10 BRADLEY RD - BUILDING PERMIT APPS 4PLINS 7E V IrNMIG APPROVED 8Y Re
MPECMM.PIlPR TD A:P.=W BE.M GRRANTkD
CITY OF SALEM
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MAL' . APIMMATIMIROM
Permit to:
(Circe whWwwr apply) Hoof, Ramat, Install Skiki% Constrict Dade, Shed, Pool,
RspaidRapisce, Other. Dior( I e ,e (
PLEASE FILL OUT LEGIBLY i COMPLETELY TO AV=DELAYS IN PROCERpIG
TO THE INSPECTOR OF BUILDINGS:
The mbrs*W herby applies for a permit to build aoo Wftto tha,W4wing
Owners Name J vn e5 1 l�h I h o. f s
Address d Phone lo -i5. rc).j te;4 V031 -7 y r
ArohitWs Nares
Address A Phorw ( 1
Mechanics Nano
Address Q Phone I �H c vwc r%% , 4�c ��.�ooP� (�7f�'1 -i 1 1 -7 oo
whW is In p mpm it bulldlnPr 1e-
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SIGNED UNDER THE P TY
OF PeR,NJRY
DESCIMPTION OF WORK TO BE DOW
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' CITY OF SALEM
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8tN1.DIN�i PER�AIT APiRICATION POR:
Perinit to:
(Cirde whichewr apply) F�of. Raoof. In�WI Sidk�, Con�ruct D�ck, SMd� Pool.
R�p�ir/R�pkO�. Oth�: lC. {-C3�_�,-. C' c �� ' �
PLEA8E RLL 011f LEGIBI.Y i COYPLET�LY TO A1lOID OLLAYS W PROCESSMq
_.
TO THE INSPEGTOR OF BUILDINf3S: '•
Ths und�rsipnsd he►eby appNsa tor a psrmit to build aoco�ip,.to th� folbwirq'
.. ep�uons: - �,
;Owners Name .Jo�v�e � �'�1�� �c7� t" � Y
.�
~Address � Phane 1�ra��e� '�c� �()43� �1 �l S S� (�U
Arohitect's Nam�
Addross � �ons ( )
M.a,anica Name �ow,a � l% L�w. s j Y
�
Ad�1f688 d� PhOn9 �_ `�J�le�'�-co� '�ve �ea�Q�l (�t`?E3) '��-I l 1--)cX)
wh.t�n.wpou a ar�q�r `(Zes�cQ e�t-�g�
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sa� uNo�n� �rY�
oR PEn,wnr
DESCRIPTiCN OF WORK.TO BE DONE '
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�4fQSdh#liS��EfiLf�li�J{� APPROVEfl 8Y �+iE ��� �
,1AI�S,P,�CT�R ,PFl1b7�R Tp A..PEAMIT B,EWG GRANTED
CITY OF SALEM
;T�: q �a� S
N 2�1 /_ / `tr ..�a�,�\ Date
2.�{7 a� �
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\"�crmne�'�' `
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Is Property Located in ' / Location of
the Historic District? Yes No V Building
Is Pmperty Located in
the Conservatlon Area? Yes_No �
BUILDING PERMIT APPLICATION FOR: '
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck. Shed, Pool,
Repair/Replace, Other. I(lSi-Ck�.Q �( �P�[`�
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications: -
Owners Name �� l p �, fYYk .t(hbd�-
Address & Phone I� d�YY'�C�,1-PJ�,1 l�il'� (�iS)-l4� �IC�yo�_
ArchitecYs Name �f'�R �"e-rC��(1 L11�f� LI-�f� 1
-,--
Address & Phone c � ►��c�e.-Prd� Sfi �� ��'� ��,�
Mechanics Name -�
Address 8 Phone ( )
What Is the purpose of buildfng? 1 (L�st-(�_QQ �-P�l ��-� �-��v�
Material of buildfng7 If a dwelling, for how many families7
Will building confortn to law9 Asbestos? �(7
EsUmatedfost �1Y r�� City Ucense r N P' Stete License #� �S�o
`��! Hooe Improvement Y ( ,� Q Jl�, l��LrA 4� ��XJC'
Lic. /
n Signature of Applicant
SIGNED UNDER THE PENALTY
OF PEHJURY
DESCRIPTION OF WORK TO BE DONE
1�� �'u� .� � �� �����
.�,rQ �P���1`Y p � ��I'����
MAIL PERMIT TO: �� (��(7'� n�.IP,�JI '��.�, c�� p�.(�1 �'1'� (�[��
`
_ �
No. ��� 0� �
APPLICATION FOFi
PERMIT TO
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LOCATION
10 ���1�. .4�a�d
PERMIT GRANTED
9f�s/�� ��
APP V�D
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INSPECTOR F BUILDINGS
t ( R
QURDRlr• /RE Quadra-Fire Castile Pellet Insert
SAFETY LABEL/ ETIQUETTE DE StCURITE
Safety and clearance section located on left side of ffrebos./La stiction de aaewhil eu•aspaee Bbra.orM scot.sa Ie ogle am'"ala belle 1[ice.
