Permit CITY TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00639
T IGAi 9; 13125 SW Hall Blvd Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/13/2006
PARCEL: 25111 DD -16300
SITE ADDRESS: 08630 SW HAMLET CT ZONING: R -7
SUBDIVISION: MILLMONT PARK LOT: 040 JURISDICTION: TIG
Project Description: Wood FP insert
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
WOD 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
IREDALE, BRUCE Description Date Amount
8630 SW HAMLET CT
TIGARD, OR 97224 [MECH] Permit Fee 12/13/20C $72.50
[TAX] 8% State Surcha 12/13/20C $5.80
Total $78.30
Phone: 503- 620 -8412
Contractor:
LUDEMAN'S FIREPLACE & PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005 -2129 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 646 -6409
FAX 503- 646 -8034
Reg #: LIC 51469
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: idad Permittee Signature: d'y
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.
DEC. 12.2006 4: 35PM *-p,' ; , n, 0 949�+� 2i3`�
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City of Tigar L: oate+By: i x/ I V e� B liA6C4:1,L* -004
13125 SW Hall Blvd, Tigard, OR 97223 Pme Review other
Phone: 503.639,4171 Fax: 503.598.1960 DEC 1 2 2006,„4„,,, L Permit:
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Inspection Line: 503.639.4175 :'t' •s td I '3 ; Date Ready/By: - Iv,- B See Page z for
Internet: www.ci.tigard.or.us CITY OF TIGA t3ottft /� Supptemeaml Lnrornradon
BUILDING DIVISION - - -
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical penMt fees* are based on the value of the work
0 New construction Addition /alteration/replacement permed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other. mechanical materials, equipment, labor. overhead, and profit. _
Value:5 — CATEGORY OF CONSTRUCTION -
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
and 2- family dwelling ❑ Commercial/industrial Q Accessory building For spada blfo use checklist.
❑ Multi-family 0 Master builder 0 Other: Description i Qty, Ea Total
JOB SITE INFORMATXON AND LOCATION ileati .
Air conditioning or neat pump
Job site address: e f6, 30 ,z,...74_) 4 Je 7 Cf • (requires site plan sbowini; placement) 14.00 _-
City /State/ZIP: % /aq / - cr ,Q 0 Pe 91a p 4/ Furnace 100.000 BTU (dants/vef) 14.00 .
Furnace 100.000+ BTU (duetalveetsI 17,90
Suite/bldg./apt, no.: Project name: Zed„ ../ . Gas heat pump _ - _ _ 14.00
Cross street/directions mica) site: Duct work 14.00
Hydronic hot water system 14.00
• Residential boiler (nidiator or
_hydranic) _ 14.00
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 a l trances _
DESCRIPTION OF WORK Water heater _ 10.00 0 Gas fireplace 10.00
iQoC —Z SCX 7 L h t n/ Flue vent for water heater or gas
fireplace 10
1. Itghter (gas) 10.00
Wood/pellet stove -
Wood fireplace/insert / 10.00 Jo. 00
Chimney/liner/flue/vent — .
kROPERTY OWNER ❑ TENANT Other: 10.00_ ��
Name: 4 e _.7" . /e Environmental exhaust and ventilation .
Range 3 564' /e e hood/Other kitchen
Address: e equipment a2 10.00 _
City /State/ZIP: f / 0 Q., 0 / O /Z `:1-77 rJ Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms.
Phone: ( 503) (Dad- gel/ Fax: ( ) toilet compartments, utility rooms) 6.80 ,
94° APPLICANT ❑ CONTACT PERSON , Atticicrawlspaw fans - 10.00
Other: 10.00
Business Dame: ,c �� M O h g Fuel piping
Contact name: �o ,,,,,, . �Q C Ale 55.40 for first four: 51.00 for each additional - det
/p'Z Go 7.5- tale.) I Furnace, etc.
Addtrss: C4tlrr �1 �� Gas heat pim p
City /S t,Pp i/! �/Z ? 7 <752,5— WaWsuspendedhmit heater
Phone (jQ.j) CD v6,... & ye, Fax:: (543) Co S/lv - tfi'cs...Sy Water heater _ ' . �
Fireplace
E-mail: es fir Range -
CONTRACTOR Barbecue -
I
Business name: - Clothes dryer (iisJ
0 .� �►I Other. .
Address: F MECHANICAL PERMIT SR
City/State/ZIP: - Subtotal 9O. GT -
- _ Minimum permit fee (572.50) 7 6
Phone: ( ) l Fax ( ) play review (25% of permit fee)
CCB tic.: _ / Cyt -' — O* JJ State surcharge (Sorb of permit fee) „2 Q
TOTAL PERMIT FEE 78..30 i
r
This permit application exph-ve tf a permit is not obtained within LSO
Authorized signature: ' ...7, days after ft has been accepted as complete.
Print nun1C , 0vO C t' / mite! , -fa_ O� • Pee methodology set by Tit-County Building ludunry Strome Beard
a n / .