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Permit 4 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00036 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/23/2009 PARCEL: 2511488 - 19400 SITE ADDRESS: 10296 SW ELISE CT ZONING: R -7 SUBDIVISION: RIVERVIEW ESTATES LOT: 040 JURISDICTION: TIG PROJECT: PAULSON Project Description: Install pellet stove. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: OTH 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 BRUCE & VERNA PAULSON Description Date Amount 10296 SW ELISE CT TIGARD, OR 97224 [MECH] Permit Fee 1/23/200 $72.50 [TAX] 12% State Surch 1/23/200C $8.70 Phone: Total $81.20 Contractor: FIRESIDE DISTRIBUTORS 18389 SW BOONES FERRY RD PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 684 -8535 FAX 503- 620 -5699 Reg #: LIC 40979 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: U(1 n Q 4z , tOA Permittee Signature: ZfL l�i tovi Call 503.639.4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 01 /23/2E109 13:58 5036707905 W I DDOWS PAGE Eli .. , RECHNE lt .$:t,Tkilit'lf:;A-.1: A '.?.?. CY,, L ' ' ,-- ?:. i‘,:1, .":. ,. - ;75,,.:;,.,0* ' ,,,,k,irk,',„iii.:9 , ',..:;,,,', if7T:''',..:,";,•;,::::7i.•::::::::A:•,-:!::,!'i':::;',..-f.:,:::'S,H .4 i.;4 ..1 - P. , -.1..eall,;.-1.1..1..,... ,--. : i I. r '.. . -- i - , i_ , • - - '12.6OEfir'id• ' ' - " - • - • • • , .-•?,., k„,411„3 JAN 2 3 2009 . 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', • ... . . . ::: ity(„Stpte/Z.11 SO bf.4t1 f•ion, ) Mirpn4um perm)t-fop*.2..50) 1 2, „S -- ' FE/X: ( ) . 15 /44 7 (% 1 13 Iic.: 6 1 ' 9 . s ate, snrchatge (12% 01 „tee) TOIA1c, PEICFUT FEE ' kuthorizeclsigmiture: LA. . . . . . s pr a titil faatiati eitiiiire:Wrt i$21 iiiitiiiiieti wit iiiai I no hay. after ir has been ae.'eElial - ith enthigete. 'rint. •!1^ V: --w- r ,_ • '• • O r-- r•-•e rqt , ir .' I T3 a 11,_ 2 ......,, .q 1 ' FTe m6010(1016 y sof by 1ri-Co?inty BuildiOg Inclustr, ',Service Board _........_ ' ' 4-----ce-4---- Ca: , ic., nl!■Th., rait,thnt_ -T7771‘ ..,: -..■,, QM • V . CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2009 -00036 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2009 Phone: (503) 639-4171 ri �l1 r:4i Inspection Requests (24 Hrs.): (503) 639 -4175 : ' `:_.. INSPECTION WORKSHEET FOR DATE: 1/3012!!'''9 TIME: 7 :06AM PAGE: 12 uRr- "VV1, 101 ■ SITE ADDRESS: 10196 SW ELISE CT I ' CLASS OF WORK: SUBDIVISION: RIVERVIEW ESTATES LOT #: 040 TYPE OF USE: PROJECT NAME: PAULSON DESCRIPTION: Install pellet stove. OWNER: PAULSON, BRUCE & VERNA PHONE #: CONTRACTOR: FIRESIDE DISTRIBUTORS PHONE #: 503 -684 -0535 Inspection Request Scheduled For: Date: 1/30/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 605 Post beam mechanical 080148-01 503 -595 -3738 N Corre tions /Comments /Instructions: '-1 0, _ t �a� PASS) V% PARTIAL APPROVAL CANCEL n NO ACCESS I FAIL al /ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: AlArANINI. Date: + ° 'I Phone #: (503) 718- 2 a/: