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Permit
CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2010 -00499 T i G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/13/2010 Parcel: 2S 111 CC20800 Jurisdiction: Tigard Site address: 15670 SW GREENLEAF CT Subdivision: Lot: 0 Project: Schafer Project Description: Gas furnace replacement. Owner: FEES SCHAFER, JOYCE CLARK Description Date Amount 15670 SW GREENLEAF CT Furnaces < 100K BTU 10/13/2010 $46.75 TIGARD, OR 97224 12% State Surcharge - Mechanical 10/13/2010 $10.80 PHONE: Minimum Fee Adjustment - Mechanical 10/13/2010 $43.25 Contractor: ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 PHONE: 503 - 692 -1565 FAX: 503 - 691 -1879 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. Issued By: (' Permittee Signature: 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. 10/12/2010 16:24 5036911879 ARROW MECHANICAL PAGE 02/02 � P " _ i ' ��r' "t 1 l�Jtechalailcal Permit Permit .A,D ) lica '� 1 't ��� - FOR r use_ ONt) City of Tigard R 13123 S W fisi1131va, Tigard. OR 97229 0 C T 2010 ter. l0 i Permi No.: W me . t i 44' ' 14 • Phono: 503.639.4171 Fa 5{)3.598.1960 Phil Review x: Mier r1 cARi7' Impaction Line: 503.639.4175 CITY OFTIGARD � Y`/►)r: heir. B Sac iPa zror 1Mexnct: w.yw.itgnrdor.guv BUILDING DIVISION t�,nitiodtMal,ed: sopptcmcntntlnrarmnum, ',�Y ;..,, �.:�..�" n ti,',,P,- ; ; ;,,,,,,,,,,A,--,,,, ^i' -,,,. z. ? 7,. ;•e*w,m -ar•: a .� y :�.. � ,�'+E , ��,, d • }'ti3°' �3 e. , �.�W.J` p"5.,. -."r r: -�v^rr, .-„'- r r w,9 'g���L t t u � 1 ,w, J ,7�.:s..« � �' '- .w 7 •; me: �, ?�:. : • .2':! 9' ,c�;Y:.i '4'�,�:,'rl iskli). '';5 C, A ,� : yt c '.t 1 n,r � n. i . , . a -+r ,:Mir 4 ... r K�.c;;�'X'�,•a�8;�. � in /.�;5,c , h} � is ��;,.�i1 t .l0;fi�"X�h'..' nr.���;�,u.�s� ;s ' � t�; �, � !r ',�' r�s'"�„ s �' c T; t , • `'� � :: � � '� �.��. t v V Y '^ c cn ".. N. d3 tA„ i , �f'`•�r^' t4rr•? .;y �, � )rC.S�rR�u�rv`..;•�i.A�ri�it. ❑ New construction C Addition /altcration/replacetnent Mechanical permit Eva* arc based on the value oldie work performed. Indicate the value (rounded to the nearest dollar) of a1 0 neTnulilitm 0 Other; a '� ., r r , arc'. Y , .:7.71 T ni, r ., � s e , _ _ me anicaI matcriuls t labor, overhaul, �yY .4t ,,�����,�,,.�11 p .� �. . d, and profit yr 't�i r'� :,1�:'•}?q,�` `^. ��C h � ^ n� �ti �4 :[�1 xfl b� �i'r��+ � �r�F• �.,�,; ��xr��hal Valium � to14.1. .. !� .kiln .M'f 41,, s;< A' 7 !. W 9• r dWs4,. !Ct.!p.em....e , :Fey +ttfAfi., ylV'te:'��! W'; rNn�:1 r . 0 , 9V t 4.5 C Iw I. and 24antily dwelling ❑ Co mmercial/industrial ❑ Acccssory building i ?' uRL } I , i{ti � ; +� ` 2 ' 4 t , ^ `a ig'„ , 2f ` r 0 multi- rami'ly ❑ Master builder ❑ Ott; For special Information use checklist F'.', ,? ,.� C W.,Aa, 'W.,"'- .'ill �TM :i'Y: P' ' ,; ; ;q7 ? .`.`m I QlY P. a. T ;' S {�( ,,,,h � 1 + • ,, f e 4 f s � _ '� , i J l . � y , r - " y ,; '' �?i' J V,'t... �., -.r.1,4 v !! }.,x t c, ,rha u,ti r �.it��; dr %o 4 }0 ' 6. 0.4 , 4 ; C /aN11bAg Job sits address: l547e. - eA .._C 6 1 :T- Air conditioning iro9uhos site plan !thawing placement) 46.75 City/State/ZIP: ♦ ©t . 477,2,/ Famaca 1 000• 1311 .3 (ducawont.) i , 4625 q/e•TJ Suite/Wdg fnpt. no.: Project name: . l . , ii k _ Furnace 100,000r t31 [1.(dnard nv) 74.91 Jinni pump _ 61.06 Cross street /directions to job site: Du � ' _ 23 32 �. -- E1 „. a hot water micro 23.32 - Residential boiler (radiator or hydronic) 23.32 Unit heaters (litre. type not clegrlc), in -wall, in -duct, suspended, etc. . 46.75 Subdivision: Lot no.: Mew= for any of above 23.32 . Other. Z3.32 Tnxnnp/pnrccl HO.; Other ilkel'nppilionecs .' {4A�n'j ri� ^ r 4 ry l �..� v,, C ".tr, U } , G 'k° r M1r f Q l i•N,, i WWWt � :. r . � tY, >MA0.•�� YVottr hnadw 2.3.32 (has , - law 33.39 R..6" ' A LC. Flue vent for water heater or ppa . fireplace 23.32 -- " - :liSnerdgs) 23.32 W • • , - let.stovc. 33.39 cy�7 Wood 1 Tarn /m,ct 2332 F''''' W1 W: . r �c7F � '' 5 6 T I!T 71rg . 4 1 %P.5 y 4 '." .4 4.1 j' (16:7 :"C . f. r, w��� C I '�,AT • aiimtt oer /fiucivent 23.32 6 era4'v, 4t v�«,.i :.i, =?+ .c. �.4.4'n 4 !.� .,. . .... 4`.,- < ..?.r �: �l v+ v r i ∎ I 1 1 X 1, r t ,.;. 1 . .� d . • .G- v, � .:y... A..> .e!9 Y•tl other 23.32 Namc: "T (‘ ^.^. Enviromnentsl exhaust and ventilation Addres � 5b 7 d 6tw4 elk`n itsA - 7- Range t.iinn ood/other _,_,. �ulpatert• • 33.39 City/Stair/ZIP! AJ 0 0 4 41727-ti Ctothec dryer exhaust 33.39 . Single -duet exhaust (bathrooms, Phone: (6 . 70 r' 2.0 Fax: ( ) oaita comportments, utility rooms) 7332 M � t - �� w.. -4, a:c.A ; .rsr, a '.f,t ;; 1;e:it:iPTITisr, r'r"1 ,. :FsS',�z537.7 -: DTs,...` , 4: -•w' a=7:•7t t 1.3 5 ,:04.7�,'�MYVPI , CIM / ri i ' ,,e i � r 4 ¢ y���� m 7,r iA' . i t { W q ‘, 7!'it \ �.y J „r •'i� .� /1tHo/OraVrl.9patx fang 2332 rv3.:ei% �Q..4 .1.e�Or.7»16 ,Fi r%r�,k �? YRF - �e :�,wVJ7.}f. .'7>�{.r•!?7�C�i �.!.u1.nn . ,.4� 7' ,,...,r „` , • Rn4inoss name: itt ip_a..6 .p."... elm {au G�� Outer 23.32 Cottlaot Ve _/y'virkiCy p� Sx S4.03 Cdreachmtdf1onol Addreeg: 10Y3,9 +7� Te1ACAr/',1 ICJ. Farnac . City/Stan/ZIP: /StmcIZW: �•y�/ Oahrcat tY !•/.( ,r 1 /Vt7 Wall/suspended/unit Phone: 03) 6117--/S Far : ( )64i--/a 79 water heater Fireplace B- mail:. (( sin �•� LE, ,,Ynia•.0 . 7 `Y t eT, : Y •7 �, C ➢ 717 .7 rig. -i b � 4 tr Ri': i I �. t i +'r`,u f 4. 4,. . �r f ' t ,. ' �}.. f P' i ll V Y j a i 4 „bs r , 1? , f ,> r ) + ! l4 y w „ h�� i Gti� o '...n. iifntbeCUO .;,, t.;CA�a1 un,a.,i• :, 1�wF%,Gti: S i,, ..a V...,x,.lu,.,,a,,, . ,nu, . l,;,a;r., r,: _ , Business nauto: a sb►at / V _ t7 t _ i Clothes dryer (pps) Address- 10 .? / (7 .� // � Fr i�L 1 7w ,y,�, - '','4 + 'c, 1 T i 71 yk :. t > 7 • G z ' , 7 �1(l9 � i ., .l, b a {x� ?4 :„,,.t L..,0.,., .. � :^;a..,...:� uxa � ., h. . ..:.. ,,,wA i!� ��, ,A, cit fje 47067- .......1 review (25 , b3),� r2 -1 6 - 6..5 - Fax ax (03 )4/14679 Minimum 't fee permit / Q Phone: ( I Plan review of unit fee) ,-- CCs lie.: - State surcharge (12%of permit foe) 1(r1. • TOTAL PERIM(' FEE Ix0n9,p �- This permit opp is Itlon opine, Ito pormtt is not obtained vvrtbin 100 Authorized ,signature: !/"" day* niter it hes been necspbod as complete. Ar:I• 4� ' . 1-P4 Al . 1 rMV.• )d /r i /7 I D 1 4 Fee mtahodoloav sot by T .Countv tAnilditut Tnd,rmv Service Board