Permit r�
..: _ CITY OF TIGARD MECHANICAL PERMIT
A-tv DEVELOPMENT SERVICES PERMIT #: MEC2005 -00084
A- A ��J 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6 39 -4171 DATE ISSUED: 3/3/2005
PARCEL: 2 S 109 DA -S R034
SITE ADDRESS: 12797 SW SUMMIT RIDGE ST
SUBDIVISION: SUMMIT RIDGE ZONING: R -7
BLOCK: LOT: 034 JURISDICTION: TIG
CLASS OF WORK: OTR 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:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of wood stove.
Owner: FEES
DON MORISSETTE COMMUNITIES Description Date Amount
4230 GALEWOOD ST # 100 [MECH] Permit Fee 3/3/2005 $72.50
LAKE OSWEGO, OR 97035 [TAX] 8% State Surchar€ 3/3/2005 $5.80
Phone: 503 387 - 7538 Total $78.30
Contractor:
TOM BISHOP CONSTRUCTION
4578 SW 103RD AVE REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97005
Phone: 503 644 - 7868
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 obtai -- =•-s of these rules or direct questions to OUNC by calling (503)246 -6699.
•
Issued :: y: it / _ %i/l -e 1 _, - Permittee Signature: x
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next 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.
FROM :Tom Bishop Const LLC FAX NO. :503 644 7868 Mar. 02 2005 01:52PM P3
Mlll Per dt ati e..� Of l ii.i t. :I'l „t •
City of Tigard .�,,,.. �"i� Pannit Na.: � 4� >• .D • ill
131 t1 SW Sall Blvd., Tigard, OR 97323
Pbo;te: 503.679.4171 fen: 503,598.1960 pates . Oubrr rarttt:
Ins; *Moo tine: 503,639.4175 .'ij I l'_, van " y ■�^ - ea Pegs 11tor
lntt 'vww.ci.tigenter.as NeglledtRdogl� r 4opptantmol lnfermatiee
a V _l�'+ ;•,,i." r , 1 j- • i , + : •{{� • , q ' ' L .- x :;t. .,.. , • ! - - I • +, si I { , r.. •• • 91i d•I ,,� . 1 _ . . J 1,i• •q , , . � . f�d•r d.A Lt!i1, „ „., +R»w•:,L�
Mecbltt cal petrn11(eise em based on the value of the work
(: New construction [] Additicreaituntieatlrepltta»1tt performed. lodieste the value (rounded to the nearest dollar) of e11
['• Dem 3litioll Q Other meohentesl materiel .u, -ant labor warhead End • nl
I,, w. 6 ri P I. f v .• -•, :W.... ' I• r - '• , r,. t V , Una 4', ( -4 � k1. %0 , • - S ti
j 1. an 7rlbfruly dwelling ❑ Co merciallinduellnial 0 Accessary building ' . t , : i , r �wt a l .:ii -
Old
C Multi•fattuly ❑ Maxtor builder Q Other t]esarlytion Q • BIG Total
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.i: ,_ ,r ' I -�; ' {1J Rosa Air co. moon
. 1 ! /�, rididanina of heat pump
70i site adieu: S b4 wti "o. , t . $0 n aFef , . r ....1 • ,. trnet 14,00
kariwael00000sru dime/vent; ta.ao
0 ty/9ta' 1.212: '1 : r Q^�p ea” Ferrite i00 000,- STu onweettu 17.90 MIMI
St ha/bldg. /apt, no.: I Project name; r 14.00
C 01$ ai'det/dhectlone to job eko: • E11111111
14.00
Rae: • , . er (to a
� _ .,;;i,;b III 14
— Unit heath e fr
l^ type, electric).
fn•ws%ia4_uCI 4t+,• - dad etc. 10.00
bdivi - tit= Plulh+etlt Ibr a .Above 10.00
S r
=.•eu.a,�- .' C. Ma: 1 10.00
T to Itwt/parcel tin- , er to • limos
10,00
"+ A' f . .. #, , '. i 1 i . r', • ,' l .,. : . 2 1 Wa'111 i c
Chant •lmos 10.00 ,
∎! _l dt{y& f N1r Plus vent • watt? stet ar gas
10.00
- - Lo 11 . 10,0
— 0
_ Waolllaaltal � Itoro _. 10,00 MINIM
• __ ii„ IseHn
oetit 10.00
l rl - . ' r .,,,,,._,,,..,,,,,,,,. , I. + -. „ Chirrene fbetifltlitvattt 10,00 ■ Ottm: 10,00
A'me: / _ - g�)fossteabl tilt/net ail vsntll
Lddrae.d: t tltgo hood/otlter kitchen
a/ v f� a _ • ui • • t 10.00
City/Stile/ZIP: La C Q• u. ,. CIet11eede faltlwuot 10.00 0
Singfsduc1 eA�tlauatZbetlitotalrio,
I hone (r �) 7,— 7 - itet o - •/ ' . to utlll rooms 6.80
.4 r. ,11 i4•' ' . '1 . '1' , -0” , o . -' .1 Atti %raw :.,,op 011+9 � 10.00
iltttitu lntulm:e: / dam / Kta*/'e �t II r :�01 00 (' ontec: nuns: / �j , fy 40 for first four S1.00 Oar nab additional
0417VIA: — i i d, s art &A h.er '1PI— /sob mate etc.
' t
City/Stew/ZIP: ttyl9t tta2IIt: t �e„ w ® WIG , . dcdiuntt halm
Mono: ( 1 , 1 = �"' !6t ► - t :: ( Water heater —1
E•aw1 9• We
M milli
11I14ittecc Ce•Vt 7:fi CaOt! i?U�.j £ LC- Cloth a 1:
e: .4 _ Oth a IT ,
� .AArMt T r v ,
X 15 7 0 .— , 1 1 `.. .- 1 , , - ,: •r
t . •
Yry/91ateJ�IP Subtotal
- 1 .•a,Aurrf,2lm;t44 ' , uw
1 o ri� I 9Vel_ t C/ Fir L
r`? C _ 'hgno; (, ) j (.04 y p o p /
1 .561) l z a c e Minimum.- It fee 77.50) vie . ''••
Plan review 5% of pnemit toe)
t:CBUt.; J$ )C� Sieteaurchatae(8% permit fin)
- 142.1/ - FATAL PERMIT YEE IF ; . D
4%uthanizedei:. .• . r . � TVG mem appittalloa avp it a permit le got Mabee within lie
C tint n rots, ,, _ ` �� days attar It bas beta wueatad as templets.
_ �, too r cs — Co 7 • Fes methodology s« by Tri- Coumdy paildine Indwtty Sault. Board
is steldhfisemetsimec.evemagapabe I* e
No•N t1r it tletA00M,ra'Rdi
CITY OF TIGARD
1 BUILDING DIVISION _ PERMIT #: MEC2005.00084
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/3/2005
Phone: (503) 639 -4171 di fji
Inspection Requests (24 Hrs.): (503) 639 -4175 . �! - ° ` _ _..
INSPECTION WORKSHEET FOR DATE: 4/27/2005 TIME: 7:11AM PAGE: 60
SITE ADDRESS: 12797 SW SUMMIT RIDGE ST CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 034 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Installation of wood stove.
OWNER: DON MORISSETTE COMMUNITIES, PHONE #: 503 -387 -7638
CONTRACTOR: TOM BISHOP CONSTRUCTION PHONE #: 503644 -7868
Inspection Request Scheduled For: Date: 4/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 005458.01 603-209 -4837 N
Corrections /Comments/ Instructions:
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4
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: VZA v Date: 2 7 /v Phone #: (503) 718-