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Permit CI T Y OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00391 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/25/2008 PARCEL: 25111 BD -01601 SITE ADDRESS: 14815 SW 98TH AVE ZONING: R -3.5 SUBDIVISION: ALDERBROOK FARM LOT: 005 JURISDICTION: TIG PROJECT: ROGERS Project Description: Installing wood fireplace insert. 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: 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Owner: FEES MICHAEL & ELIZABETH ROGERS Description Date Amount SW Permit Fee 7/25/200£ $72.50 9 TIGARD, OR R 9 7224 [ MECH ] [TAX] 12% State Surch 7/25/200€ $8.70 Total $81.20 Phone: 503- 624 -2657 Contractor: FIRESIDE DISTRIBUTORS 18389 SW BOONES FERRY RD PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -595 -3726 FAX 503- 620 -5699 Reg #: LIC 40979 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 Sit 1��7Spt/ tom/ ✓ '� ee gnaure: Cal 6 3.639.4175 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. .7/25/2©08 08:08 5 0367 07905 WIDDOWS PAGE 02 .. Meehanical Permit ApplicatRECE VE I . ., Fo FFIc :E U SE. ONLY • ,u :, , Received � Permit No.: -- City of Tigard Date/By LAt7 t r /L - I - ' 'r 13125 SW Hall Blvd., Tigard, OR 97223 JUL 2 5 2008 Plan Review Other Permit: Phone: 503.639,4171 Fax: 503.598.1960 Date /By: Inspection Line: 503.639.4175 CITY 0� TIGARD Date Ready/By: ions: See Page 2 for TI.GARD p S u upplemental Information Internet www.tigard- or.gov Notif ed Method �� tio BUILDING DIVISION ��uu „ }; ;. ° R4P 1!' ?nl ! c r t' .,1 111 ylllil , I } "lll 1J�. '. , I . i .. •,,, "'r=r, III ,,1111 O ,,,1i f (D ., �!(� , '.4fil I. °:..1 , t • ;',', , : u �'; r . �,. , '(:•`:ll1ili :1:., •'{f:' � 7 �' �I } , �,� . } , ,. {i. � : is �..r'sU' f .!� "i"'',. Lll ' z.n�, , , �,,,,; � ]r" i1ii;1 `iil'if't, I!;•,,i,l.., :, {,ut, {F ..{ „1111!, . ..Ii{ Il!1 ii ii }, ` . 'h .,' `i ��iI� `.V , tl, : 'iili'i'i l �l l ; ?;�!,,I” �'r',.; .,,ltflj l t . ,: �,,�� ,�fl i,7�r ,�4,� „u'm�b)f .0;:,:1Fi,— , :, ,, , IIII a r,. 'tt,,!1 III'i! il A i�a;,! �ii! i 4:„.; a�11„ I i 1( i1!,`, iyFilt�y, t�: i�1,,, „ttliiifi,`; ...Illt;,.i. I Il,,,,.:i•'” `f1, ,, t Mechanical l,ennit fees* are based on the value of the work El New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical riaterials, , uipment, labor, overhead, t profit. ,,., ,: ., : , . .,.c,ri r :, :., ; ''''''''''''. ; ,.m ,'' 1" iamm, ilyi, l l! ;Ili ill' II'''V, i`r` ?!!illlll }<il�,,,:::r, q Value: $ �y is a or o ad , at ro t! �,! , 1: l 1'.}.I ;:n!!Il(; •r!, , ;� ,,t,u,,� 'r, ' n (}' t�l ';� . r, c� tit , ,?! }. � 1‘,.!1111.t:',.-. i l } }�,i } ii 1!t! : ,: err . ,,rt,u,u; t , .. ❑ �,., �;, , f„ ,r N11a2ln I 'l ,,, °'}! ��}(, i9 :,y. „ {I; :00�00 ,QT . {I „ .,t °n' r l f�, i'i4,.1} .�.,tH' „,4�!.I•„ :',•:, '!liL .{Fl>c?,,. • „ „r{: }., ,,.!' ^,�; :. ?� .,:+A�ftt!t,ui.:I�,:n.1Hd�l .,t,�. ;a { }i11tS - I Cd . , „IIC !I!Ilflljl,!!. �j� �.,�t�{(��1�yy:( '�,p� �j�?{�} i� ,' �V „�{� .�. �:ryl yl 411,,.1 {.,,,t . a`,,v,r.,..,,.hP "''. +, {i 1ov, �. lllF(' u�' °,' ..1F1Tk aF`° h�,i 11 , 7��st 1 {1 �Iiliiiiilfii��1� <:__w u,nJ�',� :,• u �:!��s � !� , nx�' , I , 6dlv�: uu,,lLt CN.:I!,.n 121- and 2- family dwelling Li Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total „ na ;. �:is a • .,r, 1y,,�, „, , q`,a i ,,, .,. ,l 1 .. ,: 11" n 'I ' -', i!a!t ;:i; l'gn;a nn ,!1 ' , -,ll! il ia! 111ii14bill !;'°�illll!tilF�kiiifillOa ipIOtiii1F'it Otilli{/g1'Vll,at Yllili „1li ! '!! i, „: Heating /cooling Air conditlo, ling or heat pump Job site address: It-A(615 CJ \ cl O. Nye_ (requires site I •Ian showing placement) 14.00 City /State /ZIP: ---C1 M �-- q aay Furnace 100,000 BTU (ducts /vents) 14.00 -- , Furnace 100.000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic het water system 14.00 _ Residential 'toiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in-c uct, suspended, etc. 14.00 Flue /vent fer any of above 6.80 _ Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances G'iif!yi i1 /: '01 11 ! rr\„ 14 i p1u'i; ::..,y,n , t : °4 , I( �' r+t¢,i'M N; "I;_S 11 ; li ,�..: i l ll l ; A l1; l, '' 1 111,1Ii'ii:: Water heater 10.00 ' ; il l !, I,i i,�!!j i {. ! ! ,,, {( k,,, # , , , }, , �,!