Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00572
TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/05/2012
• Parcel: 2S102BCO5800
Jurisdiction: Tigard
Site address: 12635 SW PATHFINDER CT
Project: Cole Subdivision: YOLO ESTATES Lot: 7
Project Description: Woodstove insert with liner.
Contractor: TOM BISHOP CONSTRUCTION Owner: COLE, MONTE G & RIENEKE
4578 SE 103RD AVE 12635 SW PATHFINDER CT
BEAVERTON, OR 97005 PORTLAND, OR 97223
PHONE: 503 - 644 -7868 PHONE: 971- 732 -9242
•
FAX: 503 - 626 -9138
FEES ,
Specifics: Description Date Amount
Wood Fireplace /Insert 11/05/2012 $23.32 •
Type of Use: SF Chimney /Liner /FlueNent 11/05/2012 $23.32
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/05/2012 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 11/05/2012 $43.36
•
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By �` ( i1.4- Permittee Signatur i - ! pap"
'
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.
•
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HOT SPOT FIREPLACE PAGE 01/02
Mechanical Pe i, it AepUCati i OR r i i i I. i . ti F. (� I.
( � Cf �1 1 1 t' �7
Oyof !,, . . Maur " Permit No.:e - 0/ .. aDSI
' • 13125 SW Hall : 4, Tigard, OR 97123 NOV 0 1 2012 Plan xe w othertrenoie
Phan': 503.718 Y • Fax 503398.1960 Datoffly:
•r i c.; A 1:: Internet www.. .. 5 CITY OF TIGARL N ew ark ! m . ` ` = 1 d ontowtitm
BUILDING !
. • ... 'Ting: OF WORK • .. cosolgRam. yErt. scnED1 LE USE C CKL•f •
• Met anieaf permit fare am based cm .. • value of the work
❑ New construction ■ 'Addition/alteration/replacement manned. indicate the value (rocnded .1 the nearest dollar) of all
0 Demolition • Other_ madtaoical - . -. m . i labor , .vcrhead, and
• ' ' • • a• TEGORY OF CONS tremor
Value:
• !: 1- and 2- fhmily dwe �.: ❑ Commercial mdust ial 0 Accessory building &raPed& fpm metro„ •- • eheddbc
■ Multi-family ❑ Master builder 0 Other: Description I L .. . L Ea Total
. • JOB .INFORMATION AND LOCATION • . . Ileatl°R/ nR: i-
. Air conditioning
Job Site addr s: j , � ' l t � i % t i (eenmres site ra t a n p ) 4635 •
City/State/ZIP: �" Furnace 111 000 um doetsrve f 46.75
t r „. r. :WddIIIDEFNMIIIIMIIII Furnace 100 +BTU , , .. NMI 54-91 SIM
Suite/bldg./apt no.: Project name: Hera pump
- , - she ,. .. •>r:. .— t '� 61.06 IIIIII
Cross st eat /directionsto'., •ite: Ductwork 23.32
I +dronic trot voter system 2332
Residential boiler (radiator or {
hydronic) 2332
Oak heaters (feel�type, not eletar o),
in- wa1kin -du r, suspended, etc; 46.75
Subdivision
T Lot no.: Flue/vent for any of above ;
23.32
Other i I 2332
Tax map/parrel no.: Other fad a •
. . DISC IPTION 'OF WORK . . Water heater ; I III 2332
Gas '. • .laoeluuert .
•
I 3339
iim IlliMili, I eli I Y4SC? . • a *„‘. • Flue vent for water beater or : - 11111 23_32
-... '
Lo: Ill.. ter i Ill. 23•32
Wood/. et stove I MINI 3339
Wood •• ..lsccrmsert 1111 2332 .1
MEI 3 PROPERTY C • ❑ •TorANT . , e+.... ,.,fi . 11 WM 2332 . /�1Vr7 •
Other: i 23.32
Name: b 'I Environmental eshaust aa reutiir .
Address: / & " g /� ' . 4. `� other kitchen 1 3339
City/State/ZIP: • 1 ., 1.L// 0 • - Clothes .i exhaust i 3339
Phone: • 'y `� Fa ( ) Single- daacdtaro t(bsthroo.•
� � toilet compartments. un7F�rdoms I 23.32
111111111111111E APPLI e 0. ❑ CONTACT PERSON Attie" : fans 23.32
Business name: i 0 4 i ,c1 f 1 ,+ lac 474 Feel piping: I
Ccd,taet ; 11A.IlN ! S14.0 for fart fo :54.03. .
Address: ( . - P Fkunzwe f I NM
rt� y Gas area[ ;�, IMO
e;ey/starQ N .rat. I' r A • WaWsaspeaded/onit 111111111111
Phone: 6 _ Water beatyr
.. _ / I — u-
CONTRACTOR Barbecue : t 1.1111111 Business name: 0 ! 1 CO e
Clothes
. 1� other I � ��
Address: $r, I b(: 1 ' . • • WRVS* •
City /State/L12: j MI r' . • �QG�' i Subtotal
._... v rv. - fax (59000 li 0
Phan (53), /c/ = r = . of trait t7aa �
CCB 1ic.: 56 r • sum swt'harae ( 1 of • • • t fee) W
�rr TAL r C )
1 RMIT FEE , i. r
Authorized / Ylb t �t =Vireo • . to not vbuieed wfthb 180
$dat �i11_a / L. / ._.cA. • rive after It aN he •• • ..• „ ioBiteNC
Print name: i14 I' � ► : •r • Fee mathodologv tat by Th- Coosty :.. • .: Industry Service Board
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