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Permit CITY OF TIGARD MECHANICAL PERMIT 11 . II I COMMUNITY DEVELOPMENT Permit #: MEC2009 -00162 Date Issued: 04/16/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112CA08600 Jurisdiction: Tigard Site address: 7562 SW ASHFORD ST Subdivision: RENAISSANCE WOODS Lot: 12 Project: Sherk Project Description: Install pellet stove. Owner: FEES SHERK, CHRISTIAN C & TRUDI L Description Date Amount 7562 SW ASHFORD ST Wood /Pellet Stove 04/16/2009 $10.00 TIGARD, OR 97224 12% State Surcharge - Mechanical 04/16/2009 $8.70 PHONE: Minimum Fee Adjustment - Mechanical 04/16/2009 $62.50 Contractor: LUDEMANS INC 12675 SW BEAVERDAM RD BEAVERTON, OR 97005 PHONE: 503 - 646 -6409 FAX: 503- 646 -8034 Type of Use: Class of Work: Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue Total $81.20 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 Issued By: /51L�J tiO3 (10 n � ' I JIM /) Il Permittee Signature: � Q 'f v y�( ls� , Call 503.639.4175 by 7:00 a.m. for an inspection that business day. . N "dC� 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. APR. 13.2009 12:13PM NO.897 P.2 /3 Mechanical_ 1plieatioRECE D 1442 01 iNc:ONl ± . - City of Tigard Received 6 DatelBy: • Q Permit No,: n Q c is ' j} (51 ..• 9 13[25 sW i -ell ldlvd.. Tignr-d, OR 97223 APR 13 2009 Plan Review "�'C V 71 Phone; 503,0394171 Fax! 503.598,1960 Other Pernpc .64175 39. Date/Re Ti G A li 0 Inspection Line: 503 g C ITY OF TIGARD Date e eady e ,v: S See Page for Internet: wunv,tt arc! -or, ov Notifie Supplemental Information BUILDING DIVISIO Nei S 1 'lt�,t '� a G � i � )V� ,, tt�r r" t � t gv,.t i er �,i �l " a �(( --ll I� t ; �'�) ! 1<1 1 �i �r 'd I� 6 t 'rd� �y . 9� ti� 7V`y 1yyy^^^' � � t 1. ,P f. 4. t �,N 1 , ' �1E. i�.' t )r 7 `, . "li ; i i af' 4ri `. �Jli 6r i,6!�`, ir7 SS S I 2 51'J;L�r i � k ��.�', 1J� t pl � lit �t'' , I 6 ! rd P � ,,yy Q N construction r. Addition /alteration/replacement Mechanical permit fees* ore based on the valve of the work ❑ New eIlrolt nstr performed. Indicate the value (rounded to the nearest dollar) of all ❑ Other. mechanical materials, equipment, labor, overhead, and prdfit, t' i . I tl 4 9 l i e a iw" 0.0 i .: a Value: „a' 4 ' , � t$ d WP�'� . ' r� 1311' 11[ .�'Rl"9f16 i' fl � i 174 I - and 3- family dwelling ❑ Commercial /industrial ❑ Accessory building`ili'lI'Iv�il�ia}•1 ". pr , For special information use checldisi. 0 Multi - family © Master builder ❑ Other: c' " r 7 sn , Description Qty, ] Ea. Total �I , "ic L "�!' i'l' ; ?I,j�l , l r ri1�� tt� atu V � o i ,� i i' , !!, i n +�� :et. l,;i''I1 4}'� "I � I,, 0 Ic Ne ',. D1 a. n'' tl ;F1'4 ;i; / li`t �edi'�. : � i � �, c ,P, - .. a � ��,,. i' "�,r��a ���iirC "'��, • �� HCatla$1C0011n(t 5 / / Air c res s plan Or ling[ pump 4 �C ,,,,s.