Permit r* ! A0 CITY OF TIGARD MECHANICAL PERMIT
F y � ii,'
'1 C. 11 .A COMMUNITY DEVELOPMENT Permit #: MEC2010 -00195
Date Issued: 04/30/2010
1GARD4 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S110DD03100
Jurisdiction: Tigard
Site address: 10530 SW CENTURY OAK DR
Subdivision: SUMMERFIELD NO. 1 Lot: 38
Project: Doyle
Project Description: Gas furnace and NC
Owner: FEES
DOYLE, VIRGINIA Description Date Amount
10530 SW CENTURY OAK DR
TIGARD, OR 97224 Air Conditioning 04/30/2010 $46.75
Furnaces < 100K BTU 04/30/2010 $46.75
PHONE: 12% State Surcharge - Mechanical 04/30/2010 $11.22
Contractor:
DAMAR HEATING INC
P.O. BOX 56327
PORTLAND, OR 97238
PHONE: 503 - 236 -6344
FAX: 503- 236 -6552
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
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 -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: ri K ✓ Permittee Signature: 5EL A pp i A 'T 4 - 1
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.
08/17/2008 19:38 5032366552 DAMAR HEATING PAGE 01/03 /(
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Mechanical Permit App1i ' iQ R IVED I U R 01.1i( .' 1-: 1 S f. O\ I.1
City of Tigard Received perwit No.: tut, 2.0 iO — 00 ik
Date/By:
III f " 1 3125 SW Hall Elva., Tigard, OR 97223 Plan Review
' Phone: 503.639.4171 Fax: 503.5002 8 2010 Date/,By: O*h Permit
Ili , }t I t Inspection Line: 503.639.4175 Date Ready/By: ru —
Iii See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: _ 7€ Supplemental Informahoa
El New construction IX-Addition/alteration/replacement performed. s* on c of the work
New Inn dicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
OWV�ICP1<I1DN '. , . Value $
- 1- and 2- family dwelling El ComltnerciaUindustrial ❑ Accessory building J � ` �
For special information use checklist
❑ Multi- family Q Master builder 0 Other: Description 1 Qty. l Ea. I Total
JOHSL'1'IY;INirORMA`FIIQIV e�3W ATION . Hearin coolin
' / Air conditioning
Job site address: (requires sim plan showier placement) ' 46.75
City/State/ZIP: Furnace 107,000 BTU outs/vents) 46 . 7 5
Furnace 100,000+ BTU (duct /vents) _ 54.91
Suite/bldg. /apt, no.: Heat pump 61.06
Cross street/directions to job site Duct work 23.32 .
Hydronic 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
Flue/vent fir any of above 23.32
Subdivision: Lot no.:
Other 23.32
Tax map /parcel no.: Other fuel appliances
DESCRI)PtION OF WORK . Water hear 23.32
'' Gas tirepl 33.39
S TA 4 s �� /� �/ C (i / a -4- Flue vent r water heater or gas
A-(4 rip 1 V1 110/41 .. L replace 23.32 _
Log lights (Ras) 23.32
Wood/pell t stove 33.39
Wood ft lace/insert 23.32
-- . Chimney /l ner /fluc/vettt 23.32
1St .PRQPER''7l OWNER - �,:T . Other: J , 23,32
Name: Q C IC M Environ ental exhaust and ventilation -
y Range ho, d/other kitchen
Address: S A!•` S i '. erui 33.39
City /State /ZIP: Clothes , r exhaust 33.39
Single -du exhaust (bathrooms,
Phone_ ( ) Fax: ( ) toilet com . ailments, utility rooms) 2332 •
. Q APPLIICAPNP - . . ] CONrACr PER13CMh1:., Attic/cra lspace fans 23.32
. Other: 1 23.32
Business name: Fuel pipi , g
Contact name: S 4.15 for first four. S4.03 for each additional
Furnace, ate.
Address: Gas heat t ump
City/State/ZIP: . WalUsuspended/unit heater
Phone: ( ) I Fax: = ( ) water he : ter
Fireplace
E-mail: Range
_ON`[7lAb Barbecue
Subtotal � 147-6. O dr
r.'''.
Business name: r / 9 Other_ ther
Addr pa &1X S b L e. apt
n •
City/State/ZIP; pe 4 lr a' x 3 15 _ .
Phone: (S `p -4 Litt Fes' ) 36 S Minimum Permit fee (S90.OD)
Plan review (25% of permit fee)
A C,,/I y CCB lie.: s 7L , C I al State surcharge (12% of permit fee) _ - TOTAL PERMIT FEE 11 Q y
r bi. permit application expires if a permit is not obtained within 180
Authorized signature days after it bas been accepted as complete.
l J 4i, Q J. 1) 6.. I /1 Date: Pr _ 2 7., / • fee methodology set by Tri- County Building Industry Service Board
t. m.. aa:.... ,n_....:..1n.cf_D- n.dtA....dr., 10101i09 440-0617T(II/02/COM/WEB)
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