Serial Number section boated under top on inside of hopper bodyJ La Nonana numare a eade.d eNua,m dloeely a<ou+xcte I Inladaura b tl:mie.
a� MnuYtivl er'F ie PC
RepmIR.PPm QURDRJT/• IREALADDIN
m aoel.S,t.2 Castile Pellet Insert i44�+;wwx HRu
soar,wA MnX
Listed Solid Fuel Room Heater/Pellet Type Insert. Also
suitable for Mobile Home Installation. This appliance has been Pppxed de donuln MorsMa aeombuCot appde arel
IN6lWe ateD f cynes. ePike OeN
tested and listed for use in Manufactured Homes in accordance RnsMgel�dans lea maisau mgbdea. Cel eppared e!1!leak el eneplstre par '
- with OAR 8/4-23.9000 through 814.23.909. Muscle done In Maisons Mobiles en accord Stec OAR a14-23-MM Wsquj 81423903.
Tested to. ASTM 91509-95, ORD-CA482-1,1/990 ROOM Tedaa:ASTMa1509.95,ORDC1482-MIOWRWm Heabrg Polel Burned Type,
Healing Pellet Burning Type, APFI, (UM)84-HUD FOR USE APFI, (UM)84.HUD POUR USAGE AVEC LES ROULETTES OE BOIS OU DE
ONLY NTH PELLETIZED IAOODOR SHELLED FIELOCORN FUEL. COMBUSTIBLE DE MATS ECOSSE DESCHAMPS.
Input Rating. 30,000 BTUMR. Puemnce de Rendemenl::30,DDO BTUMR
Electrical Rating: 115 VAC,60 Hz,Start 4.1 Amps,Run 1.1 AMPS Pobsance Bat rigle.115 VAC.W It,Oland 4.1 Am.,Lark IA Amps.
Route Power cord away from und.DO not route cord under or in Baart Is N Mxmque a rappxall.No pat tab,.am e N Madrous ou dome ou an
front of appliance closely a remixes.
DANGER: Risk OI electrical shock. Disconnectr supply DANGER:a y a nma ae N
ua chxlectrigue. Dam
cneaez le N Olsdnela a Is pure
cema
Paic ably
berate servicing Replan glees only with Smm ceramic available coi a mrvi..e Remplacet M vibe mulemed aces one vitro cinanigze de 5 mm dscourse chez stn
from your dealertoumis nor.
To start,set thermostat above room temperature,the stove will JP—apumx,more h tempdraMe a Ihermoalal n desw,de Is Ierybans a de la
light automaticallyio shutdown,set thermostat to below room Pace,le pool.rNumers aulanrMucrea. Pour dinuel,descende Is tempanlure du
temperature. For further instruction refer to owners manual. aermostal an assou a Is IempdnWre de Is place. Pour do instructions
Keep viewing and ash removal doors tightly closed during "ec" anNtlo,Nlaet vele su exi d,RopriNeke. Gxaz la pude dan.rWre M Is
operation. _ Pale at cmdlofemNthxlMtplemxd dlraurepArNar.
