Permit CITY OF TIGARD MECHANICAL PERMIT
11111 • • COMMUNITY DEVELOPMENT Permit #: MEC2010 -00688
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010
Parcel: 2S111CB01306
Jurisdiction: Tigard
Site address: 10410 SW DELMONTE DR
Project: BISBEE Subdivision: DEL MONTE SUBDIVISION NO.2 Lot: 13
Project Description: Wood stove insert with chimney liner.
Contractor: TOM BISHOP CONSTRUCTION Owner: BISBEE, BARBARA A
4578 SE 103RD AVE 10410 SW DELMONTE DR
BEAVERTON, OR 97005 TIGARD, OR 97223
PHONE: 503 - 644 -7868 PHONE:
FAX: 503 -626 -9138
FEES
Specifics: Description Date Amount
Wood /Pellet Stove 12/28/2010 $33.39
Type of Use: SF Chimney /Liner /FlueNent 12/28/2010 $33.39
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 12/28/2010 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 12/28/2010 $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:
r _
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.
12/27/2010 14:11 5036269138 HOT SPOT FIREPLACE PAGE 01/02
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Mechanical Permit Agplication City of tigard Received
1r ; II NI ED Dale/BY: 1 1 ( 0 ill 11
1 , 1 111.-- -- 13125 SW Hill Blvd., Tigard, OR 9 .7* ( vo Plan naview
It - Permit:
1 • Mechanical permit fees1 are based on the value of the work
0 New construction : 'Addition/alb:rah • I replacement performed. Indicate the Blue (rounded to the nearest dollar) of td1
0 Demolition ! Other: Meebanical materials, .-j potent, labor o , ,-... and ., .0r.
3 5 0 4 i 1- and 2-family dwelling El Commerciairmdustrial 0 Accessory building For wee! I information uce clieditrt.
0 Multi-family , 0 Master builder 0 Other Description I Q NM T°
Air conditioning 199111111_
Job site address: 0 It ao D
Furnace 100,000+ : I thidgVelitg 11111103 NNE
Heat pump IIIIIII 61-06 NUM
Cross street/directions to job site: Duct work 1111111g3
. 11 dronic hot water j !MMIIM 23.32
dronic I 23.32 11111
-
Flue/vent fur any of i . e Mil 323 2 OM
Subdivision: I Lot no.:
Tax mop/pareel no.: Other fuel vein .!
■ Water heater
. DESCRIPTION OF WORK
...-42:1 L.FellikiliMII4'1 Of ' 4 ti -I. Aii.ti ' ti , 4.1 Flue vent for water f'' -.- of gas Ill
EMITEMV Muni 73.32 .
- • V Jr 0 tie,c 1 i , e._ Environmental exit 1 • and ventilation
Address: loll f„ 4;. 021 1 a... equipment 1 PRIME
Other: I MIMES
, 0..e2__( '12. — Gas heat . ,,,, MIEN
Phone: (5o3) 4Q6-Vos=;_ Fax: : ( ) Water heatta I Ellin
Clothes dryer ?• • I 1111111. MIN
Citf/State/ZIP: li 4 , g v. a 1 ke" VO CIS Subtotal rin
Phone: 603) (05 %, 7 eiti mortimmiew r %of ,- i- fee)
COD lic.: i 5 9 1.111.1111M: sir/dyne 02% of Permit fuc) en
r t st. 41, - 11...1.1111 TOTAL PERMIT FEE /0(1
Ainburbted siguature: j - d i o r , ar- Ae , . z..64.0 _, days i • , it hot been accepted as coapiele.
1 re
Print name: ' LTA". k r—... Date: Al. a7 ISM • Fee Enethodoiogy . - by Tri-Cotem? Building loctuttry Service Board
__ 440-4617r (11/03/COMMEIP