Permit n CITY OF TIGARD MECHANICAL PERMIT
,,- COMMUNITY DEVELOPMENT Permit #: MEC2010 -00149
Date Issued: 04/06/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S1 11 DCO5900
Jurisdiction: Tigard
Site address: 9445 SW BRENTWOOD PL
Subdivision: SUMMERFIELD NO.9 Lot: 535
Project: Eischen
Project Description: Remodel master and guest bath. Replace bath fans.
Owner: FEES
EISCHEN, STANLEY Description Date Amount
9445 BRENTWOOD PL Single Duct Exhaust (Bathrooms, Toilet, 04/06/2010 $46.64
TIGARD, OR 97224 Utility Rooms)
PHONE: 503 - 440 -2095 12% State Surcharge - Mechanical 04/06/2010 $10.80
Minimum Fee Adjustment - Mechanical 04/06/2010 $43.36
Contractor:
COMFORT AIR HEATING & COOLING INC
PO BOX 821484
VANCOUVER, WA 98682
PHONE: 360 - 891 -2665
FAX: 360- 891 -2666
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: . f► a Permittee Signature: ,
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.
04/05/2010 19:23 3608912666 COMFORT AIR HEATING - PAGE 01/01 •
Apr 05 10 02:47p p.1
r ,
Mechamielui Permit Applieatio 0 '. IP .cEi i..-,„ ' ' - . ‘-'-'-- ..- "---------. ,, ' , ,,
•
MI City (A Tigard - Received
O 42V----*11/4nnit e7-4 --Mill?
13125 SW Hall 131vd., Tignrd, OR 9 A P R 0 6 2 c 1, 0 • pi, n„..;,,.., $p Noitin0/6
Phone 933.639.4171 Faic 503.538.1960 Dsteigy: Otter Permit
11 ,, .,,, it I , ) Inepeetion Line! SO1639,417;5
CTY RD v
Jari$: i El .Spg.Patte 2 firr
. Inrcinct: wanctigard-orgav I OF TIGAt't Re24113).:
NoPOed:Method: CaPattellitil fofnrm Anion
BUILDING DIVISION ' - _ •
,
f TYPE OF WORK COMMERCIAL FRE' SCREDULE - USE CHECKLIST
I -- ,
mechanical permit feeso nre band on the value elate week
0 New construeticra Ei Addition/al lesation/replacement
performed. radiesie the value (minded tri the naval dallrirl Oral]
.—D 0k:woody 0 OtIrec: mechanical materials, equipment. labor. overhead. and
- - ' V211147
CATEGORY OF CONSTRUCTION S
— - _ --- - . -
RESIDENTIAL EQUIPMENT /SYSTEMS FEES'
YI 1- and 2 - family dwell i ng 1:3 Commercial/in dustrial 0 Accessory building ..... .. ... -___......
For spedal information lac chtrolorist.
0 Mufti-family 0 Master builder 0 Other. Description 1 qty. 1_ EA. 1 Total
.11, ---• '" 41...._
JOB SITE INFORMATION AND LOCATION lkilitiLin eijgBg_____________
---..—
Air camel itiorung
/eh site address: 9 j k R..., . .,„„, ,i,,,wi.,,p)acarnont 46,75
, * -
i..-cals) , 46.75
City,litat/Z1P: Tf 4 4 R. CO 7 z_ii
Flellpu !morn) 1371,101KJv
, r i .....,_ 1
Furnae7e 1004 trft1cdvetsNeras) 5411
- - -
Suite/1,1414u oo.i ?Meet nOnc: Ileatip __ j11),_,_
ru 6
• - _
ciss Amet/direeriorm tn lob Mite' Doul work • 23.32 ____
lok_41Not
.. , 1-lydnui ic hot water Syskin 23.32
Resideatal boiler (radiator or
hydroniti) 23.32
— - ant heaters (fuel-type. not electric), ."'
in-wall. in-duce suspended, cr.c. 40,71
Flueiveut bsr any 0 above 23.3
Subdivision; ...
, Other: 23.32
Tax rnsplparcol no.; Other Ituil ap pl la nces
j ----.9-.22 1-
' 33.39
• a
DESCR Water heter
VTION OE WORK _____
,. , Gas fireplace
. .•
'' Z ft.,--t . 1 . 4d Flue virag for water heater nr gas
i5replacc 22.32
.....
......--... --... Lag IONE Om) 23.32
Lwegelia_stov e .. 33.39
Wootkpreplacerinsert 23.32
• _
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, - Chio=flinerfflueAfern 23.32
in OWNER 1 0 TENANT
ther: 23.32
Name: . 5+ 41,, i l l_ Environnteuud elan egg and ventita tinn
• ' Range hood/utlitf kitchci-7-7— .
Adams: 9 .5_ 1.4),_ al.,,,,,,l.,v00,A PL. _ equipmeast 1 , 33.39 .
C:lothts (Ilya ex' haust 1139
City/Slate/ZIP: T ? 'i ,.- sin exh mist (bathrooms,
Phone; 1,2f_g 1 '9gey — 2.95 fax: ( ) toiler compartments. mull& rooms) , Z 23.32 4'4.14
Atlic.icrawispaLc raps '
0 APPLICANT -fil CONTACT PERSON ., 23.32 ,
—
. .
}it's incsS n.rane:_ja.._EetotAslALCgLtfrjacetzLt_ . FINI piping -• .......
each
$4.J Bret (our; 34.03 1
tor 0c alartlition ) ..
contact name: idj",... £_.. st,L,oryS 1(.11. - , Furnace, etc.
Address. p, 0, e _v_,c 1 _ - .• Gas heat Pvrili .
City/State/ZIP: Li 0 0 1,, 0 k 97a7 ) waitt.p.dedi. it licatsr —
...
i Water heater _
Phone; 601) 984 • 27V ___LF
Fireplace •.
t.-rnail: Lange 1
CONTRACTOR Darbeeue 1
Clothes dryer (am)
Husi name: • r „IN- d '.., '../1 .4 0/,‘4, , Other. r ..._
; .
Ado,... p A 824
_ mtgatoiCAL PERMIT FEES'
Subtotal '
C il Y 181 ' 121 F : (40,a fir-2---,-
e —
minimum permit Re
Flume: ( ) tql Fax: (500 1 gy - 2444 Pim rev ievr (25% of pemiii Re)
/ , cCR tic.. A
V • 7-- _____ ...._.... State surcaa 12% of crmit Re lo ttrfi
I) ( ?()
rge ( P )
TOTAL PERMIT FEE ' .......
J L
'This permit appltentioncepireet 'taproot i. oor nail,' - , Isnfbin tan
-.....
Authorind signature: ..( "o - ror' - • _ Date
Print , . ■ A scy9 eine likes becn arceated is vomit Se.
" Re merbadx,lo se gy by. TeeCennuy Building Industry Service Benre
narpc; A O: .1 ..,... Apar
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