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Permit • ism), CITY OF TIGARD P/1M K` MECHANICAL PERMIT 4/34/17 1:-r. is COMMUNITY DEVELOPMENT Permit#: MEC2013-00542 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2013 Parcel: 2S 114AB 15400 Jurisdiction: Tigard Site address: 9300 SW DURHAM RD Project: WHITNEY Subdivision: 2003-031 PARTITION PLAT Lot: 2 Project Description: Wood stove installation. Contractor: REFINER'S FIRE SERVICES Owner: WHITNEY, ERIK&ALAN 11944 SE MILL CT 9300 SW DURHAM RD PORTLAND,OR 97216 TIGARD,OR 97224 PHONE: 971-275-7592 PHONE: FAX: 971-223-3232 FEES Specifics: Description Date Amount Wood/Pellet Stove 09/25/2013 $33.39 Type of Use: SF Chimney/Liner/FlueNent 09/25/2013 $23.32 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/25/2013 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 09/25/2013 $33.29 Stories: Fuel Fuel Types: 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. c � Issued B A • P_ermittee Signature: 5;==...91 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. CITY OF TIGARD MECHANICAL PERMIT 1111 q COMMUNITY DEVELOPMENT Permit#: MEC2013-00542 T I GAR0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2013 Parcel: 2S114AB15400 Jurisdiction: Tigard Site address: 9300 SW DURHAM RD Project: WHITNEY Subdivision: 2003-031 PARTITION PLAT Lot: 2 Project Description: Wood stove installation. Contractor: REFINERS FIRE SERVICES Owner. WHITNEY, ERIK&ALAN OREGON CITY,OR 9300 SW DURHAM RD TIGARD,OR 97224 PHONE: 971-275-7592 PHONE: FAX: 971-223-3232 FEES Specifics: Description Date Amount Wood/Pellet Stove 09/25/2013 $33.39 Type of Use: SF Chimney/Liner/FlueNent 09/25/2013 $23.32 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/25/2013 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 09/25/2013 $33.29 Stories: Fuel Fuel Types: 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: Permittee Signature: 1 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. From: 09/23/2013 11 :27 #292 P.001 /002 Mechanical Permit A 1 s Ile "sk �� FOR OFFICE USE ONLY t IIIN City of Tigard .'�,,,�``. X10\3 Received 4 �11I _� v 13125 SW Hall Blvd.,Tigard,OR 9, y A Plan Review •.: .;p. Phone: 503.718.2439 Fax: 503.598.1960 Si- ��® Other Permit: ,1t DateBy: +11'6A kb Inspection terne: www.t 503.639.4175 �\ ��®`\\�\® Dati Redea ho Supplemental See ental Information vvww.tigard-Or.gov / w Notified Method: Supplemental Information MI ' ' 'TYPE•OF WOR ` COMMERCIAL.FEE*.SCHEDULE-.USE CEIWCKLIST. Mechanical permit fees*are based on the value of the work D New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: . mechanical materials,equipment,labor,overhead,and profit. .,• :... ;. CATEGORY OF CONSTRUCTION``:-, .° `.... .: RESIDENTIAL2 EQUIPMENT"L-SYSTEMSFEESa -` a_1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total . JOB SITE INFORMATION AND .LOCATION.". ' " ' Heating/cooling: Air conditioning 46.75 Job site address: 9 �61) cvJ3 ' (1,19v-? Okei Furnace 100,000 BTU(ducts'vents) 46.75 City/State/ZIP: ---1):,..4 ,O 7.�t� Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt,no.: t Project name: "r6 �( 6C;� Heat work 61,06 Duct work 23.32 Cross street/directions to job site: 4.I ,e-ID au -- Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: C e3014, Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: 2,s4 r t 4 A I5 f''k Water heater 23.32 DESCRIPTION OF'WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas vt1 J .7e, S Sal( woDdr+atie fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove t 33.39 ] Wood fireplace/insert 23.32 Chimney/liner/flue/vent 1 23.32 Z?a`ja Other: 23.32 PROPERTY'--OWNER•. ❑ TENANT■ Environmental exhaust and ventilation: Name: r'•rek- Uj k;' Range hood/other kitchen j� - — equipment 33.39 Address: 9 V� � tac inob'1 k4 Clothes dryer exhaust 33.39 City/State/ZIP: (f it Of_ 7?tz'( Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(,"`r7( ) b s- J ff tt 7) Fax:( ) Attic/crawlspace fans 23.32 " •• Ng:APPLICANT_ [-J:CONTACT:PERSON Other: 23.32 Business name: Fuel piping: S14.15 for first four;$4.03 for each additional Contact name: f('ri W I Furnace,etc. 1 , n / Gas heat pump Address: O 0 (� 'W Wall/suspended/unit heater City/State/ZIP: T Ct� 0� / :9 Water heater Phone:lin) (g�(j-12to I Fax::( ) Fireplace /I Range E-mail: ,2,i��w I uA ►„ .(°(jtr�� Barbecue CONTRACTOR'. Clothes dryer{gas) - Other: Business name: I42,ci -r s f i,-.e_ Y v MECHANICAL PERMIT FEES!, Address: dpd e.e37 S"c . 4t, ,rem 4 Subtotal City/State/ZIP: 0 ,f•ptsny‘ C Cl 7o[•js Minimum permit fee($90.00) 90• Phone:41I ) /-75---75-1, ( 1-Fax:(fin) 2c)3- 3� Plan review(25%of permit fee) State surcharge(12%of permit fee) `® /PG) CCB lie.: ' [0 eir_/ TOTAL PERMIT FEE /00,8e / • This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name: r'r; (,-(1,1�31,4.4/ Date: �J/�7 /3 I:\Building\Permirs\MEC PermitApp 0401 13.doc 4x40-46171(11/02/COM/WEB) Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9300 SW DURHAM RD, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical ﬁnal 2014-03-25 00:00:00 MEC2013-00542 Scheduled Clearances met as to manufactures instructions Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9300 SW DURHAM RD, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical ﬁnal 2014-03-25 00:00:00 MEC2013-00542 PASS - No C of O Clearances met as to manufactures instructions Violation Summary: Inspector Contractor