Permit op CITY Y OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00253
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/20/2008
PARCEL: 2 S 103 D C -00805
SITE ADDRESS• 11415 SW FAIRHAVEN ST ZONING• R -3 5
SUBDIVISION: VIRGINIA ACRES LOT. 003 JURISDICTION TIG
PROJECT: JAMES
Project Description: Installing woodstove chimney and 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' 1
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
GAS PRESSURE: 50+ HP WOODSTOVES 1
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS.
FURN > =100K BTU. <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SUZANNE JAMES Description Date Amount
11415 SW FAIRHAVEN ST
TIGARD, OR 97223 [MECH] Permit Fee 5/20/200E $72 50
[TAX] 12% State Surch 5/20/200E $8 70
Total $81.20
Phone:
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
i s
Issued By: _ Permittee Signature c' <` .���Gf
a.
Call 50 . 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 " • s ° FOR7Or,F ertITS ONEN - -`
City of Tigard �"+ ` V Received Mfr ,ypa /rf�L it —cu-S,
11 01 �J
IT SW W Hall Blvd, Tigard, OR 9 9 f emir
Plan Review gar"—
: _ � Phone 503 639 4171 Fax 503 59 •
$ I Date/By . Other Peum 4 .
ri
r Ins pection Line 503 639 4175 y - •
D R Inns See Page 2 for
— v f'� .
Internet. wow ttgard -or gov ,v Al\y Ka° y,/ Notated/Method / Supplemental Information
\v\ .; rlc' l‘G t,vn �.�r uu
TYPE OF WO 0‘ _ ` \AG Sr COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New con truction idAdditi m /alferatiO,tJYFYe� piaaeenlent - 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 matenals, equipment. labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value. $
RESIDENTIAL EQUIPMENT / SYSTEMS - FEES*
Al- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
Trot special rnfornmttort use checklist
❑ Ntuih- 1)1nuh/ ❑ Master builder ❑ Other
Description Qty Ca Total
JOB SITE INFORMATION AND LOCATION _ Heating /cooling
Job site addict Eel ; r Aa Ve r, pl \tr conditioning or heat pump
(requires site plan showing placement) 14 00
City /State/ZIP 4i ° 1 73 — 3730 Furnace Fuace 100,000 BTU (ducts/vents) 1400
Suite /bldg /a pt no, I Protect name pine Furnace 100.000 BTTI(d 1790
1 — V r P Gas heat pump 14 00
Cross street /directions to Job site Duel work 10 00
I lv'dronie hot water system 14 00
Residential boiler (radiator or
hydrome) 14 00
Unit heaters (filel -type, not electric),
in -wall, in- debt, stispenekd, etc 14 00
Subdivision I Lot no flue /vent for any of above 6 80
Other 10 00
Tax map /parcel no Other fuel appliances
DESCRIPTION OP WORT: Water heater 10 00
J Gas fireplace 10.00
114541 � i a)64d 5 Z' ✓t° 0171 m ?ley a flue veer for wale, heater or gas
S 'tI/2.r fireplace 10 00
Log lighter (gas) l0 00
Wood /pellet stove 10 00 /0
Wood fireplace/insert 10 00
��`,,,rrr,,, Chmmey /liner /flue /went 1000 40
( PROPER rY OWNER ❑ TENANT
Other 10 00
Name ./ 8 YY1 e F l" t'l exhaust and ventilation
Address
/ /' // Range hood/other kitchen
f f 4! C S 1J FZI t V h 77:t \If n eq uipment 10 00
City/State/ZIP (Lyltc1 o we _ 9 7a a 3- 3730 Clothes do er exhaust 1000
e(7 Single -duct exhaust (bathrooms
Phony 503 ) 3 5 ( - 07a3 Fax ( ) toilet compartments, utility rooms) 6 80
❑ APPLICANT ❑ CONTACT PERSON AiuJaaolspace fans 10
Other 10 00
Business flame
Fuel piping
