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Permit
a 4 ' " CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2010 -00279 TIGAR 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/18/2010 Parcel: 2S104AC08800 Jurisdiction: TIGARD Site address: 13097 SW BOUNEFF ST Subdivision: MORNING HILL NO. 9 Lot 231 Project: Rapp Project Description: Install furnace and heat pump. Unit must meet 3' minimum rear and side yard setbacks. Owner: FEES RAPP, RUSSELL E & GEORGIA A Description Date Amount 13097 SW BOUNEFF ST Furnaces < 100K BTU 06/18/2010 $46.75 TIGARD, OR 97224 Heat Pump 06/18/2010 $61.06 PHONE: 12% State Surcharge - Mechanical 06/18/2010 $12.94 Contractor: FOUR SEASONS HEATING & A/C INC. 1005 INDUSTRIAL PARKWAY NEWBERG, OR 97132 PHONE: 503 - 538 -1950 FAX: 503 - 538 -0165 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: Total $120.75 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: " Permittee Signature: ,4/ / Cali 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 Annlicatia ' t + , i 11: , 1 , i , 4� Ruppired / - )) .� City of Tigard `L may: Permit No ��' 0 ! ' tJ(/ a°C / 13125 SW Halt Blvd., Tigard, OR 97223 � 1 ... N. r Phone: 503.639.4171 Fax: 503.598.1960 , � \v ,5 , ` �P �_ i \ , aver Pormit: �L( 7�O �D 1 a ,.:.) Inspection Line: 303.639.4175 �f � ,��� rte Ready /By: a r See Page 2 ta IInternet www_tlgard- or.gov C\ ,�C© N oti Supplemental Weas.ttos • ❑ New construction Addition/alteration/replacement Mew permit fees* are based on the value ante work Demolition Other: mechanical Indicate aterials, equipment, labor �� nearest dollar) . all Q sad, and profit, CATEGOKV' O' , cci SFRUCZMM i Value: 1- and 2- family dwelling El Commercial /industrial El Accessory building R '' /E For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description i Qty. 1 Ea. + Total ' JOB SITE INF'O*MATIQAC; A D" 40041. Heating/cooling Job site address: , Air conditioning l � Q 1 r (=quires site plan showing plamment) 46.75 City /State/ZIP: 43� 6 0 la rl 7 ee)--7— .� Furnace 100.000 BTU (ducts/vents) / _ 46.75 qhe 7.j 1 Furnace 100.000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: . R ff - r . (r Heat pump I 61.06 6 I 0C, Cross street/directions to job site: 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 Lot no.: Flue/vent fbr any of above 23.32 Subdivision: Other: 23.32 _ Tax map/parcel no.: Other fuel appliances ..W Water heater 23.32 DE37�ON,OF W,OSl . Gas fireplace 33.39 R 1 . • 1_.e IA ! C€ Flue vent fbr water heater or gas fireplace _ _ 23.32 Log lighter (gas) 23.32 Wood/pellet stove _ 33.39 Wood fireplace/insert 23.32 lmney iner/flue/vent - 23 3 Other' 2 .. ?IFhlANT 7 - Name: / � k t 1 r` \ o F-t7t + Environmental exhaust and venal/Aim' Address: Range hood /other kitchen 3 �. equipment 33.39 City / State/ZIP: - is , I r !° q / 2a-3 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (St& s—q — 7 3 (I g Fax' ( ) toilet compartments, utility rooms) 23.32 ' c rA CAN;Ii' , 0 , ' > h f y ; Attic/crawlspaoe fans .. 2332 Other: 23.32 Businceme: __ as name: Fuel P ipiutt Contact name: AND D AIR CONDITIONING INC. $14.15 for first four; 54,03 for each additional - Address: _ - 1005 INDUSTRIAL PKWY Furnace, etc. Gas heat pwnp City/ State/ZIP: Wall /suspended/unit heater Phone: ( ) 1 95x7 Fax :: ( ,� 3 R // ( ,, , ,,�� Water heater ���1; L 4, . Fireplace &maii�t��� V' � � t Range CO Barbecue _ _ Business name: FOUR SEAS MEAD Ctothcs dryer (gas) °AND CONDITIONING Other ' Address: INC. 11�ANit," AI::P [rmas. • • City / State/ZIP: NEWBERG OR • subtotal 101,w [ Minimum permit fee ($90,00) Phone' ( ) Fax: ( ) Plan review (25% of permit fee) _ CB hie.: 1 1 Sri- -- State surcharge (12% of permit fee) f oZ t 7 TOTAL P FE e 151 V Authorized signature: b► t b ' This permit application expires if a permit is not obtained within IN • drys after it has been accepted as eompleta in Print name: /, I - . i 12-11 (4 Date: 6 - , •7 —/a ` Fee methodology set by Tri Building Industry Service Board 1:lBnildir$\Penni1 4EC- PUrartApp. 10/01/09 440.4617T(11/o2/COM /WFB) b00 /17002 99L086c609 XVJ 8C:bl 0L0Z /ZL /90 .- • O A/C -HEAT PIRVIP -- -UNIT SITE PLAN 1O� Lam' - " T t'=: ACK OF PROPERTY LINE . \ P e 'ISt1 1 - E : . .S • ' ,6 TO SIDE PROPER LINE • ., til \ , .. . 3 . FEET TO FRONT PROP li TY LINE - s. l3, og`� stAJ &U PLEASE AX APPLICATI JN rThP M • V 3 - • • OUR SEASOS HEATING. • AID AIR CONDITIONING, INC. • - • ' 1006 h41DUSTRIAL PKWY N NEWBERG, OR 971.32 0