Permit CITY TIGARD MECHANICAL PERMIT
t A DEVELOPMENT SERVICES PERMIT #: MEC2005 -00658
Ail- �' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/17/2005
PARCEL: 2S1 12 B B -08000
SITE ADDRESS: 08220 SW FANNO CREEK DR ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT: 063 JURISDICTION: TIG
Project Description: Wood stove insert.
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:
OTH 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: 1
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
DOYLE DILLON Description Date Amount
8220 SW FANNO CREEK DR. [MECH] Permit Fee 10/17/200 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchar€ 10/17/20C $5.80
Phone: 503 639 - 6931 Total $78.30
Contractor:
CHIM -PRO CO.
CLASSIC HEAT SOURCE, INC. REQUIRED ITEMS AND REPORTS
18430 SE BURNSIDE
PORTLAND, OR 97233
Phone: F- 667 -9698
669 -9301
Reg #: LIC 00084985
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: Al" Permittee Signature: c• - �� _
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.
Y I ..
Mechanical Permit Application FOR OFFICE USE ONLY
city of Tigard r o vN1a,1S1S Received p
'sy: - 6h � ' ., Permit No.: ' , An of) _.
13125 SW Hall Blvd., Tigard, OR 9722A®`S ® h1i° Plan Review _�
Phone: 503.639.4171 Fax: 503.598.196Q aNta go,, '
. 1,:i, Date/By: Other Permit:
Inspection Line: 503.639.4175 j l -•I 1 Date Ready/By: H See Page 2 for
Internet: www.ci.tigard.or.us S oo'y Notified/Method: a Supplemental Information
. ! . - r A. 'e !� ai j4 COMMERCIAL. FEE* SCHEDULE — USE CHECKLIST
❑ New construction ❑ A; i i : t erationireplacement Mechanical permit fees* are 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.
CATEGORY OF CONSTRUCTION Value: $
'1`- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total
JOB •SITE. INFORMATION AND LOCATION Heating/coolntg
♦ Air conditioning or heat pump
Job site address: S A a n 0 F . 0 � � k by (requires site plan showing placement) 14.00
City/State/ZIP: V Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no.: 1 Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: _ - _ _ __ Duct work __ _ . _ . 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: I Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
1 in 5''r_ 1 ( of A S VAC' i n.Se { vv Flue vent for water heater or gas
fireplace 10.00
CA i rt l l e3S (1 P.'c Log lighter (gas) 10.00
We .., . ellet stove 10.00 LV
S �l
o. ■'e.la. -. , ert) 10.00
❑ PROPERTY OWNER I Chiron- ner/ t! a /vent 10.00 /3
0 10.00
Name: � •D 1 O Environmental exhaust and ventilation
Range hood/other kitchen
Address: ' - 1 eD 5 no C r a sk D{ equipment 10.00
City /State/ZIP: n. r,�� � q 7 t a g Clothes dryer exhaust 10.00
L 0 Single -duct exhaust (bathrooms,
Phone: 553 ) (01A Fax: ( ) toilet compartments, utility rooms) 6.80
- ❑ APPLICANT '❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump -
City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range •
' - CONTRACTOR Barbecue
C Clothes dryer (gas)
Business name:
In ►' Other:
Address: l C 4 30 S E u r yi 5 ` d e.. MECHANICAL PERMIT FEES*
City /State/ZIP: cNki a A 61 23 3 Subtotal c,
�n Fax: ( �) ( p Minimum permit fee ($72.50) r
Phone: 3)
`0 / - q 30 5 3 �7 - `/ eo / O Plan review (25% of permit fee)
CCB lic.: ` 4 q % State surcharge (8% of permit fee) , Y ?C
TOTAL PERMIT FEE F ,
Authorized signature: r This permit days after it ha expires if accepted as complete.
w ithin 180
— Pu ill re. HerS"e -_ n
CITY - OF TIGARD E 3 z " . - -
BUILDING DIVISION PERMIT #: MEC2005 00658
13125 SW Hall Blvd., . Tigard, OR 97223 D ATE ISSUED: 10/17/2005
Phone: (503) 639 -4171 ����iii�l
Inspection Requests (24 Hrs.): (503) 639 -4175 �':_..
INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 65
SITE ADDRESS: 08220 SW FANNO CREEK DR CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES 140.2 LOT #: 063 TYPE OF USE:
PROJECT NAME: DILLON
DESCRIPTION: Wood stove insert.
OWNER: DILLON, DOYLE ./.-------- PHONE #: 503 -633 -6931
CONTRACTOR: CHIM -PRO CO. PHONE #: 503 - 669 -9301
Gt ,
, Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: r �/
Code # Inspection Description Confirm # Contact # Me -ge I
�a
. 699 Mechanical final 020346-01 503- 7301.3476 (
Corrections /Comments/ Instructions:
YIP
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 FAI 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspecto, . Date: i 4 , Phone #: (503) 718 -
F _y.
CITY OF TIGARD No Y`
1.
BUILDING DIVISION' PERMIT #: NiEC 005 0065th
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1011712006
Phone: (503) 639 -4171 unl0,14
Inspection Requests (24 Hrs.): (503) 639 -4175 . . . .. ' `:_..
INSPECTION WORKSHEET FOR DATE: 11/3/2005 TIME: 7:06AM PAGE: 73
1
SITE ADDRESS: 08220 SW FANNO CREEK DR / CLASS OF WORK:
SUBDIVISION: COLONY CREEK ESTATES N0.2 LOT #: 063 TYPE OF USE:
PROJECT NAME: DILLON
DESCRIPTION: Wood stove insert.
r -
. e , 6 2 7 7 347
OWNER: DILLON, DOYLE PHONE #: 503-639-6931
CONTRACTOR: CHIM -PRO CO. PHONE #: 503 - 669 -9301
Inspection Request Scheduled For: Date: 11/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Misc. inspection 020157 -01 503-730-3476 N
Corrections/Comments/Instructions:
/0 : 'a-.e po -7- /• �7. -�J` - d ?.c_J GL 0X
2 ' 36 -o .he - ...e p-- cc.><ce-. -7
n PASS 1 I PARTIAL APPROVAL 4 CANCEL. ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: (O i Phone #: (503) 718 -
l