(. ''', }I # ll! }( : �..i,ll�,I�•. ,�,�„I,! riiil I,.ii.,, r�, „„•r,�. r +, ll,:, L, n•l! „!.,,,,U•,, I, liif LEI I Gas fireplace 10.00 nsV mi l l l�' rA t f- Flue vent fir water heater or gas ` fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 1 10.00 l o_pt.) 8'I ";II,m,-.t•. m .. r Y ;∎1;Itti;iR1!i;l'i';;;1 il4ts' "`•ilI> ::}j;l!I}i!;fl„r;'•,1• Chimncy/liter /flue /vent 10.00 l� i .':;,t lil'I { ,. !; ifl:118q'd l li ; I l ,l i;l l,, !1�� ?I, r . j l' ;;, j ;},: ' i: ' ,':!! , ,;1;,:,: ,,- 14!!, 0 ,I;; ��! q , if(, I,:, il�,! ��,` If+,.,,,,, �, �, d i, ,,,,,��,•I „Irl,�af�l, }.! {•�. - „ 1 � ,.,,i!I:.U„I,,,, }...u,,,.., . �. , , r „� l:!� of „�,.��1` LI�,. , I Other: 10.0 Name: i 02imQ p V — P,0%5 - 5 Environm exhaust and ventilation Range boo, I /other kitchen Address: ' 4 V' S 5 ., � '` AU p i ` ^ �� equipment 10.00 City/State /ZIP: � q`- ` .a Clothes drl er exhaust 10.00 1 I p, Single -due exhaust (bathrooms, Phone: (b O '3) n 'a%_ - i� r6-1 Fax: ( ) toilet comlartments, utility rooms) 6.80 .:: Ivry; ,!,: ,f 1g.,,,,, h ..,,,,,„ r , ,,,, •r i ,''I !' ";';'t a,: r<a !, .,� i !! gg tf Attic /crawl space fans 10.00 „!: 11 . ,i1!11111�r,,�1 Apl ,.T„` )!i,ri i" ..0.,ll l!1, 1 n,l.',i it„ ®lil�,l!1 , c�L' l ItIfo12JV t ; ili ' ", hG,11�,1 , i ,,� .,! l,n, .., ''Il!1Q1, >,.,,, ,l ,iu;i 4 �j,,,,, ,.'�"�,._ , nn Other: 10.00 Business name: FV"t - Q S y a -01S{ (..). p('(J r (3nn Fuel piping Contact name: �,�,^�. U $a.40 for first four; $1.00 for each additional Address: � Furnac, ei c. ����Q c J ���� ^ � � Jr `� '� Gas heatpsmp City /State/ZIP: > c) - \c l d , oR q1 0:D y Wall /suspended /unit heater Phone: 50e. -a-- Fax: :5(5)j VOZ- C\./)(Di{) Water healer Fireplace E -mail: Range }', :'f '!ql' ':l ,y 11 ; 3 }';'1;, 1,'4! -� „µ�, -, y y ,', q : fl 1 :l .., s ry i , :! yir , ' dfllu d ; l(I h g R i' ,a ' ;l I (i3,!lllnii''; is 1( lifile'' j�� , ?' 11i1 J � { �''; 9 _ r lil , i ,,. ; ;x , . ; hll�', dd 1 ' i I ili Barbecue ,11 i,i- A , ,11 +. :11,0;.dia' ill: -.!'!l + Al:.;:.! ,;i1,,1.tp..'!I.'i:`i'1,C,,... ,b \la1 j ± . ,1 11}7 tP''! 1 1: 1V"1 li!, !∎0' - , , '�il . ',.t:' ,., ' Business name: 1 `e d cFes} nv.. of-C J O 0 Clothes dryer (gas) Other: Address: dry';' 1i a !�I {ir ° 1� i „ , , 111p �r „�,a,r.,;�'d. },,,t � a� et-bb V ;aii 'IElfl';ii111 s ° 001,0 . , , 1' .!l ; .,, i ir,+eil;! alli,\,in ;if City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) - 21,50 Plan review (25% of permit fee) CCB lic.: L) in- I State surcharge (12% of permit fee) -7O TOTAL PERMIT FEE N1, 1 Authorized si nature: / This permit application expires if a permit is not obtained within IRO g ..4 / days after it has been accepted as complete. Print name: 1 IL QJ .' Ate` ad Date: " - k ., a B - 09 . Fee met todology set by Tri- County Building Industry Service Board l:\ Building \Permits\MEC- PermitApp.doc 01/19/07 440 -4617T (I1 /02 /COM/WER) - ' CITY bF TIGARD BUILDING DIVISION PERMIT #: - C2008-00391 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Mf Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME 7:0DAM PAGE: 8/1/28 4.61 ;: 1411141: 42 SITE ADDRESS: 1 4815 sw 98TH AVE CLASS OF WORK: SUBDIVISION: ALDERBROOK FARM LOT #: 005 TYPE OF USE: PROJECT NAME: ROGERS DESCRIPTION: Installing wood fireplace insert. OWNER: ROGERS, MICHAEL & ELIZABETH PHONE #: 503-624-7657 CONTRACTOR: FIRESIDE DISTRIBUTORS PHONE #: 603-595-3726 Inspection Request Scheduled For: Date: 8/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 073554-01 603-695•3726 V 41 , Corrections/Comments/Instructions: i i / 0 ._ \■,__. PARTIAL APPROVAL 0 CANCEL fl NO ACCESS 0 FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: i lliik / Date: 00 i (CE3 Phone #: (503) 718----4--.6