Permit yI � CITY OF TIGARD MECHANICAL PERMIT
COMMU NITY DEVELOPMENT PERMIT #: MEC2007 -00514
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/28/2007
PARCEL: 2S 111 AD -20400
SITE ADDRESS: 14950 SW 89TH CT ZONING: R-4.5
SUBDIVISION: LADY APPLE LOT: 028 JURISDICTION: TIG
PROJECT: SCHULTE
Project Description: Install woodstove.
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES: 1
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
MARK & SARA SCHULTE Description Date Amount
14950 SW 89TH CT.
TIGARD, OR 97224 [MECH] Permit Fee 8/28/2001 $72.50
[TAX] 8% State Surcha 8/28/200i $5.80
Total $78.30
Phone: 503- 747 -0424
Contractor:
LUDEMAN'S FIREPLACE & PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005 -2129 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -646 -6409
FAX 503- 646 -8034
Reg #: LIC 51469
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
t ----------
r iii if y //
f � Permittee Signature: \ \co k cr
Call 503.639.4175 by 7:00 a.m. for inspections that business day. 11
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.
AUG .27.2007 2 :40PM 0.054 '.2/3
Mechanical Permit ADDlicatib�b 10I: 01.1 1(' 1 t 51: O 1.N
Received . aid City if "Tigard a ' 1 ' U DateBy, I i U 0?"- Si- Permit Na.: I/ .--1-
13125 SW Hall Blvd., Tigard, OR 97273 P' Plan Review Other Petry[:
Phone: 503.639.4171 Fax: 503.598.1960 2 i ' ` . /Ni,41 I ( ` D am/By.
Inspection Line: 503.639.4175 _�J,l- �� . , Date RendvB r furies la Sec Pace 2 for
lntom w
et; ww.ci,tigard_or.us CITY Notlfied/Method: 776- Supplemental lufnrolndoa
BUI'
TYPE OF ii ' COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees" are based on the value of the work
❑ New construction Co Addition/altc • tlb replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other, mechanical materials, equipment, labor, overhead, and profit.
Value: S
CATEGORY OF CdNS • UCT101V RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
V - and 2- family dwelling 0 comer • : ndustrial ❑ Accessory building For special inji rmallon use checklist
0 Multi - family ❑ Master build D Other: Description I Qty, I Ea, 1 Total
JOB SITE INFORMATION i D LOCATION Ueatinekaolinu
� Air conditioning or heat pump
slob site address: /y95 S4) 8 /I r (! 7i re lilies site Ian ahowin lacementl 14.00
City /StatJLIP: OM ,70P Furnace 100,000 BTU (duns/vents) 14.00
Furnace 100.000+ BTU (duets /vents) 17.90
Suite/bldg, /apt. no.: 'roJect name: _Se.A 0/7 Gas heat pump 14.00
Cress streeddirectiorts to job site: Duct work 14,00
I Hydronio hot water system 14.00
_ Residential boiler (radiator or
h dronic 14.00
-------- i 10.00
Flue/vent for of above 10.00
Subdivision; Lot no.: Other: 10 00
Tax map/parcel no.: - Other fuel appliance
DESCRIPTION e F WORK Water heater 1 0.00
Gas fireplace 10.00
—.Z.— s _ _ . - Flue vent for water heater or gas
fireplace —
Log lighter (gas) 10.00
Wood/pellet stove / 10.00 /4 oa
Wood fireplace/insert • 10,00
i — Chimncy/liner /tlue/vent I 10,00 42, Go
_YPROPERTY OWNER 1 TEN _1 1 10.00
ttl
Nee: • dr rr r S .S� 4q / TC Environmental eshnust and ventilation
rit, Syr-a— Range hood /other kitchen
.Address: /5/950 a r j f 89� �► equipment 10.00
Ciry/State/LIP: TlG4 t•I! 0 - I 9742aY Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (40) 79 - 0 ,RV Fax:. ) toilet comp r�Smcnts, utility rooms) 6.80
Y. APPLICANT ❑ CONTACT PERSON Attic%rawltace fans 10.00
Other: 10.00
Business name: 4Ie.i2 G oyi Q h 3 Fuel piping
` Contact name: c90 02 / ' • /Q C /� $5.40 for first four; SLOO for each addition!'
Address: Furnace, etc.
�� Go 7 e • G e- der m Gas heat.pwnp
city /State21P a vet .J • /t 9 700 Wall/suspended/unit heater
Phone: (So) C y f,z e ,. 6,yet — F - : ($4S 6' S' - ePst Water heater
Fireplace
E- mail: _ Rm►pe
.� CONTRACTOR Barbecue
Business name: Clothes dryer (pas) I
e:s,�Al1l e- Other,
Address: I MECHANICAL PERMIT FEES'
City/State/ZU!: _ Subtotal c20,00
Minimum permit fee (372.50)
Phone: ( ) I Fax: ( ) Plan review (25% of pcnnit fee)
CCB tic.: areJ l 9609.- S' State surcharge (8% of permit fee) 8O 1
- Ge v
TOTAL PERMIT FEE ,1,r 4 0 1
• nits permit -
application expires if it Is not obtained within 180
Authorized signature: ?i r days after it has been accepted as complete.
I ante:
I Print name: i o O'7 ) 7. I • Fes methodology set by Tii- County Building Industry Service Board
C`it I
CITY OF TIGARD -
BUILDING DIVISION ... • PERMIT #: MEC2007- O0fii4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2812007
Phone: (503) 639- 4171 xa1i ' l ll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9142007 TIME: 7:01AM PAGE: 38
SITE ADDRESS: 14950 SW 89TH CT CLASS OF WORK:
SUBDIVISION: LADY APPLE LOT #: 028 TYPE OF USE:
PROJECT NAME: SCHULTE
DESCRIPTION: Install woodstove.
OWNER: SCHULTE, MARK & SARA PHONE #: 503-747.0424
CONTRACTOR: LUDEMAN'S FIREPLACE & PATIO PHONE #: 503 - 646.6409
Inspection Request Scheduled For: Date: 8/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 055046 -01 503-747-0424 N
Corrections /Comments/ Instructions:
PASS E PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
fl FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Q-4 -0 7 Phone #: (503) 718-