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Permit a CITY OF TIGARD MECHANICAL PERMIT ` . COMMUNITY DEVELOPMENT Permit #: MEC2010 -00118 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/19/2010 TIGAFLIJG g Parcel: 2S111 BD03100 �: sF Jurisdiction: Tigard Site address: 9770 SW PEMBROOK ST Subdivision: CLOUD CAP Lot: 13 Project: Parks Project Description: Replace gas furnace; replace gas water heater with tankless water heater; install gas fireplace insert and gas piping Owner: FEES PARKS, VIRGINIA Description Date Amount 9770 SW PEMBROOK ST Furnaces < 100K BTU 03/19/2010 $46.75 TIGARD, OR 97224 Water Heater 03/19/2010 $23.32 PHONE: 503 - 927 -7195 Gas Fireplace 03/19/2010 $33.39 Flue Vent for Water Heater or Gas 03/19/2010 $23.32 Contractor: Fireplace COST PLUS HEATING & AIR Fuel Piping 03/19/2010 $14.15 7132 N FESSENDEN ST 12% State Surcharge - Mechanical 03/19/2010 $16.91 PORTLAND, OR 97203 PHONE: 503 - 286 -2009 FAX: 503 - 286 -6552 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas Gas Pressue: Total $157.84 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: it � Permittee / ' / / U� -�� P itt Signature: 9 ©� / ...--/0 / 04./ e��f0% 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. 03/19/2010 12:43 5032866552 COSTPLUSHIG&COZYF I RE PAGE 01 • 1 I , - . - Mec anical Perm't A • • lication' ' • ' ' . 1.01; City of Tigard Received Permit No 7. 0 / 8 - i i //p , 11 4" 4 13125 SW Hall BIld , Tigard, OR 97223 Flan Review MAR 1 9 2013 D4teB 03 /, g 4%- . P Phone: 503639,4E71 Pim 503.598.1960 Date/Br Other Permit • inspection Line: 503.639.4175 . , 1 lc i A i-: p for ,.„ Date Ready/By: 12 See Pap 2 Internet www.tigard-orgov Notified/Method: Suppkmental Information Pill numinut - ..-. , .,-,, ,. ..-, -..,,.., . , .,...,,.. ..„..,, ' ,r,tmi-4 A ., ■•I -. ,,76+ - ,.d Ar. :,:.t, , - - : , 4r,,;‘,4,1 ,;,:',:, - '1. ygo,2,.. AI' 4,. Mechanical permit fees* are ba.scd on the value of the work 0 NeW construction 01 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of alt 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit Value: $ ' i ' ,: ,' 1 ..,....' ":". ''' ' ' ,;. ,. 1 ' . 1 '.' , :117.4,,,,,■': LT15,,,,,, t'7 • ''' • -•-'• • - "' ' - ■ 'I'' 7 tr ' --• ,',. ' '.w.:`.t.'weril ..tv . - ' - ' - ' ''' - ''.. .. '' ".•.-4,.:j. CE 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building . For wecial information use checklist 0 Multi-family 0 Master builder p other: Description 1 Qty. i Ea, 1 Total ' :"-,• 1•• 1 777Ir;t ' M r • 7 47;"`"5.7' ' ' ": '' ''"e'''' - ''' ' "•'' • '",'".',"' '-' " Ileating/cooltog ',1i ",,,,,, A 4,21,4:,?-4r 1",,af tteti:: PI: ',.. 4 . -1 --4,,, ' ' 4,. ' ,%,, , O.... Job site 'address: 9770 sw pembrook Mr conditioning 1 (requires sac plan showing placement) 46.75 City/State/ZIP: portland 97224 Furnace 100,000 BTU (duets/vents) 1 46.75 c ilel - r, 1 — Furnace 100,0004 BTU (ductWven(e) 54.91 Suitc/bIdg./apt. no.: Project name: Heat pump 61.06 Cross stmet)directions to job site: Duct work 23.32 Hydronic hot water system 23,32 Residential boiler (radiator or . 1 ---, hydronic) 23.32 — - , , Unit heaters (biel-type, not electric), in-wall, in-duct. suspended, etc. 46.75 Flue/vent for any of above 23.32 Subdivision: I Lot no.: Other: 23.32 .. Tax m r/parcel no Other fuel Itpalianees - 4 ' - ,r,••■Witi,F,10,FAA',■ 4 4iy.:/-, , a,, , ,F,P , •::4,, W • " " '' '"i11 ,k,z '. "'1.1'4., ‘.". ,;,' :,:';, I.M.77.7r.r,:.,VM 1 „ .. , ,,. ,,,.„46, 14%„1,,,,,„.„,,, .., r ..„,,.q , ater heater 1 23.32 :,, . , .,. , IN .; ..v : . ' ,.;,,,...,' . ' 1 ' I - No .•, V • ' '!V:rj.q..': ''' - Gas fireplace 1 33.39 2- replace existing gas furnace,replace gas water heater with tankless, Flue vent for water heater or gas t.S...10.- - fireplace 1 23.32 gas fireplace insert - Log lighter (gas) , 2332 gas line Wood/pellet stove 33.39 - 1 Wood fireplacchnsen 23.32 , Chimney/liner/flue/vent 23.32 , . ,, , . rr""irrrr • 01i14: ,re,M.- , - ,,,,,. k14450MAPAgi k41 4, filr, nt, ' ..prI A I '' 1 :'R TI.'e Li? ,1,,, ... , ..' ,,-, , -z-1, ,, , , ' , * , - , , --,,' . Other: 2332 Name: i virgina parks Environmental exhaust and ventilation , Range hood/other kitchen Addresis: 9770 sw pembrook equipment 31.19 _.......-1 ___, City/Scate/Z1P: porttand or 97224 Clothes dryer exhaust 33.39 ---; 1 Single-duct exhaust (bathrooms. Phone:; (5%)3) C t 1 1:7 - , 1 4 1 5 --- Fax: ( ) toilet compartments, utility rooms) 23.32 AM 0 • . i „ • :., millilipp_17, : .. ::, za,..1 t , , I- t , ,— .4a , ..,... , ,,,, .,,, , ,, q,-,t %' . 1; - niv a spac e f ans 2332 Other: 1 23.32 Business name: Fuel piping Contact name: stew sanderson $14.15 for first four; $4.03 for each addlnonal - - Furnace. etc. Address: Gas heat pwnp , City/State/ZIP: Wall/suspended/unit heater Phone: (503 ) 781 9090 Fax: : ( ) Water heater - Fireplace 2 E-mail: Range •-■ B ar b ecue NIMMINSIMPIE84. 4,;,:z..1,4.'4:,..LIA3610,tnAlil-,.i. t:,`'''' Clothes dryerjgas) Business name: cost plus helting&air Other: Address: 7132 n fessenden . - ..,••--- City/S • ltate/ZIP: portland or97203 Subtotal . Minimum permit fa ($ 9 , F-5 Phone (503 ) 286 2009 Fax: (503 ) 286 6552 Plan review (25% of permit fcc) ek ccp DO.; 47978 ...6 / A i Stine nurcharge (12% of permit fee) TOTAL PS1RMIT FEE t. This permit application expires if a permit is not obisined within 150 Authorized signaturc:,34k A kA, cle■rrigi/t days after it has been accepted at complete. • — Print name: steve sanderson . Date: 3/19/10 • Fee methodology set by Tri-County Building Industry Service Board A- An.■ 1 n,n11n0 AdhAR I TT 111 WIT frflAVU)1 I:I \ / 5 7, ir 7W---