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Permit u ,i q CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC201000094 •T t GA 'RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/04/2010 Parcel: 1 S 134CB 15800 Jurisdiction: Tigard Site address: 12369 SW ANTON DR Subdivision: ANTON PARK NO. 2 Lot: 85 Project: Popkin Project Description: Install gas furnace. Owner: FEES POPKIN, ED Description Date Amount 12369 SW ANTON DR Furnaces < 100K BTU 03/04/2010 $46.75 TIGARD, OR 97223 12% State Surcharge - Mechanical 03/04/2010 $10.80 PHONE: 503 - 783 -1693 Minimum Fee Adjustment - Mechanical 03/04/2010 $43.25 Contractor: SUN GLOW INC 2428 SE 105TH PORTLAND, OR 97216 PHONE: 503 - 253 -7789 FAX: 503 - 253 -7693 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 Noti ion - • -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direc uestions to 0 C b -fling 503.246.6699 or 1.800.332.2344. �1 Issue By: / / 1 Permittee Sig ature: a Y 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. Mechanical Permit ApDllcatio : , , i , . TOR. O. tier tisr, nivl,v • Received Permit No.: City of Tigard � • - rd < o� • I Q 15ud8 . / 1111 ,- • M 131 5W 1411 Blvd., Tigard, 013 47223 MAR 0. 20 10 >��r Re,� ili Phone: 503.039.4171 Fax: 503,498.1960 Dnrtftly: Other Permit: inspection Una: 503.639.4175 tuna '1 I(.;,\ l' � - DnteR endyl.By: Saolbtga 2 far Internet: www.tigard.or.gov r, IN 6:_ , '' i Natified/Melhod: " rC Snpplem+enial lnffrennttor a1_;' f i \fi s • "k 1 1 - - ; '' •;` ' TI,pit OF WORK -. ,LO11 t E ll'i ti: S DULE- 't7SEt ECK .lti'. • ,..:. ; ':.. Mechonlatl permit feess are based on the value of the work ❑ New construction . E +".,dialedialtorat ion /raplacEment peekirmed, Indicate the value (rounded to tilt ncmts# donut) of till ❑ Demolition ❑ Other; mechanical materials, equipment, labor, overhead. and profn. .• '' .; . :. CATEGORY OF COI∎IgTR 1C'.> ION;, :41',.•%:";.'t,' aloe: - and 2- family dwelling ❑ Comrnercial /industrial ❑ Accessory building ' ` OrNt l E2��.% giegThM5 FEES!.. , . . For special tgfarmerlan use elteckltsc 0 Mutts flintily © Master builder ❑ Other: Description i Qty. f En, 1 Total "" ' TOR • S>flr'E INFORMATION AND LOCATION lima ngteaolbtg • file a @dY4r A: Air conditioning or heat pump Job a. t ta ♦ - , r0 '( ( no q uirec sire plea sliewing,plaeeinent) 14.00 City/Stnte/ZTP: --r + o (Z 7.. . Fumacc I00,000 (ducteverlJ 1 14.00 ick,00 Suite/bldg./apt. no.: �' J" " Project name: Fumace 100,000•,• BTU fdactrlvenns) 17.90 (}an hat pump 14.00 Cross street/directions to job site: Duct work 10.00 - "- ` Fiydronic hot water system 14, DO Residential boiler (radiator err hydrr,+nia) 14.00 unit heaters (Reel -type, not electric), in -wall, induct suspended. eta. 14,00 ' 1 of no - - _Fluchrent for an f above J - - 6.80 $u17rllvision; . Other: 10.00 'Fnx map /parcel no.: Other fuel n>tPplianeela -: >' pESCRWIICON or WORK -• •••'' Wnter heater 10.00 ( - Gas fire lace 10.00 I n 5 t \ ,-.v cS ( v\&4 )1- Fine vtmt fbr water heater or fans w fir Ines 10.00 — - - -htcr ll 10.00 Waodipellet stove 10.00 Wood fir7lacclinscrt _ 30.00 ,, .. Y eFROFEXtTY OWNEiR. v - -. • • 0 ' - met /41vc1 cnt 10.00 t;ltimne A' v 10.00 .. -.. - - - x`E1VAN t)nc�r' ._._ , Name P b \( ; r, 1Gnvimnntentnl exhitust nod ven4llatlon Addreas• 1�3bei 5LJ Cc.. ,r-t,• , rn r puinm en c� othcrtc;tcttcn 30.00 City/State/Z.7; • - 1 - ■ — , 0 Q, q -) 3 Clothes d et exhaust 10.00 Single-duet ex gust (bathrooms. Phone: (S ) ").':' 3 ` j b 13 Fax: ( ) toilet compartments utility moms) 6,80 • ■ • •: 0 " Alp ' X L1ICANn" • . . . . , 0 CONTACT PERSON :: %., ; : : . Attic/crawlspaco fens 10,00 - -- Other: 10.00 Business name: E�ei piping - SUN GLOW, INC- -- Contnct Heating & Air Conditioning — xfid Oroefi rst%burgSll.o0tbreachaddition:al Address: 2428 SE 105th Ave. Portland, OR 97216 Furnace, etc. (503) 253 -7789 FAX (503) 253 -7693 - Gas heat plum CityfStote/ZIP: Walltsuspendcd /unit honer Phone' ( ) Fnx.. ( ) '- Water heater _ Fire .1a= lrrnaiL RanAc CONTRACTOR • ' :. - Barbecue _ - Business natni - - -- Clothes d er . es .�.. SUN GLOW, INC. Other: 1 Address: Heating & Air Conditioning ; °: l:f., 14:8CRANICAC FERriO'l'TIEF - * . ' City/StatrIZ1P 2428 SE 105th Ave. Portland, OR 97216 subtotal .cx' t. e0 (503) 253.7789 FAX (503) 253 -7693 Minimum permit fee ($72.50) --4.r.:-.,b ` 4+ Phone: ( Plan review (25% of permit fee) CC31ie.: ' 1 State surcharge (12% of permit fee) ,o TOTAL PERMIT FEE , ' . d ,,,, �n1 Jhl9 p rmlt eppllomion rrpire$ its permit's not obtained witbla 11110 Authorized signature: (3 I(\ ,_ - y .__ days offer it tins been accepted qy vomplete. Print name: r t 1 , -k y ,. - j \.1 Dat j ac ° Pon meal +oeotogp net hy Tri•Cmmty 13ni1ding 1rdeney Service go go isoullo 01,,9101 446a017T (111021CO't4 ]Tn) /ems