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Permit '' r' CITY OF TIGARD MECHANICAL PERMIT a a t q , m °- COMMUNITY DEVELOPMENT Permit #: MEC2010 00126 T I G A Rb 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/26/2010 Parcel: 2S 102 DB08200 Jurisdiction: Tigard Site address: 9148 SW HILL ST Subdivision: Lot: 0 Project: Honeyman Project Description: Install gas line for range. Owner: FEES HONEYMAN, JANE Description Date Amount 9148 SW HILL ST TIGARD, OR 97223 Fuel Piping 03/26/2010 $14.15 12% State Surcharge - Mechanical 03/26/2010 $10.80 PHONE: 503 - 475 -2964 Minimum Fee Adjustment - Mechanical 03/26/2010 $75.85 Contractor: SPECIALTY HEATING & COOLING INC 7500 SW TECH CENTER DR #130 TIGARD, OR 97223 PHONE: 503 -620 -5643 FAX: 503 - 681 -0793 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 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 questio s to OUNC by calling 503.246.6699 or 1.800.332.2344. + Issued B • . _ ! _111. f 4, /. • Permittee Signature: r _Q 9 Call 503.639.4175 by 7:00 a.m. for an inspection that business day. VV 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. IMAR /26/2010 /FRI 08:11 AM FAX No, P. 002 Mechanical Permit Applic ; ! LIVED r ;,'�,�' i, <n c ' g z Y . ` ' ''' "7. City of Tigard Received ,. °J Date/By: PennicNo.: `C`WL� W�¢�o .'r 13125 SW Hall Blvd., Tigard. OR 977.7 R 9 j r 1 plan Review i 1 22 ,,E Phone: 503,639.4171 Fax: 503.598.1`966 `' ' '° " Date/By: Other Pearce U,t Inspection Line: 503,639,4175 Date eayy, 1uaa: ¢ gani g CI OF TIGAR Rl So ne e 2 for rit� Internet: www,ti -or. ov D Ready/By; Notified/Method: "C l Supplemen��l lnformat}on UILDING DIVISION a--4.11q,,-.4i 2q r . 1 l •p a e n .ter � wu : 4: 'i 1 i a;(, i i:Ti .: y , a; . i � ..r.,u ,r ff itt �at{it a . S{. 0 ` . ..fit' ,. t l -3 '' - i, K -'!i.D a� f` i1 Ftk ] . 2t i,,` 7 k��,�3 's 1 z..it r �, - i , "`!i r'''4 �l ll_ C �S� = G jv i. ix �.,� J , . +. - .. .L 3. 1'P . ( �r . . eLG3!1'4. L J P �..,. f. 1� � . y�E ;�' 6L. k.�:c..'^ , it3ii'ff, l � y. ❑ New construction gAdditiOn /alteration /r ep lac ement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. b � -� ' dlt"�'f t r�`lr. ` " n�k 8 a�. x.{-, ,� c.?�. a. , . � 7 , r tr ,� ` i%�r Value $ t ?S r } #I r. a • i . , v , r yl I Dy i t∎ r i ; �.1} ©;1 l' � - a 1! � t � - , ,,,,,,ek rttc:',t:az .._. ,_rsls.W. -' r ..., " I a,. =r :,. -- _ . Vit it r F { t-i :f iY.Rv t A 1 rth4 ' w F f ' l i- Gi 1- and 2- family dwelling ❑'Commercial /industrial ❑ Accessory bui ,x 5 Pay 19,t � `; � _� ksita For special liifo motion use checklist. ❑ Multi- family ❑ Master builder [] Other: Description Qty. Ea { Total $! -O 1,�t P 1 I'erV t PF "tffe0.f1.1 r 7 .. r N ar D't E o'{ En: H tin • cool,n • - Air conditioning lob site address l� (requires site plan showing placement) 46.75 • City/State/ZIP: .0A,.¢A. t , 1 '7 Puma= 100,000 BTU (ducts/vents) 46.75 Furnace 100,000+ BTU (ducts /vents) 54,91 Suite/bldg. /apt. no.: 6 l Project name: Heat .ump 61.06 Cross street/directions to job site: 1 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 Subdivision: Lot no.: Flue/vent for any of above 23.32 _ o.: Other: 23.32 Tax map /parcel no.: Other fuel appliances ,, , F a ` � L '` }a' ° i a t -c ' r ip s.. +, l tsrs• t Water heater 23.32 i -1 aril i } L c ..„„ia: l 0 fldi R _ y ∎ , a Gas fireplace - 33.39 Flue vent for water heater or gas 6 Loi"tt , Log lighter (gas) 23.32 Wood /pellet stove 33.39 q{ p� Wood fireplace/insert 23.32 i , Ii i,,�,`n�alea..ua'i�l_S 1a 7� t ri r�o-I lj Chimney/1 iner /Fue/vent 23.32 • - f @ 1"h - - E;. l 4 11 q t Ot her. 23.32 Name: Environmental exhaust and ventilation 4 - tt[ 4 A . _ . _?"4. Range hood /other kitchen Address: equipment 33.39 City /State /ZIP: Clothes dyer exhaust 33.39 � Single -duct exhaust (bathrooms, -- Phone: ( ) ' ) , - `1 } Fax: ( ) toilet compartments, utility rooms) 23.32 ace fans 23.32 ': i' ] a r t� ',"t,e '��t-�r o ( �3}}Ef t �' I'rE3 " }� s R ° l ] t +� y`t Attic /crawls ;C a' - .,. , .5 � Y . "n" 4��`c�'�7.{,'ti�� &lI ��'2: Rainy V� 3 , p Other: 23.32 Business name: • Purl piping Contact name: $14.15 for first four; 54.03 for each additional etc. Address: Putnam Gas heat pump City /State/ZIP: Wall /suspended /unit heater , _ Phone: ( ) Fax: : ( ) Water heater _ ' -w ^ Fireplace - Email y! 1 G 7 t Range _ _ ! p. � P }fit 1'''' l'' y ` 1 ,� `'� a, GI ' I t ... r t ... mt .�I4T ti. Barbecue 1 ': nr Dlit �.„ 1 '� iF_ 11 3 ,.',t13M -1 s, -4- ` I ' it 1 ' 41 Business name specialty heating & Cooling, Inc, Clothes dryer (gas) r _- - Other: Address: 7500 SW Tech Center Drive #130 ` sffil ` ' �I i a R f'` t j . ''ri',i p' City / State/ZIP: Tigard, Or. 97223 Subtotal Phone: (503) 620 -5643 Fax: (503) 681 -0793 Minimum permit fee ($90.00) - - Plan review (25% of permit fee) CCB lie,: 66578 State surcharge (12% of permit fcc) _ � /� This permit TOTAL, PERMIT FEE 1 ` , Authorized signature: 'O days after it has been accepted i as t co complete. within 0 Print name: Andrea Dripps Date: 16, vo * Fee methodology set by Tri -County Budding Industry Service Board I:18ui1dineWermlteA'ICC tnitApp.doc 10/01/09 440 -4617T (I I /02 /COM/WEB) U) \ x k, I(1(\QA\ntk, S