Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00077
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/14/2008
PARCEL: 2S104DC -07200
SITE ADDRESS: 13135 SW MORNINGSTAR DR ZONING: R -4.5
SUBDIVISION: MORNINGSTAR LOT: 013 JURISDICTION: TIG
PROJECT: READ
Project Description: installing fireplace
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:
NAT 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: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
MICHAEL READ Description Date Amount
13135 SW MORNINGSTAR DR.
TIGARD, OR 97229 [MECH] Permit Fee 2/14/200E $72.50
[TAX] 12% State Surch 2/141200€ $8.70
Total $81.20
Phone: 503 -712 -6895
Contractor:
FIRESIDE DISTRIBUTORS
18389 SW BOONES FERRY RD
PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -595 -3726
FAX 503- 620 -5699
Reg #: LIC 40979
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: ��Lj L� Permittee Signature: i Glp /cI25c/ /�
Call 50 .4175 by 7:00 a.m. for inspections that business d y.
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.
111 02/13/2008 14:33 5036205699 FIRESIDE DISTRIBUTOR PAGE 02
Mechanical Permit Anplicatioit 5 . Iv • _ roi: op pw.r. lisr. ONLY
, , City of Tigard c a ,,,.., , Jo OT 6"7" t i -441-417"?
ii 13125 SW Hall Blvd Tigard OR 97223 F r . . 1 „, 3 ,, R
1 Phone! '" 503.639.4171 Fax: .: " ' 503.598.19 r 60 LI LI LU U 0 I D In ste/y: 13
11111 Other Penult:
T 1 (i A l'' Ci 1118P ection line: 503.639.4175 Date Ready/13y: Jerk
S rItrOTMatinn
interne: www.tigard-nr.gov CITY .jr AihtlE) Notified/Method: _
BuiurciTipsinn
.,,, :..•: , .. , :::1..i ,, ::::.:: , ..:',:..:; , :7 , ::::: , :: t7iog'J''PV'Yiiff):t4Viy,I ki:P.;.111,...v;
mechanical permit fees* are based on the value of the work
El Ntw construction El Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ,
Demolition 0 Other; mechanical materials, equipment, labs overhead. and profit.
t ''''''''''''' '''' l'' '' i '' e: $ ''' teilttiStiWP'1,3:)..-kl■i-IMki:41{;.'7,.':-1!. Valu
; ' ' - • ' '' ''''' '' -"""' ' • - ''''' ." 4 - t vg: i sls t e - fontettuottigw% ,...:,
E1- and 2-farni1y dwelling 0 CommercialkinduStrial 0 Accessory building
For special information use checklist
0 Multi 0 Master builder 0 Other: Description { Qty. En 1 Total I
OtiO,";.':'$;.'ip,d." - 761 , Put'"? Hestia 1/coolin:
Air conditioning or heat pump
Job site address: 1 3.1 -3 5 BX • IA orni B Vcorr D(_, (requires site plan showing placement) 14.00
Furnace 100,000 BTU (duetsivents) 14.00
City/StatcatP: 7 go 0 Fq 9 la
Furnace 100,000+ BTU (ducts/vents) 17.90
-
I
Suite/bldg./apt. no.: Project name: Gas heat .urn•
14.00
- .
Cross street/directions to job site: Duet work 14.00
------ Hydronic hot water system 14.00
Residential boiler (radiator or
hydfonic) 14.00
Unit heaters (fuel-type, not electric).
in-wall, in-duc su. • ended. etc. 10.00
Flueivent for any of above 10.00
Subdivision: I Lot no.:
-- - - Other: 10.00
Tax map/parcel no Other fuel appliances
i , ,p,,;:,..,..s..::..,i. , ,;;...:..,..‘. ''';i Water heater
k 0 77 •jiii,/, VP..,::::.,,,,,,,!,,,,;,■,.;:„...‘,:: 10.00
oast" .lace 10.00
s..
_11 "-■ Cal • P . cii" ■ t. / Flue vent for water heater or gas
fl - .lace 10
- ' PITREIMIIMI 10.00
Wood/. ellet stove 10.00
------
- Wood fire .lacciinsert EMI 10 Mil
IMOMMINIE 10
: '., ',.., .1 ,;:. i '':,;.;?.:; '...ii14:0*Itir;' st 01 ' MiSlti..!';....:'.':•'. ''.:l.,' ..,,,, othcr: 10.00
Namc: - ht g I . e • • Environmental exhaust and ventilation
Range hood/other kitchen
Address: 1 3 v 35 5. . M 0 rn ipc i s3 D 10.00
City/State/ZIP: ' 01 1 a a . CI Clothes dryer exhaust 10.00
- . . - Single•duct exhaust (bothroom.s,
Phone: (503) -.1 i , .- i ,,,, q s Fax: ( ) toilet compartments, utility rooms) 6.80
Attic/crawl - •ace fans 10.00
I 0.00
Business name: rte fa Q 1)151- p P of Deibn , Fuel .1 In ,..
