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Permit ., ., + t � CITY OF TIGARD MECHANICAL PERMIT �� 91 l COMMUNITY DEVELOPMENT Permit #: MEC2009 -00636 '` 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/30/2009 �TdG AvRD g Parcel: 1S125DA05900 Jurisdiction: Tigard Site address: 6740 SW ALFRED ST Subdivision: KINGS VIEW Lot: 45 Project: Niehues Project Description: Replace gas furnace Owner: FEES NIEHUES, LOREA Description Date Amount 6740 SW ALFRED ST TIGARD, OR 97223 Furnaces < 100K BTU 11/30/2009 $46.75 12% State Surcharge - Mechanical 11/30/2009 $10.80 PHONE: 503 - 622 -5426 Minimum Fee Adjustment - Mechanical 11/30/2009 $43.25 Contractor: COLUMBIA HEATING AND COOLING PO BOX 230397 TIGARD, OR 97281 PHONE: 503 - 624 -2704 FAX: 503 - 598 -0270 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: 91 Perm itteeSignature: �_ © ✓ /J6_ L y d j /A _ / 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. t t � Mechanical Permit Applicati t•. o ` H''o?o r� e- � l i . � ,, - G • .,.. � - 1/ Receive P'rm,tNn.: aKl�CaejDq —dD� City of Tigard Re Date/13y: ive • 1372: SN' Hall r3lvd. Ticatd, OR 47223 f Y NOV V L . ! L u u 9 Plan Review Other Permit: ,, ",_, Phone. 501639.4171 Far: 503.598. l9 0 � p- Datelay: f _ Da te Keady/By: turd I RI Sec Page 2 for i 417...;' Inspection i.inc: 503.639.4175 n -I v Supplemental Information asiamtassiri Internet utivw.tigard or.gov �� ?^ aD NotifiedRvfahod: Zd I, - I ve' ERIN: r vt_ TYPE OF WORK l COMMERCIAL FEE* SCHEDULE - USE CIIECI{LIST 1 i Mechanical permit few` are based on the value of $c work ❑ New construction Addition!alteration /replacement perforated. Indicate the value (rounded to the nearest dollar) of all ❑ Other: mechanical materials, equipment. labor, overhead. and profit ❑ Demolition . Val ue: $ [ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* I - and 2- family d' cllir.g ❑ Commerciallindustria! ❑ Accessory building For special information use check/iv. ❑ Multi- family ❑ Master builder ❑ Other: Description TQtyl Ea. Total JOB SITE INFORMATION AND LOCATION lieating/eooling _ — Air conditioning /� �dN" (re mires site Jan shotine lacernent 1 46 _ lob site ,address: t0 �'V 1 46.75 Furnace 100,000 BTU (duets/veins) (duets/veins) C it lStatcll.[P: �r ► f � Furnace 100,000 BTU (ductvvcnts) 5 f Project name: Heat .um. 61. 06 _, Suite/bldg./apt. no.: j Duct work G3-32 - - Cross strc Udirections to job site: Hvdronic hot wafer system 23.32 Residential boiler (radiator or 3` hydronic) Unit heaters (fuel -type, not electric), 1 in-wall, in -duct suspended, etc. 46.75 . Flue /vent for any of aho''c 23.32 Lot ;i0.: I 2 i Subdivision: Other: Other fuel appliances fax map /parcel nn.: _ - Water heater 2 ' j2 - DESCR�IION OF WORK Gas fireplace _33.39 F lue vent for water heater or gas 1 7 � 2 fireplace Log lighter (gas) 23.32 Wood /pellet stove . 33.39 Wood fireplace/insert 23.3.: Chimney/liner/title/vent L332 PROPERTY OWNER - ❑ TENANT Other: -. 23.3) n Environmental exhaust and ventilat �_p y / L C r / �? < < Range hood/other kitchen 0 Name. e � r equipment ?3.3. Address: 33.39 Clothes dryer exhaust l tl v', State Ll P: Single -duct exhaust (bathrooms, r toilet compartments, utility' rooms) 23.32 Phone: (�_3) .5 � 6:,, . 1: ( ) 23.32 AtticIcrawlspace fans ❑ APPLICANT 0 CONTACT PERSON Other. 23.32 I3usiness name: Fuel piping $14.15 for first four; S4.03 for each additional Contact name: - / �� P P./ l 7' Furnace, etc. ` 1 Address: Gas heat .urn. WaWsus.ended/unit heater I — CihlStale /ZIP: �� Water heater_ phone - 3: :go a ,„a7,,, Fax: : ) 5 � 6 Fireplace Rance I F. -mail: CONTRACTOR. • • Barhecue _ - -i - - -- 1 CIuthes d ctry r (o6) Business name: ` i 0 , ?/ ; .0► a_ _ Other; Cy MECHANICAL. PERMIT FEES' 11 • Address:� .� k a,�� ! 7 ^7 Subtotal City /State/ZIP: J ' • P c T /� D l S vlinimum permit fee 1ubtotal -- • J Fax: — Pltnl review (25 °.'e of permit fcc) � - Phone: 613 ? l'��js � / - +– - ' --_ — Stale surcharge (12% of permit tee) (.,f CCB tic.: 70,5).-• TOTAL PERMIT FEE ' i ' ' 4 P This permitapplicerioo expires if a ptrmit is not obtained within 1RC days After it bas been accepted as complete. `Authorized signatu Print na 1 _ill I71 • Fee mcdrndolngy set by Tc- Chanty Building Indesay Seance Board 1 / 0-_, aft Date: A4c -0t+l (l ,2lCOM1 I•'.noild 1112 TermiI5NEC•pe. m;t App .do^ 10101.09 Z OZZO 869 6u.loo3 /6ui1eaH eigtunloO e0:60 60 OE A °