f; Single -duct exhaust (bathrooms, Phone: �1 c� n :f" a y.+f t oilet compartments, utility room 6.80 ,it:. g`;•w w' : �., . �•�,.'� S �ys?y•a.a °.'�, Ce' � , AttiGcrawlspace fans 10.00 Business name: . r • ( Y� 14L• -� Other 10.00 ` Fuel p Co name: (a e 11 VA.�. 0 e i �? . 53.40 for first four; 51.00 for each additional Address: - 5th �• Pomace, etc. " �' Gas heat pum City /State/ZIP: VBy - ,4 . r l� •740s Wall /suspcnded/unit heater vn, Phone: ( .. . , - Fax; ; �• 3) _ , . _, ' 38 Water heater Fireplace E -mail: Range 7 ".�a .. za ' r, tr {'• �( .s - "�� ff i , i l l ..: a f " y :- . ` .. , . ..1 • r: Barbecue Business name: t i S a y r Clothes dryer (gas) �� Other: Address: 11525 - LLC O 1/-_ • ,T.7' .. f�F .. r�� m. City /5tate/Z 1' : ; ' ' ' - k7 i O y q c.4t+r kSubtotal .YJ Phone: ) �� 6 _ 4 per: { )(6,._ Minimum permit fee ($72.50) 17 .9 • Plan review (25% of permit fee) CC13 lic.:- 61-444 / s "4 ' j State surcharge (8% of permit fee) ,i7 t / TOTAL PERMIT FEE ' r 7bia permit application e7fplRS if A permit is not obtained within 180 Authorized signatur � ✓ /L.. days after it boa bees accepted as complete. Print name: iliff 4 11. M .. e IM ` tree methodology sat by 1'ri•County Building Industry Service Board 1:1&ui1di11gTem .i.IEC•PermitAp•.doc 12/03 44 0-40177(I1le31COM/WEa)