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Permit CITY OF TIGARD MECHANICAL PERMIT i COMMUNITY DEVELOPMENT Permit #: MEC2013 00177 T G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/01/2013 I. Parcel: 2S111DCO5300 Jurisdiction: Tigard Site address: 15705 SW ALDERBROOK DR Project: Bachofner Subdivision: SUMMERFIELD NO.7 Lot: 353 Project Description: (1) gas fireplace /insert and (1) chimney/liner /flue /vent Contractor: GO SALES INC Owner: BACHOFNER, HERBERT R & KAREN K 14210 SE STARK ST 15705 SW ALDERBROOK DR PORTLAND, OR 97233 TIGARD, OR 97224 PHONE: 503 - 256 -3473 PHONE: FAX: 503 - 254 -1011 FEES Specifics: Description Date Amount Gas Fireplace 04/01/2013 $33.39 Type of Use: SF Chimney /Liner /FlueNent 04/01/2013 $23.32 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 04/01/2013 $10.80 Occupancy Grp: Minimum Fee Adjustment - Mechanical 04/01/2013 $33.29 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �]�/ ,/� I Issued By: /1A,1.11 n/ tt Permittee Signature: Old '� r 1 C /Cff n 6 I "- yy Call •• 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Apr.01. 07:48 AM PORTLAND FIREPLACE SHOP 503 254 1011 PAGE. 1/ 2 Mechanical Permit A onIicatiw EIVED IOU 01 1.1(1•: I,' \1 ) City of Tigard R "' " " 13125 SW ( f 3 Permit Na. y e."90( 3 RUC ?7 Dat en)y Hall Blvd. ,'ri((anf,c)It 97223 APR 0 1 2013 lil PlaaRoview I Phone: 503.718.2439 Fax: 5113,5'1$, I'X�(1 T)ata/By: Other Permit T i (i A R I lnspecti Line; 503.639.4174 CITY OF TIGARD Date Ready/Ry: fd Sea Paw fur Internet: www.tigard- or,gov Notified/Method: ' /� p SttpplementrlIntarmatynt BUILDING DIVISION - - - _- - - - -- TYPE OF WORK COMMERCIAL PEE" SCHEDULE - USE CHECKLIST Mechanical permit tees* are lased on the value of the work ❑ New construction ® Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ l)caiiolilio[[ 0 Other: mechanical materials, equipment, labor, overhead, and profit. - -,. Value: $ CATEGORY OF CONSTRUCTION -- RESIDENTIAL EQUIPMENT / SYSTEMS FEES' Commercial /industrial For ... ci - " " -- IN 1- and 2- family dwelling 0 ❑ Accessory building .cpec(plll((wrrrolinn um clrackhig D Multi - family ❑ Master builder Q Other: t)cseription I Qty. 1 F.s. I Taal JOB SITE INFORMATION AND LOCATION Hooting/cooling: - - - -. -__ -._ Aix efiralilitmiarg Job Site address; 15705 SW Alderbrook Dr (minim ,lire pt sh 46.75 Furnace 1 tX),(XX) H'IU (duae/vents) 46.75 Ciry /S1atc /Z(P; TiRart, Oh 97224 Furnace 100.000+ Wl1) (dual :Amu) 54.91 Suite/bldg. /opt. no.: Project name: Bachofner Heat pump - -• --. • ....... -- .(rescues sac plan !Maine pircmnent) (il.06 - - • Cross street /directions to job site: Duct work 23.3 1 lydronic hot water system 23.32 Rundenual boiler (radiator or hyclrenie) 23.32 - ..._....._...._ ..... .... .,..._.... -• -- Unit heaters fuel -t _ .._.- - -- ( Ylx. clo electric). in -wall. in<iud, auspttatdcd, c tc. 46.7$ Subdivision: 1 Lot no.: Flue/vent for any of above 23.32 - ....., ....... _._... Other: 23.32 Tax map/parcel no,; Other fuel appliances: DESCRII'I'ION OF WORK Wat r t r .,.., ____ 23.32 9 33.39 Install gas insert and venting. GIN fircplttcc/inscrt I 13.3 - .._... .. Flue vent for water heater or Kos frr_place 23,32 _ Loo, lighter (teas) 23,32 We oggellet stove 33,31 Wood fireplace /insert 23.32 - Chimncy/lincr /lluc/vcnt 1 23.32 23.32 ❑ PROPERTY OWNER I (71 'I'ENAN'C (*het: 23.32 , Name: Eavituumenlal exhaust and ventilation: Rangy hoed/011e, kitchraa Address: _ _ ... equipment 3339 City /State/ZIP: Clothes dryer exhaust 33.39 - .._......._ . Single exhaust (bathrooms. Phone: ( ) Fax; ( ) toilet eimpi rtrnents, ytility rooms) 23.32 © APPLICANT ® CONTACT PERSON Altic%nawlspac a fans 23.32 -- - - -- - -... -- - - Other: 23.32 Business name: GO Sales Inc. - -- Pucl 1 . 1 . Contact name: Kristin Cent _ . _ .._ h. l! „1C_ Gentry n $11.15 for 6ryK fiur�S4.03 for rock additional Address : 14210 SE Stark St Furnace, etc. - Gas heat f rh..._ -- - City /State/ZIP: Portland, OR 97233 sail/suspended/unit heater Phone: (503) 663 -7454 Fax: : (503) 254 -1011 Water heater -- ..�._...__........_._._... - Fireplace E -mail: kristingcnt[y(ajgoaalesinc.com _._.. - .._ .. _....,........ Runge CONTRACTOR Barbecue Business name: GO Sales Inc. Clothes dryer (gas) .. ..... -_- _... , Other: Address: 14210 SE Stork St. MECHANICAL PERMIT FEES' _ City /Slate /ZIP: Portland, OR 97233 Subtotal 56.71 - _ - Minimum permit lee ($90.00) 90.00 Phone: (503) 663 -7454 Fax: (503) 254 -1011 - - ..• -- _.._.. „.... Plan review (25% nl ]wxanil foe) CCI3 lic.: 194285 ...__- State surcharge (12 %ot'perinitfee) 10.80 __...._....._ ........... .... .._- TOTAL PERMIT FEE 100.50 This permit applkatlon expires tf a permit ix tau obtained within 180 Authorized signature: days after it his brew, mxept«I as aanplete, I Print name: Kristin Gentry Date: 4/01/13 ' Feu muihodology set by Tri- County Building Industry Service Itnard I;1 Nodding \ronnipatiq' -I k nt)tAi,.d,w 03/17/12 440 rl' (11 t /R'GB) Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15705 SW ALDERBROOK DR, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical final 04/02/2013 00:00 MEC2013-00177 PASS - No C of O Ml #357924 Violation Summary: Inspector Contractor