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HomeMy WebLinkAboutPermit • , CITY OF TIGARD MECHANICAL PERMIT , . : -• COMMUNITY DEVELOPMENT Permit #: MEC2010 00017 I 13125 SW Hall. Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/15/2010 I RD' 9 . Parcel: 1S135CA01900 1 A Jurisdiction: Tigard Site address: 11344 SW.97TH CT Subdivision: BOETCHERS ADDITION Lot: 1 Project: Carol) Project Description: Install gas furnace. Owner: FEES CARROLL, SONDRA Description Date Amount 11330 SW 97TH CT TIGARD, OR 97223 Minimum Fee Adjustment - Mechanical 01/15/2010 $43.25 Furnaces < 100K BTU 01/15/2010 $46.75 PHONE: 503-639-7696 12% State Surcharge - Mechanical 01/15/2010 $10.80 Contractor: THERMAL FLO INC 7236 SW DURHAM RD 100 PORTLAND, OR 97224 PHONE: 503 - 670 -8343 FAX: 503 - 598 -6746 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas Gas Pressue: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expireif work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires.you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699'or1.800.332.2344. An Issued By: 1 � 1 Permittee Signature: ems. /9--",L /Ce-7 -7,/c Cali 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. �Vdechatlical Per ,� tA� , iz ' X01 ,�t . 1,..Wi. gr . t 4 l >< °w 1 A' IICdt Il A " " 104 (. - A1 ". � I 'FOROFFICEtt>F . ON F ;''i'iµt ry4 ' " 0 1 'V • - 3P y�, Y �allf ��. .i reap tll f�, - +: ma. �': C,,I i �aT' ` � � � i � w lr 13125 City of Tigard Received /�1 I�I1. Per mit No ' O/ ~O O OJ lit ° SW Hall Blvd., Tigard, OR 97223 JAN 1.4 2010 �ateBy: / S . 0 1 ,% as P1anRevie•- Phonc: 503 Fax: 503 W Date/By. Other Permit: t .ty�r ' ° � lns e c tion Line: 503.639.4175 ;aT1C p CITY OF TIGARD Date a a vIcth o kHz: &y Sec Page 2 for t' td. Internet: ,tw,�- ti'ard -or•gov BUILDING DIVISION Notified/Mcthod: , Supplemental Information • 4 i YPF (W RRIt � :.COMM E 'S i. _ . ,....,. , : . ,., ... t�el� °�� cl�trcrz�� Cg>hc,�sr ; Mechanical permit•fees* are based on the value of the work © Ncw construction Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials. ctui.ment, labor, overhead, and' roftt Value: :$ ' : ,;. : ''E AT1CORY OF CO1 STILTICTIQN w,,..: .......,:. .,. 1- 2- fari - T� til dwelling RESIIYENTIAL EQUIPMEINT /'.SYSTEMS FEES* y g D Commercial /industrial' ❑ Accessory building " For speck!( information use checklist, o u tt 'ivltt y ❑ Master buildcr ❑ Othcr: Description Qty. Fa, Total 4 ND 4021:C1zTIOIV;:;. : Hcati • /cooli / 44• , . / � - 1 Air conditioning site address: r 7//� i (re.c .tan showin laceaten! 46.7 City/StaternP: I / � Og_, gy2. 1 Furnace 100,060 BTU (duels/vents , 46.73 gigli 11 /20 -7 'Furnace 100,000+ BTU (duct✓vents) X4.91 Suite/bldg./apt. no.: Project name: ' Heat' . um 61 A6 ' Cross street/directions to job site: Duct work 23.32 - 1-3 dronie hot water system E, h /72d, fib ' / (/t./ j /� f Residential boiler (radiator or -I r a ''C_._ : h dronic) Unit heaters (fuel -type, not electric), 111111111 in -wail induct_ su- . ndcd, etc, • Flue /vent for an of above Ie Subdivision: Lot no Other. _ 23.32 ME Tax map /parcel no.: Other fuel"a • thanes s Water heater s;� : i.)ht OF 171'OR3f ., ,- 21,32 • _ 3339 , • + Flue vent for water heater or as 4 (d //�� i ee.0 arriezee, fiire.lacc 23.32 Lo • ;lighter 2 s) MIMI— Wood /.ellet 33.39 _ — Inn o , t h mnev fir- /Baer/ ue /vent tIOFI3R S' QR�l�I " L] n 11El�kk� ad f Name: (J f'1_.� act) / 23.x2 Environmental exhaust and ventilation Address: /`/, fj / !1 r , q r Range`hood/other kitchen ��+ J e J YY .ui'meat 33.39 City /Staic/ZIP: f F ard. , ,Q Cr.� g Clothes d cre; haust 33.39 IIIIMI Phone; (P , ! Single-duct exhaust (bathrooms. ?ea 9'60 Fax: ( ) toilet corn . rtrttcnts, atih • rooms) ® t � ,;�, k ,k1 PP�I �ANI ' : ; , . ; , : ' � '�ONfACI � s Attic ;; ✓crawls ace farts Bus name: Other: 23.32 Contact name: y re... C 4 , / / � 514.15 for first four; $4.!)3 for each additional I d1 + e { r , , ' €.-/040 Furnace, etc: City /Sta1e/ZIP: /"D/ / i A 1 _� — Phone:0 )/140- OW I'ax :: dl') O' QQ •t1 Water heater �— )rtnaii: ((�� ddgg����'' .y���s,� y ��p /s� _ Fire lace_ 7�4//6 I /lYr+l ! ®!/ /�•>6/6/Idt.� Ran 1-/ 6 ':" w e uP4 it' 4CfGEOIt ' Barbecue � Business name: Clothes dryer (gas) ' "— f Q Other: ME �, Address: C o )�i a n .:. MECi- 1APTICr1.:1.'_P�IimrTiF)rkS' . City /State/ZIP: _ Sutatutai '� Phone: ( ) Fax: ( ) Minimum permit fcc ($90.00) d I1 A" Plan review (25% of permit fee) ' a J g ( °' P ) 1'i�i ..� State surcftar e 12 of permit fee) / G TOTAL PERMIT FEE / /p. ' / Authorized sigttaliir : �J r. _ / This permit application. expires if a permit is not obtained within tan - r Date: /' days after it has be acce es comp ' l - ' ee methodolo Print' n ame: � Q , `� / by ' 6 y Scrvicc Board Q rb �' �y et b lei-County Build n Industry I: Buildied , PCtmits1MEC- E•ttmilAondoc to /oti09 4404617T /I1 /02/COM(wEBt ,. Z00/20'.0'd L8ZLt7 01d1VWa3H1 917L9885E09 OZ :VI. 0L03/171./1.0