Permit 14 CITY O OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00415
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/11/2008
PARCEL: 25111 DB -13000
SITE ADDRESS: 15134 SW 96TH AVE ZONING: R-4.5
SUBDIVISION: PP1991 -034 LOT: 002 JURISDICTION: TIG
PROJECT: MCNAMEE
Project Description: 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MELVIN MCNAMEE Description Date Amount
15134 SW 96TH AVE
TIGARD, OR 97224 [MECH] Permit Fee 8/11/200E $72.50
[TAX] 12% State Surch 8/11/200E $8.70
Total $81.20
Phone: 503- 312 -5203
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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: / ���—
Call "� 9.4175 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.
Mechanical Permit Application FOR OFFICE USE ONLY
— Received
City of Tigard Date/By: / 1/ G� �— Permit No.: d ^ r i t���Lt j
a � 4 13125 SW Hall Blvd., Tigard, OR 97 6\‘114 !!!/ ✓� °°�� �" l
Plan Review
Phone: 503.639.4171 Fax: 503. D ateBy: Other Permit:
O
T I GARD Inspection Line: 503.639 11 1 , � �
Date Ready /By: Surfs: El See Page 2 for
Internet: www.tigard-or.gov t \ \ � � � ) � y Notified/Method: ' 1 / fp Supplemental Information
TYPE OF WOR]l \\ "' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition /alteratiorn'replacement
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*
Al- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: / / / �c ,�/ Air conditioning or heat pump
3
5 (I/ tr / `/ /It/ (requires site plan showing placement) 14.00
City /State /ZIP: f / 6/ 0 9 72 '2- y Furnace 100,000 BTU (ducts /vents) 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 10.00
Hydronic hot water system 14.00
,50, L Z eIt Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.:
Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
p i L f.,.r` 5d o v c.L Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove [ 10.00 t (L I )
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00 _
Name: Y / 42 „,..._4_ exhaust and ventilation
Address: /, ' ` Range hood/other kitchen
l / 3 4 ✓!' 4e, 9 G ./._>7 4u 4 equipment 10.00
City /State /ZIP: . 7i- J 64/A d d/7 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( SO3 ) 3/a _ 5 a 03 Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: 5" /Ace ' C - / hat, $5.40 for first four; $1.00 for each additional
J !�'v " Furnace, etc.
Address:
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
Other:
Address: ''n MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) 7). '5
Plan review (25% of permit fee)
CCB lic.: State surcharge (12% of permit fee) S", 70
�� TOTAL PERMIT FEE y
Authorized signature: `�i� fi ` �}� This permit a ppl i cation expires if a permit is not obtained within IS0
7Ie C 2 - + °� days after it has been accepted as complete.
Print name: //! t C P 2 2 -C.91 7)12 4t Date: 9 / a g * Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits\MEC- PermitApp.doc 01/19/07 440 -4617T (11/02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information .
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD . ,-
BUILDING DIVISION PERMIT #: MEC200 00416
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/11/2000
Phone: (503) 639 -4171 iip��
Inspection Requests (24 Hrs.): (503) 639 -4175 J.. __
INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:00AM PAGE: 58
SITE ADDRESS: 15134 SW 96TH AVE CLASS OF WORK:
SUBDIVISION: PP1991 -034 LOT #: 002 TYPE OF USE:
PROJECT NAME: MCNAMEE
DESCRIPTION: Pellet stove
OWNER: MCNAMEE, MELVIN PHONE #: 503 - 312 -5203
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 0 /2812008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
j Wise. inspection C' r1 c.e / 074646-01 503-624-1459 N
Corrections /Comments /Instructions:
6 Ve i 1.... ( r`.ti ,41
•
C a 5e_ v 1
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: f aS Date: .?8 At- d 0 Phone #: (503) 718 - -2 %73