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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2011 -00511 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/15/2011 Parcel: 2S 103AD00402 Jurisdiction: Tigard Site address: 10905 SW FONNER ST Project: KERNAN Subdivision: ECHO HEIGHTS Lot: 13 Project Description: Wood stove insert with chimney liner. Contractor: TOM BISHOP CONSTRUCTION Owner: KERNAN, WAYNE LYLE & MOLLY P 4578 SE 103RD AVE PO BOX 230998 BEAVERTON, OR 97005 TIGARD, OR 97281 PHONE: 503 - 644 -7868 PHONE: FAX: 503 - 626 -9138 FEES Specifics: Description Date Amount • Wood Fireplace /Insert 11/15/2011 $23.32 Type of Use: SF Chimney /Liner /FlueNent 11/15/2011 $33.39 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/15/2011 $10.80 Occupancy Grp: Minimum Fee Adjustment - Mechanical 11/15/2011 $33.29 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3 • Issued By: Permittee Signature: Call 50 .639. , 75 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 11/13/2011 13:37 5035269138 HOT SPOT FIREPLACE PAGE 02/02 Mechanical Permit Application 1.0l: (11:1:1( V t tit. l I City of Tigard t, O v 1 4 2 011 vi Ill / • _.HI ' L 1312$ SW Hall Blvd . 639. Tigard, OR 97223 Plan Review Otis Pamir. Phone n L 503.639.4171 9P. 4173 503.59s.1960,CITY OF TIGARD nttsBy: :� 1: t . Inspecine: 503. YBY- 65 Ste Face 2 fbr Internet: www.tigard-or_gov BUILDING DIVISIO xo tified/Mathod_ ,M Supplemental Information TYPE OF . WORK • COMMERCIAL . FEE* SCHEDULE - USE CHECKLIST Mechanical permit foes' are based on the value £oleo �k a New construction 1- Addition /alteration/replacement finned. Indicate the value (rounded to the nearest dollar) of all © Demolition R. Other: mechanical materials, equipment, labor, overhead, and Profit. . Value: S a IHY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES , 1 - and 2- family dwelling 1; Commercial/ industrial 0 Accessory building For spec pecial information use checklist ❑ Multi 11 Master builder ❑ Other: Descri lion ry. Ea Total 1 .1011 SITE 1 001'14710N AND LOCATION . Heatial/cooling 6 at) re) P✓ Si r. t ires Air conditioning !6 Job site address: s ite .lad sbowin , laceateat Ell 46.75 r^ Fume 100 000 BTU dnch/veats MI 46.75 MEI City/State/ZIP: 1 6 k c r 11 . .. Furnaae 100 000+ BTU dams/vents w 54 -91 EMI Suite/bldgJept_ no.: Ptnject name: i .AV . IIMM 6L06 Cross street/directions to job site: Ductwork MIIIMINION 1111M 1111111.1=1=1111111.1 Hydmnic !tot water system 7132 Residential boiler (radiator or al 11.11111.1.1111 .11.1111111.11111111111.11111111 h dronic Unithoatws (fuel typo not etetArio, in -wall, in -duct, suspend eta _ MPH MI Other: thc/vetM f>x of shove � 2 Subdivision: L4 no•' Flue/ Tax map/parcel no.: MIIIMIIIIIIMIIIMIIMIIIMI Outer fYrel appltaneea _ _ i i • . t. ON OF WORK' Water heater • Gas ' .lace �� *.# 4 __AO , a , * ` a i Flue vent for water heater or gas 111 111. i Lo: lL•. ter _ W4 1 . list Stove 33.39 INN Wood 10 .lacclinsest Will MI P %.' PROPERTY i 0 TENANT Chintney/linar/Hue/vent � - Other Millatiall• L O x Q &f. ■ Environmental exhaust and ventilation !tan 7, 1100d/ cot other kitchen 3339 ' di A ♦ • c Address: (a • tt► City /State/ZIP: ' r a. tr Wi MLIMIIIIIIIIIMMEIM Clothes dyer exhaust 33.39 III Single - duct exhaust (bathrooms, Phone: GS ) • r PL r toilet coat „. is utili rooms 2332 :< 0 CONTACT PERSON AttitIorawlspace fans 23.32 MN ptha 23.32 Business name: • /'re r 4 [ V— Fuel 1 11 Contact name: a • $14.15 for first (Oar; 54.03 for each additional • • ' FwnaOe, eta Address: / 5' - -� 4 I Gas heat , • City / State/ZIP: • .4 • d 6 ok 4116 G OOS Wall/sus • . cd/unit beater MINIM // p Water beater 1111111 Mil Phone ) 0 ,, ,. ` Fax Fax:: s •. (a ^ 1 Fi t lace • E -mail: a 5 wtt y 0 i : . kO 11MAi • 0 Ran: MI NM IIIIIIIIMIMIIIIIM CQNTRACTOR Barbecue Clothes 1 er (:.:,) M WM Business name: • bits io Other MEM Address: A + MECHANICAL PER!' PEEP • =MI i'li� . • q o2 Subtotal i�r I Min imum permit tee (S90.00) SII Mill Phone: (.935) /p (f t ( + t � � P lan review 9 5 %of , - 'tree) CCB lie / $ W 7 + State surcharge (12% of permit fee MIMI . TOTAL PERMIT FEE / a If This permit rppttralloa expires 'di permit it xrt within 150 Authorized signature: . � . days after it has bms accepted as aompkte. Print name: • e. A a . � Da" /1-- i V . . Fee methodology set by Tri-Cataity Building Industry Service Board ManisainaWerratts iFC_l A •. •• It .t/b9 44Wetrr0tioatc0M4)3O)