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Permit CITY OF TIGARD MECHANICAL PERMIT t3 , COMMUNITY DEVELOPMENT Permit #: MEC2010 -00490 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/07/2010 Parcel: 2S111 DB06300 Jurisdiction: Tigard Site address: 15245 SW ALDERBROOK CT Subdivision: SUMMERFIELD NO.7 Lot: 397 Project: Schweizer Project Description: 25 ft. of gas line to masonry fireplace with gas log set. Owner: FEES SCHWEIZER, WALT Description Date Amount 15245 SW ALDERBROOK CT TIGARD, OR 97224 Fuel Piping 10/07/2010 $14.15 12% State Surcharge - Mechanical 10/07/2010 $10.80 PHONE: Minimum Fee Adjustment - Mechanical 10/07/2010 $52.53 Other, Fuel Appliances 10/07/2010 $23.32 Contractor: FIRESIDE DISTRIBUTORS 18389 SW BOONES FERRY RD PORTLAND, OR 97224 PHONE: 503 -684 -8535 FAX: 503 - 670 -7285 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas 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 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: 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. 10/05/2010 9:5 5036707905 WIDDOWS PAGE 02 _.. - ..r,,,.v,,,,;,...,..„...,f..„0•,.,;',.., ,!;.„3:Te,_. '. ,721'.:: 1_,.;:',' _ . . ,...... il, ,....-„,... 1 SW 1-1aliIi 9RICEIVED ; Received i Dat rkY' 16 /5 - 1 1 0 OTT P Nc: inr:-C—') to CX) g tO .1 13 Tigard , OR ti Flan Review ' P - •,•: Phone: 503.639.4171 FM:: 503,598.1960 De/y: Other Permit. • ••1 Inspection Line: 503.639.4175 . p 7 1 5 ; Mitt 11exidy/Th ltiris: g sip: rilio 2 for .,:. ..... ..., ;-. , . Internet wwit4tigardioor.gov Notified/Method: 7 , SupplebleiliA1 Information ... . . • .. . .. . . s ' 'f;' iir ,t1.VI:A•::,i 147 ( 4 T ,7',....;. :! 1 qd,5141to lb Kr#6..fte T.:',.:......::;,.: . i :A ,,,, ,. ; 4, , , ,.•,...,,, , ‘.•..,,,....,. .,. ....,.,„„,„„„„„.,,, ‘,,,..,,,,,„ , ...,,,,,.,,,.,...,.,,...„,,,,.„,,., ..„,,„ 1-.0„.4t...f,tp,t,.,.,■.,t,,,......ft,„.., ' Mechanic& permirfees* are based on• the value Of the:work 1 0 New construction ' Addition/alteration/replacement perfanneci, Indicate, the value (rOtinded to the nearest dellar) of all 0 Demolition 0 Other: medhaniCal materials, equipment, labor, overhead, and profit. ;:,: ''•;.•':`,.'i(2T.:Y;:i.,'-r,:-.';',4,4:.V.ik,#;.-`44.714,3,01901,V§iiiti.0.0.9,W,4;.;,;,:.-,;,;41::::Y:.•:.;'::-:•'...,:.-.':.•;-.'•.:.i.;:: .:. .;-.- . - •.- .,,, ..,: Value: $ -, „. ..- . L.--- , - ..,.,..:.,..„ -,-,-,.. - „..,.---.,,,,--- •• -, m...• .,., .,.. ,•., i.:__ ..,......,,,,,,,... ..., - , -•,, - , •-, ., - - - ..., --,•-■•,‘ :-, • •••-•,'■••,---; •-•- ••. -- ••• ,••-•' •-•'• ' - - - • . • - ' • - .:i4:,1",`,•,:n4.E.,gt WirlItit;44"ifitlklfirikagliOFEgt740,A.-''•:: jk] 1- and 2-family'dWelling 0 Commercial/industrial 0 AccesSorY building . ..... .. , For special inforpzgtiOpuse elSeeklist. . . .. 0 Mu tti-fiunily 0 Master blinder 0 Other: - - - • - DeSeriPtiOn ' ' Qij.. 1 En..... Total . :.1,....-'?.:!.!.',.•.:;".::::$:.;;I::.:'.7•J'..:::.'.....'.'i'; . : .....'::!';.', ' ''. 7: Headu°1c°1ifing • • - Air- cOnditiO ling or heat puny Job site address: /j4 ii A / p..... (requires site: dan slymiiing placement) 14.00. Gity/State/ZIP: 771 i ea .te zi , zz ,ey 7AQ .," Furnace 10E ,000,BTU (chicti/Vents) . 