PREVENT HOUSE FIRES PREVENTION DES FELIX DE MAISON
Install and use onlyIn accordance with manufacturers
installation and operating Instructions. Contact local building or Installer or utilisez on accord-%les instructora dnaalaton at Topdrabm M
fire officials about restrolions and inspection In our areafid ncadCmtadez Is bureau its le ccnsbuctm you M bureau des inomdas you ager do
WARNING-FOR MOBILE HOMES: Do no]Install appliance nsblcbms N dee Inspectors dtn rilatim dans votn vdsinape. No pas mbshuez
in a sleeping room. An outside combustion air inlet must be rasp..rode sous do rmpxes.
provided. The structural integrity of the mobile home If=, ANS-Pour Lo Maisons Mobiles: Ne pas taboo dans una as One d oXchx.tin
ceiling and walls must be maintained. hryaU ail On r u combustor d.h dal eve du plc d no can Pas dela da s m brogue
9 Tappered ea e d utile.La NUMBride.Integral*du poncho,du plalard or dos mura da Is
Reiter to manufacturer's instructions and local erodes for meiym maMla don afro mainlerwe ntacb.
precautions required for passing chimney through a RNdrax vous auxi InsdllGems a fabricant M des.Ulo Immo.Pan as Pronouns
combustible wall or ceiling. Inspect and clean vent system relinses Pour Paso me ctrambae a baron on mur ou un petrol contusdbles,el M
frequently in accordance with manufacturer's Instructionscmmpeambonsrub mums.
DO NOT CONNECT MB UNIT TOA CHIMNEY SERVINGANORER APPLIANCE Invader el nenoyer Is tlnminde frdquemmenl Ne pas connecter cal appareil d una
Use a 3"or P diameter type'L'or"PL"venting ardour. ehaminde servant un aulne append.
MINIMUM CLEARANCES TOCOMBUBTI E1 ESPACESLIBRESMINIMUM DES MATERIAU%COMBUSTIBLES:
AS A BUILT-IN UNIT ,
A Top of Hopper TopiRear Vent O'IOnal s t1 a A Des Conduits AlrikeslDu Haut (OMM)
B SdedOulede Sun TopJRea vent O'IDn) r tt B Des ConduasAmdresiVu Haul: (0nm)
C Bad d Hopper RearVmt O'(Onml t
Top Vent 2.5' (67mm1 t, C Des Conducts Du Has'. 10nm1
0 VMPVebCmbudaa Rear Veml T(70nm) Des CondulsWHarI ((7mm)
E From Panel edge Ir(Don) O'Dearance To used SecDan and Face Trim ODesCMam Arabes; (7fimm)
- - &badapameau (0nm)
r� Masonry or Zero Clearance
AUSA INSTALLATIONS ONLY
A Insed side to combustible 0'
B Insen top to mantel 12'
C Innen top to face trim 0' 1
® D Insert side to lace trim 0'
_ E Flom protection heal extension 8'
F Floor protection to the side of door 6'
r [ DO NOT REMOVE THIS LABEL I NE PAS ENLEVER L'ETIOUETTE 250-7260
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
HOT WHILE IN OPERATION DO NOT TOUCH,KEEP CHILDREN,CLOTHING AND FURNITURE AWAY.
CAUTION; CONTACT MAY CAUSE SKIN BURNS. SEE NAMEPLATE AND INSTRUCTIONS.
Operate this unit with fuel hopper lid closed,do not overfill hopper.
CHAUD LOBS DE L'OpDPERAT�ON.NE PAS TOUCHER.GARDEN LES ENFANTS ET LES VETEMENTS
ATTENTION; LOI1 EAUESPACEVOIR ETISIIUETTE ET LES INSTRUCTIONS,
CONTACT PEUT CAUSER DES BRULURES
Corer cet appareil avec le couvercle de la trimie fermi,ne pas remplir la trimie trop pleine.
�r/UMDR� CASTILE PELLET INSERT fFRIAI rIo.IMn ROW
�• U.S.ENVIRONMENTAL PROTECTION AGENCY
Repot/RappellTW This model is exempt from EPA clarification under 40 CFR 80.531 by
NMI-S42.2 defoution Mbod seater(A)-Air to-Fuel RatiOT.
