Permit AFL-
i
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES • PERMIT #: MEC2006 -00435
`' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/7/2006
PARCEL: 1 S135CA -90150
SITE ADDRESS: 11150 SW GREENBURG RD 150 ZONING: R -12
SUBDIVISION: ASH CREEK PARK CONDO LOT: JURISDICTION: TIG
Project Description: Replace metal fireplace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
• OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
WILHELM, FREDDIE R Description Date Amount
11150 SW GREENBURG RD #150
TIGARD, OR 97223 [MECH] Permit Fee 9/7/2006 $72.50
[TAX] 8% State Surcha 9/7/2006 $5.80
Total $78.30
Phone:
Contractor:
LORENTZ BRUUN CO INC
3636 SE 20TH AVE
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 232 -7106
FAX 503- 230 -0914
Reg #: LIC 33
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: 11� && Permittee Signature: '
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.
- , 4....
' .
(4 Mechanical Zermit Appli.- . 0 FOR OFFICE USE ONLY
- City of Tigard FiLVEIV....._ ,
Receive Lis 0" ...t
a , , „ /
Date/By: , i All. Permit No .€ 4 .. x4 ..... k .
13125 SW Hall Blvd., Tigard,OR 97223
Plan Re ' ,
Phone: 503.639.4171 Fax: 503.598.1960 SEP 0 1 '',Kiloo& Date/By: Other Permit:
Inspection Line: 503.639.4175 .rs4 el I Date Ready/By: Juris: 65 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TI --- w Notified/Method: -...r Supplemental Information
WOW. PIMION, ,,,..,,, ...,. . ,,, _,_
NtidaitilfZE„InSign*ItrptiwoWagaiWZYM*7§:iiNii 11)T4*,:k4:14
0 New construction Addition/alteration/replacement
Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value $
.
1a04,00 # ( P.i, ttlii4EF.§,V,
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
gs Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
'10i3'4147 , , :"':''' 0 1
oitpr-', .1 ii,„ ;, : „ - .,-, „,, 4 -, ,,,,,: :.„„,,,J ' , „7:,f,1,. Heating/cooling
Air conditioning or heat pump
Job site address///5 $/ ‘iv, Zty, ce,4/7 45 (requires site plan showing placement) 14.00
City/State/ZIP: 7,-- A /e Furnace 100,000 BTU (ducts/vents) 14.00
' -"" / "' Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: 4,7 45--0 Project name:
Gas heat pump 14.00
Cross street/directions to job site: -7'ee/6,704 Duct work 14.00
1-lydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
/ 012t Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
lreilp,:bt's oi liViiiik.,;,:'''-: .'
11.-1: Water heater 10.00
~: " ' ,1 ' ", , "
Gas fireplace 10.00
4/ /n,c779-4 Aerf,/e 0E- - L',74:1 e- 4/e4/ Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
6 taeriir -77:4 . IA /2 /I Wood/pellet stove 10.00
Wood fireplace/insert _ / 10.00 A-J
: Chimney/liner/flue/vent i 10.00 / 0
ZI.3111: ii*Wailik.' ' ' ',RIft ' ',A i llitiAtira:44 : 1! o t h er: 10.00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
-,',: 0*.8:07WIRtir:(41,3:i .
Attic/crawlspace fans 10.00
Other: i 0.00
Business name: 4 i7 e - ORE
Fuel piping
Contact name: ir;-
tuff Cr e e r $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: /f3g $J .goone5 1 led
Gas heat pump
City/State/ZIP: Mer1,9,v0 i 0 ,e i 1 7, , 7 g Wall/suspended/unit heater
Phone: (5 ( B Fax: : (3 ) 6,26 - 5-679. Water heater
Fireplace
E-mail: k c-c. @ C‘ re Sidg, ciC$1 Com Range
firint42i'a':AVAV;',:.4:0830:14100er&aiiilitERF:':;i:aiit Barbecue
Clothes dryer (gas)
Business name: /04' -,? 8,e w2 ,-)
Other:
xt"
Address: 36,// ,5g , -4h a ye 5,„/ e ,7 0 G, kc , , ,,, ,, m7•::,:Mt::,',.'-:.='.:"E` ' :: it
la
City/State/ZIP: ;2 0 , < , 7720 a Subtotal
Minimum permit fee ($72.50) zz sl,
Phone: (.93 ) .23„2 - 7/06, Fax: (5'3) 7 0 9/4/ Plan review (25% of permit fee)
CCB lie.: 4;2
67 / ,,, / (.29 State surcharge (8% of permit fee) 6'.. SO
.)--. TOTAL PERMIT FEE 7e ,...5 0
Authorized signature: s f , This permit application expires if a permit is not obtained within 180
- days after it has been accepted as complete.
Print name: 7c7/ er e er Date: ef321/0" * Fee methodology set by Tri-County Building Industry Service Board
i I dingWermits\MEC-Permi tApp doe 12/03 440-461 7T (11/02/COM/WE13)
- -- - -
' "
CITY- Or- TIGARD . .
e A •
BUILDING DIVISION PERMIT #: MEC200 &x-00436
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 917/2006
Phone: (503) 639 -4171 t.w,, pil �i
Inspection Requests (24 Hrs.): (503) 639 -4175 - P__..
INSPECTION WORKSHEET FOR DATE: TIME: PAG E: r
981 312006 7: DOdII�I a7
SITE ADDRESS: 11 SW GREENBURG Rb 150. CLASS OF WORK:
SUBDIVISION: ASH CREEK PARK COND. LOT #: TYPE OF USE:
PROJECT NAME: ASH CREEK CONDOS
DESCRIPTION: R metal fireplace.
OWNER: WILHELM, FREDDIE R, PHONE #: '
CONTRACTOR: LORENTZ BRUUN CO INC PHONE #: 503 - 232 -7105
Inspection Request Scheduled For: Date: 911312006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036219 -01 503-329-4193 V
Corrections /Comments /Instructions:
4
LLOIAJ6-E:S
(T 2 4 C ,TO Cam( Emr
d C9V(ii V e I LI T T . 1F E-
. i 14111E1 PP A *IA
- till'ir'll
_ ■ ..:_k •
RV _ (p"\- ti t
(O 4- /oc,
0 .
a PASS ; APPROVAL n CANCEL 1 I NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIO AL F! ES ASSESSED
j el _ �3
Inspector: da m& — Date: / Phone #: (503) 718