Permit ,`" 4 , '',L' MECHANICAL PERMIT
II n
CITY OF TIGARD
I ' �- COMMUNITY DEVELOPMENT Permit MEC2010 00021
T 1GAR1) 13125 SW Hall Blvd., Tigard OR '97223 503.639.4171 Date Issued: 01/19/2010
Parcel: 1S136CA03500
Jurisdiction: Tigard
Site' address: 11300 SW 79TH AVE
Subdivision: FRIENDLY ACRES Lot: 13
Project: Kaus
Project Description: Woodstove to existing flue.
Owner: FEES
KAUS, LISA Description Date Amount
11300 SW 79TH AVE Wood /Pellet Stove 01/19/2010 $33.39
TIGARD, OR 97223 12% State Surcharge - Mechanical 01/19/2010 $10.80
PHONE: 503 - 670 -4860 Minimum Fee Adjustment - Mechanical 01/19/2010 $56.61
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 Not * -. • enter. Those rules are set forth in OAR.952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dir questions to ■UN , calling 503.246.6699 or 1.800.332.2344.
lss ed By: / / `� � e __ J, ■
Permittee Signature:
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.
01;1 C/ 2010 10:37 5036269138 � ECEI � RECEIVE") HOT SPOT FIREPLACE PAGE 02/ 02
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Furnaces 00,000+ BTU (dwtrha+q) 37
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Grin artoet/dittgoos to job d0,' Dutn.v II 10.00
Ji (Ironic hot wgtar ryetam 14.00
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Other: 10.00 i
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