Permit i.,,
I : . ' 1 CITY OF TIGARD MECHANICAL PERMIT
' - . ' COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00644
a=5 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 12/18/2006
PARCEL: 2S 10X8 -05800
SITE ADDRESS: 10395 SW GRANT CT ZONING: R -4.5
SUBDIVISION: WINSOME TERRACE LOT: 002 JURISDICTION: TIG
Project Description: Installation of woodstove.
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: IT
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT S: 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
MICHAEL & ANGEL GNAU Description Date Amount
10395 SW GRANT CT
TIGARD, OR 97223 [MECH] Permit Fee 12/18/200 $72.50
[TAX] 8% State Surcha 12/18/20C $5.80
Total $78.30
Phone: 503 -684 -2097
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: jd r`.i 67% Permittee Signature: _SAS 1 ?
Call 503.639.4175 by 7:00 a.m. for inspections that business day. 1
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. 16.2006 1 :19PM 0.967 '.21.3
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„,•. .. ' " its I ' 1. r►��.�
M echanical Permit Application f
City of Tigard _ ,�' / �l�) l Ka �(
131 SW Hall Blvd., Tigard, OR 97223 P '�� 4 l�W (_71y1 y � Platt Review
Phone: 503.639.4171 Fox: 503.598.1960 t [ e � ,; � „ l .: roomy: Other Permit
inspection Line: 503.639.4175 - \ = Stl , Date Readp/By: mix l2! Sco Page 2 for
f � 2 "" So lemcntolInformation
Internet: www.ci.lig0td or,iu \3 Cl ( 1
Notified/Method; ) PP
__ ,tr'AtO
TYPE OF vai • r1. (30 1°6l:;l COMMERCIAL(. FEE* SCHEDULE — USE CHECKLIST
12 New construction u Addition/al on/al ratioNraplaeement Mechanical permit fees' are based an the value oldie work
perforMed. Indicate the value (rounded to dte nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, e4uipment, labor. overhead, andprofit
• CATEGORY OF CONSTRUCTION _ Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
• and 2- family dwellin ❑ Co mmerciallindtrstrial CI Accessory building For special irlformarton use checklist.
0 Multi- family 0 Master builder ❑ Omer: ^ Destaiption { Qty. { Ea. J Tote!
JOB SITE INFORMATKON AND LOCATION Heating/cooling
Air Job site addre � o 4 9 4) t /4 Q q , (requitess site plan tow l p m 14.00
City/State/ZIP: 7- /net ca eft 917.01.23 Furnace 100,000 BT (doetefveors� 14.00
FuMaCC 100,000+13W (ducts/vents) 17.90
Suite/bldgJapt. no.: 1 Project name: altt7il‘ Gas heat pump 14,00
Cross street/directions to job site: Duct work 14.00
' Hydronio hot water system 14.00
Residential boiler (radiator or
hydronic) 1.4.00
_ - 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 fltel appliances _
DESCRIPTION OF WORK Water heater 10.00
'' `` � Gas fisdaco 10.00
.�^ - / / 4 / dQ � 7•t 'v'. Flue vent for water heater or gas
Emplace 10.00
Log lights p) 10.00
Wood/pellet stove _ / 10.00 • /0. 019
Wood fireplace/insert 10.00
tiirPROPERTY OWNER I ❑ TENANT Chimncy/finer/flue/vent / 10.00 V. 0O
Other. 10.00
Notre: iroe C . Environmental exhaust aMI ventilation .
, Address: 9� a �1 6,,, 74 O eq ugc hood/other kitchen
_. equipmelrt _ 10.00 ..
City/State/Z1P: '� /# CO 77_02.52.3 Clotheg or exhaust 10.00
Single -duct exhaust (bathrooms.
?bone: ( 3) dip /,. a 09'7 Fax: ( ) toilet compartments, utility rooms) 6.80
fir APPLICANT 1 ❑ CONTACT PERSON Attic/crawlspace Elms 10.00
Other. 10.00
Business name: 4cPe= AI cr /1 g - , Fuel piping
Contact name: f9ci n / ' Q _�7 C /61./C 55.40 for Bret bur SLAW for Bleb eddk(ona
Address: / _ S ra
7ge.) 4e e°Q(/r ►f l Rc-Y /7 Furnace, en:.
Gas how pump
City /Statc/ZIP en Vet i O 5 ' 00 Wall/suspended/unit heater
Phone: ( .5pj) t : o t/( 67ye tt I Fax:: (50) l✓ $/dp - cpCL3y Water heater 1
E -mail: R ace _ _
Range
CONTRACTOR Barbecue
.
Rusiness name: Clothes dryer (gas) I
�M Q- Other.
Address: MECHANICAL PERMIT rEES*
City /State/ZIP: Subtotal I a 0 Da
Minimum permit flee (572.50) 7 a S
Phone: ( ) Fax: ( ) — Plan review (25% of permit fee) I
CCB tic.: j 1I9 p 9- a jo j p- State surcharge (8% of permit fhe) 8O
r
- TOTAL PERMIT FEE 7,r
• Authorized signature: This permit applica ble expires if a permit is pat obtained within 180
days nf'ter it bas been accepted as complete.
f Print mime- $ .�( 44 C e/` i Dote: /p 1 . ` l?f!9 • fee methodology set by Tri-County Building Industry Service Board
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