14.-OD Futnace 100,000+ BTU (ductsivenis) l'i.90 S.uitelbldg./apt. no.: Project name: c 5 0 A . . Gas heat pui nu 14.00 Cros street/directions to job site: Duct work. . • . . 10.06 .. • Hycitortie he.: water system 14.00 Residential 1 oiler (radiator or • ,hydronic) '. . . „ .. . . 14,00 . . .. VO4 1).040 T441Y.m. P(4•0e0tric), in4v.aii.,•.i.o,d)ict. susOnflod, etc. . 14:60 . . . ...,... . , ... . .. .., . . Flu an e/Vent fel y Of above . 6.80.. Subdivisiori: I Lot no.: .,.... . . . - • Or: , . . .1. 'roc Map/parcel no.: Other fa1 ii apliances „ ..... .• . . '.. Water heater 10.00 . . iz•,:r. : , :•''-'::P.' Oils fitenlae:e . • 10.00 405111_1_1 dc i e-A 1?4,1 _...g.i42...e Fine vent for water heater or gas ' fireplace 10.00 , 4 :-. p/44.1_ A Li), 5-2 Log c il.3 1 O.oti , .. ... , ,. 9 4 zefu ' , Wood/pellet : tove 10.00 . Wbod,firepla :e/insert 10.00 ' v.. " ' ...' .. 1.1tiistlitiqr ..- . '21';' ".'4''''''')..:4'''321.-,t1'.''''''4';'r,:'41.4%;71111.2'661V,Mi,V",.:1■,' • „ra 95 11111thern 10,00 V 4 ,, , ,.. ■:. :1. . . 1 5 • - :t - ty1; ,- `,.. - 1„':it: ,, ,....,:r, - • ;.-;;' x:% e•?-..'''.1 / Name: ( Envirenitien; al exhaust and ventilation • Rangishabd/c thers kitelien . . kc1dres.s: / 57 ,./c. 2 1 ,..- z 6 ez_ . equ.„--. ipinent. 10.00 City/State/ZIP: 7 7;1 ai^ef , 0,Q ,742-,/-3Z ClOthea dryer eXhatist 10.00 SMgle=c1tict el, 1)404 (b.athroonis, Phone: (5 3?, .., -9 4,76„ Fax: ( • ) t.ciiiei Compint nents,. Utility rooms) . 6.80 .'-'';::-'';.V. Attie/crawlsni ce fans 10.00 ,. :.:•;.:'..,;:'. nk-.:.,r.i:•.• •',•_,..: 2. ..J4`... ..,,...r. • • . .. Business name: b--;,,, 2- )47, • I, i me . c. other Fuel pipi 1o.00 Contact name: 41/1.41/itep_. It _,,,,,,/ . . . . $8:44 for first four; $1:00 for each additional . . . FtirtiaCe,,etc.. Address: l ,11, )___Eicna., Ferv-t( City/State/ZIP : Thi_t , og... 6 ?79,24 Wall/Susperided/unit heater _ Phone:- (51,3) „59s 3-7,,z (524) 1 ., 7 . i , s - 4 Fax: : Water heater FireplaCe i E-mail: jzjp_npi/ 4) . i ,.. e.5 ,- ,,... ( .6, 1 , . c..). Range ' • : ' ,:;':• '•' '. ,•• -.•'. .- , • .•:• , • ":. • .c0 .,,•. ,i .„ . ...,.......,;.•,.•.,........ ,::,,;.,:. ,.,:: , ,., Barbecue • .„....,..., . . . . ...• . .... .. ,.. ...., „ . ..„..... ,. ,-. ,..., ..... ........„... ,,....,. „ . ,. „,,.., _ Cldthes dryer( B_u_s_ ines_s _narr2 ___ c ,:,,,j b i 4-/ flu 2d.1.ze..s .,(.,?„.th,,,,,!,.,;,,;.,77,,..„.:.„.. Addrc.ss: -------Li-S 4 k9S-_We.' ‘• ;;..:-',''': ,"• ...' ity/State/Z1P: 50) F . p, ,... t _ z.adui....... _ 04 . , 91 ..., . 442 _ ., 1 Mnimu ______ . ,,t-0, .._ Minimum permit 1i:e ($72, . .. .. [ax: (5-03) Ze.70-. _,z;18-S-- ____ __. Pfau review (25:13pf permit fee) . • . _ - 2C1.3 ii,....: 4'4q79 __J I __ State sitteltarge (12% uf permit fee) --- -- - TOTAL. PERMIT FEE 4 ..., / )U. 1 • • ..... .. authorized signature: aileite22e.dt.e9-4_ _ 'Ibis peiruit artp ication eiiiirCa it a iyariitit is not obtaip- ithia 180 d193 9 after it has been accepted 2.5 con9pItitei. )rint name: L, Z 2 Date: 1 10 _ .,--: / 0 — I , Fee in ethodolc y 5et by Tri•County Building Industry Service Board • '3uildin14TerrnitslivIEC-Permit App. tinc c t it sor •• .4443 0 1r02/CONYWE13) �S1 F,e—e_Sicb