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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00715 �'i 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/24/2005 PARCEL: 1S135DC-07100 SITE ADDRESS: 11595 SW 91ST AVE ZONING: R -4.5 SUBDIVISION: CHARBEN LOT: 010 JURISDICTION: TIG Project Description: Freestanding wood stove. 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: OTH 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: 1 FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: <= 10000 cfm: OTHER UNITS: FURN > =100K BTU: GAS OUTLETS: > 10000 cfm: Owner: FEES GUS LAMM Description Date Amount 11595 SW 91 ST. AVE. [MECH] Permit Fee 10/24/20( $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 10/24/20( $5.80 Phone: 503 626 - 4652 Total $78.30 Contractor: TOM BISHOP CONSTRUCTION 4578 SW 103RD AVE REQUIRED ITEMS AND REPORTS BEAVERTON, OR 97005 Phone: 503 644 - 7868 Reg #: LIC 155679 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: P ermittee Signature: c77 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. HOTSPOT FIREPLACE PHONE NO. : 15036269138 Oct. 24 2005 08: 20AM P1 Mechanical Permit Applicatioirl City of Tigard FOR OFFICE OFFICE USE ONLY I ® E Phone: 503.639.4171 Fax: 503598,190 Rcvicw for Ste Inspection Line: 503.639.4175 R c' ";'t {� { Date/By. Other Permit: Internet www.ci.tigard.or.us OCT . 4 2005 . ., -.� oti Ready/13y, Iuri Ea pate 2 Notified/Method: Su le Page 2 [ 5 = , �� ' i pP Information '�'; S L y U� ..�y+ - c �''G. Y""•' �a�ri` J II . - ark s ,;: - fl •' .. �, 1 �- `F' h� i .r. i a'i s, iilil3'rs tyYSsd L. ¢ , l:'•.�'. 5: Dt:d';t., 1�.5';.: f :. 4 , 0 New construction I:4 Addition/alteration/replacement ' Mecttamcal p ee • are bsycd on the value of the work ❑ Demolition ■ Other performed. Indicate the value dollar) of all e (rounded to the nearest l ;. .: r &w� ,. Tt r w mechanical materials, a ui mcnt, labor, overhead, and roti I aft I . : bor. over t. :.' "1:;:: *n .:rh :4S(S .2 d . atRg ,J 0 ' At) ,.. ' t ' r , + , ` Value' S '.1 I - and A 2 a �• ::,i° =�i� .�,.�a:,,u. t 2-family dwelling �`'` Y $ ❑ ComttterciaVindustrial ❑ Accessory building is .r'•�;1,.. . ,i• z ' ! •: ? i sksT:EIVIS:Fg-;S* r Other � Forspecial Information use checklist, Multi-family ❑ Master builder :. 4 { , ,� filp,,'� t...t.,- .a.-v zesA _ Description e.-1 n it aZ''.. ^' -. «, Qty. Ea. a ' s"1"l�m, •,e �raaf ,+• l ei i4 :4" l�eating/cooling ___1 ry 1 Total - Job site address: oe Air conditioning or heat pump _ L Qtnres site plan showing placement) 14.00 - City/State' ^ 1 a 1'G 0 ✓ q'7 = -i Furnace 100,000 BTU (ductslveata) 14.00 X': S /apt rto.: -. I Project name: Furnace 100,006r BTU (ducts/veins) 17,90 • Cross street/directions to job site: _Gas heat pump 14.00 Cr Duct work - :' : 14,00 ' 13 (ironic hot water system 14.00 ' Residential boiler (radiator or t+ hydronic) 14.00 - Unit heaters (J`uel - type, not electric), ' in•wall. in - duct, suspended, etc. 10.00 • • Subdivision: Lot no,: , Flue/vent for mty. of above 10.00 r map/pateel no.: Other: r 10.00 w t Other fuel apliances • -.4.? � S <.:j4:1 - ..r d trir_al.S. 2 a ' �r M ei %.'"H' . ,�., Water heater .g- •.,�,.