-L) f � �/ 6 p p Job cite address � � (requires site plazr showing placement) 14.00 City /State/ZIP. ' / . * /C 9 7c7& • Furnace 100,000I3TU duets /vents 14. 00 Furnace 100,000 BTU (duets/ventS) 17.90 Suite/bids. /apt, no.: Project name: ,a ♦ e Gas heat pump 14,00 Cross street/directions to job Site: Duct work 10. Hydronic hot water system 14.00 III Residential boiler (radiator or h dronic 14.00 Unit heaters (f11el- t not electric), in -wall, induct. suspended, etc. 14.00 ■ Subdivision: Flue /vent for an of above 6.80 Lot no,: . -- Other: 10,00 Tax map /parcel no.: Other fuel appliances �;, it .i. � �� ' � ! l l i' I r �• ' 0 Water heater ,,r't�Ilj�" _ �.I�,;�l�ulC(.� ' a w ;�� � ae�gN !���4�ft /i �'' 'tP� ^,� ;, . V+T ° 'c l ' , '' 6 , A � r {2.1 1i� lJr�` 1 ,11 "� ' ", ar. , 1•.1+1 _ 10.00 G as fireplace 10,00 -, 72_ 74 // i 4 Q U- Flue vent for water heater or gas fireplace 10,00 -- - Lo! li ;htcr as) 10.00 it Wood /pellet stove 10.00 /c).07) Wood Wood fireplace/insert 10.00 i �.'.. ''p ' s " a 3e a u 1s r F � ; t : ; ' rt ". Chimn /liner /flue/vent I0.09 d- Other MI f0.00 Name:(1l, r' 77-4-04. ,' / i' f (/ Environmental exhaust and ventilation 6 . 47 f /1 /' / / `,_ / 7 ( Range hood /other kitchen Address: /77r�.r a ui•ment 10,01? Ci ty /State/ZIp: 7 d/ 0' 9' 7,9 a/ Clothes dryer exhaust - 10 NMI Single -duct exhaust (bathrooms, Phone; (5(6) 6,20 . 7_306 Fax: ( ) toilet compartments. utility rooms) 6.80 i' :r i1i; j.l. hi,i ; l h a lf r p r 1 r . I rte tiI t6 111 '. r z' 0 ' a n i Attic /crawls•aee fans 10. Business name: _ e./Y7 Other: EN 10 Fuel piping _ Contact name: 411011*. "2 / . - C e Ai 55.40 for first four; 51.00 for each additional Address; `, CA U Q � � Gas heat um. pm City /State/ZIP: L e* e _ O 9 70 5 Wall /suspended/unit heater Phone: 450Z) , . _ espyo 9 Pax:: (61j Co fz,• e0.3 Water heater _ E -mstl: Oft • Fire lace _ 1 .. crngA S . • i.,14.' _ _ tr {7 "'{ , ' 9li kna( r il�,ji 'IP�h�r i�'i , ;lix� y �� Z - f� �lAh.l''i' l 'µj li � •t';, , ,. '.I,', o 1 ,. ' ,r` in A u � ig o, ,,, f W i., 'r, ; ,' i ',, - 4,', .'1.,;i�; 14', a - , Barbecue Business name: ¢ Clothes d cr (gas) Other: Address: pp ' ��1 iii. to uDr�b"rta ..riiiy City/State/Zit : _ Phone: ( ) i Fax: ( ) Minimum permit fee ($72.50) 36 CCS ,.5 lie,; i.5/G Q r1 Plan review (25% of permit fee) ` [ V State surcharge (12% of permit fee) TOTAL PERMIT FEE c }'/ rR O Authorized Signature. Thlx permit application expires if a permit is not obtained within 150 aaye after it has been accepted no complete. Prin name: h / 4d ,fee /< 7 Dale: / ,/,..3. 0 9 u Fee mcchodelogy set by'1'rt.County Building Industry Service Board 110uiidinptPermicAMEC -P tit/app doe 01/19/07 44o. ai 7r (I Posicomiwaj)