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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2010 -00589 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/17/2010 Parcel: 1S125DA04900 Jurisdiction: Tigard Site address: 6605 SW ALFRED ST Project: Smith Subdivision: KINGS VIEW Lot: 34 Project Description: Wood fireplace insert. Contractor: LUDEMANS INC Owner: SMITH, WALT & PATTY 12675 SW BEAVERDAM RD 6605 SW ALFRED ST BEAVERTON, OR 97005 TIGARD, OR 97223 PHONE: 503 - 646 -6409 PHONE: FAX: 503 - 646 -8034 FEES Specifics: Description Date Amount Wood Fireplace /Insert 11/17/2010 $23.32 Type of Use: SF Chimney /Liner /FlueNent 11/17/2010 $33.39 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/17/2010 $10.80 Occupancy Grp: Minimum Fee Adjustment - Mechanical 11/17/2010 $33.29 Stories: Fuel Fuel Types: Gas Pressure: 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 -0090. You may obtain a copy of the rules or direct questions toAOUUNNC by cca a llinng 503.232.1 QR nr 1.800.332.2344. Issued By: G Permittee Signature: / Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. Mechanical ]Permit A licatio �q l colt (.)14 ICE USE O l City of Tigard CE !/ ��` i Received ' I Permit No.. Plan ♦ L — G am ' � Iiii i 3125 SW Hall Blvd„ 15gard, OR 972231 p� Review Phone: 503.639.4171 Fax: 503.598. 1980 N O V 1 6 2 010 Date' Other Permit 7'i C; rt l Inspection Line: 503.639.4175 1 Dale luad Jens: ® gee Page 2 for Internet www.tigard-or.gov Notified/ Method: ' TT& 5apptcmcntallnfOrinat CITY OF TIGARD ., w► '7 '� ate« r „,,.-:.4,7.„ �: s �t� . ,., r ar� mm..a,» , vs• one a + �• G x ' � yi � � r epi .+ -�.= �� ,,,. �� .A,:. m .C” "�:i°' � � `T��'' �,, .�.r ir e , r l ) 7'Rro s i r A .4 . r9 a� t if b al . n il' . jdrai ek :: +32 , igabie <' ' ' S ,:.�ZYx_5�' ..._' �".' ���, �: M�' 4� �a,; i ck�tkScErG��ca�,!'`, �'. �ra�i'. �iJ; �; o. r" �... �. Ya + ��,. , � s ,�. 3a,tM � ��.�i�; , . �a.�.c�a - � �ir�eiN ..l.iz�'zcett^.�.�ls;�f�r" . ' 0 New construction 74 Addition/altcratkon/replacement Mechanical permit fees* an based on the value of the work 0 performed. Indicate the value (rounded to the nearest dollar) of all Demolition 0 Other: mechanical materials, .ui. mcnt, labor, overhead, and .rofit ��Ct+ . Vrggi. d' r.'Ll' °gip M7 ,�^ ;::+ r!rbv. tr Iv'� v�;':1, bw; r.i"",?;•;.y,!. yT' . ^^S<f a r� ..y.7ail,,'"> ,R Value: $ , S*J C x 11 r'� .,. r , r , 1 <� � } x t �� '�„ rtn �'d«;•r1� . mn. a' r N 6S a a i e r1M1a o' �1.,1 T:In ^ yr : � ZS CIVI Y2. � i ' ' 6, ' . r,7;2 . 1 4 ? �,. �x�; �' 1 ^ ' � ��u�, r,. eiL�a; 4: ak�"��ae:a�r,�G.xW°ct�a .n:"w�,z ..� kWL�L�+1a � � �3F ". � 2V hw 3 r M �'M „s.y �, 55 1- and 2- family dwelling 0. Commercial/industrial © Accessory building �x :i("""'d�'�''�" =`t' %�-�` • � �' 0 Multi - family 0 Master builder Other Description special information use checklist. ,` ifi ,, F x x m 4 uuw , ram x,es .,,,, }qll i"•'9' i'^r� .Rt + u, to . Description 1 Qty_ j Fa. Totstl 0 � u / r tia"�1 ietUr r> . ,+ S, ' " . re ttrglle164.4 ? 5�'",4"' ll keg Airc n Job site address: J ' �` Air cond l�6, 0,5 l { - i [ ., nines site .IaII S r : .laeetIleDt MEN City /StaterZ1P: y Q AR 7 0 Furnace 100 000 BTU (duets/vents) 1111. 46.75 MI en Furnace 100,000* BTUJducts/vents) 54-97 Suite/bids/apt, no.: Project name: I 41b.