Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 00596
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED:. 11/27/2006
PARCEL:' 1 S134AC -00900
SITE ADDRESS: 11404 SW IRONWOOD LP ZONING: R -4.5
SUBDIVISION: ENGLEWOOD LOT: 037 JURISDICTION: TIG
Project Description: Install stove and gas line.
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS: 1
> 10000 cfm: =
Owner: FEES
GENE & COOKIE MAYNOR Description Date Amount
11404 SW IRONWOOD LP
TIGARD, OR 97223 [MECH] Permit Fee 11/27/20C $72.50
[TAX] 8% State Surcha 11/27/20C $5.80
Total $78.30
Phone: 503 - 521 -0733
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: f3�� Permittee Signature:
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.
NOV .24.2806 2 :27PM NO.828 P.2 /3
Mech anical Pe>1 m it AD li-cation lot; O1. -h 1( I. (. ��, O 1.1
City of Tigard u �` ° "�" - - Received
: _ D
B - Permit No.: _ 0D - • i
y
13125 SW Hal/ Blvd., Tigard, OR 97223 N O V 2 7 2006, Plan Revie curet Perak Phone: 503.639.4171 Fax: 503.598.1960 r �. „d Y "p Data/rly:
Inspection Line: 503.639.4175 • CITY OF TIGARI. - . �u •.. �-, Date Ready/By: lini ® See Paget for
Internet: www,ci.tigard.or.us BUILDING DIVISION Notified/Method: Sup plemental Information
TYPE OF WORK COMMERCIAL FEE• SCHEDULE — USE CHECKLIST
❑ New construction li 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.
CATEGORY OF CONSTRUCTION Value; $
/ RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
Ikt- and 2- family dwelling ❑ CommerciaUindustrial ❑ 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: /� f / .4. Air conditioning or heat pump
1! - / j L___ z 'itf� d /� __ _!requires site plan showmg,g acememl _ 14,
City/State Fumnoe100.000BTU(dUCts/vtnrs) 14.00
Furnace 100,000+ BTU (duets /vents) 17.90
Suite/bldg. /atilt. no.: Project name: )99 , , , n_<7 ire Gas heat pump 14.00 _
Cross street/directions to job site: Duct work 14.00
` // /7 �� � r � v - R esiden i hot water system 14,00
,/
7 - t? � T' Residential boiler (radiamr or
hydronie) 14.00
g 9S/ Unit heaters (fuel -type, not electric),
in -wall, in-duct_ suspended, etc. 10 -00
Subdivision: Lot no.: _Flue/vent for any of above 10.00
_ Other. 10.00
Tax map/parcel no.; J Other fuel appliances -_ _
DESCRIPTION OF WORK Water hearer _ 10.00
Gas fireplace 10.00
AL . A ■ ./ 4 �..a• / Flue vent for water heater or gas
0 fireplace 10.00
. -- . Log lighter (gas) 10,00
Wood/pellet stove /7G• / 10.00 JD-Di? ,
Wood firesla nsert 10.00
PROPERTY OWNER ❑ TENANT
Chimney/liner/flue/vent _ f 10.00 /O.4a
Other: 10.00_
Name: (re e) -e a t2oa /�/ - ' /)O/e Environmental exhaust and ventilation _
p Range hood /other kitchen
Addr ess: � � L loh G� � / - equipment _ , 10.00
City /State/ZIP: j / &e?r 04 979-�3 Clothes dryer exhaust 10.00
Single-duet exhaust (bathrooms,
Phone: ( 3 a / Q 7��3 Fax; ( ) toilet compartments, utility rooms) 6.80
APPLICANT 0 CONTACT PERSON Attiekrawlspace fans 10.00
Business name: 4cgC Alp P7 S
Other 10,00
Fuel piping
Contact name: On • ' QC e' 3540 for first four; $1.00 for each additional
Address: / Furnace, etc. _
/ -.. ,. • 4 e- tr' fri Gas heat pump ,
City/Statn/ZI) e4 ,.. 764 OR 7 'Gies Wa1Ususpended/uriitheater
/ I
Phone: (,-03) co 5.#4, 4p - Lo'S/O y Fax:: ($3) C yap - "0.35/ Water heater ��
_ Fireplace I ._ —
E-mail: Range I
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name; c -
_
Other.
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal , a,57, j/Q
0 Minimum permit fee ($72.50) 7 .5J '
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) —
CCB lic.; ....5/7 ( ?,.. a ,er,3 p... State surcharge (8% of permit fcc) _574)0
TOTAL PERMIT FEE 767',....30 r expires
Aathorizcd sigtlrrtWC ` This pernttt d y e a it hs been neecnted as not . within 180
Prim namo�q t c, k I fl re: jJ_ d [/ a / D I
• Fee methodology Oct by rri- Go.any Building Industry service Board
rrn J �j/ , `
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
h+iEC2006-00596
13125 SW Hall Blvd., Tigard, OR 97223 .. , - DATE ISSUED: '1.127/2005
Phone: (503) 639-4171 Igi� i N t" I �i
Inspection Requests (24 Hrs.): (503) 639 -4175 1 t-
INSPECTION WORKSHEET FOR DATE: 12/5/2006 ' TIME: 7 :00AM PAGE: 28
SITE ADDRESS: 11404 SW IRONWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD LOT #: 037 TYPE OF USE:
PROJECT NAME: MAYNOR
DESCRIPTION: Install stove and gas line.
OWNER: MAYNOR, GENE & COOKIE PHONE #: 503 - 521 -0733
CONTRACTOR: LUDEMAN'S FIREPLACE & PATIO PHONE #: 503.646.5809
Inspection Request Scheduled For: Date: '12/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040652 -01 503-521-0733 N
Corrections /Comments /Instructions:
/ l e i
Z ■
PPASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . 4 I Date: ( S i Phone #: (503) 718 -