Permit t Ur
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00517
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/29/2007
PARCEL: 2 S 110A D - 02800
SITE ADDRESS: 10585 SW MURDOCK ST ZONING: R -12
SUBDIVISION: LANG HILL LOT: 025 JURISDICTION: TIG
PROJECT: CAGLE
Project Description: Install new gas fireplace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SEA 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
CAGLE, THOMAS E Description Date Amount
PO BOX 26
TUALATIN, OR 97062 [MECH] Permit Fee 8/29/2007 $72.50
[TAX] 8% State Surcha 8/29/2007 $5.80
Phone: Total $78.30
Contractor:
LUDEMAN'S FIREPLACE & PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005 -2129 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 646 -6409
FAX 503- 646 -8034
Reg #: LIC 51469
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: - U //jjl J // Permittee Signature: P_,t, tla C -b 11}1
Call 503.639.4175 by 7:00 a.m. for inspections that business y.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
AUG .28.2007 3 :53PM 0.061 - .314
Mechanical Permit AD i licaiioa I `) l' 01- I` it I, l `I. ()"t.\
C of Tigard , : fa 41/11,3 t�rois r1o.: • sib -6 O c �"
131 SW Hall Blvd., Tigard, OR • OA Plan Review Other Permit
Phone: 503.639.4171 Fax 503.598.1960 .'• 1 > +�} T.
Inspection Line: 503.639.4175 2001 _t __ ® See page x for
AUG �IJU ` . -: t Naafted/Method: Supplemental Inanimation
Internet: waw.ci.tigatd -or•us
CITY OF TIGARD ..
BUIL i)Wd$tOiV COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* arc based on the value of the work
❑ New construction is nadition/a_teration/replseement permed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: medical materials. equiPmcnt. labor, overhead, and yrofit.
Value: S
CATEGORY OF CONSTRUCTION _ —
RESIDENTIAL EQUT f / SYSTEMS FEES
and 2- family dwelling ❑ Commereild/industrial ❑ A.ccessory building For spacial WOrmaliem use checklist
❑ Multi- fnluily ❑ Master builder ❑ Other: Description - z Ea Total
I JOB SITE IN ORMA ON AND LOCATION Had np/coollag .
Air conditioning or heat pump 1400
Job site address: / 5es pS 4.) fl9 dac.. 5 ,1. (requires plan showing placement) -
Furnace 100,000 BTU (due:t5/va$hs) _ 14.00
City/State/ZIP: arc 2 q 7 a a y Furnace 100.000+ BTU Let /vents) . 17.90
SuiteibldgJapt_ no.: I Project wane: Cq 9 / Q. Gas hcer9ump . 14.00
J
Duct
14.00
Cress street/directions to job site: 14.00
H hot water system _
Residential boiler (radiator or
hydronicl 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct. suspended. etc. _ 10.00
Ftue/vent for any of above 10.00
Subdivision: Lot no.: Other: .^ 10.00
Tax map /parcel no.: — - Other filet appliances
Water heater 10.00
DESCRII'fIGN OF WORK GM fircji / 10.00 /am)
•=iz,5 /I /2 6 , r e p /4 c e-+ Flue vent for water heater or gas
fireplace 10.00
_ Log lighter (gas) 10.00
Wood/pellet stove - 10.00
Wood fireplace/ insert 10.00
Chimney/liner/flue/vent / 10:00 /ad PROP} fl OWNER 1 J ❑ T _ Other _ 10.00
Name; 7 re) CO of L . Environmental exhaust and ventilation
�/ � 1,, - Range bood/oter kitchen
Address: /p (� A.% OC /\ S/ e_.�. --
T �Q r C � JZ /StatnZIP:
city 9 7 a Clothes dryer exhaust 10.00
—
Y ' '7 Single -dart exhaust (bathrooms.
Plume: ( ) Fax: ( ) toilet compartment, utility rooms) - 6.80
Tii - —!` AttirJeaawlspace fans 10.00
APPLICANT Q CONTACT PERSON Other 10.00 _
Business name: ./,..4egC mho h S _ Fuel piping
Contact name: e p / ' qC A l i A S S A first foariSL00 for each additional
Furnace. etc.
Ad r d : / 7 / Gas had Ought a
Cit ethers 4 1 7 7G0' Wall/suspended/waitheater Water beater
( 5 4 6 ) ep' o9O Fax:: (5d ) C/ Vet* ' eP0.3 Fireplace
Email: s4ft Ranee
CO CIO- R Barbecue
Clothes d e r cr (gall Business name: ��9 hr! Off;
Address: MECHANICAL ?ram- FEES"
Subtotal c414 00
City/S tate/MP: Minimum permit fee ($72.50) _2422_ ,-O
Phu: ( ) I Fax: ( ) Plan rvvicw (75% of permit tee)
CCB lie.: ..5-19(. 0 State surcharge (8% of permit fbe) 5, s pQ
TOTAL PERMIT FEE 78 .3
r This permit appl ication mires r a',malt is not obtained Within Lao
Authorized signature: I days after li has been amepted ae comnlem.
Print name I (late: Q . ^ 07 I • Fee meehadotorn sot by Tti- County Building Industry Service Board
CITY-OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00517
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/29/2007
Phone: (503) 639 -4171 4 ' 4
Inspection Requests (24 Hrs.): (503) 639 -4175 p ..
INSPECTION WORKSHEET FOR DATE: 9/10/2007 TIME: 7 :00AM PAGE: 28
SITE ADDRESS: 10585 SW MURDOCK ST CLASS OF WORK:
SUBDIVISION: LANG HILL LOT #: 025
TYPE OF USE:
PROJECT NAME: CAGLE
DESCRIPTION: Install new gas fireplace.
OWNER: CAGLE, THOMAS E, PHONE #:
CONTRACTOR: LUDEMAN'S FIREPLACE & PATIO PHONE #: 503 - 646-6409
Inspection Request Scheduled For: Date: 9/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 055392 -01 503-956 -5874 Y
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: r /O —4r 7 Phone #: (503) 718- Z- -'