Contact name: A rnti $S.40 for first four; $1.00 for each additional
------ Furnace. etc
Address: ) (3321 • 13_00nP .5 Ferri' RA EMEMIIIIIMIIIMI IIIIMIIMIN
City/State/ZIP: # • ,,, • a CI i g',.- Wall/susriended/tmit heater
III
Phone: (blyN SOI6,379.0 Fax: : (g03) (pal) -6(.0cpq Water heater
Fire•lace
E-mail: Range MI
! JO 1 0 1 1 . ';‘l.' :: ;4 '..■:', ,...k%i;i t'■ '.1
, .,,: ' )! : • . )..::',.., ' '' ' .::; 6 , ', . 1 .i ', .: i . ii , '.. ,,./.• Barbecue
. ...' „ ,....L.L . L . ., " 1, 1=‘' t ` "'"" .` ' ' ' ' ..
Clothes dryer (gm)
Business name: p pSiot p 'D ?.) f
Other:
Address: 60)M1) cis ( i i )1 / g qc, offgcr::' ' 'ay 1 TIMM
, ,,,,,„;i: . , .....„1,74
City/State/ZIP: Subtotal /(). UV
)
Phone: ( ) Fax:
Minirnum permit fee ($72.50) - 2j. _
(
Flan review (25% of permit fee)
CCB lie.: L4 00/-7 State surcharge a of permit fee) 1.-70
- TOfAJ. P FEE 9)1. 20
uthorized i ature:
This permit applicatian expires if a permit hi not obtained within 180
A sgn i
. .......... 1 d f days after it has been accepted as complete-
• Pee methodotogy set by Tri-County Building Industry Service *Board
Print narne: / j 119171/VallE Date: .... - ... 0 1
1 ui,,iid-immierrehimc-s iAna.doc 04nui/06 410.4617t (1 I /02/COM/Wth)
- - , -
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2000-00077
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2008
Phone: (503) 639-4171 -411 9144Alii ,
Inspection Requests (24 Hrs.): (503) 639-4175 144. ■ 1.12. / - ---. e goo cf)- O0077
INSPECTION WORKSHEET FOR DATE: 3/6/2000 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 13136 SW IvIORNINGSTAR DR CLASS OF WORK:
SUBDIVISION: MORNINGSTAR LOT #: 013 TYPE OF USE:
PROJECT NAME: READ
DESCRIPTION: installing fireplac:e
OWNER: READ, MICHAEL PHONE #: 603-712-61395
CONTRACTOR: FIRESIDE DISTRIBUTORS PHONE #: 603-f-9i-3726
Inspection Request Scheduled For: Date: 3/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 C3as line 066156-01 503•695-3726 Y
Corrections/Comments/Instructions:
,-?"7..-- •
7 PASS 0 PARTIAL APPROVAL 0 CANCEL I NO ACCESS
fl FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
/
Inspector: A Date: 3-a- 08 Phone #: (503) 718-
_ ., .
• CIT:Y-OF-TIGARD
•.•
./.0
BUILDING DIVISION
PERMIT #: MEC200B-00077 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2008 A
Phone: (503) 639-4171 Pit (j'
Inspection Requests (24 Hrs.): (503) 639-4175 , - - 1J — / - 000 77
INSPECTION WORKSHEET FOR DATE: 208/2008 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 13136 SW MORNINGSTAR DR CLASS OF WORK:
SUBDIVISION: MORNINGSTAR LOT #: 013 TYPE OF USE:
PROJECT NAME: READ
DESCRIPTION: installing fireplace
• OWNER: READ, MICHAEL PHONE #: 603-712-6895
CONTRACTOR: FIRESIDE DISTRIBUTORS PHONE #: 503-595-3726
Inspection Request Scheduled For: Date: 2/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 065722-01 503-595-3726 Y
Corrections/Comments/Instructions:
al • Air • ' --- or,t/ /41)
-- • -
--•
I I PASS 0 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
AIL Al.. CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: • Date: --c9i Phone #: (503) 718- '-.4-.^‘-
______