Permit CITY OF TIGARD MECHANICAL PERMIT
11 If
.. COMMUNITY DEVELOPMENT Permit #: MEC2009 -00536
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/13/2009
Parcel: 1S 135ACO5000
Jurisdiction: Tigard
Site address: 10940 SW 95TH AVE
Subdivision: PP1993 -040 Lot: 1
Project: Donahue
Project Description: Woodstove and chimney
Owner: FEES
ETHAN DONAHUE Description Date Amount
10940 SW 95TH AVE
TIGARD, OR 97223 Wood /Pellet Stove 10/13/2009 $33.39
Chimney /Liner /FlueNent 10/13/2009 $33.39
PHONE: 12% State Surcharge - Mechanical 10/13/2009 $10.80
Minimum Fee Adjustment - Mechanical 10/13/2009 $23.22
Contractor:
HOT SPOT FIREPLACE & PATIO SHOP INC
11525 SW CANYON RD
BEAVERTON, OR 97005
PHONE: 503 - 626 -4652
FAX: 503 - 626 -9138
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Solid Fuel
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: r,/j A Permittee Signature: C R
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.
Mechanicalysrmit APplie eEDIED
City of Tigard • n te •
Y.vI ,
4 13125 SW half 131vd_, TIgerli.OR 97113 2009. • M fry?
Phone: S03.639,4171 llai: 50396
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Inspection Line: 500.539.4175 • U L ' 0191 - se m = ; Ws; 7 See Vats l ter
Warta; wtysy.tlRard.ar.a0V CITY O� p A � NDtifiedrAfed,od ` r aapparoenwl rabraleMsp
- 1t C KCL >F E - V= CHECKLIST
0 New construction Addition/alteration/replacement Mechanical pormrt sv are bawd entho valve ot'the work
performed. lndloste die value hounded to Om Tweet dollar) of all
❑ Demolition lather: mechanical os folds „eoulpmeat, labor, overhand, rid profit
— ClOiGOIRY .OF CONbTR,EC['XON Value: S
RE IDENT <AI. totriltskriaitnimings.
I.. and 2- ihrnay tiwelting ❑ Commercial/Industrial 0 Accessory building
For special information UM checkltsc
Multi- flumity 1:1 Master builder ❑ Other. ^ Erticriptipn s a
JOB sant 170ORMAIION AND LOGAt'1” m kwt,a• coon • • . •
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Job $k address 1 C1 q 0 �( r` i--11 )�VQ .H tr - -. fie • ua /howln:.twomaa . 14.00 11111 .
City/$tii JZXP: ace t'i, t i 0 : e • rt/vorts MI 14.00 MN
5uftcPoldg. /epit. no,. Projee► tune: (� Purace 104,0000 ISM (duom/oatts) 17.90
_ ��� 1112, Gac heat•un.• 14.00
Croce streat/directlons to job site: Ductwork 1111 10.00
- __
Y..1 drontc hot water I Item Mill 14.00
Rest • , ter (radiator or
Is .• .aie Ell 14.00
Unit b.&* (fuollYpc, trt)t eotrit),
inms11. ., sit, , , • , 1. 00
Subdivlsrn+' I I otno.: - - octvent fee any of above 6,80 T
- - omen 10.00 1
Tax lip /Pc no.; Other Karl apelitaeea
. DESCRIPTION OF WOW( Water hour 10.00
cias fireplace 1110.¢0.
. I af! r' — .e _. Q- . . � .3•4111111 L F. vent for water horror or gra
GWplacc - 10.00
Lo li • ur 10.00
woodh • 101 etovo /A woo
wooQ tirepitaei ♦tsert 10,00
Cbnn/atiiner /8uo/vcnt 10.00
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rovImametital exhaust and ventilation
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e nu • pct • ■ suet arttrnarns
Phone: '
- &Co ' Talc ( ) toilet Boni.: ems udll, rooms IIII 6 , 0
►'. APTLICAbTC • D CONTACT PERSON AttiNtauwla.etoe Ike MI 10.00
Other 1 100
r IN 4 ° ,:■_.. I . ft .
g 4 SEA :(or Grit fo■r1$1.90 for each additional
pnrn P. elc.
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