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Permit h It 1114 , ; CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT Permit #: MEC2o10 00016 13125 SW Hall Blvd., Tigard OR:97223 503.639.4171 Date Issued: 01/14/2010 T i G. Parcel: 2S111DC14600 • Jurisdiction: Tigard • Site address: 9105 SW DURHAM RD Subdivision:, Lot: 0 Project: Burnill Project Description: Replace gas furnace. Owner: FEES ' . HINTON, REBECCA ANNE Description Date Amount 9105 SW DURHAM RD PORTLAND, OR 97224 Furnaces < 100K BTU 01/14/2010 $46.75 12% State Surcharge - Mechanical 01/14/2010 $10.80 . PHONE: Minimum Fee Adjustment - Mechanical 01/14/2010 $43.25 Contractor: WATTS HEATING &COOLING INC 580 PORTLAND AVE. GLADSTONE, OR 97027 PHONE: 503 -786 -2858 FAX: 503 -786 -2807 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 Tigard Municipal Code, State of OR. Specialty Codes and all other . applicable law: All workwill be done 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 503246 .6699'or 1.800.332.2344. Issued By: _ � 1 , ' A 1 ,. - 1 , Permittee Signature : r1 Aplo ■ 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;siteruntilcompletion of the project. Approved plans are required on the job site at the.timeyof each inspection. Jan. 13. 2010 10:14AM WATTS HEATIN . G , N o „ 0 1 73P. „ , • ■,,,,,:..,„ , 0 , !PeRte ' ' .... 111eclia n 1 ca r r-erm IT il.pplicarion Vri ' '„, I''' til 1, ! '',A,1■V: n, ,' 'IWO '," Ait :,r FOR OF FIC-E 4 USE ONL i. , i Y4 .,," - rs L :4' , .11'1,'N 4M 4 ' tt .1; City of Tigard . • RCGCiV,C,Ct, . 1 Hall vd., Tigard,OR 4t it — . Dare/13y: : 11>!11; q Bl. p ,, : ,,_-_,,,_ ,_ , _ i. , Phone 50.3 639A171 Fax: 503.51:. ,,;. t, , C .1 rte.vmw Date/By: ' 0 Pirmit l peCtion Line' 503,639.4175 ' ' ' "'' '''''-' ' '711:GxRD In ternet: •, Data Ready/By: . 0 Sec Page 2 for, ' In wvvw.ttgard-or.gov JAN 1 3 2010 - Notiedu e... , Supplonlental,hiformatiOn • E Ti GARD . - • .comNeiticiAL ft!..,,s'cligpx4E - iJs CWCICLIST . • El New consttuction . ...121cdditiorilltk. !IA '4',.eDiVISION Mechanical permit fees*licbasd on the , value of the work performed. Indicate the value..(roundedrothe nearest dollar) of all D Demolition El Other: mechanical materials, equipment, labor. overhead., and profit, -. , '" ''*, * • CArtdoa:v.',0*.sedi - mstEiT:4 — Value: $ . _ RESIDENTIAL EOUIP11;l:ENT/Y$TTMS'FTE-0 ...GI= and I-family dwelling 0 commerciavihthariai 0 Accessory building . Fbr specialjnformaii on use 'cltethlist: la Multi-family 0 Master builder LI Other: Description Qty. Ea Total ----,, . .. . ' icsig6* Heatingicooling_ Air conditioning Job site■address: 9/ 6- c -, , ,,,,..,, R (require, plan sbowing placement) 46,75 City/State/Z I .. / „e . Furnace_100,000U :ET (eluets/vents)_ I 46,75 4/6 15 Furnace 100000+ BTU (ducts/vents) 54,91 Suit . e/bldg./apt. no.: Project Milne; g - ' - Heat .uni., 61.06 Cfosa street/directions to job site: ' . ' Duct work. .. . 23.32 -. - • • Hydronic hot water system 23,32 ' Reide boiler (radiator or ... • 11*; evo __________ — Unit heaters not electrie), in,wall. induct, suspended, etc,. 46.75 .;— - , Flue/vent for any of above 23.32 S,ubdiViSio Lot no.: .. Other' _ 23,32 - . . Tax ma6/parcel nof. Other fuel , appliances • DESC1I WTION .OF *WORK — Water leater 2332 - , . .. • . Gas fireplace 33.39 , 4- (. 9 4 7--.1'.A . ' ..--4-1^" FlUe Vent for water heater or gas . fireplace 23.32 • Log liOter(gas) 23.32 , .. , Wood/pellet stove 33.39 • Woortf1replace/insert 23.32 . ._ . Chimney/liner/flue/vent 23.32 ",...2 QWNER j 0 TENANT . ' Other: ' . 23.32 , Name 77 - frr/ ,e,,,y/ • Enyironmentallexhaust and ventilation Range hood/other kitchen Address: '9/5' ..3".. ''z44.1,4„0..2..-7, Rel: equipment ' 33.39 _ ' Cit . _6:7 _ 97 Ag)i: Clothes dryer eichaust • 33.39 • Single-duet exhaust (bathrooms, . . , Phone:ice/I ‘ - 5 - ..,,, 4 ,, Fax: ( ) , 0 . 'toilet compartments, utility rooms) 23.32 ' ; I , ' • .. . ' _. .... ' .7 • . 0-toRrAcT.:klaisolx :,.. ... Attic/craWlspacefans 23.32 Other:. 23.32 - - Business name: .t.C.;Al' eez4 , ..A- zfer' fri`,. Filet piping .-- - 'Contact.name; .6, 6 ' S14.15 for-lirst four; S4:03' oreaCi 2"iiditional Furnace, etc. Address: S"- ect ), A . Gas hear pump City/State/ZIP:. 6' - &di--/- z ;.- 4 .9g. - 1 76 g.7 WalliStispenclecr/Unit heater , .— - Water heater 1 ( 7g6, .-2,9,5'S) I Fax: : (57:) 3 764, „Ago -2 ;Fireplace . ' • E- mail" .0.-...; h i.-A 45,h ,4„,,...-2 _ _ _ - Range ' j ... Barbecue , . . - . - Clothes dier(gas) . Business flame: ' ther: O . 1 . Address: ' . o- . .4.471/2/7-. . . . M.EcHANiCAL'PEIST FEES" • City/State/ZIP:. , Subiotal — 4 7 r 7 ,-t- 1 . 7 - Minimum Permit fee ($90.00) 9;49 1 " Phone: ( ) Fax: ( ) , .ri review (25% of pennit fee) - . - • OCB 'lie:: /3e.,1.1,,0 z— • Plata surcharge.(12%of p.errnit fee) / . •:•■, - • ' . TOTAL PERMIT FEE //h., - " • .--7 Thiap pplicitiotr expires if 2'pennit is not obtineel within 180 Authorized'si _ atta- . . ' days ?tier it baonraccepted as COMpi*. 17 n :6/.,... Date; f/ s ' 4 . ...Fee. inetho , °logy set by Tri-*County Building Industry Servicc Board . NEIuildipg1PermitOMECRermnApp.doc 10/01/C9 , . . 1. r ••\ 440 1 1, . n Loifent0q7t-} / C0 UU (1- 3 . ., _