2002 20032004JAN FEB MARAPR MAYJUNEJULYAUO SEPTOCTNOV DEC
DO,aIX[MpVI iXn UBFI I,[eA9[,IFKXL'[1gUFlyF Mtla In UA.ARen Aux lltlWNs 250.72W
Page 4 e June 03. 2002
Y
Quadra-Fire Castilla Pellet Insert 00—DBil•WE
SAFETY LISTING
The Quadra-Fire Castile pellet insert is safety tested and listed with OMNI Testing Laboratories,
Inc., of Beaverton, OR to ASTM E 1509-95, 0RD-C1482-M1990 Room Heater Pellet Fuel
Burning Type.
DIMENSIONS FRONT VIEW
�
All views are shown with 43-1/21,1
Panel & CastTrinn Set
installed. 8 e
— 30-3/8'
30"
TOP.VIEW
z6-1/16"
F-23-7/16"
o'
r6. y
' I
11'1"6 SIDE VIEW
� 10-3/16'13-1/16"
I
24 3/16"
24- /4" 19.0"
T 112-3/4"
® 09-3/16"
0
2.0"
I
I
June 03, 2002 Page 5
('URDREF IRE Quadra-Fire Castile Pellet Insert
MINIMUM OPENING
MASONRY AND ZERO CLEARANCE
USA
19.1/4"(489mm)d drop down
INSTALLATIONS 21.114'(548mm)Hllush or hearth mount
ONLY
Figure 6A
18"(457mm)for Zero C earano
14"(3%mm)for Mason y 23-7116"
595mm
28.114"
718mm
NOTE: You must use Part 811-0610 900 Adapter attached to the Flue Adapter for rear vent zero
clearance Installations. (See page 9).
MINIMUM CLEARANCES TO COMBUSTIBLES
MASONRY AND ZERO CLEARANCE INSTALLATIONS
s MANTEL
1
B
J
J C
3 3Figure 66
w
0
A D
Qmn
ii
F E
1 A Insert side to combustible 0" (0mm)
B Insert top to mantel 12" (305mm)
C Insert top to face trim 0" (254mm)
D Insert side to face trim 0" (0mm)
E Floor protection heart extension 6" (152mm)
F Floor protection to the side of door 6" (152mm)
Page 6 June 03, 200:
Feb. 10. 2004 1 : 30PM Ni. 1165 P. ?
Madel Castile Pellet Insert
Aladdin Hearth Products,Inc.
1445 North Highway
Colvilla,WA 99114
CERTIFICATION SUMMARY
OMNI-Test Laboratories,Inc. (OMNI)was retained by Aladdin Hearth Products,Inc, to evaluate
the construction and performance of the Castile pellet insert room heater to industry safety
standards. The Castile pellet insert,manufactured by Aladdin Hearth Products,Inc,, is a wood
pellet-feed and shelled com-burning room heater for use in site-built residential construction,
manufactured housing,or mobile home installation. The unit is designed as a fireplace insert
room heater. The Castile Pellet Insert was tested during the period from March 25,2002 through
May 2,2002,to evaluate compliance with the following standards:
• ASTM E 1509, "Standard Specifications for Room Heaters,Pellet Fuel•Buming Type,"
1995.
• ULC C1482-341990, "Requirements for Space Heater for Use with Particulate Solid
Fuels." 1990.
OMNI-Test Laboratories,Inc. provided the facilities and personnel to conduct the test program
reported herein.
This report serves as documentation that the Castile pellet insert,manufactured by Aladdin
Hearth Products,Inc.,complies with the requirements of the standards listed above. With this
certification and compliance with ON4M's listing Agreement,the Castile pellet insert is listed
with OMNI and is to be sold with the OMNI-approved listing label affixed to each appliance.
Paul R Tiegs, ebt
OMNI-Test Labor tories,Inc.
w.w1
Richard Spa ass , Vice President f
OMNI-Test Laboratories,Inc.
I '
OMNI•Tesr laboratorlu,Ina it of iii
fraaym lYiCmNSIJ1AJ:nAnn07wynhytf',f;o}Gtfbl-M.7�.'�.LIdt JINa1.5�.'1Or