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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit# MEG204000011 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued. 01/12/2010 T6SsARI9' Parcel: 2S114BB14600 Jurisdiction: Tigard Site address: 10499 SW RIVERWOOD LN Subdivision: Lot: 0 Project: Howland Project Description: Replace gas furnace. Owner: FEES HOWLAND, RUTH J REV TRUST Description Date Amount BY RUTH J HOWLAND TR, 13145 SW BENISH • Furnaces < 100K BTU 01/12/2010 $46.75 ST 12% State Surcharge - Mechanical 01/12/2010 $10.80 PHONE: Minimum Fee Adjustment- Mechanical 01/1212010 $43.25 Contractor: SPECIALTY HEATING & COOLING INC 7500 SW TECH CENTER DR #130 TIGARD, OR 97223 PHONE: 503 - 620 -5643 FAX: 503 -681 -0793 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 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. I Issued By: 01.. ` A 1 ,1 \' I '1 ®, Permittee Signature: C Q APP J Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit cardshall 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. • �::. • JAN /11 /2010 /PION 04.44 PM FAX No. P. 001 Mechanical .Permit A cator` 1 y, t 3 y ( ��� p��/ /7' 1ppr�®p ;, ul,,, G� 'FOR of FicE,1lar QN Y'6`" t t ' pp lii T�iJV1LJY t �IIJ ",, , a 4 _ x_ ».I L P �r5 _..;t �}A i,d� A kec r r City of Tigard Date/ny: / Permit No : KQ. • I (CIO r��l(' y t'' 13125,SW ball Blvd,, T OR 97223 J 1 1 2.110 Plan Review rt Phone: 503 639.4111 Pax: 503.598.1960 Date/By: Other Pctmit: 1TUA1Ll) Inspection Line; 503,639.4175 DateReady/By: El See Paget for . . 6. ,r Internet: www.tigard-or.gov CITY OF TIGARD Notified+Msthod: Supplemental Information BUILDING DIVISION _£f;r',..; " ` ".,t ,tl. i, l,. { f's�. 1.' r ., . _ - "E< t ; °, y ' �r a k- ?:.:' : ?t, . , r:l.l t , i, } r° ,r - , rtv, ::4ey;. ; ,.,t ,u,! .,, ., ,.,, .. ,,- , ..t, ,, - 1r4 � I. � , # . } 1 r , 1� ( rip ` , l { . I, .. rl,, a ° #} x it . yy e ai .,; ;Y . 2) ax, . it s;,:l l f,.,i , ! . , , �, a � n ..1l ,,,;. ' ` f ,, li;,,i lg t•; , r 1 .:. { i,..i, , {if .A. ' IR4,1 i # {Mi 1 l'• '. ,. ; 1k fi e (')� ''I, 1 il El New construction ['Addition/alteration/replacement 'Mechanloal permit foes* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other; mechanical materials, equipment, labor, overhead. and profit. i is r 'i rt t M } x ° = 05 { L r, 119 6 49 ttf :}Y l rl 1 t. :, -. 'e' . : t ri , 1- ..yr,,: ,n,, , f11 t M• "e ,G, s, A4wl.t Mi.j 7 f- i , ,+rGgJ7 r f r'r �� ,1, '. } , } } 1I� w �r'� 1 I value: $ t s 3 �r' S* }y zu.1;414$01.1,, F i# '. },l:ift, 1.r, . 'L .6 t 1 {�.fu, � 119t�r' 91,tell. ti 1 „' :..' lt i f i l h K .,1!, . ?4 � t © 1 -and 2- f ancily dwelling ❑Commercial /industrial ❑ Accessory building • ❑ Multi - family ❑ Master builder 111 Other: For special rnformarion checklist, fit: ") f) f l {' ti t } 1 • t I,, , i f d � ;r rc;s c 4�% 't .,. r s }a s e, { s l i 1 r r i Description Qty, Ea. T . al linarig aaRltW I• r bIl a ,Y rl d1M't l3: li 1 T Heatin• /coolin Total Job site address: 1 0 41 9 q 