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Permit III CITY OF TIGARD MECHANICAL PERMIT I. COMMUNITY DEVELOPMENT Permit#: MEC2021-00557 Date Issued: 8/2/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104CA02400 Jurisdiction: Tigard Site address: 13607 SW LAUREN LN Project: MIDDLETON Subdivision: HILLSHIRE Lot: 24 Project Description: A/C and furnace replacements. Contractor: AIR PRO HEATING&COOLING Owner: MIDDLETON, NEWELL GRANT&MICHELLE 967A 3RD AVE LONGVIEW 13607 SW LAUREN LN LONGVIEW,WA 986323 TIGARD, OR 97223 PHONE: 360-423-9165 PHONE: FAX: FEES Specifics: Description Date Amount Air Conditioning 07/27/2021 $46.75 Type of Use: SF Furnaces< 100K BTU 07/27/2021 $46.75 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 07/27/2021 $11.22 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $104.72 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: }{c,Lty Vc tiDe Wee Permittee Signature: OWAppUCat et1(t Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicaan c IVED 11 "3 S >'_n 23 IUL 19 2021 �� 1 Na r-�� + OR 972 1� . l"h> Phone: 503.71i._439 Fax: 503 59d.19964, I' OF TIGARD nateB aba remit: Lent 503 639 4175 Moses RIMupatd-Cr.gov `IJILDINGDIVISION loteLudt'BY' >va to ti«Pap:ter Aatitied�tetbod: twpplemoeatai latiraaalloo _ ,. � OF CAAtMERCiAL lira. SCHEDULE c iaa sr' -_ New cnnsnvctiou v _ -"` -Mechanical petm;t fees*are based on the value of the work®Addition alteration`replacement performed Indicate the vacua(rounded to else nearest dollar)of all ❑DernolitiOo 0 Other nmch ncalmaterials equ;pmern labor ovished and fit CATEGORY OF LC'TIOlV Value:S RI$wv mALRQl.T1PMl tr frame PEW Ej 1-and_-family dwelling 0 Conmett:ial%industrial 0 Accessory building For checklist ❑Multi-family 0 Muter builder special r�i�aer�a rP y. E ❑Other. Description Ea Total JOS SITE 1`TORMATION AND LOCATION IHeatiag/coora*: Job site address: 2 Air conditioning I 46.75 , 4 C •.i.S t,�CC�t SW' L1 e AJ W Pomace l00000 BTU(aeru,eni.) . 1 46.75 c{6 .i' City'State'ZIP: e''‘'^ P__ I bk. q,/ Z Furnace 100,000+BT[J(duavm an) 54.91 , Suitebldg.."apt.no.: Project name: Al'e4 7:trA) Heat pump 81.06 _ Dud work 23.32 Cross street"directions to job site: Hydmn;c hot water treat 23.32 ' Residental boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,is-duct,suspended,etc. 46.75 Fluefvent for any of above 23.32 Subdivision: Lotno.: Other: 23.32 __ Tax map/parcel no,: Otter fad appliances: Water heater 23.32 DESCRiPT!ON OF wow Gas fireplace/insert33.39 Q�1 ,. Flue vent for water beater or gas t`C P LAC 47?•L .S-TN U-- '/c oak i r C, fireplace _ 23.32 N.:42-I V C-1- Log lighter( a) 23.32 ll ) Wood/pellet stove 33.39 Wood fireplace/meat 23.32 Chinmeyrliner Ykaehmt 23.32 El-1110PERTY OWNER .__,___.._�_ - 0 TENANT Other. 23.32 Environmental exhaust and ventilation: Nye: /0( t,,)e`s(..C.- y(-l1 o(1..., j i...)A) Range hoodiotberkitchen equipment 33.39 Addms: 1 360 9- .&-I C.-ii 6 fi,CA) / n/ Clothes dryer exhaust 33.39 CitylsbatdZII': G A o Z�^} .Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(5 3) ?L(9_ 6, 3 C� Fax:( ) Attieiaanispace fans 23.32EIAPPUCAN[ ( 0 CONTACT PERSON Other 23.32 Fuel piping: Business name: S14.15 far first tour;S4.93 far sad adduisaal Contact name: Att)t.W ci_.L /"tis7PLE"TAU t J"Furnace,eta Address: «6 G�- St„5 L_Atio1 C)t1 L41 �(I Wu henallsus pandpume . ed'unit beater City/State/ZIP: ` r}`C 4 PJ)p pO q t? Z7 +� Q(1� Q Watea bastes Phone:(5b3) k(- " ©7 c I Fax::( ) 7 ace E-mail: /06..4.e q 2m I`( ( J )/ /tdo . (()Al' Barbecue cONTRACT'OR Clothes dryer(gas) Barnes.name: A T R. QF tf-EA-I.Gtt G- ? (`CO(.. /41L (t.C. Other. ' PVICALPER7►3'iCTFI:Es'• . Address: l o O5- &)g. l (` fit- Au Subtotal /g. .S''o City/State/ZIP: Ijii,u[ono b{L W pi_ ` 6c2 pewit fee(590.0 ) I Plan review(25%of permit fee) Phone:(3 o) S--k - Sc(0 Fax:( ) State surcharge(12%of perms fee) ) • 2�.Z� C B lie.: �� I punk 6 TOTAL PMICI T FEE /o ../g,,( 7 116 pun*appbtallaa swim its p NM 1N Authorized upnature: - days after a coat beta atapssa as oaaipbaa. z, a- / Fee meshedobg♦at by Th.Com ey Doak S laduary Semis Bond ( Print name:NSIA3 CLL.- f'"t'r'CD'DG.Z r e)1ti.+ I.Date: 7.0 r 7(Z{ t laidrp, lUECJ'.m.Appwatt3.me .arsta(tlC2c 4sU) /Of1O i : s.. /-.) /t/ i I i' 72 .01) Ail �TZ- • AV d Dianna Ornelas From: Newell <ngm2014@yahoo.com> Sent: Monday, July 19, 2021 11:27 AM To: #Building Permit Technicians Attachments: Adobe Scan Jul 19, 2021.pdf Follow Up Flag: Follow up Flag Status: Completed Categories: Tina Caution!This message was sent from outside your organization. Hi, I would like to apply for a permit to replace my existing furnace and AC unit. I will have Air Pro Heating and Cooling do the work. I applied for a permit last week but I believe you thought I was the contractor as I received an email directing me to create and pay for the permit online. I am in fact the homeowner. Please let me know if you have any questions. Thanks, Newell Middleton Scan of permit application attached. Forwarded Message From: Newell <ngm2014@yahoo.com> To: Me <ngm2014@yahoo.com> Sent: Monday, July 19, 2021, 11:22:10 AM PDT Subject: Sent from Yahoo Mail for iPhone 1 Branden Taggart From: #Building Permit Technicians Sent: Tuesday, July 27, 2021 2:11 PM To: 'ngm2014@yahoo.com' Subject: Mechanical Permit: MEC2021-00557 - 13607 SW Lauren Ln Attachments: Invoice.pdf Hi Newell, The Mechanical permit for your home is ready to issue now. The balance due is$104.72, and I have attached an invoice above for you to reference. These fees can be paid online now at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MEC2021-00557 under the Building tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee. Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this permit and email the permit paperwork to you. Thank you, Branden Taggart ti City of Tigard o �, Senior Permit Technician `� Community Development rmatt 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent©tigard-or,gov 1