Permit CITY OF TIGARD
4. DEVELOPMENT SERVICES MECHANICAL PERMIT PERMIT #: MEC2006 -00068
44-
13125 SW Hall Blvd., Tigard, OR 97223 503 639 - 4171 DATE ISSUED: 2/1/2006
PARCEL: 1 S 136AB -05400
SITE ADDRESS: 10460 SW 72ND AVE ZONING: R -4.5
SUBDIVISION: SKORO MLP93 - 0008 LOT: 003 JURISDICTION: TIG
Project Description: Pellet stove in shop area, fireplace insert in home (not addition area).
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: REPAIR UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 2
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
JERRY OLNEY Description Date Amount
10460 SW 72ND
TIGARD, OR 97223 [TAX] 8% State Surcha 2/1/2006 $5.80
[MECH] Permit Fee 2/1/2006 $72.50
Total $78.30
Phone: 971 - 221 - 2522
Contractor:
TOM BISHOP CONSTRUCTION
4578 SW 103RD AVE
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 644 - 7868
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 OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
•
Issued By: ‘ 111 . 2 ... 2 Permittee Signature: SA
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.
FROM HOTSPOT FIREPLACE PHONE NO. 15036269138 Jan. 31 2006 11:59AM P1
L
Mechanical Permit Ap �[i �_ „ _
FOR OFFICE USE ONLI'
City of Tigard i .. / ► �' Per nt No. ( 006 2, 6 '►
13125 Sw )call Blvd„ Tigard, OR 97221 Plan Review other Perna'
Phone' 503.639.4171 lux: 503 598 1960 a +.;'•;•';;::, 1 I' `. rrae/tty:
Inspection Line: 503.63').41)5 \ 1p, _ ' . i Mau Reedy/fly' !NM gi tier Page 2 for
lnletnct: www.ci,tigard.ot.us
J 3 �"� - xcu;ficd/Melhnd Supplemental Information
.t� , 4 All
. —,- 0 1�3s - ••• Tell . • ',1•. .; �;� o ar �� y ti > ty: .: . ,: �''. • Z ai v , _ .% ..., t '. C ; 's �s
F ; L ` . jp 3t: Y I F . - • 4 . ; :a.'. i r 1l' , i e a r •, e 1 z +I, ea t� " U t z , - , - � . wc+f.. e : r
t
'' �) � • .�uorUre lacctnertt Mechanical Permit fees are based on the value of the work
CI Ncw construction ( . i Ad• r p performed. Indicate the value (rounded to the nearest dollar) of all
Q Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
e , .— w. L •' - IN'76 - i7 .( 5` �T .� F : ' i t'''; ' , ' S Value: S
r .ta - > ^ x•-
aiL�� . C'iac �� •���v.� t � :.�r •_Q � '!.,- � F; �7 �. r =� :_ -r a•�r '"• ^ y.•.. "M'• �.yti
.
.. - . ¢�� ., - >l \ e' a�-' .99i 1 •�,F7Iv, : .. , „ , :.
� �uY�ii5 'Ss''•� :r�[ wyfS�.M�.,v^n•'4 -. � . lz. 'F,b.`J� o�1�sL�� 1 '
1 "• 1 - and 2- family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist,
(] Multi-family El Master builder CI Other: peSCription 1 Qty. I Ea. ] Total
tRTea ,iit'. !J ^i ,!•.P ". :t61, K � S. 0 . . 0 lliq. .: i > e;.x'y ''• : t Heating/toothy
y
);�:.. Ss� .� ...� ..� , J��. -s .,n R. : r , '. .,..,y�,x:,....r,.;. IIeat
j Air conditioning or heat pump
Job site address: /�'1/ V • / V (requires cite plan showinyt placement) 14,00
City /State/Z1P: r' 7.. Furnace 100,000 BTU (ducts/ents) 14.00
i ( r i Q I,' 3 ° Fumacc IO0,000+ BTU (ducta/vcnta) 17,90 _
Suite/bldg. /apt. no,; Project name:
Gas beat pump 14.00
Cross strecUdirectionis to job site: " IJu w :... —_ 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
Subdivision: Lot no.: Flue/vent for any of above 10.00 I
Other: 10.00 1
Tax map /parcel no.: Other fuel appliances _
�. � '''` ''''" 5''f �'d: Water heater 10 00
,
r ; a � � : �'t �y a +`�, r+,',;F';� !t:�_:e:.a1S � alis ' ti r�iR r� . � • °�Z'.!> • d . r� �''� y�ic.'�.> � �
