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Permit r A '., n CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00670 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/15/2007 PARCEL: 1 S125DD -06800 SITE ADDRESS: 09565 SW VENTURA CT ZONING: R-4.5 SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 LOT: 076 JURISDICTION: TIG PROJECT: BRETT Project Description: Pettet stove install. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: OTH 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Owner: FEES DEAN BRETT Description Date Amount 9565 SW VENTURA CT TIGARD, OR 97223 [MECH] Permit Fee 11/15/20( $72 50 [TAX] 8% State Surcha 11/15/20C $5.80 Total $78.30 Phone: 503- 477 -7801 • Contractor: PELLET STOVES SOUTH 21553 S HWY 213 OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 252 -9606 FAX 503- 252 -3987 Reg #: LIC 46433 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: SII24,1144 0.4 4, Permittee Signature: 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. Nov 14 07 04:06p Pellet Stoves -. 5032523987 p.2 M echanical .?era* • r r i L r a , i ED , , , , , , , , , , „ . „ , . . , 1 (:\I •, City of Tigard I ,5 o7 aB Pwwi 64 _,, -AO _. ,/ 13123 SW !tall $1.d., T:iard, OR 5 NOV 7223 .t 20 Has OaaPosreit Phase: 503434.4171 Fax S03.S9R1 Org , am► rCO c 503.639.4175 LAI T YO F TIGA' . - !1 :1± - o■a . *whorl ter ildB . to ood: www- 461/144"•ss DING DIVISION &Pehe.aalfalleratdisa .: ..• ••: - .- :mac `:.. - :,., . : - :'" ': '.0 a a•=g cla f New construction �aetire --. eat t�.r adca permit l ale based on me value ores wart perf rate& ladle=tbe vahae(nmadta to are merest dollar) of ail p Demolitiat 0 War: . mediankel tnadaials, aleipatmL blew, osurlaskead goat ::• :,_- :. .CATEQll (O6CO UCr1Ctti •.. •. ; ' ' 'rtii4 :r-'1::..-1' %lac$ eaa 2 tinnily dwallfrta ❑ Commercial/ tsial D Acoeasory&slldins '�' _ ._ 1 ' • egbr special Atikswsteor ure checklist. ❑ Muld © blaster builder p Other: 1 Qtr. r Ea. I Teed . • -... = ;')OW. T Zr4,otiaiaa oev -t Reba ;'-.. - ' :V�w:1 : B.. Job site address: C35 (o S S CJ (/ P vL` u leck. C' r 14.00 Cky/Se terZlP: • C,44.1,e_c y -2 010- 1 Fafoae 100.0001M (du 14 -00 eos) Saiterbldg apt as: Project carne: (�eCt \ Furnace IO11�O�+BiZl(�aerl+Mrart! ) _ 1790 _ Ow kae[pKrap 14.00 Cross seratfdheealeos to job sits: Ductwork 14.00 t tnlc bt a tlw metro 14.00 0 mtia! la_ (radiator a 14_00 I I U betas (teed-typc. not daltrial Gs -wel, in sesvaedcd. aC. , 10.00 Subdivision: I Lot no. PlueJrte* Tae any of chow 00.00 Other 10.00 Tax nom /parcel tad: Other foal oapiiaatee -1 Z pg` :WO* ..: .- l'3'. • Watabet et • • [ 10.00 Om Arcdlaa 10.00 1 - 112 -- r Flue vatsfas Mar beam ar TO �.1 I 1 c� LJ L011isbter[64!} 10 o , Waal/Della Steve 10.00 I O L '" wood tirepiacee ireat 10.00 n,;�� .. (ainaa}9lieesPDtrdvatt 10.00 Olbe: aam 10.00 Name: C ;, ' i ' • i , - 1:6A-61 I Far�eemandease* led racial - d/otdeltirchm Mopevo Address: C/.5 U � 5 L� P. f-t, v ^GC .(- moieraaet � 10.00 COy/stbrolZ2P: fl qj f`4'1'2.4 f 0 7),...D___3 Gabes are are wrt 10.00 ehooe ( SO3 / I -7 b'o 1 F c (s-70) `/y4 - '(03 5 comaartasenta, utility roomad 6.80 ; f r .. , .%.' : 121 orcx�ca'. / �,!£a.oc�las au: 7 $1 / .? 10/ l �n! keg e �l4Aov'2 r^2 . .:cw- /4e4.-e 4 P Other: 10.00 ��t Coma name: 00 IOW l A__ ar s RR' Graafian 51.00 for act+ odd Noma addrem: Po B r 7 ? aC 41 0.`4 a `9 r v (-/ S Oasbe City szaunrn: � J (/ 6l/F / g +'1-644\ d g?7ac1 , vaillauligaiedbah boa r Pborm (S 33 0 2 3: ( I Fair' : (5031JS - 3S rr7 Vista heater E -mail: Iggi I , Business name: /, drsgftoa> ^ ' City/State/ZIP: 9etiaoel _ Mutueum Par,tt fee ($72.50) - 7,-), 5'0 Phone: ( ) 3 I Fax: ( ) ` � 13 I 0� Plc. raraiae t?s(25% amend: Tae) CCBlic.'. 1 T ! � �/ 3 ...7 p _ saw stea s (a%dOcuistr«) r ` i,ZJ 11 (r__ 'TOTAL P&181UT FEE , 7 S 'Z C 71ia w. , aie epp0es.oe essism r s wawa beet .114isai.•t - 1E10 rasa Awe has We- '(. Price name: �i b (' ilk1 Q I ///7 /, - C • R ea m.6odalaw se ay 7ti -Coen elluMes Gad runs Unice Board Woufl iec MOO ��_ - 44pairre pileZOOWWIMN ; CITY OF TIGARD " ., = BUILDING DIVISION % " PERMIT #: MEC2007 -00670 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2007 Phone: (503) 639 -4171 g l � l � l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/2012007 TIME: 7 :00AM PAGE: 63 ._ SITE ADDRESS: 09665 SW VENTURA CT CLASS OF WORK: • SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 076 TYPE OF USE: PROJECT NAME: URETT 1 DESCRIPTION: Pettet stove install. 1 OWNER: BRE IT, DEAN PHONE #: 603477 - 7801 CONTRACTOR: PELLET STOVES SOUTH PHONE #: 5,03 - 252 - 9606 • Inspection Request Scheduled For: Date: 11/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 659 Mechanical final. 0559965 -01 503477 -7801 N Correc ions /Comments /Instructions: P6 : N 0 ta(r giejle;& 2— n. LAt-l-v- 0\--g.-L'-er---"...c..-12.._ • . t )) i'L/ r I` U ,, • ASS ❑PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: tl ( 4 7 Phone #: (503) 718- Zy il ,