Loading...
Permit t �: �� CITY OF TIGARD MECHANICAL PERMIT ` "- COMMUNITY DEVELOPMENT Permit #: MEC2009 -00483 TIGARp 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/11/2009 Parcel: 1 S 134AD00900 Jurisdiction: Tigard Site address: 11374 SW IRONWOOD LP Subdivision: Lot: 0 Project: Davis Project Description: Replace wood stove with same. Owner: FEES DAVIS, PETER S AND MARY A Description Date Amount 11374 SW IRONWOOD LOOP TIGARD, OR 97223 Wood /Pellet Stove 09/11/2009 $10.00 12% State Surcharge - Mechanical 09/11/2009 $8.70 PHONE. Minimum Fee Adjustment - Mechanical 09/11/2009 $62.50 Contractor: CASCADE CHIMNEY CARE P.O. BOX 775 ESTACADA, OR 97023 PHONE: 503 - 638 -3846 FAX: 503 - 982 -1603 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Solid Fuel Gas Pressue: Total $81.20 Required Items and Reports (Conditions) • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utilit • . i [cation - :.ter. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of the rules or . irect questions to • NC by calling 503.246.6699 or 1.800.332.2344. I sued By: of / Permittee Signature: it Call 503.639.4175 by 7:00 a.m. for an inspection 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. Mecnc al Permit Applicatio E \.JE '. FOR OFFICE USE ONLY ��� 6 Eiew / 1 ' Pl - D �l � 9 PermitNo.: €ct � 0?i 13125 SW Hall Bvd. Tigard, OR 97223 9 I 1 �t1( ( Phone: 503.639.4171 Fax: 503.598.1960 SEP 1120 D Dan Other Permit: TIGARD Inspection Line: 503.639 CI OF Ready /By: See Page 2 for and -or. Internet: www.ti ov V T l AI� D ate Read /B � 1 ur ® g g BUILDING DIVI SION Notified/Method l Y Supplemental Information ^ :' <� -: �. .. .,,w���Y: �.., ,. r -, ,a „w .,, ;...,^*�>.�:,',, : ° :;,� . �; �-._+ .p;:."-..r�, :•mC-- zrs :,' °,,x,,. m+•^;i%.c. :a.- •�l:.sf. =�. :, p±�.�. -,, :nom r?.�. °�w. °aa`w, .,::.; .�i«• <.):- :"A^,*.��c;,a• . :F.'. ” ;;.., z y ` °' .;8 ' ,y ,. °n k.,, ",uS.r .t'£z`a ` 's -� -,:^<z::?'°' �`.: "xEr?z, -rr„ ,a ..'~: �. , ' 26" _.:; : :.° x YPE' OF WORK + ' .`'" «`r a b-. :- ,GO ERCIALs. :FEE •SCHEDYTI„E, m,„„ ... .. - � -a,. >x ,a�a'�'�s r >w�' a.... :�»'."a`bi`� a.,.nr: �k.�: •zt ,� ?�,>�,.. :- .,E`�'..�» : :. "� "b��i '� � < �rr�{;: rxscra' az, ��u'a:r�E ?W�xura�•�.- w.sra.rL"^ , :.:�.;?,.symrk _.,wn,.. »:,r. rf,+ �< :. ..�. :_ „;,ro :.. �ta•.s�� r'r':r c' : :.,�ti- a''+t.�?s&.�•��iAx2v"`�� 3�'_ "' ❑ 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. 71 wotiae iVollt,:�. gA fie„ c ? Value $ „`�" :.; :';� "-��>� : � CA'1'EGOI2Y OF COivSTRUCTTO]!1>.. z ,. .a . .., � . � ...'Yw� >- �.� : :. ; . v4�<;�; : , � � ��� :�.,,r.j :FZ._ .p :: �..� �. r; _...r. k, , ' _, , RESID ,ENLIAL ,r a ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total :-•F'" - . :" >r",=tr-- 'wff-x<:,. i <:a: ,�. : :. -,.,.,;.s.<.t.ras�....p� : = ;±�:: _ ., ' , JOB S,,, :t ,NFO,RMATION ANDD4LOCATIO f, i . 