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Permit (, '''' CITY OF TIGARD MECHANICAL PERMIT 71 `, I COMMUNITY DEVELOPMENT Permit #: MEC2010 00274 TIGARD: 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/16/2010 Parcel: 2S111CC19200 Jurisdiction: Tigard Site address: 10335 SW GREENLEAF TER Subdivision: Lot: 0 Project: Kilkenny Project Description: Replace gas furnace and A/C. Unit must meet 3' minimum rear and side yard setbacks. Owner: FEES KILKENNY, JULIE R Description Date Amount 10335 SW GREENLEAF TER Air Conditioning 06/16/2010 $46.75 TIGARD, OR 97224 Furnaces < 100K BTU 06/16/2010 $46.75 PHONE: 12% State Surcharge - Mechanical 06/16/2010 $11.22 Contractor: BEN'S HEATING & AIR CONDITIONING LLC PO BOX 80607 PORTLAND, OR 97280 PHONE: 503 - 233 -1779 FAX: 503 - 651 -3345 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: 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: f —, o f r -sx, Permittee Signature: Q '.' / 6 7, 9 77e A / 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. Mechanical permit Applicatio r ( �✓ il -li ,,/' - I ,, } �."m r �-� /,srT 44, ; `, / �t F 74 p`fi i , �, M1 j�ryN net 1 it` -ri ..,t _..s 1 nT54i'4�.w'Y e : . N!�« 4 .4,43 l\ l ?. ' � . 4.„) , :tr , I I ;.. 7� l,t� '4„ 4;144 Y.A: F3ttf4, f y A 4 C t . i ' ' City of Tigard Received li• i `' 13125 SW Hall Blvd., Tigard, OR 97223 JUN 1 5 2010 Date/By: la�W 0 . ..� � Perrnf! No �y��o o _,ao� ' , u " Phone; 503.639.4171 Fax: 503.598.1960 Date/By Plan Review ' Ins eetion Line: 503,639.4175 _ Ocher permit. R mu) p CITY �' �. "'I'Ir� iD Date Ready /BY: roils I � p Sec Page 2 fur i '� I www.tigard- or.gov rl BUILDING DIVISION Notified/Method: '� � � StlpplcmentAl lnfurmallun TYPE OF WORK v : j' ! . . COMMERCIAL FEE* SCIIEL7UL E - USE CHECKLIST Q New construction riti Addition /alteratiprtlreplacement Mechanical permit fees• arc bused on the value of the work ❑ Demolition performed Indicate the value (rounded to the nearest dollar) of an ❑Other; mechanical materials C Ili ment labor overhead, and rofu, CATEGORY OF CONSTRUCTION : ;t ' ' .. Value: /� w 1• and 2-family dwelling 0 Commerciallindustrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS PEES' Multi - family ❑ Master builder ❑ Other: _ For speciallnformaMOn use checklist Dcscri lion p Qty r Ea fetal • JOB SITE INFORMATION AND LOCATION ' :, >: - •- H eat l n co o l ing Job site address ^`� ri�pp leer( �"��/ Air conditioning 1 • rrs +� ^ r s 1 W v- _ re alias site ten sh tacomeru 46, 75 City /Stale /7.IP: . - Furnace 100 000 BT T U (ducts/vents) i 46,75 Suite/bldg. /apt,no.: Project name: Fumace100,000 +BTU (ductdverns) 54,91 Heat pump 61, 06 Cross street/directions to job site: Duct work 2? 32 Hydronic hot waters stern 23.32 Residential boiler (radiator or "` hvdronic) 23.37 Unit heaters (fuel -type, not electric), " in-wall, in -duct, suspended, etc. 46.75 _ Subdivision: Lot no.: Flue /vent fbr any of above 23.32 Other: 23.32 Tax map /parcel nu -: Other fuel appltancea DESCRIPTION OF: WORK r . ;-..R. ' • • Water heater 23 32 w A Oat fireplace - 33.39 7 - , " (AJ.1Gr _ . Flue vent for water heater or gas • t1 �S ems. fireplace ,_23 32 Log li�htcr (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ►'' PROPERTY OWNER Chime /lin /vent ©TENANT . — 23 32 Other: Name: 23.32 _ — Environmental exhaust and ventilatfon Address; ! a ••�r� r .r r , Range tluod/othcr kitchen � / t�� v equipment - C' iry /State /"L IP: ! 1 t 33 39 4 4 � s dryer exhaust 39 . au st 17 ri Clothe d --- Phone: ( ) Fax: ) Single -duct exhaust (bathrooms, cif toilet compartments, utility rooms) 23.32 APPLICANT _ CONTACT. PERSON i; Attic /crewlspecc fans 23 32 Business name: Other: 23.33 1 Fuel piping _ -- Contact name: k A `�" 514.15 for first four; 54.03 for each additional Address: Furnace, elc. -T^ City /Start /7.IP: — _ Gas heat pump Wall/suspended/unit Neuter Phnnc ( g a Fax ( ) Water heater f_ ^i F. -mtsiL _ . - Fireplace Range _ CONTRA roR . :.. ;. Barbecue Business name: Clothes dryer (gas) 1 Q I Fax: ( Address. • t — �� Other. City /State /71P: R*^ �t /� [� MECHANICAL PERMIT FEES* ' _ „ • ( 3 U r i VIZ• i 7 a.. �d su btotal ['hone: ) a 33 - j 7 ( ? .2j') &S/ • 3 ? Ll Mininnun permit fee (S90 (10) 3 CB tic.: 7 ✓ J j Klan review (25% of pet rnit Iec) �" State surcharge (12% of per tee) perm I i/. pZ 1 TOTAL, PERMIT FE F; /0 / 7tz ✓ A uthorized signalur PlIW 'This wind 4 pp ll cauun expires if a permit is not obtained »itlun L ) .� 1 �� days after It hat been am p trd as complete. Pr int name: ia r Miley — Date: ' Fee methodology act by'rri•County Building Industry Scivicr Board I 1 BuddtnaWermas∎MEC- ternmAp. due IU /01/09 44¢4617T (1 lIOVCOhUWLa) TO021 HI V'80NIIVHH - SW3a S'is££TS9£OS XF3 ZZ:90 OTOZ /17T /90