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Permit 44, CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00446 .44- . I� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/15/2006 PARCEL: 25111 AA -02500 SITE ADDRESS: 14355 SW 86TH AVE ZONING: R -4.5 SUBDIVISION: GREENSWARD PARK LOT: 013 JURISDICTION: TIG Project Description: Installation of wood fireplace insert & reline chimney. CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: CLO FURN < 100K BTU: AIR HANDLING UNITS TH DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES MATTHEW RADER Description Date Amount 14355 SW 86TH AVE TIGARD, OR 97224 [MECH] Permit Fee 9/15/200E $72.50 [TAX] 8% State Surcha 9/15/200E $5.80 Total $78.30 Phone: 503- 620 -7476 Contractor: OWNER REQUIRED ITEMS AND REPORTS Contact #: Reg #: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: ' ' Permittee Signature: (yVleAhkt__ r -- Call 503 - 639 -4175 by 7:00 a.m. for inspections 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. Alechanical Permit •Cyt1Q % FOR OFFICE USE ONLY City of Tigard r Dat e/ may.C� — 45 .--- de J Permit No.tAL /1 06 e ` _ 4 00 O 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review a v�.w v o Phone: 503.639.4171 Fax: 503.598.196§ /M y Other Permit: Inspection Line: 503.639.4175 P not ' ik i •I I Date Ready/By: murk ® See Page 2 for Internet www.ci.tigard.or.us ! Notified/Method: / Supplemental Information ... B w r� _.- ,r r.. N 1 i bF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction ® Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ L 3 1 CATEGORY OF CONSTRUCTION S r 00 RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFO A LOCATION w , Heating/cooling Job site address: 14355 SW 86 Ave Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) , 14.00 Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90 Gas heat pump 14.00 Cross street/directions to job site: Hall Blvd to Greensward La to 86" Ave Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Installing a Lopi Revere fireplace insert and full chimney reline Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert I 10.00 t p. GU ® PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent I 10.00 ‘CorOU Other: 10.00 Name: Matthew N. Rader Environmental exhaust and ventilation Address: 14355 SW 86" Ave Range hood/other kitchen equipment 10.00 City/State/ZIP: Tigard, OR 97224 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503)620 - 7476 Fax: ( ) toilet compartments, utility rooms) 6.80 ® APPLICANT ® CONTACT PERSON Attic/crawlspace fans 10.00 Other: Business name: 10.00 Fuel piping Contact name: Matt Rader $5.40 for first four; $1.00 for each additional Address: 14355 SW 86 AVe Furnace, etc. Gas heat pump City/State/ZIP: Tigard, OR 97224 Wall/suspended/unit heater Phone: (503) 620 -7476 Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal '2 ©. 00 Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I Date( 115 1 20/1 • Fee methodology set by Tri- County Building Industry Service Board is\ Building \PermitsVMEC- PermitApp.doc 12/03 440.4617T(11/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION - — PERMIT #: tt1s. 00/146 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: c3/ 1 200 €, Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9111 noo6 TIME: 7 PAGE: 1 } SITE ADDRESS: 14356 SW 106TH AVE CLASS OF WORK: SUBDIVISION: GREENSWARD PARK LOT #: 013 TYPE OF USE: PROJECT NAME: RADER DESCRIPTION: Installation of wood fireplace insert & reline chimney. OWNER: RADER, MATTHEW PHONE #: 503 -6)0 74 7 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 9/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 036709-0/ 503 - 838 -7083 Y c,9Q - wtcthnp•ieipt Corrections/Comments/Instructions: PASS n PARTIAL APPROVAL E CANCEL ❑ NO ACCESS n FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- Z444-