Permit r �
C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00498
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/10/2007
PARCEL: 1 S136AB -04400
SITE ADDRESS: 07124 SW MAPLELEAF CT ZONING: R-4.5
SUBDIVISION: MAPLELEAF LOT: 002 JURISDICTION: TIG
PROJECT: STEADY
Project Description: Replace zero clearance fireplace with new vent.
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:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
KARL STEADY Description Date Amount
7124 SW MAPLELEAF CT
TIGARD, OR 97223
Total -1 b . 3
Phone: 503- 245 -4360
Contractor:
EVERGREEN GAS INC.
19888 OLD RIVER DR
WEST LINN, OR 97068 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 407 -9542
FAX 503- 344 -6345
Reg #: LIC 158031
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: 4,1404 Permiftee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections that sine
iness 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.
e.
Mechanical Permit A t Inc __t.! FORLO FFICE USE ONLY
' City of Tigard i � ��® Date/BP v jf7 AAA. Permit ,a, , ,p 01 V
13125 SW Hall Blvd., Tigard, 97223 7 Plan Re iew
C Phone: 503.639.4171 Fax: 5O.116W ZOO / Date/By: Other Permit:
_ I �. n R D Inspection Line: 503.639 Date Ready/By: in El See Page 2 for
Internet: www.tigard - or.gov Co @f TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ition/alterati0n/replacement 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: $
dwelling Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
and 2-family g ❑ 0 building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 12 y S►.✓ 44444( IL /1 C z- Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: C �� q `7 -2 2 3 Furnace 100,000 BTU ( ducts/vents) 14.00
, Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name:
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace I 10.00
lei cc. Zei- e f e• -re c.. e e Got s Lr nP 1 ace Flue vent for water heater or gas
W I � V e.4.4- l L 45 f S fireplace g 10.00
.y Log lighter (gas) 10.00
4f (LOS ` �t � Ali) 64-9 ef e— Wood/pellet stove 10.00
(v Wood fireplace /insert 10.00
'ROPERTY OWNER ❑ TENANT Ot y/liner /flue /vent 10.00
Other: 10.00
Name: ` // r r ` _ eG Environmental exhaust and ventilation
l� Range hood/other kitchen
Address: 7/ 2 L f S L+/ ,14 °l/° 1 L 1 P 4- C r- equipment 10.00
City/State/ZIP: "'T 4- ,---X I ? . Z �3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ) Zt/ -1156 a 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
Business name: / v Jee � s -rvtC Clothes dryer (gas)
� \ � Other:
Address: /% j V
`/ p / 0 < () &V C T b A MECHANICAL PERMIT FEES*
City/State /ZIP: W t Lc,, t. 9 7p 6 Q Subtotal
Minimum permit fee ($72.50)
Phone: (5)3 ! 7 , 2 Fax: cy) 5W ‘� Plan review (25% of permit fee)
CCB lie.: / 5 Q 3 1 State surcharge (8% of permit fee) e
TOTAL PERMIT FEE 7 D. v
This permit application expires if a permit is not obtained within 180
Authorized signature .4 4 �r days after it has been accepted as complete.
Print name: i �` `. J 1 Date: / a C) • Fee methodology set by Tri- County Building Industry Service Board
�� i
l:\Building\Permits I C- PermitApp.doc 01/19/07 440 ' .17T (II 02/COM/WEB)
. .
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information -"
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\MEC- PermitApp.doc 01/19/07 2
CITY Of TIGARD •
BUILDING' DIVISION PERMIT #: MEC2007- 00190
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/10/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/13/2007 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 07124 SW MAPLELEAF CT CLASS OF WORK:
SUBDIVISION: MAPLELEAF LOT #: 002 TYPE OF USE:
PROJECT NAME: STEADY
DESCRIPTION: Replace zero clearance fireplace with new vent.
OWNER: STEADY, KARL PHONE #: 503.2454360
CONTRACTOR: EVERGREEN GAS INC. PHONE #: 503.407 -9542
Inspection Request Scheduled For: Date: 8/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 053862 -01 503 -407 -9542 N
Corrections/Comments/Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 8 --/S - 2 Phone #: (503) 718- Z /