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Permit ' „ CITY OF TIGARD MECHANICAL PERMIT : e : ,.. COMMUNITY DEVELOPMENT Permit #: MEC2010 -00538 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/27/2010 Parcel: 2S102DB00603 Jurisdiction: Tigard Site address: 8885 SW OMARA ST Subdivision: Lot: 0 Project: Offing Project Description: Install furnace. Owner: FEES OTTING, LOIS E Description Date Amount 8885 SW O'MARA ST Fumaces < 100K BTU 10/27/2010 $46.75 TIGARD, OR 97223 12% State Surcharge - Mechanical 10/27/2010 $10.80 PHONE: 503 - 319 -5046 Minimum Fee Adjustment - Mechanical 10/27/2010 $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: 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: /(1/914-16 IX Pemtlttee Signature: eN ,49e t o e 7 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. OCT /26 /2010 /TUE 02:23 PM FAX No. P. 002/002 Mechanical Permit Application f )It OFFICE USE ONLY R eceives Ci of Ti and Date/By l PeruutNo. resZT 0 —6053„ 14 REE NED a 1 3125 SW Hell Blvd., Tigard. OR Plan Review Date/By: • Phone: 503.639.4171 Fax: 503. Other Permit: 'l' 1 C A R D Inspection line: 503.639 Date Ready/By: fi lc(' to See Pape 2 for Internet: www.tigard - or.gov Oc7 q 6 2010 Notired/hdethod: Supplementollnformat;on 1 mow., ........ __ - -- - p - - __ .::..:::... ,..,_ .. : - ,....T Ui:, -`�� y _ :: Yi;C' �'� .7U� },,.rte �[E� _ ❑ New construction �Addition/a t cORIA1V1�t� ION Mechanical permit fees' 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 SH „ ... i• :yrC. _ - - _ . i Value: $ �. DI v3cr = 7,:.7.-Z-:;:- ::;f.. :- : ;EQ. M�jy:J:S�Sfi.�M& kW; x ... .. Si 1- and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building - ,,...... ..:_:_:..__....,:....... ._.._........ , . For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. Total . . ..:7 .. ......:. . ......._:. ,.. .,.._Q %:fir ': �.. ,.'fkQ :�A1�1D,�i5C' YO)y t ..... Heating/cooling na � r �P } Air conditioning Job site address: 7 �r —J C)).t Q_ C 1—• (requires site plan showing placement) 46.75 • City / State/ZIP: ' 1) ©R • G 'r X/� Furnace 100,000 BTU (duota/vents) i 46.75 ` Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat .um. 61,06 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 Subdivision; f Lot no.: Flue/vent for any of above . 23.32 _ Other: 23.32 Tax map /parcel no.: Other fuel appliances ••,':i��y,.c,.::k::; _ �� pr.p:1 �. �,. ..k: p a_u,r.., y .._iqL: i,(.�4�f �:y:dLre��,` ��%'�',.*.':' Water heater 23.32 ,..c;:!s.. ..: ,;:�,. ,,,., �:::: G f ace 33.39 f+- as lrepl 5 ' 0 mi l/ @ P . . Flue vent for water heater or gas fireplace 23.32 . Log lighter (gas) 23,32 Wood/pellet f.l stove III 33.39 Wood relace/insert ' ': :lf :.j , Y 7R�f'C�'14.'riFcU1VPA ". ;::i '�� :; =:;., 1 ."�'�N . . : ; ;! :.�- :4� r :i' =n' T •.• :ll •' : !'V. `` Chimney/lincr /flue/vent 23.32 . -: .. P1 �? :-,_ - 1-�.. .. .,.,., Other 2332 i Name: Otting, Lois 810421 Environmental exhaust and ventilation Address: 8885 SW Omara ST. equipment 33.39 City / State/ZIP: Tigard,OR. 97223 Clothes dryer exhaust _ 33.39 503 319 - 5046 Single -duct exhaust (bathrooms, Phone: ( ) toilet compartments, utility rooms) 23.32 .',.:7-;1,':'.. . :.. .. .„, ,, , '., • _ ,:: . •, .: ; ; i Atticicrawlspace fans 2332 Other: 23.32 Business name: - Fuel piping Contact name: $14.15 for first four; S4.03 for each additional Address: Furnace, etc. Gas heat pump City /State/ZIP: Wall/suspended/unitheater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail; Range ;:r Business name: specialty heating & Cooling, inc. Clothes dryer (gas) - Other. Address; 7500 SW Tech Center Drive #130 ::` 411E.CHA ;:,' e . City /State /ZIP: Tigard, Or. 97223 Subtotal Phone: (503) 620 -5643 Fax: (503) 681.0793 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lie.; 66578 State surcharge (12% of permit fee) /0 Y , / v TOTAL PERMIT PEE /90 , • d Authorized signature: This permit application expires if a permit is not obtained within 180 !� days after It has been accepted as Complete. - Print name: Andrea Dripps Date: • Fee methodology set by Tri -County Building Industry Service Boat ' V 10/01/09 440-4617T (1 I/02/COM/WE13)