Permit n CITY O F T I G CR b MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00556
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/24/2007
PARCEL: 1 S135CC -00500
SITE ADDRESS: 11700 SW TIEDEMAN AVE ZONING: R-4.5
SUBDIVISION: GREENBURG HEIGHTS ADDITION LOT: 007 JURISDICTION: TIG
PROJECT: STOVER
Project Description: Installation of a wood burning insert into a masonary chimney.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
STOVER, LAWRENCE W + SHARON A Description Date Amount
13432 SW 136TH PL
TIGARD, OR 97223 [MECH] Permit Fee 9/24/20W $72.50
[TAX] 8% State Surcha 9/24/2007 $5.80
Phone: Total $78.30
Contractor:
A SOLID SOLUTION
101 ASH AVE.
WOOD VILLAGE, OR 97060 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 - 491 -1238
PRI 503 - 351 -9599
Reg #: LIC 170410
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.
•
Issue• :y: / /j,/ j �� / Permittee Signature: Pipllaid70011 Call 503.639.4175 by 7:00 a.m. for inspections that business
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.
Sep 21 07 10:32p A Solid Solution 503 491 1238 p.2
'+" - 'a I_
Mechanical Permit ApplicatR FOR OFFICE 1.SE ONLY
City of Tigard iii paw:. �` Permit o.: N
III
a 131 Hall Blvd., Tigard, OR 97223 Date/By: ! � Jl o• 11 16.7„, a . Phone: 503.639.4171 Fax: 503.598.1960 SEP 2 4 2007 Date/By. w Other Permit:
T I G A R D Inspection Line: 503.639 Date Ready/By: 61 See P for
Internet: www.tigard- or.gov CIT Y f Ap i UJA , 1 ,!�; ted/Method: DE Supplementa l 2 Information
TYPE DISTA DIVIgrO1V COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* arc based on the value of the work
❑ New construction XAddilion/alleralion /replacement
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other. mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $
it RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ForspecraJ information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
lob site address: c o -� _r Air conditioning or heat pump
I I V `l S 1 1 �L`1� �Q C p (requires site plan showing placement) 14.00
City/State/ZIP: ; i '/1 ai d � C77' 2 , 2 _ -. Furnace 100,000 BTU (ducts/vents) 14.00
` � / I 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 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: 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
s'ht l kLfi U7) of A. 3 1pl i n DT" Gas fireplace
/ 1 Flue vent for water heater or gas 10.00
1 fueplacc 10.00
3 SIB Lu cc d iv Yh 1 1. f nP.r + l n +D 0t, Log lighter (gas) 1 0.00
in 4 -5 D r)s -Y� C Ji 1 Y1 e j Wood/pellet stove 10.00
Wood fireplacefmsert I 10.00 /b- 0 b
I�PROPERTY OWNER i ❑ TENANT Chimney /liner /flue/vent ) 10.00 /0 /) 0
Other 10.00
Name:
Slyly i v' Lll1 I,u reive 5-I-D v e r Environmental exhaust and ventilation
Address: 11`7 Zlb S u) 1 rn -e Range hood /other kitchen
�' fd e equipment 10.00
City/State/ZIP: " f '� , 9-7 2-2:s 2-2:s Clothes dryer exhaust 10.00
Phone: 3) 4 - s-52_ }}w Fax: ( ) toilet compartments, utility rooms) t exhaust (uti ro s,
6.80
SO APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
C
Other: 10.00
Business name: f- S z It'd Sc' I u fi Q-19 Fuel piping .
Contact name: e . C lay k $5.40 for first four; $1.00 for each additional
Address: / 0 i I1 J � ` r "e Furnace, etc.
Gas heat pump
City /State/Z1P: Wood- L I' 11 al Ok. 17O o Wall/suspended/unit heater
Phone: • 3) 35 I - l.� / �J Fax: ( 9 1 3 ) Li q i _' Z3 $' Water heater
Fireplace
E-mail: (a S a L f, dSD l U 6r) Le, rr s h • t! �v) Range
CONTRACTOR Barbecue
` Clothes dryer (gas)
Business name: A- 5L L ,5r_ 1 v-i_/ 6 Other:
Address: /0 i Ash Aire e n Ire_ MECHANICAL PERMIT FEES*
City /State/ZIP: weed vet 1l C 76 to p • Subtotal It, . o n
b,.eg�J, ) .1 5 �I - Fax: • Minimum permit fee ($72.50) 7, - Sit
Phone: ( 4 ?/ /13
Plan review (25% of permit fee)
CCB lie.: I 7 0 LI , D State surcharge (8% of permit fee) S Z 1)
TOTAL PERMIT FEE 7 $ .30
Authorized signature: This permit application mire; if a permit is not obtained within ISO
---, i days after it has been accepted as complete.
�/ - • q -2 o7
CITY OF TIGARD ;,
BUILDING DIVISION PERMIT #: MEC2007 -00556
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/24/2007
Phone: (503) 639 -4171 r
Inspection Requests (24 Hrs.): (503) 639 -4175 ._'. _LL
INSPECTION WORKSHEET FOR DATE: 10/3/2007 TIME: 7:02AM PAGE: 64
SITE ADDRESS: 11700 SW TIEDEMAN AVE CLASS OF WORK:
SUBDIVISION: GRFENBURO HF:IGHTS ADDITION LOT #: 007 TYPE OF USE:
PROJECT NAME: STOVER
DESCRIPTION: Installation of a wood burning insert into a masonaly chimney.
OWNER: STOVER, LAWRENCE W + SHARON A, . PHONE #:
CONTRACTOR: A SOLID SOLUTION PHONE #: 503.351 -9599
Inspection Request Scheduled For: Date: 10/3/2007 Pour Time:
Code # Inspection Descri•ti• Confirm # Contact # Message
630 Fire damper i 0? 503 - 620 -6622 N
Corrections /Comments /Instruc ions: , r
,_, .
w i c,35.0 „ivy
(6,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR NSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: g Date/0/ Phone #: (503) 718 -
r