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Permit � � CITY OF TIGARD MECHANICAL PERMIT I '7 /; COMMUNITY DEVELOPMENT Permit #: MEC2011 -00559 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/06/2011 Parcel: 2S103AD00801 Jurisdiction: Tigard Site address: 11090 SW FONNER ST Project: McCabe Subdivision: ECHO HEIGHTS Lot: 10 Project Description: Install wood stove insert and insulated chimney liner in masonry fireplace. Contractor: TOM BISHOP CONSTRUCTION Owner: MCCABE, SEAN & DANA 4578 SE 103RD AVE 11090 SW FONNER ST BEAVERTON, OR 97005 TIGARD, OR 97223 PHONE: 503 - 644 -7868 PHONE: 503 - 746 -4181 FAX: 503 - 626 -9138 FEES Specifics: Description Date Amount Wood Fireplace /Insert 12/06/2011 $23.32 Type of Use: SF Chimney /Liner /FlueNent 12/06/2011 $33.39 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 12/06/2011 $10.80 Occupancy Grp: Minimum Fee Adjustment - Mechanical 12/06/2011 $33.29 Stories: Fuel Fuel Types: Solid Fuel Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questionsJo OUNC by calling 503.232.1987 or 1.800.332.2344. ' I-- r Issued B : ► /!j Permittee Signatur A� Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application ,��� �. o lz 01.1 :14 I. C ti r 4 o„ III City of Tigard �� j � � /. A- /i I wit No,: ,: ,e6ta// CG5 '' 13125 SW Nall Blvd., Tigard, OR 9 O ,�� ` rY Phouc: 503.639.4171 Fax: 503.5T : ' . r 9. ` Other Permit • Inspection i ,� r 1 y Inspecton Line: 501639,4175 '‘' �^ A �� ` Y Internet www.tigard-or.gov ., S�O Date o l Supplemental SeePage 61 40, 3 •V Nom: Supplemmml taformatloa TYPE OF woR)K� 4` 'COMMERCIAL FEE* SCHEDULE _ USECITECtCLIST © New construction jAdditioNBltetutio r placement Mechanical permit Lees= are based on the value oldie work El Demolition 0 Other: performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials equipm ent labor oyerheed profit. CATEGORY OF CONSTRUCTION • - . Value$ l - and 2-family dwelling RESIDENTIAL EQUIPMENT /SY EE MS FEES* y g ❑ Commercial/industrial ❑ Accessory building . . [I Multi-family ❑Master builder For special information use checklist. ❑ Other: Description _ ph Qty. Ea Total JOB SITE INFORMATION AND LOCATION • Hettinti/cooling, _.. .. Job site address: / /0�6 S" d nn 0* , ,._ S-7 A ir conditioning (resdroa rite bleu slowing placement) 46.75 City /State/Zip: 7 f i I 1 ?7 Furnace 100,000 BT(1(ducmrvents) 46.75 .23 I Furnace 100,000+ BTU () 54•.91 Suite/bldgJapt no.: _f name: Fleet pump 61.06 Cross sheet/directions to job site: buctwork 23.32 Hydronic hot water system _ 23.32 Residential boiler (radiator or hydronic) 2332 Unit heaters (fuel -type, not electric), in -wall. in-duct, suspended, etc. _ 46.75 Subdivision: I Flue/vent for slot' above 23.32 Lot n0.: . L. Other: 2332 Tax map/parcel no,: Other fad appliances DESCRIPTION OF WORK Water heater 23.32 - - -. Oas fireplace 33.39 4 x`1 4 a " - <c & - f r -r40- - Flue vent for water heater or gas rhl,f 0 •.- ,-" i **11 (f -1.e --f t ftteplace 2332 Lag lighter (gas) 2332 iYJ��dYT 17 .,2.5.e._ Wood/pellet stove 3339 1/47 Wood fireplace/insert r 23.32 ;3,' '_,•- V PROPERTY OWNER 1 TENANT Chimney/liner/flue/vent / 2332 Oti►er_ 23.32 Name: "Does _ /lI G ___, EavirtMatental cxpawt and ventilation Address: Range hood/other kitchen „e uipatent 33.39 City/State./ZIP: Clothes dryer exhaust 33.39 {� Single -duct exhaust (bathrooms, Phone: 3) '/ O / pax: ( ) toilet compartments, utility rooms) 23.32 irLAPPLICAN1' © CONTACT PERSON AticJcrawispaee fans 23.32 other Business mire : mod / L 23.32 }"- ( - `� r � • Crud piping_ Contact name: -„ *-_c_. / $14.15 for first four 54.03 for each additional Add„ess /.� s 45-4/ C .. Furnace, etc. a Gas heat g City /State/ZIP: ' ,; p Wall/suspended/ mit heater Phone; 0,3) _ .4_ :•'� Fax:: (snJ 6 .Z c -^,/3 Water heater _ 4 Eel: /low �� Range ' r- _ .- � 0 �� . c�i� Icattgo _.. • Lsa; . iii t_ Barbecue Business came: . Clothes dryer (gas) Address: >�as -7 fie MECHANICAL PERMIT FEES* City /StatetifP: Subtotal � Phone: (Oa ) C. r f Fax: ( ) Minimum permit the ($90.00) re. — _ Plan review (25% of permit the) CCB lie.: 7 • Statc surcharge (12 %ofpermit fee) ®. Authorized si:,. ; , - r / / T O T A L P E R M I T F E E / e x " , . / T h u s permi teyplieaRo expires if a permit is flat obtwoed w i t h i n days after :t bas been accepted ea eomptete. Mot name' J Lr Date: �AcrA • Fee methodology set by Tti.County Building Industry Service Board r :mL mla l[.EC- ter nfApp.doe maim 440.461 (I Ilo7/COM/wan) Z0 /Z0 3DVd 30t/1d3ZlI3 lOdS _OH" 8ET69Z9E05 tt :bt ITOZ /ZO /ZT