5_0 Air conditioning L 2 t!w 1 U 0 ✓t `t (requires site plan showing placement) 46,7' • City /State /ZIP: Furnace 100,000 BTU (ducts/vents) I 46.75 4I Furnace 100.0 BTU ducts /vents 54.91 Suite /bldg. /apt, no.: Project name: 4 a ,0 , () d Heat pump ^ ■ 61.06 III Cross street/directions to job site: Duct work 23.32 1-1 dronic hot water system 23.32 _, Residential boiler (radiator or hydronic)_ _ 23.32 Unit heaters (fuel -type, not electric), . in -wall, in -duct sus. ended. etc. 46.75 Subdivision: Lot no.: Flue/vent for an of above 23.32 Other; 23.32 - Tax map /parcel no.: Other Mel a i . fiances t I , �) is 2 x ,Y ,, 1 Cix x� �t r ' rl il l'Ii a1i €lt; r f �i 1 1 �. _ns,ail .,. sr, r*rl� nl.A�7 T R*PI i l;� 1t 1 111 t ` , 1 1: , PI Water heater ■ 23.32 Gas fire .lace 33. Flue vent for water heater or gas fire.laee 23.32 Log lighter (gas) 23.32 t ♦ e Wood /pellet stove 33.39 Wood fire.lace/insert 23.32 1f I} n [l=d i } O }) lik.7t} .tY3 7.79.i j r , +: S ,i r !' RIiT ±',1W f },t; t ti { 1 { , i Chiinriey /liner /flue /vent 23.32 Ivan „[,! i � x t. r1. } ..1 {, } ?;t , f ..n? ()tiff: 23.32 Name: Howland, Ruth R10007 lEnvironmental exhaust and ventilation mm Address: 10499 SW Riverwood Lane Range hood/other kitchen e.ui.ment 33.39 City /Statc(ZIP: Tigard Or. 97224 Clothes dryer exhaust 33.39 (503)521 -0760 Single -duct exhaust (bathrooms, Phone: ( ) toilet compartments. utility rooms) 23.32 , r t,: gl. i t ,� I S Il; Alf; r� i 1 a } Aut ?, ., ■ l x(t I t� w O I i °, {"'1t t� t� 1 lrl ,, �l',. Artie /orawl3• fans 23.32 i si. 1 # J 1:f ljsiu f 'i� ' i,, % 1 R , , Twi , m � •,: i lS€1 # . L ,t, �', d t . ,' r, Business name; Other: -_._ ��.- -� 2332 Fuel piping Contact name: $14:15 for first four; $4.03 for each additional Furnace etc_ Address: / ■. Gas heat pump City /State /Z1P: Wall /sus ended/unit hearer Phone: ( ) Fax:: ( ) Water heater a E-mail: ail: {{ _ �, ry,� Range J, F M rjj l l rff ° }f i 1 d { t � �� S ". tk k t441 ,1-�it ° c S t'} �l 411 Il ,.t t .,..L;-...1.1.- r4 •' t t }.,, T�� . Barbecue al? 1,11 1l. l,ixln 4 4 G 414 '.&'4,.,1.i . -1.114=1 , aiz w a3.I '':, 'S'1; . 2 • 7, � ;i Business name: specialty heating & Cooling, Inc. Clothes drys (gas) . . - Other: Address: 7500 SW Tech Center Drive 4130 y rr r }-`+t,t}t r i F a, z ntiiii t4 „t l (� it �{? ? itAJI�: 1 k7; 'IaJ {RS tlai l kkiiisdae t si {si }1a}.; i MglitiL, }s. i, t ii } 1, i} s City /State/ZIP: Tigard, Or. 97223 . Subtotal Minimum permit; fee ($90.00) Phone: (503) 620 - 5643 Fax: (503) 681 - 0793 Plan review (25 °Io of pcnnit fcc) CCB lic.: 66578 State surcharge (1 of permit fee) '^ b1 TOTAL PERMIT FEE IOC • i • AUthOri2ed signature: 1 This permit application expires if a permit i5 not obtained Within 180 days after it has been accepted as, cOtnplete. Print name: Andrea Dripps Date: I� (2 a tee mothodology set by Tri.Coanty Building Industry Service Board I 1BuildindtPtlnnits , MEC- PermitApp.doC 10 /01/00 440- 461 (11 /02/coM/wE1a) s l......ur l Lak(,..t2 (S