Permit '_s CITY OF TIGARD
MECHANICAL PERMIT
� V
14 , "' '" COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00645
T cA i DATE ISSUED: 12/18/2006
+ , ,:. r�,, 13 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112BB-07500
SITE ADDRESS: 08320 SW FANNO CREEK DR ZONING: R -7
SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT: 058 JURISDICTION: TIG
Project Description: Installation of pellet stove.
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:
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
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
JOSEPH MARTIN Description Date Amount
8320 SW FANNO CREEK DR
TIGARD, OR 97224 [MECH] Permit Fee 12/18/20C $72.50
[TAX] 8% State Surcha 12/18/20C $5.80
Total $78.30
Phone:
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: ✓ 4 f 1.0.10 Permittee Signature: -e__.
Call 503.639.4175 by 7:00 a.m. for inspections that business day. l
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 :47PM • � , 0 971 y . 2'3
Mechanical Permit , i,. a }, �( )1,1 11(, 1 1 '�; 4()1( =, _ -
'' ;City of Tigard D ate/Ely., � ( 4 � ' ` � M
• 13 i25 SW Hell Blvd., Tigard, OR 97223 Plan Rcvnew
Phone: 503.639.4171 Fax: 503.598.1961E C 1 8 2 0 0 6 4'" }p�6; I ' - P CB'. Other Permit
Inspection Line: 503.639.4175 t " P , ` � Date tteadyify: Jude: 0 See Pepe 2 for
Internet: www.ci.li(;ard.or.us CITY OFT1GARp'''" ` - "' Notified/Method: Supplemented deformation
BUILDING DIVISION!
TITE OF WORK COMMERCIAL FEE SCHEDULE — USE CHECKLIST i
❑ New construction AdditioNalteration /replacement Mechanical pemtit fees• are based on the value of the work
performed. Indicate the vaiut (rounded to the nearest dollar) octal
❑ Demolition 0 Other: _ mechanical materials, eJc uipment, labor, overhead, and profit.
' CATEGORY 01? CONSTRUCTION - Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
lend 2 - fatnily dwelling ❑ Commercial/industrial trial ❑ Accessory building For special tr(forrrrarron urn chec/dfsr.
❑ Multi - ,family ❑ Master builder ❑ Other: ' Description Qty. 1 Pa. J Total
JOB SITE INFORMATION AND LOCATION tieating/coolilt�
�3e�Q � j 0 e� Air conditioning mg heat pump
'Job site address:
_ f /� Q�, cremes site Om s6owlnQ placement) _ 14.00
City /Statefrn: r/r 0. 9 7d a, Furnace 100,000 BTU (duets/vents) 14.00
� ,./1 � . Furnace 100,000+ BTU (ducts /vents) 17,90
Suite/bldg./apt. no.: Projcot name: in or, f/n pas heat pump 14,00 J
Cross street/directions to job site: Duct work 14.00
Hydronic hot water System 14.00
Residential boiler (radiotor or
hvdronic) _ 14.00 _
_ Unit heaters (tWWE-typc. not electric),
in-wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no,; Fluc/vcnt for : of above 10.00
_ . . Other; 10.00
Tax map /parcel no.: Other fuel npplianceS
uEsc1w'rIor OF WORK Water beater 10.00
&s
1— Gas fin:plac a 10.00
-� 74/' Pe //C 79 vim. Flue vent for water heater or gas
fireplace _ 10.00
Log lighter (Ras) 10.00
Wood/pelletstove / No . /cad
Wood Tireplacellnscrt 10.00 _
►'. PROPERTY OWNER (] ap Chimney/liner/flue/vent S _ 10.00 /0.00
Other. 10,00
Name: , 711 a r Environmental exhaust and ventuatlon
eaZ & . �� epee l e equipment kitchen
�.� �ePN hGI e �. equipment 10.00
City /State/ZIP: 77 e pe 0 i 9?ems,V _ 'Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (SON 4 5 - 9 ( 1 , _ O Fax: ( ) toilet compartments, utility rooms) 6.80
.w, APPLICANT 0 CONTACT PERSON Anic /crawlspace fins 10.00
Business name : . • G� Ai s o ■7 S Other 10.00 ,
_ fuel plpirt -
Contact none: c 9 0 g / i zt-"r it SS.40 for first: !bar; SLIO fbr each aMidwife(
Address �/ /7 Furnace. etc
• :C e- drrt a •P1 eX GE heat pump
City /State/Z 1 7 A` el, ye" 7‘r1 an 9 7 CSfj Wall/suspended/unit heater _
Phone: (5b) Cp 96 &VC y Fax; : ($Q3) G 5/6 - cPGt3 V er
Fireplace
&mail: Sr liap�e
CONTRACTOR Barbecue
Business name: e._ Clothes dryer (gas)
Other. _ _
Address: MECHANICAL PERMIT PEES*
y
City/State/ZIP: - Subtotal ad, 00
- Minimum permit fie ($72.50) c f a SQ
hone: ( ) Fax: ( ) Plan review (25% of permit (be)
CCB lie.; 5/ 9esp 9 0 8„3 2— State surcharge (8% of permit fto) ,s8Q
TOTAL PERMIT FEE , 780 • r hi peewte apppma® ei pie® if a pormlt is not obtained within L O
Authorized signature; dor after it has heen accepted as complete.
Print nama/j: � 2 ( �C 4' O 1 Date: /a. /a. /6-0(.4 1 • Fro metbodolou set by Tri- Cotnuy Building tnduatty Section Board