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Permit
CITY OF TIGARD MECHANICAL PERMIT - COMMUNITY DEVELOPMENT Permit #: MEC2010 -00621 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/01/2010 Parcel: 2S114BA03000 Jurisdiction: Tigard Site address: 9650 SW SERENA WAY Project: Hogan Subdivision: PICKS LANDING NO. 2 Lot: 109 Project Description: Wood stove insert with chimney liner. Contractor: TOM BISHOP CONSTRUCTION Owner: HOGAN, GARY D & PAULA 4578 SE 103RD AVE 9650 SW SERENA WAY BEAVERTON, OR 97005 TIGARD, OR 97224 PHONE: 503 - 644 -7868 PHONE: FAX: 503 - 626 -9138 FEES Specifics: Description Date Amount Wood /Pellet Stove 12/01/2010 $33.39 Type of Use: SF Chimney /Liner /Flue/Vent 12/01/2010 $33.39 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 12/01/2010 $10.80 Occupancy Grp: Minimum Fee Adjustment - Mechanical 12/01/2010 $23.22 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 to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - Permittee Signature: •�' ' 4 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. 12/01/2010 10:42 5036269138 HOT SPOT FIREPLACE PAGE 01/02 Mechanical Permit A llevation Ilc)l� (►l;r It I. 1 I' (��l..i City of Tigard CV) Rec 1 Puu0.it No.: ad — I C Da1day: • l i n 13125 SW Hal 1 31vd., Tigard, OR 9 Ati' plan Review • Phone: 503,639.4171 Fax: 503.598. k ..1 N. `�� DateBy: Other Permit C4 k; ∎ )t lT InspectiUn Line: 503.639.4175 Ready/By: Date & ieth See Pagc 2 for Internet. www_tigard.or.gov O-� ,e�Gt�' O idotificevmethod; Jrt iinpptSOamul ■lion • T 7(PE OF W01?l COMMERCIAL FEE* SCHEDULE -� USE CHECKLIST Mechanical permit fees' are based on the value of the work ❑ New construction KAddition/alterati placement performed- Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, • • in, men labor overhead, and •rofrt. Value: $ CATEGORY OF CONSTRUCTION - - RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES" RI 1- and 2- family dwelling ❑ Commercial/industrial El Accessory building For special information use checklist, ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total M JOH SITE INFORMATION AND LOCATION Heating/cooling `�lv54 . 0_ e Air conditioning lob5iteaddrasS: ..uueas Ian chawth: tn wyd , laceent) 46,75 City/State/ZIP: ! t r ` ,p`F Furnace 100 BTU (duetsiveats) 46.75 Furnace 100,0W. BTU (ducts/vents) - $4.91 Suite/bidgJapt. no.: Project name: Heat pump 61.06 Cross str ct/directions to job site: Duct work ■ 23.32 Mill Hydronic hot water system 2332 w Residential boiler (radiator or -- hydronic) 23.32 . _ Unit heaters (fuel-type, not electric), in •wall, in -du sus I . etc. 46.75 WI Flue/vent for an of above 23.32 Subdivision: .-. LI of no.: - Other: 23.32 Tax map/parcel no.: Other fuel appliances .. DESCRJPTJON OF WORK Water heater 23.32 Gas fireplace 33,39 a t • a i e Y . _ - I i tM A_ " _. ' .A .4 Flue vent for water heater or gas 4 fireplace _ _ 23.32 lo_ li: 'ter , : - 23.32 Wood/pellet stove 33.39 1 w Wood fit lace/insert f " 23.32 ,7 _ G � -� lii PROPERTY OWNER ©TENANT Chimp• /liner/flue/vent /---- tM P17�+. :, Other: 23.32 • Name. C VIA. 140 a Environmental exhaust and ventilation Range hood/other kitchen Address: a strew,- •uitwat . 33.39 MI City/State/ZIP; j 0 4 i e 7-70o Clothes dryer exhaust 33.39 singe-duct exhaust (bathrooms, 0 Phone: (z j) . ` - i 6 Fax: ( ) toilet com.artments utili rooms 23.32 re APPLICANT C] CONTACT PERSON Atric/crawlspaee fens 23.32 23.32 Business name: a . rr re Fd0t�. Contact name: el S14.15 for First four; $4.03 for each additional ,Address: '1 // r - alien Gas he p um City/State/ZEP: • 0 06 y - ‘ r W(y$ Wall /snspended/unit heater Phone: (104- e../6 Fax:: ( ) Water heater Fireplace - . . E-mail: Range CONTRACTOR �`�`� Barbecue nettle: To fey! D� 630 Y Clothes wryer (Ens) Business ma UC f�� Other: Address: 415 /o 3 . MECHANICAL PERMIT FEES* � i City /StCity/State/ZIP: 1 1} (Ji' j ✓� Q- 7 /C)!� Subtotal / ,�,,, minitinu n, penult fee ($90.00) 9 60 Phone: ` F ( ) f /_ D (� ��(o — Plan review (25% of permit fee) CC13 lic.: /5754 - _ Stale surcharge (12% of permit fee) 10 e ,C..) TOTAL PERMIT FEE .d 0 e re pis permit applica expires if a peon t is not obtabaed wittda 180 Authorized signature: ! / , �J ,A % . days after it has been accepted as complete. Print male: hoe A A , i Date: 4 k7,4//6 • Fee methodology set by Tri county Building Industry Service Board r:\Buildina\rerzviceTMPC- QttAga% 10/01/09 440-4a1 7T (I 1102/COM/WEB)