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Permit • V CITY OF TIGARD • MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00152 T;ic ARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/22/2007 PARCEL: 25111 CC -15900 SITE ADDRESS: 10005 SW HIGHLAND DR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.4 LOT: 210 JURISDICTION: TIG PROJECT: FEHER Project Description: Install log lighter and gas line. CLASS OF WORK: OTR 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 GAS OUTLETS: 1 > 10000 cfm: Owner: FEES EVA FEHER Description Date Amount 10005 SW HIGHLAND DR TIGARD, OR 97224 [MECH] Permit Fee 3/22/2007 $72.50 [TAX] 8% State Surchaq 3/22/2007 $5.80 Total $78.30 Phone: Contractor: FIRESIDE DIST OF ORE INC 18389 SW BOON ES FERRY RD PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS • Contact #: PRI 503 -595 -3726 FAX 503- 620 -5699 Reg #: LIC 40979 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 OU NC by calling 503.246.6699 or 1.800.332.2344. Issue By: ' 11 4 ` Pe rmittee Signa �, , �Jw� CaII 503.639.4175 by 7:00 a.m. for inspections at busine 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. 01 4/2002 23:15 5036707285 FIRESIDE DISTRIBUTOR PAGE 02 c ianical Permit Application FOR (.)! h1(: 1: }SF ONLY City of Tigard Received oaroiBy. A dt! d 7 ,M Pcrmil No fi /S2' 111 i • 13125 SW 1-lull Blvd., Tigard, OR 97223 ■ • Phone: 503.639,4171 Fax: 503.598)960 ,--.,..,n Effillill111111111 Other Permit: 'I' I t'i A R 17 Inspection Line: 503,639.41 f ~ ! � Date Ready /By: 0 See Page 2 for Internet: www.tigard- or.gov , ;lam/ T Notified/Method: 11211 Supplemental Information C TYR F W O :; . :: -i ` a , i -: �C�MMERZrLAT;-: fiEiE', �DU)L SCHE. - . U9�;.CAECICLIST • l sa tN''.. Mechanical pcmtit fees' arc haled on the value of the work ❑ Now construction ❑ Additi 11 -9e ' gtt performed. Indicate the value (rounded to the nearest dollar) of all El Demo' ition ❑ Othc , mechanical materials, equipment, labor, overhead and profit. '. .•: ;�; 'Y O UIP1G ' � ,., . �.CATICG.OR t: CONS'lC!(iliJC7fIOlVa "`,:; R ID N P,.. , J MS.FEo" zr- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building 0 Multi - family El Master builder El Other: For species( information use checklist. Description I Qty. I En Total ,,;. JOB SITE INTORMATION "AND LOCAI'JON::) , :.. : ... _ •,, :.: i. • Heating/cooling lob site address: Air conditioning or heat pump 10005 14 R 4 1 /I_ p1 �R , (requires site plan showing placement) 14.00 City /State /ZIP: J Furnace 100,000 BTU (ducts /vents) 14.00 Suite/bldg./apt. no.: Project name: Furnace I00,000+ (ducts/vent:9 17.90 Gas heat pump 14.00 Cross street/directions to job site: Duct work _ 14.00 Nydronic hot water system 14.00 _ Residential boiler (radiator or •ydronic) 14.00 --- Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 - Flue /vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 _ Tax map /parcel no.: Other fuel appliances "' • ' `.`.. Water heater 10 • AESCRiP7`I :OF`. WORK_. ' Gas fireplace 10.00 r I .a. ._ LO • LC ,� , F / . Flue vent for water heater or gas fireplace 10.00 Los lighter (as ) _i 10.00 Wood /pellet stove 10.00 Wood fireptace /insert 10.00 s. L.. Chimney/liner /flue/vent 10.00 ' ❑.PROPERT, -: ?:. •i=' Other; 10.00 Name: Eva t - F E Environmental exhaust and ventilation Address: 1 b�D r� ` 1 f 1'� 15 `Qnd h -b Range hood /other kitchen I 1 equipment 10.00 City /State /ZIP; g Clothes dryer exhaust 10.00 am �c�_. Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 A,PPLI ANT:. : ❑.• CON' TACT, PERSON. Attic/crawl pacefans _ 10.00 1 f e d l-• A q Other 10.00 -_ Business name: F � a � !� rP JO h Foci piping Contact name: Arr1 �j'\ oj�� Q j _ 55.40 for first four: $1.00 for each additional Address: 1 Cg 3$ i S W. Lac no 5 I"�, r r L /f _ A Furnace, ate. I !7l Gas heat pump City /State/7_1P: � - } l� 0 f ` g - ) a, a y Wall/suspended/unit heater p, p, Water heater Phone: (.5:)'" � l 5 _ �� c � ` 1 Fax:: ( (��" �� l E-mail: Fireplace AMA B�- �( .C Range _ CONTRACTOR Barbecue Business Hama: l - / re Sid 1 S4 © � O r:E 9 O Il Clothes dryer (gas) l Other: J Address: .1r4 as &�Qr U `Q ' 1∎4*02 9V1d;4:1: PE1tMI%7 EES * City /Statc/ZII': Subtotal Minimum permit fee ($72.50) 7R . 5p Phone: ( ) Fax: ( Plan review (25% of permit fcc) CCB lic.: L) Oal et State surcharge (8% of permit fee) .6 80 TOTAL PERMIT FEE "7$. .3d Authorized signature: / • • ��y� This permit application expires if a permit Is not obtained within IS(I . Jet ' flay. after it has been accepted as complete. Print name: . 11 fn 1 ■ t •1. II , Date:3 --1 vD- 0 - 1 7 ' Fee methodology sot by'l'ri- County nodding Industry Service Board I ABuiIdingTermitx∎MliC -r etmlt A ro.doc 01/06/06 440 -1617T (It /02/COM/wr-:a) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00152 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2007 Phone: (503) 639 - 4171 %Mu�iip" Inspection Requests (24 Hrs.): (503) 639 -4175 ' ' �.. Ai 0 7 INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 69 SITE ADDRESS: 10005 SW HIGHLAND DR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.4 LOT #: 210 TYPE OF USE: PROJECT NAME: FEHER DESCRIPTION: Install log lighter and gas line. OWNER: FEHER, EVA PHONE #: CONTRACTOR: FIRESIDE DIST OF ORE INC PHONE #: 503- 595-3726 Inspection Request Scheduled For: Date: 3/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 045521 -01 503-595.3726 Y , IC orrons /Comments / Instructions: -CO ? 'J i PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-