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Permit f IV CITY OF TIGARD MECHANICAL PERMIT ` t; COMMUNITY DEVELOPMENT Permit #: MEC2009 -00621 I 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/20/2009 TIGARDj Parcel: 2S104DA11000 Jurisdiction: Tigard Site address: 12901 SW BEAGLE CT Subdivision: QUAIL HOLLOW - WEST Lot: 96 Project: Culmsee Project Description: Install A/C. Unit must meet 3' minimum rear and side yard setbacks. Owner: FEES CULMSEE, GALE Description Date Amount 12901 SW BEAGLE CT TIGARD, OR 97223 Air Conditioning 11/20/2009 $46.75 12% State Surcharge - Mechanical 11/20/2009 $10.80 PHONE: 503 - 380 -9131 Minimum Fee Adjustment - Mechanical 11/20/2009 $43.25 Contractor: FOUR SEASONS HEATING & A/C INC. 1005 INDUSTRIAL PARKWAY NEWBERG, OR 97132 PHONE: 503 - 538 -1950 FAX: 503 - 538 -0165 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. / Issued By: 7 r /�� Permittee Signature: 9 � / 9-7D/ 0 4.. / . 64'4- j /Q AI 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. - - RECEIVED Mechanical Permit A li cati on I.O R ( ) I . I . 1 ( 1 . 1 „ ”" NOV 19 2009 Received ' City of Tigard i/ 402© n• ••�� , . • , Date/By: �tii� • a��2�1�ii��.� , �� I ll 13125 SW Hall Blvd., Tigard, OR 97223 p; B Phone; 503.639.4171 Fax; 503.5920146y OF TIGARD - inspection Line; 503.639.4175 BUILDING DIVISION Data y/r PI See Pap 2 ter Internet: www ttgard-0r.gov Notified/Method: Supplemental Information --- we SCHEDULE. - �T • E F W ORK ,.Q EDULE. 1 Mechanical permit fats' arc based on thc value of the work [] New construction i� Addition/alteration/replacement performed• Indicate thc value (rounded to thc nearest dollar) of all • �•, mechanical rnatrrials, equipment, labor, overhead, end profit Demolition �� Value: $ CA*ORY OF CONSi•RUHf4..*: , 131rSTEMSF r I - 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For glottal t►Ifor nAeron use checlt/lsr. • Multi - family ❑ Master builder ❑ Other: Description I Qty. 1 1:a Total - Jos srFE INFO> F1 +( NS COC ' : _ N. ` ilcattng/c tine j �� Air conditio 46.75 w `7 Job site address: W fM /� (ro9uieers site v l i aa ehowin tacementl , t Furnace 100000 BTU (ducrs/vents) 46.75 City/State/ZIP: V t � - Furnace 100 BTU (ducts/vcnts) 54.91 Suita/bldg. /apt- no.: 1 Project name: ' .� / Hcat ump 61.06 . Duct work _ _ 2332 Cross greet/directions to job site: Hydronic hot water system 23.32 Residential boiler (radiator or -- hydroni) 23.32 1 Unit beaters (fuel -type, not electric), in -wall, in -duct, suspended. etc. 46.75 Fluc/ventfor any of above 23.32 Lot no.; Other 23.32 Subdivision: - Tax map/parcel no Other fuel applian : p{ 'O)�.:'1 :•; :. Gas fireplace 33.39 . 1 1 at Ali t. it , ■ I • Flue vent for water heater or gas Emplace 23.32 Log liBhtcr (1_L 23.32 . Wood/pellet sto 33.39 Wood fireplace/insert 23.32 - Chimney /liner/flue/vent 23.32 TT.. Other. 23 32 ,, . OVYNER • . _Environmental exhaust and ventilation Name: �. a ! ■! Range hood/other kitchen C 1 ..ui.mcnt 33.39 Address: � B W y" �s �` • r Clothe exhaust 33.34 ♦ ♦�� d 3 Single -duct exhaust (bathrooms. �' Fax: ( ) toilet oompanmenta, utility rooms 23.32 . Phone: ( 3 . I Attic/t ra sppace thns 2332 Al ti{C7 11� Other: 23.32 Business [lame: - • _ ; . _ Foe! piping S14.15 for first four; $4.03 for each additional II contact name: AND III ' ' I • NI ► ■ Furnace, etc. ' L P Address: Gas heat pump - Wall /suspended✓w it heater CitJ /State/ZIP: Water heater Phone: "••) lraa i' ' "WO fax:: • 5 f . Fir lace Range E-mail: • GONTRACTO - Barbecue ''' , ' , - ■ j , i r ' Clothes dryer (Bas) 6 _ O ther. — Address: • 11 INDUSTRIAL 9 y 13d - Nk .FE 'c Subtotal cicyistate/z1p: NEWBERG, Minimum permit fee (S90.00) $ 0 I ts6 Fax: ( ) Plan review (25% of permit fcc) Phone: (5 ��' CCB lie.: State surcharge (12% of permit fee) b (�] a ( � 3 11 � TOTAL PERMIT FEE /00, d C. I - This permit application expire' if a permit Is not obtained within 180 Authorized signature. /` ii /' 1 days after it has boon accepted as complete. � * Date: f y 11:1 40- ' Foe methodology set by 'Fri-County Building industry Service Board Print name: l ♦ sC %71 I ? I: 1BuildinecrontaVirEt -Pere tulpR doe 10101foo , .1Tienfo?1COAf1wEI 1 ( S 1700 /C00(8 XVJ 80:171 6002/61./ll - • N ° 0 • A/C -HEAT PUMP -- -UNIT SITE PLAN J. • v41 'f • FEE O BACK OF PROPERTY LINE W4 E • 5 S FEET TO SIDE PROPERTY LIFE • L • K • FEET TO FRONT PROPERTY LINE (' z� _ _ • o ` =p,n ADDRESS• e Q Z7 • w ■ Li_ C. FOUR SEASONS NEATINiti • $tato PLEASE.REFAX APPLICATION WITH SITE PLAN AT AIR Con INC: "L 1005INDUSTRIAL NOW 1 A �� ; NEWBER 97132 • • co : : I — o N � V _ ii PS 7 '