Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00362
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/02/2011
Parcel: 2S 108AB04500
Jurisdiction: Tigard
Site address: 15422 SW CACHE CREEK LN
Project: Street of Dreams Subdivision: Lot:
Project Description: Gas fireplace and gas piping in VIP outdoor pavilion on Lot 7 of Brentwood Estates.
Note: Fireplace and gas piping must be removed at the end of the show to receive final inspection.
Contractor: LISACS FIREPLACES & STOVES, INC. Owner: SUN RIDGE BUILDERS INC
12518 NE AIRPORT WAY, STE 155 14912 SW SUMMERVIEW DR
PORTLAND, OR 97230 TIGARD, OR 97224
PHONE: 971 - 219 -9154 PHONE:
FAX: 503 - 261 -0441
FEES
Specifics: Description Date Amount
Gas Fireplace 08/02/2011 $33.39
Type of Use: SF Fuel Piping 08/02/2011 $14.15
Class of Work: OTR Type of Const: 12% State Surcharge - Mechanical 08/02/2011 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 08/02/2011 $42.46
Stories:
Fuel
Fuel Types: Natural Gas
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: dN / 973/06 e
->► 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.
Aug. 2. 2011 9:52AM Lisacs Fireplaces No, 7934 P. 3
Mechanical Permit Application, , FOR OFFICE USE ONLY
City of Tigard 1 1 llr.
II., ,,Li " E p i r. R.eeeived c ,, .• .
m 13125 SW Hall Blvd., Tigard, OR 97223
'' E21‘14
' . Phone: 503.718.2439 Fax: 503.598.1960 - 11 L -PPtil:cyjr :r!! 4.4.- 11 41°.7
1111 Permit NA/--d Off6.2
Other Permit:
Inspection Line: 503.639.4175 AUG 0 2 2011 DatelBY:
TEGAF,D Date Iteady/By: runt. El See Page 2 for
Internet: www.tigard Notified/Method: Supplemental Information
CITY OF TIGAF1D
::,:•.: .•...!:: TINNirowk,5voWiArimAtim?,,,11N , :, .: :•;.• ::: L:usto;1)0400:07,:i
Mechanical permit fees* are based on the value of the work
New construction 111 Addition/alteration/replacement perforrned. Indicate the value (rounded to the nearest dollar) of all
III Demolition 12 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
Kli.#,..O t - . .. - -- --- ... - VNI:"
• . . . ... . 9: MEz`rr/:X§:7.M$EKN§
0 1- and 2-family dwelling E1 COrnincrcial/industrial LI Accessory building For special informalion use checklist,
1=1 Multi-family 0 Master builder Other; b'J1 CUB r7 _J Qty. Ea. 1 Total
..'' :•.', :.: ' • • '' '. ''' ' .: . . • .40)0SMONFORIVIATION AND 1.tOGA:40X1004 ' , .
Air cOnditioaing
Job site address: /,5 , e 2 Si cncne-E 4 (requires site plan showing placement 46.75
Furnace 100,000 BTU (ducts/vents) 46,75
City/State/ZIP: 77 cpnck 04Z. . Furnace100,000 BTU (ducts/vents) 54,91
Suite/bldg./apt. no.; Project name: St ck 1:11,yulskiNIS Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: \,111 OlAitkOCcr .-P Z U On Duct work 23,32
.. - Hydronic hot water system 23.32
_._ Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
-
in in suspended, etc, 46.75
SubdiviSiOn: 4TfiCA/74/00 /.., E 779 LOt nO.: 7 Flue/vent for any of above
- ! 23,32
- Other: 23.32
Tax map/parcel no.: Other fuel appliances:
',, DESCRIPTION 01? WORK : Water heater 23.32
.,. ..
- Gas fireplace I 33.39
Flue vent for water heater or gas
fireplace 23.32
- - Log lighter (gas) 23.32
Weed/pellet stove 33.39
Wood fireplace/insert 23.32
•!... ,!;: ',: ''''.":!:.!,0! !!Iv il q!*'ik91! :. ' : .. , Chittmg/liner/fluevent 25.32
Other: 23.32
Name:
Environmental exhaust and ventilation:
Address: Range hood/other kitchen
- . equipment 33.39
City/State/ZIP: Clothes dry exhaust 33,39
- Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
f01;*ia.0&:•;: ..:' .:.:.: ..i. 9,52,14 ith KO tiKti'000I•!' ". Attic faTIS ! ! 23.32
O 23.32
Business name: Lc G\ . e:,,,c • R y. eilk_ck . ceS A %-(--- la e--- ther: .
fuel piping:
Contact name: LIA_LtirA. ...U 514.15 for first four $4.03 for each additional
Address: uSiz N e._ Ai' yv 6 „A- w am s tA A-k e _ k ss Furnace, etc, _
Gas heat pump
City/State/ZIT': 7 p\--1/4- L0,1,, (pi k Ct1 _,. (-.). Wall/suspended/unit heater
... .
