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Permit ` CITY OF TIGARD MECHANICAL PERMIT IS - ` , COMMUNITY DEVELOPMENT Permit #: MEC2010 -00231 '�, Date Issued: 05/20/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112CA08700 Jurisdiction: Tigard Site address: 7556 SW ASHFORD ST Subdivision: RENAISSANCE WOODS Lot: 13 Project: Takasumi Project Description: Replace furnace. Owner: FEES TAKASUMI, RICHARD C & DEANNE L Description Date Amount 7556 SW ASHFORD ST TIGARD, OR 97223 Furnaces < 100K BTU 05/20/2010 $46.75 12% State Surcharge - Mechanical 05/20/2010 $10.80 PHONE: 503 - 624 -1183 Minimum Fee Adjustment - Mechanical 05/20/2010 $43.25 Contractor: TRI COUNTY TEMP CONTROL INC 13150 S CLACKAMAS RIVER DR OREGON CITY, OR 97045 PHONE: 503 - 557 -2220 FAX: 503- 557 -0919 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 Notificatio n Cent —Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or ' ect questions to OU • ca i t. 599 or 1.800.332.2344. 4 ued By: i ` . 1 ' Permitte S � >/ . 1 ( ; Call 503.639.4175 by 7:00 a.m. for an inspection that b ess 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. MAY -18 -2010 07:24A FROM: TO:5035981960 P.1 Mechanical Permit Applicati Erc Ft►i untic t 1 .r (,N,., City of Tigard D l.V Received e/ ��D Date/By: J t! 0 i a Permit No.: `, E - • 13125 SW HaII Blvd., Fax: 503.598.146 Tigard, OR 97223 N� �`e - 7r 20 p � P l a n Review Date/By: Other Permit: I i , t Inspection Line: 503.639.4175 C ! Date Ready/By: ® y: /uric Page 2 for Internet: www.tigard- or.gov Phone: 503.639 4171 TY OF 1 T lG l SIARD O Notified/Method: -1 Supplemental Inrormanon IL TYPE OT <I QR[C .:0000 rAL FP,F, "' lIFbU SF' l(',Jfco91'!. ❑ New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Jrtdicate the value (rounded to .the nearest dollar).ofall ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit _ ,. I • . ,CATEGORY OG'CONS4'RCC77ON: Value: $ RESIDENTIAf.; EQU[PMFNT /$1fSTFM$ FEES" ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building El Multi . For special information use checicllst. y ❑ Master builder ❑ Other: Description 1 Qty. I Ea- Total • ;IOB -81TE 1NFOI4MATION A ND IDEATION . Heating/coaling � 5 4 OW Milford Air conditioning Job site address: CJIJ�!' V V Y TlV t t ! lJt �,Q (requires Rite In ahnwinp, plaeement) 46.75 City/ State/ZIP: t t q -j Furnace 100,000 BTU (duets/vents) 1 46.75 Furnace 100,000+ BTU (ducts vents) 54.91 _ Suitt/bldg. /apt. no.: Project name: Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Flydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in- wvalt, in- - duct, suspended, etc. 46.75 Subdivision: +Lot no.: Flue/vent for any of above 1 23.32 Other: 23.32 "Pax map /parcel no.: Other fuel appliances DFSCRIPIION OF WORK Water heater 2 3.32 l furnace) ,x ` Gas fireplace 33.39 �,J Flue vent for water heater or gas fireplace 23.32 Log 1ihter (gas) 2332 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER II TENANT 23.32 Name: 1I CK (J l ► I Ether. I Environmental exhaust and ventilation Address:�j Range hood/other kitchen _ _ • _., ______._.. _ equipment 33.39 City/State/ZIP: Clothes dryer exhaust 33.39 Single duet exhaust (bathrooms, C) Phone: ( ) (94 Fax: ( ) toilet compartments, utility rooms) 23.32 , ® APPLICANT [1 CONTACT PE Attic /crawlspace fans 23.32 Other: 23.32 Business name: Same as contractor Fuel piping Contact name: Diane Mason $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City / State/ZIP: Wall/suspended/unit heater Plume: ( ) I Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue _ Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 3 Clackamas River Drive MECHANICAL PERMIT FEES* _______ City /Sta:e /Z1P: Oregon City, OR 97045 Subtotal Phone: (503) 557.2220 Fax: (503) 557 Minimum permit fee ($90.00) _ _ Plan review (25% of permit fee) C(11 lie.: 72623 State surcharge (12% of permit fee) ++ Q h TOTAL PERMIT' FEE lo© p V .ltahorired signature: expires it a permit is not obtained within t88 6n q: � This permit appli cation days after It has heen accepted as complete. [1 fit. name: 1I Q ' K, 4O, OY Date: %I 1 /y{ 1 10 • Fee methodology set by Tri- County Building industry Service Board 1 mns NLC Pcrmii App dot; 10 /01/09 440 -46171 (t 1102/COM/Wldn)