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Permit „ CITY OF TIGARD MECHANICAL PERMIT •, COMMUNITY DEVELOPMENT Permit #: MEC2009 -00525 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/07/2009 Parcel: 2S102CA00928 Jurisdiction: Tigard Site address: 13300 SW VILLAGE GLENN DR Subdivision: Lot: 0 Project: Lidington Project Description: Wood stove and chimney Owner: FEES LIDINGTON, STEFAN Description Date Amount 13300 SW VILLAGE GLENN DR Wood /Pellet Stove 10/07/2009 $33.39 TIGARD, OR 97223 Chimney /Liner /FlueNent 10/07/2009 $33.39 PHONE: 503 - 544 -9838 12% State Surcharge - Mechanical 10/07/2009 $10.80 Minimum Fee Adjustment - Mechanical 10/07/2009 $23.22 Contractor: TOM BISHOP CONSTRUCTION 4578 SE 103RD AVE BEAVERTON, OR 97005 PHONE: 503- 644 -7868 FAX: 503 - 626 -9138 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. J Issued By: ��l ,� J{4 Permittee Signature: V ` r- 1 ,. �� 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. - :.0/05/2009 16:13 5036269138 HOT SPOT FIREPLACE PAGE 01/02 11'�echanicalletrl�nit Analicpti 4 >a RECEIVE � i , ) 4 )I, ,( 1 I' � �. 1 �.• _ • ; / , ..:,...d PomitN9.�1 ; 1 q - O SZ> • City of Tigard » • 1 3 1 2 5 5 1 1 1 1 H I Blvd-. TON, 9T223 OCT 0 5 - a" a" ■ "" Other Potato Phone: 603,639.4171 Fur 503.398.1960 1nep�tlsn Line: 507.639 4173 �+ ut - {kg NV l BY ' ° !Mena a'ww.tigard639Av CITY OF TIGAR 1'• S000lacentil Libman BUILDING ly_ISICa. . - - - -- - - •IYPL ou WORE ' CODIIYSHCI T, nv SCHEDULE - Vs1�C1ECI T m i m e d © New construction Addition /eltorstian/replacerncut portbnute. Ltdioes4 the value (rounded to dal neural doilw) of di Q Demolition ❑ Other. L ch+nkat matcdad • • 'labor o • and •rota CATEGORY .OY .CONDTRtUC ore Volga; 3 9 etPlonit4 IAL LQ'l1IR f SY5T1 IS X81' 11,1_ and 2- farofly dwelling ❑ Commercial/Industrial Q Accessory building For q .cat Lion uao cliacldirc 0 Multi - Dimity 0 Master builder ❑ Other; gneription 1 Qty. j $a, Total JOB SITE 1NPORMATLON Ale LOCATION lleatlni1k�eaoling H Ale eeed;tionfng Of its pa Ill Job she addresr / 014111 _ Y ! I - e� -.. Ian . i , a ...... -tee lieuan •la.emaa r 14.00 Cityl9tttoRlP: T gannet 100,000 BT1Lfeueuncna) 14.00 . U q ° vtr! i ©r Pareses too 000. BTU taiad/.ols 17.90 Suito/bldg.ept -no.: Project u me: : Gm beat pump I 14.00 Cross ctroet/directione to job ems: ' Duct voile 10.00 - Hydranic hot seater iy m 14.00 • - Reeldceadai bolter (redh2or or — • , atv 14.00 ,. - Unit heaters (fuel type. trot citric), 1111 m.w - alt,ht -duct • •ended cos. 1 00 11"/vent ibr mty of above 6.20 Other: - - 1000 ' • Tax IAap/nareal nn.: Other• foul 'Ra tacea . DESCRWTION OF WORK • Water Motor - 10.00 Oat tivepleoc 10.00. � �. I r• 4 . Plue vent far Mats. hones or 8w firopleoe 10.00 Lo + • li ter • it r !,I . . IMIMMIIIIIIMME WM 1000 Vlirill Wood a t 10.00 PROPB)3TY OWNER C3 18NAWf C6irittlevAiaadevelvcat / 10.00 /O r JJ Outer: 1000 Name: 51 �g et ,-. ` i �a� N e 7!l _ Environmental exhort and ventilation • drwa: M rio0006er When At o(� e 1 l a / e_ Q v eft �lu oc I ll ltpl � n4 � ai _ 10.00 City /St i/ZIP: 11 - e a r 9�Ja ai Ic d afieu 10.00 Priem: r 5 - a� g 3Ap Farr. ( ) tablet coMp *tetema. u uUllry rooms) 6.80 A APPLICANT ❑ CONTACT PERSON ARIc/otowlapecofare 10.00 $uahieeliroans: £ . 4 j!. • ci ve 12 Other - r 10.00 contact name: Q ( .41 n ' $5.40 for brat fbsrj$1.00 for nth edditlonall Address: / . 5i S' cei.j.-.) (.2 Yarn:.. rte CftyBterrltlP: /I r Q4i hostpwnp vr. - , A a r/ q_a� Walla • , mdadhmtthaw' � - ;1 ♦ ■r Fax:: 60- ■- . Weern :a Flropiea III tiep , comAcroa Baits= MIME Brremeea moo: ‘-----/ - ► a� Clothes dryorjga:) Other; Addreae: M �I MECITAMCALMit�C'I•flip City/Siam/ZIP: r , p 4 IA 0 r c7 / - Su61ota1 ' • Phamo: -% ) • • ^ • . Fax: ( ) Minimum manta Re - 30 , . .. ' CCB 1to.: /5'S ed e ' -) I I Alan retdaw permf fcc) S t n s .. - • - (t2%of .. .. fx) w M I /0 •g0 • • TOTAL PB1RMrT FEE ��v ,l Authortzad signs= e f , - -- it .. t ■ • • I es ... ret ife pert. eat obtldead irlt tit 1111 U - / •--�1 days titterle hnhemeteoptodso amino. /0� Print nom; � � ♦ �. . . . � Data: /O gts' • Pet riiethomtapy set by Th-Cmp cy apll41eS 1e40 S - vlca 54 m • r: law7dinlArelldl <tjia:•tkra•A{p•• 01119187 466AGm(II(02fOEUWaa) • 1