Phone: (C01 ) - t.\ t 5 LA I Fax: ; ( 5° .")) ) - (0 t -- ° t Water heater
-
Fireplace I
_Os.LUCGl, CletirlelC . e C\ SOLCS cir \ OLC...e-S. CCIVY1 R an e , _
CONTRACTOR Barbecue -
Business name: '1" 0■ ao..__.c._, Clothes dryer (gas)
Other: !-
Address: -- .! !:!!!! , .. ! ! ! &1!- ! !:42. 1 .7ii‘..1$7. - CH7e0c4:#0.! : !trfttgie l raa l ..!: :•:.:!:
City/State/ZIP: _ - ! f i e) . . a
Minimum permit fee (590.00)
Phone: ( ) Fax: ( ) --
Plan review (25% of permit fee)
CCB lic.: 1 \ L.\ Ei. ‘Of 1 b.; State surcharge (12% of permit fee) 40 ,d
-- TOTAL PERMIT FEE 1/00,
This permit application expires if a permit is not obtained within 180
Authorized qgnart e:
- days after it has been accepted as complete.
Print name: • , Vi-1 a k : Date: • Ak\ * Fee methodology set by Tri Building Industry Service Board
1: Muildinactmits il if -PormicArodoc 09/09/10 440.4617T (1 1/02/COMVP.A)
Aug. 2, 2011 9:51AM Li sacs Fi replaces No. 7934 P. 1
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, iSirie 1 44 Fireplaces . .
• & Stoves
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12518 NB Airioort Way
Fax Transmittal Form gate 155, Portland Or 97230
Tel (503)2611000 Fax (503)261-0441.
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Fax number: 't? C.0-1A 3 cl \ • No of pages includkag cover:
Phone number:
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City of Tigard
13125 SW Hall Blvd. r
Tigard, OR 97223
Phone: 503 -639 -4171
T I GARD
FAX TRANSMITTAL
Date August 2, 2011
Number of pages including cover sheet 3
To: Laura Hertner — 971- 219 -9154 From: Dianna Howse
Co: Lisac's Fireplaces & Stoves Inc. Co: City of Tigard
Fax #: 503 - 261 -0441 Fax #: 503 - 598 -1960
Ph #:
SUBJECT: Street of Dreams
MESSAGE:
Please see attached mechanical permit for the outdoor fireplace and gas line for the VIP Pavilion.
Per our discussion, please call the IVR automated inspection request line at 503 - 639 -4175 to schedule
for two inspections: 610 gas line and 615 mechanical rough -in.
A condition of this permit is that the fireplace and gas line be removed at the end of the show and a
final inspection be called in to confirm that they have been removed. At that time, you will call for a
699 Final Inspection.
Please call me at 503- 718 -2430 if you have any questions and best of luck on the show.
I: \ENG\FAX DOT
TRANSMISSION VERIFICATION REPORT
TIME : 0810212011 12:56
NAME : CITY OF TIGARD
FAX : 5035981960
TEL : 5037182449
SER.# : BROH7J690762
DATE,TIME 08102 12:56
FAX NO. /NAME 5032610441
DURATION 00:00:30
PAGE(S) 03
RESULT OK
MODE STANDARD
ECM
City of Tigard
13125 SW Hail Blvd. i
Tigard, OR 97223 • IN
Phorie: 503 - 639 -4171
TIGARD
FAX TRANSMITTAL
Date .August 2, 2011
Number, of pages including cover sheet 3
To: Lauta. Fjerttgr 971 -219 -9154 From: Dianna Howse
Co: l isac's Fireplaces &Sto-v_esJnc Co: City of Tigard
Fax #: 503 -261 -0441 Fax #: 03-598-1960
Ph #:
SUBJECT: Street of Dreams
MESSAGE:
Please see attached mechanical permit for the outdoor fireplace and gas line for the VIP Pavilion.
Per our discussion, please call the IVR automated inspection request line at 503 -639 -4175 to schedule
for two inspections: 610 gas line and 615 mechanical rough -in.
A condition of this permit is that the fireplace and gas line be removed at the end of the show and a