Contact name $5.40 for first four, $1.00 for each additional
Address Fumace- etc
. Gas heat pump
City /Slate /ZIP Wall /suspended/unit healer
Phone ( ) f ax ( ) Water heater
Replace
E-mail
Raise
- ' _ — CONTRACTOR - -
Barbecue
Business name Clothes dryer (gas) _
Chun -Pro Co Other
Address 18430 SE Burnside MECHANICAL PERMIT FEES*
y /State /ZIP Portland, OR 97233 Subtotal 0 2-0
Phone ( ) 503- 669 -9301 Fax 503 -667 -9698 Minimum permit fee ($72 50) 7,2 SO
CCB 84985 Metro 1671 Plan review (25% of permit fee)
CCB he State surcharge (12% of permit feet .7C
I FO TAL PERMIT FEE , c 2 . 0
Authonzed signature t , This permit application expires if a permit is not obtained nithin 180
w SY'� � a days after it has been accepted as complete
Poor nnn.n f ,tn 1 ' Fee metho.lnloei set bs Tr-Count Buildme Industry service Board sit Woe
p Ped-l-encr,
hp fax 1240
Log for " "
Classic Heat Source Inc 5036679698 -- 6/12/2007 3:23PM --
Last Transaction
Date Time Type Identification Duration Pages Result
06/12 03:22p Fax Sent 5033784381 0:00 0 No answer
CITY OF TIGARD V t "wo.8- 60 LC
BUILDING DIVISION r PERMIT #.
13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED
Phone: (503) 639 -4171 k t .
Inspection Requests (24 Hrs) (503) 639 -4175
INSPECTION WORKSHEET FOR DATE 7 /3 C 6 TIME, PAGE
SITE ADDRESS I 1 Lit ` S -F CLASS OF WORK
SUBDIVISION LOT #: TYPE OF USE.
PROJECT NAME.
DESCRIPTION G
OWNER PHONE #.73o 3 b d
CONTRACTOR PHONE #
Inspection Request Scheduled For Date Pour Time
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments / Instructions'
( I \
--ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
3 /U
Inspector V `mil �/ Date: / Phone #: (503) 718 - /
COTY OF TDGAR• glkeZon , 66 li
LJILDING DIVISION PERMIT #
13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED
Phone (503) 639- 4171rc����
Inspection Requests (24 Hrs) (503) 639 -4175 / : !,L�3_.
INSPECTION WORKSHEET FOR DATE 7/ 3 / 0 r TIME PAGE
SITE ADDRESS. V % 1/4 %C i AAA) y° CLASS OF WORK
SUBDIVISION LOT # TYPE OF USE.
PROJECT NAME
DESCRIPTION r► V p� (0
OWNER PHONE #. ! ;o -3
CONTRACTOR PHONE ti.
Inspection Request Scheduled For Date Pour Time
Code # Inspection Description Confirm # Contact # Message
Corre tions /C ments /Instructions
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PASS } , PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector Date. 9 / 3 / 6 r Phone #: (503) 718- 2-(1 Z /
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008.00253
13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED. f/20 /2008
Phone (503) 639 -4171 %Ill
Inspection Requests (24 Hrs) (503) 639 -4175 h �;
INSPECTION WORKSHEET FOR DATE 5/27/2008 TIME 7:01AM PAGE. 23
SITE ADDRESS' 11415 SW FAIRHAVEN ST CLASS OF WORK -
SUBDIVISION VIRGINIA ACRES LOT # 003 TYPE OF USE
PROJECT NAME: JAMES
DESCRIPTION Installing woodslove chimney and stove
OWNER. JAMES, SUZANNE PHONE #/
CONTRACTOR. CHIM -PRO CO. PHONE # 503
Inspection Request Scheduled For: Date: 5/27 /2008 Pour Time
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 070361 -01 503 - 669.9301 Y
Corrections/Comments/Instructions.
- - 'Pia v . /7_5 svia 5/79-1-1, an o 1 //4/9A-
❑ SS 7 PARTIAL APPROVAL _CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION _ADDITIONAL FEES ASSESSED
Inspector. a _ al Date: .5 -- 7, J -a A Phone #. (503) 718- "a44V