Gas fireplace 10.00
1 YL ► • 1,O 1/ (. 4d6)-1L Flue vent for water heater or gas
• fireplace ' 10.00
Log lighter (etas) 10.00
Wood/,elletstove i 10.00 AC-- Wood fire lace/insert 10.00
• 1 ., _ , •�+•r - .. ., ,m - +4 ,,t - : ,,, Chimney/liner/flue/vent 10.00
N eatt 9. f ° 44' t r : '. a Nf .1i1 : ,, uoJ a j .. 4 , . r � . 7 "' &l 1 ,: i . ` &
`4c4s/L�li- '+k^J1,"L�•• •�' .'�.u"'x Sd: :i;"'':TO (. :ii�s ::Ci :�; '4 c �'f% i
Other: 10.00 • Nome: J. O' n Environmental exhaust and ventilation
_
C �, � - Range hood /other kitchen
Address: 0 ■ 4i �.�i.[J � - . • a a de.. , equipment 10.00 •
City /Stale/'L1P : Q v [ O , 3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms, , J
Phono: 3 ) . iL _ b. . ' Fax: ( ) toilet oompartarcnts, utility rooms) 6._80
• 'Ti 4 '` s las ic,'' F '; i ti . t'` •` 1Z ;° :,*;) b',;: ° ?,T .70.7.."'..'•' ' f r ">:?' ':? r -s � �i=�f •` y; <^ A ttl col
f,�ca • :.cch:F'r� ' ^ r, •�'' a .. , '�� ;•�tS�;n,,.�r. :5 :�.��C 5( D.��C.�m titira' ,•,; :.. , -��3 y C . , � C/Cra � fans 10,00
Bus name: Other: 10.00 • a . a • at . ^ J � l p p .
Fuel l piping •
Contact name; CRIX.l `liA,N,,N, il t? . v.� Z 55:40 for first four; $1.00 for each additional
- � /J _ Furnace, eta 1 c. Address: LAv� v.. .. ..,_• oas heat pump
City /State/LIP: r ‘m4/ _i_0 h do ✓ q' - 70 os. Wall /suspended/unit heater
Phone: ( 3 6,, 4 — t .k_ 1 Fax: : (D 3) ^ g 1 38 Water heater
Fireplace
E-mail:
r , . , rpr :dn;>: ";?('Sy, .� - •;.,t ..,.., v:..•, r ::rt :• =i y r Range —
` 4E7 'i MM'a i1P'• i '^ y .SV7,':.''ye '\ T�{' - ,,'W r 7 s al : >i :,•k :t5'' y '''„.`' Barbeeuc
4:1 1:" ._- a•k 'ig-e..va'.if•' M`c+ — 1:ta;_"d- '" 71" 1�.. :e.:1 j 1 t� fw ,..�• •� ,...•
Business name: Clothes dryer (gas)
a i �1 !' n''S C^�? T '- u'ct,•i;., .. �,.rp: :
, ' �.
Address: 1 7•;ri
W /` DY`_ K ,. .' " �c,.� �G :t�1'r l ?•t+,crh 33 �nS { *'
EIZIENJa ve ix o Dv ' A6.2 .. Subtotal
_ Fax: (
Phone: 60 ) Minimum permit fee (57230) 7a, s . 1. ) �. -- )6 Plan review (25% of permit fee)
CCB tic.: / S tate surchar a (8 %of permit fee) 0
Or / TOTAL PERMIT FEE /A, 30
Authorized signaler' ' D � � /. ' ib is p a pp expires if a permit tenet obtained %t thin I80
/ � days after it has bees accepted as complete.
Print name: ei nil e , - l W l31 -01, • Fee methodology see by Tri- County Building Industry Service Board
i:\ B.ildina\Peenio\MEC- Pmu 1243 440 - 4617[(11 /02/COM/WSki)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00068
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1/2006
Phone: (503) 639 -4171
#3 ,1111 Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/24/2007 TIME: 7:O0AM PAGE: 36
SITE ADDRESS: 10460 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: SKORO MLP93 - 0008 LOT #: 003 TYPE OF USE:
PROJECT NAME: OLNEY
DESCRIPTION: Pellet stove in shop area, fireplace insert in home (not addition area).
OWNER: OLNEY, JERRY PHONE #: 971- 221 -2522
CONTRACTOR: TOM BISHOP CONSTRUCTION PHONE #: 503- 644 -7868
Inspection Request Scheduled For: Date: 8/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 054610 -01 971 - 221 -2522 N
Corrections /Comments/ Instructions:
•
PASS iv PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL )(CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector 0, Date: 8/Z- 611 Phone #: (503) 718- Z4