- Ali Fleet pump_ 61.06 Cross street/directions to job site: Duct work H .mode hot waters tern 23.32 Residential boiler (radiator or h . . � - ! h .conic ... _ _. _ _ 1 Unit heaters (fuel -type, not electric), III in -wail, induct, su ded, etc. 46.75 Flue/ventfor an of above MilignIIMIE Subdivision: r Lot no.: Other: 2332 Tax map/parcel no.: Other fuel appliances ' d" ," - �atr r;..�'p's nf."7.t�h„r'�,tr4'v,�Y"ti-' "' ' 6 " ` r '�Ji'�,> 'n`��'"cti',o-"r �`'a Watcr to 23.32 661i2Af Vi k�.ta'.t'Sf st ;:' uw ii?i,coMeit..W.e..6 ue., �E:1r112lI's <.w.riit:J=:tw_..45 .ra °a ,fi. �4 1 Gas fireplace 33.39 ` . A - ' / s p e s 0 e Flue vent for water heater or gas fireplace 23.32 Lo.li• ter .:- 23.32 wood/. Oct stove 33.39 Wood fireplace/insert El 23.32 _,Kg "vi r . ; r,,, r; :'a;� :y: +e - " - "• r: ;'w't' ex:.Y:3 " s:y y.., b: C��a " xr " r.. nna a aY Chinm /liner /flue /vent 23.32 „ 4'.L q"d ka S" < .sG d r �r i) � • � as;+ �,Aw `ic ,row t +, .. .4A , ;: #� _IM y�kc'G s ? { �x:w.si�.,.•;`� �°..' —.•. «DIY., +mil ��.. «.r,>x'�� .4..,�r.. S kn�k 4 ,.,+�1�:s,.Y' f��._,,.r. . ,�' Ord >��n�::�xn.^xl.we.,4fitrw .�.�t�}� oth Name J f7 /47 ,,,.$./z7,714 Environmental exhaust and ventilation alf Address: Q / Range hood /other kiichc�t tz r e• ut. ment 33 -39 City /State/2LP: 0 c i a 1 Clothes . • exhaust III. 33 -39 Phone: ( ) Fa ) m 11 rooms Single -duct exhaust (bathrooms �El toilet co .artrnenCS uti " �iTr,."' l..- .r..r�`a .�, w��,� t�.�:;� +s�1V��p'•'Fi2r �". �F r. �„ 17!' �., r, i. � g�' TMm C�^; 8 :! ���r�} w. M�f�� !SX ?'m�", °�:^'1�' AitiC /Ct9W -.aCe Earls $; i�41 fo, P "fix i q.ir Y fit .� .:. ),0!„ > S e "tic w t..:a n 41n .t . 1 d•«. S� ?, 41.: L. c Swr z r,^ w_ �w."> x. i�ea.-.f. ;�w..�.....tra�am{'rs+ f xvz.,d.�:�xh-vltos siv r,:. i�„. r": 3.... 5': 2'4.w.a_.w.:r'Ct.mul..:�)H ,? � Other 2332 Business name ws - .1/4/ fr 5 1 __„_, Fuel .i.in, Contact name: 7 j AAG KC:: _ 514.15 for first four; S403 for each additional Address: Furnace, etc. /c Co 7J o � Q// : • A f • 1.1MMI City /StateJZlp: ` r a 7.00 Wallis • ded/unit heater M� ` Water heater MIMI - Phone: b . , , • Fax:: (-5Q [ P , - ' C233` . &mail: O/7 0 / e/c/e 47, ' I • p / Range MOM , P , v'��r 4 ;r r: q Y"�'w.H1;' "a' . � a n v $ ioiY�;n;. ,^�F;"^�"" q't.:', � ��, �w A��h i n t: '9€ M9v r ' r a r r YV' w n w p,,., X v : 4 q ^• Bk r, •', 5` "l 'y�`� �, �,FFi 4`g M 1! .i iii a 0 ,'t r i � �p lµ,r. py �,yq� p� ,„ V.,y� � y, � ,, Mil �1f.+. �l �' N{; 1xW�ui+' N.^ l�lMlj�6�dm,' �.- 4' ����9IIrP�4 .VwhliAitS�kh,�iY,'kN�M.M7 W' �� Ifi�C'1M�YPtiI(:�l.�filNhi '�ArA a�i. BallK4uri ��� Busi �.. 4:a1W nces name: / / 1 Clothes d s h eicie - #7gl S 1 Other: Milii. r FliTigr 1:44. City/State/ZIP: I Subt MEM Minimum permit fee ($90.00) . s Phone: ( ) Fa: ( ) Plan review C25% of permit fee) CCBlie -: 5V -5/ g 430 1,J� State surcharge(12 % of pa7r&fee) a.,'• TOTAL PERMIT FEE o O. ,pe � . This per application expires if a permit is not obtained within 180 Authorized signature: _, days after It has been accepted AS complete. Print name: ..19.4 : . _z--;...x., Date: /lt /,5 —7:2 • Fee meth ado1og7 set by Tri-County Suite-lice Industry Service 1osrd E00 / d 9911# ----. /�f � � SNVN301110 -INo 17 00899179 C09 6b 01. OIOZ /9l /ll