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Permit CITY OF TIGARD MECHANICAL PERMIT II 1 °, COMMUNITY DEVELOPMENT Permit #: MEC2009 -00619 = t GAR o 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/19/2009 Parcel: 2S112BB00200 Jurisdiction: Tigard Site address: 14010 SW HALL BLVD Subdivision: Lot: 0 Project: LaDuca Project Description: Install woodstove insert with full liner. Owner: FEES LADUCA, MICHAEL T Description Date Amount PO BOX 3006 WOODINVILLE, WA 98072 Wood Fireplace /Insert 11/19/2009 $23.32 Chimney /Liner /Flue/Vent 11/19/2009 $33.39 PHONE: 206 - 930 -2563 12% State Surcharge - Mechanical 11/19/2009 $10.80 Minimum Fee Adjustment - Mechanical 11/19/2009 $33.29 Contractor: TOM BISHOP CONSTRUCTION 4578 SE 103RD AVE BEAVERTON, OR 97005 PHONE: 503 - 644 -7868 FAX: 503- 626 -9138 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Solid Fuel Gas Pressue: Total $100.80 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 Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct quest UNC by calling 503.246.6699 or 1.800.332.2344. Issued By: IL Permittee Signature /�� / /tJ� 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. �. .41/18/2009 16:21 5036269138 HOT SPOT FIREPLACE PAGE 02/02 • a .. 4n td. 1:111 i�t1 1,1(1 ,y; ,, '-,..41 F g..-.;. chnn Meica It lti 04 `� • -s City of Tigard RECEIVED // . 1 r o9 v. ; > �o J 0400F - 006/ ° 17125 5W 1411 Blvd., TIgwd, 0R 97223 plea Revtaw Other Remit; . , Ahem' 501639.4171 But: 703-398.1950 NOV 1 ,i lnepeetlonLiae: 503,639.4175 Q Dew • ee.7.y: tune: • .1fer •' F - 1 . , tr. www,tigard•ot•Sov 1 C ) 2��9 NpliEtWethod: / .. 3opWmamtttlmformtdon Mill rnt Ow W it r . I ill r COAA RC1 L TEE* sampt E - VSO Cf1ECKLISt t4 lip l il! f Pq R'111. 1 ON Mtcheaioal pound ..e ere • • d On talc r co of ete work 0 New con: C1100 Addit,vnI.1 r ' r performed. Ltdlaete the virtu* (sourdeb to the neatrat dollar) of alt 0 Demolition DI own ruchor* 1 1 miirriab, attracts; labor, ova+ - • • and • rat CATEGORY . t . • :.e ' a.CTAPN Value $ RESIDIorTIAlL, zovtemrozr 1 8YST1IMS FRO° 1. mid 2. ,1Ty dwelling (I Comtnercit ndUStriai 0 Accessory building p venial HljwtnAUnn tae cbecklisc Muld.: "l Masttu builder 0 Other: • DeAOrigdon Q>7 IEMIIIIIiZtll JOD gas JNVORMATION AND LOCATRX Iiaatina/eoellatt -- - Air ooeditioring or WS pump III • ■ Pilling 1 _•�•,„ ., •lair bewin lava= 14.00 ctgi/statcezl • : r11 (l vd 1 r ' 7 `( f I Furnace r t 1 4 : 6 s*a_,'r-r►'ININI 14.00 IIIIM Foresee 100,000+ BTU tOsecivoa) 1790 Suite/bldg. /: no.; 0 Pro,}aattaem' Can heat .‘I . • 14.00 Crass cireatid rations to job Bite: • Duct stork - Mini I0,00 UM It dronle het totters tram Mil 14 • Real • 'Z o 1 2.r (radiator or • •. •ale 14.00 - - Unit begets Magi". 1 -typo. trot scant), I m -wall 1 su.., • . z e . 14,00 Subdivlslon: • Lot no.: Pledvent for ahY of above - . = 6.8D Other; 1D.00 e ; Tut map no.: Otlter t aEpHabeee -- - - - DE5CWflON OF WORK . Water Ram 10.00 ++ 11 • ,lace 10.00 , a r d A I d r J �1 Flue 1 2 vent for water heats w gas $rc • l ems 10.00 . _ Lo • • li hter • as BIM 10.00 M Wood/pellet tab vi 11 10.00 - Wood lilrepleoe niter 10.00 Chime ins LJsehr:at 10.00 it : :O murk' OWNER ED TINANf Other, . _ 10,00 Nttme: ►r 1 'e& t Eavimamental exhaust a 0 vebllIativn Address: 4 d i l� t,..) t c j` • o 2. • • gahood/other dam y a goateat 10 -00 City/8 A .: 7 1 / / v i a os� ryar �e+a� 1 t I C7 • r Sin a oust (b2. hrooms. Phone: „di • .,) ! • 510 Pax: ( ) _ y.. toilettaaproomrns utility towns) 6,80 s _ bl( APTLICAF4 T • a CONTIAG'I YRSOttr Atti • 0 kw • ..,,•.• a 10.00 Suslnesc ntm�e: 14 ,G./tcL r; V f Oda f - Q_. Fad .. , ; - 10.00 Cvatsot ne m: Ike p i,�,,. 55.411 kr br■t foartll.QO ror emit additional Address: ` S ,iJ rum .., eta. ty /9tatrlZt L r � Ci rw' 1 J •Q �� V �00� wall/ ... emd*ana,tt hears �� Flavin ; ( 'rj + • r - – 1n � Fax" ( ) W w heater 11.111 &mall � N otita .Acroa t3up9nearc nan, •: - Qi i Adtlreee: (]thee . - 10 r • 'l ffc6AljCAL PERR T PRW City /Sines •l: PA De cloys , Or /d 0 _ Subtotal 1 CO Phone; ) ♦ ` ( Fax: ( ) Minirrarrn mad fee (572.50 ` _,..w� � © Plan review 594 of ttfee) D CCBIfc.: . • — Statoxuec (t rtver 2%ofppcnj,Itfea) 1 V ' I0• l TOT P RMITT PEE l Authorized slenatum: � / lyL i . - A' • t se . • mi • , ro '" ar a e b net obthned whsle IBa IO C I days aver It has bets me:opted se eetepkte. • i9 Print Imo; r r , . • D` � d • Fee metho4nle ri set by ro- county Nil dig bxlostry Saralee Bard / O BaunaMehtfal .vim • ... D1/I teI 444-46177 (1 1roLOL +uwBaj /' •