Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00556
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/13/2008
PARCEL: 1 S135CA -08400
SITE ADDRESS: 11345 SW 97TH CT ZONING: R -12
SUBDIVISION: MLP97 -0018 SLIMICK LOT: 002 JURISDICTION: TIG
PROJECT: HERZBERG
Project Description: Wood stove and 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: 1
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MARGIE HERZBERG Description Date Amount
11345 SW 97TH CT
TIGARD, OR 97223 [MECH] Permit Fee 11/13/200 $72.50
[TAX] 12% State Surch 11/13/200 $8.70 -
Phone: 503 - 598 -1043
Total $81.20
Contractor:
TOM BISHOP CONSTRUCTION
4578 SE 103RD AVE
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 644 -7868
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 OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By . _ Permittee Signature:
Call 5 . .4175 by 7:00 a.m. for inspections that business . -y.
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.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: Mi C200t3 110556
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2008
Phone: (503) 639 -4171 : , � ' 1 d fl ��� Till^
Inspection Requests (24 Hrs.): (503)639 -4175 .^,� e`9
INSPECTION WORKSHEET FOR DATE: 12/15/ 7.e0 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 11345 SW 97TH CT CLASS OF WORK:
SUBDIVISION: MLP97 -0016 SLIMICK LOT #: 002 TYPE OF USE:
PROJECT NAME: HFRZBERG
1 DESCRIPTION: Wood stove and liner.
OWNER: HERZBERG3, MARGIE PHONE #: 503-598-1043
CONTRACTOR: TOM BISHOP CONSTRUCTION PHONE #: 503 -644 -7868
Inspection Request Scheduled For: Date: /2115/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
CO5 Misc. inspection 079049-01 503-626-4652 N
Corrections /Comments /Instru tions:
i(Pc) 0 ; i i 20/0 6 y
e,_,z, is c _ j
(9 Z-- •
`D r PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL / CALL FOR INSPECTION n ADDITIONAL FE S ASSESSED
Inspector: j,i�. Date: I P hone #: (503) 718- Ze
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008- 00566
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2008 1
Phone: (503) 639 -4171 �I'I
Inspection Requests (24 Hrs.): (503) 639 - 4175' I
INSPECTION WORKSHEET FOR DATE: 12/12/2008 TIME: 7:00AM PAGE: 26
SITE ADDRESS: •11345 SW 97TH CT CLASS OF WORK:
SUBDIVISION: MLP97 -0018 SLIMICK LOT #: 002 TYPE OF USE:
PROJECT NAME: HER7BERG
DESCRIPTION: Wood stove and liner.
OWNER: HERZBERG, MARGIE PHONE #: 503 - 598 -1043
CONTRACTOR: TOM BISHOP CONSTRUCTION PHONE #: 503.644-7868
Inspection Request Scheduled For: Date: 12012/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
drip 699 Mechanical final 078994 -01 • 503 - 626.4652
Corrections /Comments /Instructions:
O I - / & n Z ,4
t1Q ,e.
n PASS / PARTIAL APPROVAL ❑ CANCEL ' 74 ■ O ACCESS •
4i 7 if CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: _ _ Date ���
�? �7/ � Phone #: (503) 718 - � —C j--�
CITY OF TIGARD
BUILDING DIVISION PERMIT # : MEC2008.0f3 56
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1.1/13/2000
Phone: (503) 639 -4171 �"'m���iillll'A
I nspection Requests (24 Hrs.): (503) 639 -4175 _�I
INSPECTION WORKSHEET FOR DATE: 11/20/2000 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 1 SW 97TH CT CLASS OF WORK:
SUBDIVISION: MLP97 -00113 SLIMICI< LOT #: 002 TYPE OF USE:
PROJECT NAME: HERZBERG
DESCRIPTION: Wood stove and liner.
OWNER: HERZBERG, MARGIE PHONE #: 503-598 -1013
CONTRACTOR: TOM BISHOP CONSTRUCTION PHONE #: 503 -7969
Inspection Request Scheduled For: Date: 11/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 078278.01 503 - 626.4652 N
Corrections /Comments /Instructions:
A#4i. 6 "z "a
R ;
❑ P n PARTIAL APPROVAL n CANCEL El NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /1 — cr g Phone #: (503) 718 - 44-5"---