� T; �"�r.� „r.,a:,r.� -�,_ ` 10,00 %,,,... %,,,... $ (� Gas fireplace 10,00 . �� I • S ! Flue vent for water heater or gas 1/Yl e, SO vi `� e II ! �sq ,eci fireplace 10.00 _ TAR hglttcr (vs) 10.00 e: 1 A 4 4 ' ._ • o Wood/ eIl stove 10.00 ;5.: 'l;r s,� ` yi , Wood fu�epla insert 10. �i r: /iner/fl J':t:_ * .-'..1,:!Ai -x", : 1 :4 i ! t , ite m i i �� t i� t 1 1 � r , , Chi mney ue/vent "1Vsme: G t, g u , t t I E °. t Other 10.Q0 4) 10.00 LA Environmental exhaust and ventilation : S (1'� S J . � Range hood/other kitchen 10.00 - ,fty/State/Z]P: equipment 1 V _ Clothes dryer exhaust 10.00 ' ''..' l.3J . .03 Fax: ( ) Single -duct exhaust (bathrooms, :" .l: ?J I� f � ` "� t � y r r ` toilet collTQarttnettts, u tility rpo 6 80 °`�' , y awl r l - r► r ' Attie/crawlspace fans 10.00 • ii ,'-• name: f �. , r VQ +!Q Other: 10.00 ;,CotrtaCt name: ,, qq Fuel piping _ x�m to Y� 2t vl $5.40 for first four; $1.00 for each additional VAd s: 1 t�.�S 6 e.,,,_ 41„ 2ci Furrtace, etc. eCSty%StatdZIP: Gas heat pump ' • 'Q 1J �� S WaWsus7tended/unitheatcr bone' !- - 1 l4 `ljO�� F :: ( ) Water heater Fireplace ' >.1 { n .,._ .. panes $itsiness name SO Y b ,E iMi 1, X.NI f : C 4 Barbecue ,s [ . O O 125 C t Clothes dryer (gas) Addtees: / oZ ., _ • Other. _ 71:1-7. �5`,.Vt ._ J: ?,'' 7 . ria.- + ..r. , 41!/State/zZ>�: is t) P 1� r OD , 7 I >;a _ %� } �s " �w ,�y� Fez ,t ,.:. ry,,,, r { tio8 tte2, l;tiglf'llr,. v: �:9 ' : , il1 w a 31' , . : :1)11 011e: 66,3) �/�" Subtotal 0 7rps. Fax: ( ) Minimum permit fee ($72.50) 7a _ $ 'ma lie.: S's67 7 Plan review (254/0 of permit fee) State surcharge (8% of permit fee) 5 - &c) ' • TOTAI. P T FEE 7 , ERMI 3cD Atttborized signature This permit application expires if a permit is not obtained within 180 �� Q 1 1 days after It has been accepted as eomyiete. L r•vt (et e ( trt. -1 Date: / 2 Ar'4 1I • Fee methodology set by Tri- County Building Industry Service Finse4 CITY OF TIGARD aka-c___ BUILDING DIVISION PERMIT #: 2-O S —a 0 -7 kr 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Ai m�ll - t j © u,,/v Inspection Requests (24 Hrs.): (503) 639 -4175 .4 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: f / c 7,3 g `, -Cl�. / --' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: i ' / ..-7 1Z4-1-P-"-I-------- OWNER: f PHONE #: CONTRACTOR: / PHONE #: tOca Inspection Request Scheduled For: Date: 3-2- 0,6 Pour Time: Code # Inspection Description Confirm # Contact # Message q 7rlt c �c4 — Li 5 _-- Corrections /Comments /Instructions: Ni :l ei , " 1 --f / :;/%6C174 ' .6 ?' ''-*' ___,VpAddLpe,( PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3 2 y,40e Phone #: (503) 718 - 7O6