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Permit „ CITY OF TIGARD MECHANICAL PERMIT '`7 COMMUNITY DEVELOPMENT Permit #: MEC2009 -00137 TIG ARD, 13125 SW Hall Blvd. Tigard OR 97223 503.639.4171 Date Issued: 03/31/2009 Parcel: 2S114BA06900 Jurisdiction: Tigard Site address: 9770 SW COOK CT Subdivision: Lot: 0 Project: Widdows Project Description: Install (2) gas fireplaces, and associated gas piping. Owner: FEES WIDDOWS, THOMAS F Description Date Amount WIDDOWS, HARRIET I, 9770 SW COOK COURT Gas Fireplace 03/31/2009 $20.00 TIGARD, OR 97224 Fuel Piping 03/31/2009 $5.40 PHONE: 12% State Surcharge - Mechanical 03/31/2009 $8.70 Minimum Fee Adjustment - Mechanical 03/31/2009 $47.10 Contractor: FIRESIDE DISTRIBUTORS 18389 SW BOONES FERRY RD PORTLAND, OR 97224 PHONE: 503 - 684 -8535 FAX: 503 - 670 -7285 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas Gas Pressue Total $81.20 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 -0100. You may obtain a copy of the rules Issued By: / • • • ∎ , o ) I , , Permittee Signature: Q ,, t yon` Of) Call 503.639.4175 by 7:00 a.m. for an inspection 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. 03/31/2009 07:10 5036707905 WIDDOWS PAGE 01 4 , , ' m 1 t 5 * t y i, l •� � � h 1 r i A t3 }} ,i,C. 1 b. (. 14-071711 CJtJ ° J �atelJ3y: V , q _ e•tn IA Q -vV `. _0_0r l e ' 125 �� Hall B1vu., tgartl. iF. ; i 22 ' I ji an Revlc� 4. PJtoite: 503 639 Far- 503 5981.1960 t Date%B - I OmerPermit. '>! , r; .l>3's [me,: 503.639,4i 75 MAR ooe.goadv /83 jU11 S Pgge 2 foi ,- Internet. w 'w..tigar"d - ot,gov 14 c d: T 1 G Stippye)'e'nra int'naiii, it'1 1 OF TIGARD 1 -;. t ": y b i z a e 4 . • �;, 14 s �r��, i ' � < - - - r :,�� `� �� � h` � � -. �f:. I � n � 3�.: Y""C° r ,-7� ,1:..1�. w q x ,wSy�. k � I.��Y . 1`44, lrical 3p mtt fees* a`re tins 4.�n the value 3. the. tvoi>ic E New ronstriiction dtlitidri /alteration/i'eplacement perfajm,61, 14 :cate the value (rounded to the nearest- difllar), of'a1l 0 i ernolrtion 0 Clthei - : iiieelfatiical In•terMs, equipment labor of *head and'farorit k e , F r V310 , v. 4r .,. - , .' , 1 i ' l�, 's Z. . � - 691 -... L; y :.. ., a�, i, , J r.,'i 5�.�^�' e�3wI ''al�{£C �A4. rnI et.:ti 1 d' and 2 family dweliittg ❑ Commercial /industrial 0 Aocessbry building f pr spectal informati use cdie4jchs( , ti f y 1 . Ivlu] .• - a) , . Q Master b 0 Other I)gs�rtppon Qfy:: 7'ti[ai J&i S7'.t°' it +i l ';r© • 116" `,6 . licit', /cooling a ttitr eondltionilt ; or heat ptitttp . rob sit addre -9 -1-1 b 5 Lo COI) CUht.t t' . . re. urres.sit$ ai slo ti l a cetfient) ,14,60. . . . . sity /State/ZW: �l Pti'd Flitnace 1 000 B (ducts/vents), ..:: 14 ` Furnac 100 0 03+ BT ( /vents 1 7:9 0 , . itiitb/bi4g. /apt._ no.: Project name: Lr--.1 t+) b 6W.S fiG'as"lieac,, uin .. f.4,00 . • .rocs street/directions to job site: Duet:woik', . . ,. . .. . I : 00. .._ H .drgiiic liot . Ater sYs(em . ...14, 00 ltos±tleritjdi' boil it (taiiator Or Unit:#fie' tern "(ii,I ype;, i0 -.016 tnc); ' . ' - • . • ,.iii =W 1 - i'kl'uct siis3 e4tl @d etc. _14:00 . F1uevcot.for."aiiy:nf; above .6'.60 1ub'.di • Lot no.: ,,.. .... • .. .. .. . . .. . 000t„ .... .... , 10;00. ex imiap /.parcel no_.: Ot#ier;{uet app: iaiices. . °3-V ' -t'i 'T:T1', it'. e ,,,i, try m ^�A $` S:i'1 i ttf r� d IrY ,•'why h ,'` ' 'R R s woo. heater_ . 10.100 .. 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Z ,� o • Firep . . 6 1 raaail: Flange . „t �1 Barbecue . — isinegs mama. d -.. er a Clothe _ —_. _..___--------- ......---- - - - - -- — — - - otlaet: _ _ ty ( ) i arc.S•, j - - --- i 4. % -f:�'t . � i .1,.: .a 4 :07R.:. • !y /13,taic/L,JE: �;tzlgE; a_l 1 - - — — p l,r t' (77 S — -- lltid: ( ) Fax ( ) i �__....__ __...,.. _. . -.. 7 cArat • t Yf' e O) _ .. .. ..... ........ i.,Int p r,,c , 1sc_: 0 Tait i t.w ( -� o Jt,oernt ) ------ ! ��'1 � - - �fsi Esgichar;, °o bl'j�ciiraL fee) . = _._ t' P.F. i z: ' t T t.liCwtzed signature: t Q_,., This,pe'"rnilt aiiiilit atinti eipfires'lf a' jiei3Oi - 4 IA itot, ola i} ned within ISp' _ _ _ __ .---) _ _ days : Tres if ha hem ateep'ted at iainrrilete. 1-% name: \I t k, ci y e� r oux 4 --- E). -- ate; .-- 2, 7 - 7- 3 . i — J ', Fee methodology se[ by Tri- CotoIy Building Industry Service Board' . ildinglPermirrlMFC- PermitAppdoc CI 110 71' (I I (021COMAIEB)