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Permit CITY OF TIGARD MECHANICAL PERMIT IIN a COMMUNITY DEVELOPMENT Permit #: MEC2009 -00630 '' Date Issued: 11/25/2009 :1-.1 G \R E5 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101DB00504 Jurisdiction: Tigard Site address: 7540 SW CRESTVIEW ST Subdivision: Lot: 0 Project: Bretl Project Description: Install gas furnace. Owner: FEES BOB & DIANA BRETL Description Date Amount 7540 SW CRESTVIEW ST Furnaces < 100K BTU 11/25/2009 $46.75 TIGARD, OR 97223 12% State Surcharge - Mechanical 11/25/2009 $10.80 PHONE: 503 - 348 -6753 Minimum Fee Adjustment - Mechanical 11/25/2009 $43.25 Contractor: COLUMBIA NW HEATING PO BOX 622 SCAPPOOSE, OR 97056 PHONE: 503 - 543 -3624 FAX: (503) 543 -6285 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas 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 N. • ation Cen - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or dir; t questions to OUN sy c. 'ng 13.246.6699 or 1.800.332.2344. Issu d By: 1 / I I t O A d Permittee Sign ,, 1� 1��� J � • 1i Call 503.639.4175 by 7:00 a.m. for an inspection that business .. . 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. 11/24/2009 09:46 5035436285 PAGE 02 iiaaical Perm Ap lid cat ion RECEIV Pcrait -DODO City of Tigard y : r ! a� � ��� • 13125 SW Hall Blvd., Tigard, OR 97223 Review Other Permit: • Phone: 501639.4171 Fax: 501598,1960 Date/By. Inspection Line: 503.639.4175 NOV ili `/ 4 2 e Re adyBy: Juri ' 67 See Page 3 for I i ` �: > Internet: www. tigerd- or,gov IV cd/Mcthod: (i — Supplemental Information CITE' OF TIOARD �y�, `.0' * till gUlLDI t DIVISION'= . ,_:.. Me permit i hes* arc bailed on the value of the work ©Ncw construction X Addition /Alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition ❑ Other: mechanical trtateriais, equipment, labor, overhead, and profit. Value " ilY i ll , i, gi O 111 1' o l - and 2-family dwelling ❑Commercial /industrial 0 Accessory building For special information use eheck1tcr ❑ Multi- family ❑ Master builder ❑ Other Description j Qty. Ea. Total ,T [� I)L.1 OI ,Heil' Iii '1C1'C' ft 'IO1' t Heating/cooling ' � lO ` ,W 7 v �? rc•a Air conditioning rtg Jr .____, ) site addr>:sa: sires site Ian slrowin, .Iscemctn 46.75 City /State/ZTP: C [40 cp T72)3 Fumaec 100,000 BTU (deetJvents) 1 46,75 q�- Furnace 100,000+ BTU (dues/vents) 54.91 Suite/bldg. /apt- no.: Project name: Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 14ydronic hot water system 23.32 Residential boiler (radiator or _ hydronic) 23.32 —• Unit heaters (fuel -type, not electric), in -wall. in-duct, suspended. etc, 46.75 Tut no.: Floc /vent for any of above 23.32 Subdivision: Other: - 23.32 Tax map /parcel no.: cl appliances pthcr fa r t o a S Water hcatcr 23.32 7"A• S-� l'`1 Gas fireplace 33.39 Flue vent for water heater or gas fireplace 23.32 - - Log lighter (gas) 23.32 Woodfpellet stove 33.39 Wood fireplace/insert 23.32 • PFti�l'itit11i' OViiht I 1 1;:r1 •1(41+i`t ' 23.32 Chimney/liner/flue/vent .. t . . Other: _ 23.32 N mne: .. 44,N �T/ Environmental exhaust and ventilation Address: fl 7 5C/Q sta.) ./[-� j C _ _ � I T 0 5 7 Range hood /other kitchen . ui .merit 33.39 City /State/ZIP: 7- II R6 ( 9'J� 3 Clothes dryer exhaust , 33.39 Single -duct exhaust (bathrooms, Phone: (5�"� 86/0`-- 675 Fax: ( ) toilet compartments, utility rooms) 23.32 tllp ' ' : i CG1N 1 ' T P cc tans 23.32 ' Aftic2rawls a "K Other: 23.32 Business name: S_ a Fuel piping Contact name: $14.15 for first four, $4.03 f or each additional Furnace, etc. Address: - Gass heat pump City /State/ZIP: Wall /suspended/unit heater Tax:: Water heater Phone: ( ) ( Fireplace E-mail: . Range - c Y'IIO. 1 _ l' Barbecue Business name ��^'y��/ // /(A7 /C Clothes dryer (S other Address: W !( fir / ". 11M1E� fIf4 1� Cily/State /7l1': P �� S 6 Subtotal �(o 7,5 c Minimum permit fee ($90.00} �'�, (}O Phony ( ) S 7 j r 3(� f Fax: (13)5e/36235 Plan review (25% of permit fee) --- CC13 lic.: 6 / State surcharge (12'Y of permit fee) to .$'C3 TOTAL PERMIT F'EE L . ,/ / Thi permit ap plication cipirn if a permit b not obtained within 180 Authorized signatory: a � iii . . / ^-. < /•• I drys after it has been accepted et cnmpkte. Print name: - i 1I f./ * t/' Dale: 3 -tit • nee methodology set by Tel-Comfy a ri I di n g industry Service Board ... ..... . . , ■•■ - - - -.'- • - '__ •,,.n, N„ aan.at 17r rt l if ellMIWEr