Permit lo
'- CITY OF TIGARD MECHANICAL PERMIT
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'''' ' - 1 74 COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00576
DATE ISSUED: 11/16/2006
irjaARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103CD - 02200
SITE ADDRESS: 13730 SW FAIRVIEW CT ZONING: R -4.5
SUBDIVISION: HOLLYTREE LOT: 010 JURISDICTION: TIG
Project Description: Install woodstove insert & liner.
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: 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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
KATHY LINDERMAN Description Date Amount
13730 SW FAIRVIEW CT
TIGARD, OR 97223 [MECH] Permit Fee 11/16/20( $72.50
[TAX] 8% State Surcha 11/16/20( $5.80
Total $78.30
Phone: 503- 684 -5829
Contractor:
CHIM -PRO CO.
18430 SE BURNSIDE
PORTLAND, OR 97233 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 669 -9301
FAX 503- 667 -9698
Reg #: LIC 84985
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: � [-, Permittee Signature: 0
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.
r -z.-' -- l � / r l . 4. a* o f L6 �. i `.evl +., K . ;'-rt g,r *'
Mechanical Permit App .1 a %;.. :''rs 41 ' :- ,FO� , l a ol�L� ;� w� r; ,l ;
Yt ! . r tT City of Tigard Received 7' LA �2 Permit No (� C.n��0 i .j 5
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
lj I G
11 F ; yd ®�' Phone: 503.639.4171 Fax: 503.598.1960 v 1 �o�� Date/By Other Permit
> . \ ft L�� Inspection Line: 503.639.4175 1 y D Ready/By: 1uris: 0 See Page 2 for
ilk Internet: www.tigard- or.gov L 1 kJ h Lib " Notified/Method: Supplemental Information
TYPE OF RK� , ' �� ` i2 COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
❑ New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: c J . , /► Air conditioning or heat pump
I 30 J�CJ �a \ r ` l e t� l t l — (requires site plan showing placement) 14.00
City /State /ZIP: , \ 9 a Yuck q'-7 a a3 Fumace 100,000 BTU (ductsivents) 14.00
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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
1 d Gas fireplace 10.00
I V) C 11 I UOCZA 547:9 I Y)5e)e 4" ) U Flue vent for water heater or gas
fireplace 10.00
l v e ( Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert / 10.00 /0,
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 ( Q
Other: 10.00
Name: ka+Q • L Li nd_�
e - Vy1c Environmental exhaust and ventilation
Address: \ 3 -- ' Fat \f \/ \ e �..) ' C•t- Range hood other kitchen
1 O S� equipment 10.00
City /State/ZIP: Glr(',A q a , ' 3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (rjd3) (oa —512-1 Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four, $1.00 for each additional
Address: Fumace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
-- Clothes dryer (gas)
Busin Chim -Pro Co Other:
Addn 18430 SE Burnside MECHANICAL PERMIT FEES*
City/! Portland OR 97233 Subtotal
503- 669 -9301 Fax: 503- 667 -9698 Minimum permit fee ($72.50) 7, , 50
Phon. CCB: 84985 Metro: 1671 ) Plan review (25% of permit fee)
CCB t,.,.. State surcharge (8% of permit fee) S $0
TOTAL PERMIT FEE 78 ,30
signature: etorlffi / / This permit application expires if a permit is not obtained within 180
Authorized si g days after it has been accepted as complete.
P,; „+ „..,,... r' t. • * Fee methodology set by Tri- Countv Building Industry Service Board it-