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Permit 2' a CITY OF TIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00442 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/29/2008 PARCEL: 1S125DA SITE ADDRESS: 09625 SW 69TH AVE ZONING: R-4.5 SUBDIVISION: KINGS VIEW LOT: 052 JURISDICTION: TIG PROJECT: HOAGLAND Project Description: Woodstove insert with chimney liner. CLASS OF WORK: FLOOR FURN: EVAP COOLERS: TYPE OF USE: UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: 1 FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Owner: FEES DEAN & ZOLA HOAGLAND Description Date Amount 9625 SW 69TH TIGARD, OR 97223 [MECH] Permit Fee 8129/200E $72.50 [TAX] 12% State Surch 8/29/200E $8.70 Total $81.20 Phone: 503- 245 -7079 Contractor: PETRA HEATING 465 NE 181ST. AVE #472 PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 253 -3267 FAX 503- 253 -3263 Reg #: LIC 170378 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: Permittee Signature: /-= rc7f Gr" Ca . 39.4175 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. • FROM : FAX NO. :5036269138 Aug. 28 2008 02:11PM P1 Mechanical Permit Aoplic ;,< ,,, ; , Qa, ;, Amine • 10 City of Tigard ��� . i ... ., Res: ► s 2 Y fti �)- w 13125 SW fail RN., Tigre, OR 97223 (� � p ►bv;em p�y� p ir. i,:` Plates: S03.b39.4171 Pax: 503398.1960 V = , 1 leepeetien Liao: 303.639.4175 • 1 .. v w : , sem kg Pate 1 far • interne:, seww.tigard.or.8ov G• ?;:° Trio supeteosnallhgt= • TYPI OF WOn • ` COIDOCRCIA RP SORE A& - vat dalciaar 114eolamiaal puma hot* are based oaths calla of the wodc 0 New Construction v. • dditian/eltoranon rep1 ,L • • pe ho and Wine the value (rounded to Ova mewl dollar) of all • 1:1 Demolition III Ma • . . ` ' mechanical materials _ _•, .,. labor. • ... aed • • : t • CATEGORY or ,ccr>�sTEIDCTT0N vtdao: E ERS r. 1• and 2- family dwelling m elling 0 Coacreia1,9ndustrial 0 Accessory building � ��� Fes' For • cM , f pox we eilaakiist • • (i Multklorily ❑ Mum bdUda' ❑ Other; p eso ri p d 0e Qty. Ea. Total • no SITE ratozsuarciN Al►1D LOCATION 1l e . . 95 1. ' i e • • 1.32... __� I. �� 10.00 • City/Statc/Z W: Ti q et r t ( R' i C 3 Pun= 100.000 . 11 MI 1a.00 . Salto/bldg./ nt. no.; U Project same: % Gas 10..00+ BTU [dvoml. a+er> 14.00 It . I. /. Gosheat- ...,. 14.00 pct :11. lIIIIII 10.00 • drank hot wan stem 14,00 ResOrm *w .. (radiator or higIroeic) 14.00 Veit bolas U6o1•ypc. oat mleayle), . ia•wall. • • ate. 14,00 Ptuem* fee My of ebow 6.80 Subdivision: Lot ro.. 10.00 • Tax miw/parcel no.: . Mortal session • nuouptIoN or WORN Wane heater dada Oat enlace 10.00. ate . A ' V6 (_,3 _. �_ . Flue veal for =tar Maw or gas li Vtgr • . ...18= 10.00 a "• • • woodlD011 oe/ 10.00 wood irk,. !meatNart moo r r A' PROPERTY OWNER . 0 TENANT t�Eimney/liaedave/vep; 10.00 !11 • OM Q 10.00 © • / / i Environmental ahanet pad ventilation . .1 a rIEN o122? meant 10.00 cit7/ag2tP i Ci s 4 Of <347.23 N .., _ MOO ' ) a� 701 Pale( i .,,, ►' APPLICANT ❑ CONTACT PERSON has Iril MEli 10.00 Mums nemo: 't f t'ip, /' t p a, 10.00 Contact name: , a e .. Age _IMO to are four; #i.00 lb r each additional llurrm GSgr stafa m: • -e J.2 ✓d- 11 4 '. 70 �S�' wWill/ Will/ Gat heat . .., =Who* heater MIN Ph ) 626- Fax:: ) moo- `x'/33 v1•,,. heater - P.ltan7: •'- .6 - i V - a' Q C' Plc) //1/1 • ' • (o® ? 6epl - I ' a , O• i Yl (r , owd i l'aoilf Clothea dryor (fie) • • Adding: ,,, S 3 - /ei.5 dirt A Other; t161CC8A1VlGL PERMIT PBtBt �o r. ~ c[t4 �f' r '7eg3 s "' c Sub, Plwono; ) ,, _ Co .5 � . . Fax: ( ) Minima permit he (ST230) [62. . 1 • Ci:t3lta: p 7� Plan review (25% doom* too) g ,Mdhr`e (12%ofpanne lie) '0.e v l 0 ,1 0 TOTAL PERMIT FEE 5.31 15(, af� Alahot 4 s ,. �/ ° _' _ i, ,� , a. .. .'., a .. � ^ • . a Anent tareeethod within ice i after it tug been dap PMyted as complete, y, Print ttmaoe: a / _ ; Dab: # • Pee metltfodoloar sotto Tri•Comry go01fes mdasrsy sArcicc tlaard t: acaaccommlMMacain idea • • • 6 19107 44441 l7 n IrofA IMARS) CITY OF TIGARD ; BUILDING DIVISION PERMIT #: MFC20013 OUa4 ?_ ' 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8129/ 20013 Phone: (503) 639-4171 u lei Inspection Requests (24 Hrs.): (503) 639 -4175 _'!'+� F: _.. INSPECTION WORKSHEET FOR DATE: g /23/x008 TIME: 7:OOAM PAGE: 20 • SITE ADDRESS: 09625 69TH AVE CLASS OF WORK: SUBDIVISION: KINGS VIEW 052 #: 052 TYPE OF USE: PROJECT NAME: ! IOAGLAhlD DESCRIPTION: Woodstove insert with chimney liner. OWNER: HOAGLAND, DEAN & ZOLA PHONE #: 503.246 - 7079 CONTRACTOR: PET RA HEATING PHONE #: 503 - 253-3267 Inspection Request Scheduled For: Date: 9123/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 075791 -01 503-626-4652 N Corrections /Comments/ Instructions: Lc e� T,,,.c. \ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: X3 5 Date: 23.S.e 621 Phone #: (503) 718- 2 `/2 3