4 Heating /cooling Job site address: �"./ � Air conditioning or heat pump 1 3 7 1 . (A) o co to L D LQ (requires site plan showing placement) 14.00 City /State /ZIP: i sC D n ` � - 9 7 Z 2_3 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg./apt. no.: Project name: t .)Iroti ik vSl pump Gas heat um 14.00 Cross street/directions to job site: Duct work 10.00 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. 14 00 Flue /vent for any of above 6,80 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances . t,< DESCRIP ThION,OF»lWORT ' ovogt '' ” Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas 11 -- 't � , ' l (� f fireplace 10.00 � 1 L Q \�L� -C - ' ' �4 4 ---\ !� 'p ( A ) UL OOP S t' Log lighter (gas) 10.00 V Wood /pellet stove / 10.00 Wood fireplace /insert 10.00 ,..;�. »; a ., -, ,M. e>'.;> R: ,._.., :. :- ,. „_ , _;,;.; . ; 4 .: Chimn ey /liner /flue /vent 10.00 . P,TiOPERTY O E R ...... .i- as.,l. ; ki- ~;'x ., ;�. ',. ❑ TEt AN T x.�^, � �a z. , 10.00 Name: �o ..Q� -- \-. ti i S Environmental exhaust and ventilation Range hood/other kitchen Address: \7L7 S O IN) 14 tt..0 too equipment 10.00 City /State /ZIP: tt �, op... g 7 z.2 3 Clothes dryer exhaust 10.00 Single-duct exhaust Phone: (3O3 90 D 3 4 7 Fax: ( ) toilet compartments, utility o r rooms) 6.80 '; c'n;._,. ;:..V °,., .., : :- ::..^�z < :., >, -,. x_x -, 4.. =.Y :.> 'r.;e. 4°z4 - ,v zw.:_ „_, ..v. " : ' r . :• : ; ' , « p„ I ICA : , . . z WID " CONTACT P rR ,9) = 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: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) I Fax: : ( ) Water heater Fireplace E -mail: Range - . :..:, �5'�4 =-+.S '�::.. -.. ::. * "s,; .-, ....=r p,.Yzx:' :m��. Vin,...= 5: * !' k? �.. : : - � y i � � -e . C ONTRAG'Y'OR ,_ a. '� Barbecue �? .., �._. _ :ed�_ .._. h x.. ,...., ., — ....,t.�.. Ai ._� - �. < .x° _ ��,��� Business (� Clothes dryer (gas) usiness name: - ��a�- sr-fJ"r � � t w� ��► t� c �- �` e._ Other. Address: o �;t. :�_ : ='.�,; ,. a�awapmr«: =x's : »r... >.: �. c_ 4�r- =...ta�.�w�n��;_�y*�- ,�•�e =r �. : 1 ` S s e C �© �' r �f7 e } z „ PE1t1V1ITF , y , 4 C ity /State /ZIP: E s - , c' a, n k a 0 7 5° Phone: Minimum permit fee ($72.50) ?A- ( ) 3 �36 Fax: 6 ( ) Plan review (25% of permit fee) CCB lie.: 11 57 j0 ' /5 '/ State surcharge (12% of permit fee) ?. 7 TOTAL PERMIT FEE j . 9-0 Authorized Si nature: This permit application expires if a permit is not obtained within 180 g days after it has been accepted as complete. Print name: /`� %/ � D ate: l — `l —0 < * Fee meth odolog y set by Tn- County Building Industry Service Board I'\ BuildingO 'ermits \MEC- 6-P PermitApp.doc 01/19/07 440 -4617T (II /02 /CCOM /WEB) e Mechanical Permit Application - City of Tigard • Page 2 - Supplemental Information Commercial Fee Schedule: "v grkvi": `iw %tw ":�::��._� .3.,. �" :i"{ �3 "ia'' : ° rv. ° 7,M wTt V • l ua t -a xonz �P erm>t1tFee ` $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. • • 1: \Building \Permits \MEC- PermitApp.doc 01/19/07 2