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Permit a CITY OF TIGARD MECHANICAL PERMIT 13 • COMMUNITY DEVELOPMENT Permit It: MEC2010 -00539 T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/28/2010 Parcel: 1 S 125 DD04700 Jurisdiction: Tigard Site address: 9775 SW VENTURA CT Subdivision: WASHINGTON SQUARE ESTATES NO. 2 Lot: 55 Project: Gates Project Description: Furnace installation. Owner: FEES GATES, CHARLES A/PATRICIA K Description Date Amount 9775 SW VENTURA CT PORTLAND, OR 97223 Furnaces < 100K BTU 10/28/2010 $46.75 12% State Surcharge - Mechanical 10/28/2010 $10.80 PHONE: Minimum Fee Adjustment - Mechanical 10/28/2010 $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 503.246.669• • . :00.332.234 c Issued By: Permittee Signature: / �� r. V 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. OOT/27 /2010 /WED 09:02 AM FAX No. P.002/002 Mechanical Permit Applicatio �O FOR OFFICE USE ONLY City of Tigard Received li � 0 Date/By: i I) (L/ _ L' n 13125 SW Hall Blvd., Tigard, OR V r 1,0\ Plan Review irnlICIMEME Phone: 503.639.4171 Fax: 503.5 . 60 �� Other Permit: Date/9y: T I t i A R D Inspection Line; 503.639.4175 pC GPQI� N Date Ready/By: ® See Page 2 for Internet: www.tigard or.gov OF \S \o Notified/Method: S upplementalIn(ormetion Tt ❑ N ew construct '0 Addition/alteration/replacement 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. => y sl<:'W ..,•'r.. - .. - — - = ! ;q. . Ati , u value; (p 1 - and 2- family dwelling ❑ Commercial/industrial E1 Accessory building T'EiQi�IP ; L•t5,,. .11 ES' For special information use checklist. ❑ Multi-family ❑ Master builder 0 Other: Description Qty. Ea. 1 Total v • . _,.. �;:3 ITl;O....'CX(,} lei :.�il�?D�IS!L�`�i� ? >�;'.: i _ r:.: ;:.. :::. Heating/cooling Ai conditioning Job site address: q r S� (/ ,. el-- (requires e plan g placement) 1 1 re uirea site shpwia lacement 46,75 City / State/ZIP; Furnace 100,000 BTU (ducts/vents) 1 46.15 L14, ,14 Furnace 100,000+ BTU (duets/vents.) 54,91 _ _ Suite/bldg. /apt. no.: I Project name: Heat pump 6 1. 0 6 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, induct. suspended, etc. 46.75 Subdivision: I Lot no.: Flue/vent for any of above 23.32 • 1 Other. 23.32 Tax map /parcel no.: Other fuel appliances ,.�i,: , .. - , ;.,,�;5.� -- :.{':' G�1v� 114} 170, . , ,,�'., 1i1,;1i F Wi.. r t iTrI ; .}, ,� Water heater 23.32 _ .;` - J 4 . . ...'r�`�!:- 7,Zr..7.✓c - ... . d - Vl i _. � •tr i i� i �. Gas fireplace 33.39 Flue vent for water heater or gas • fireplace 23.32 ../�,p�lr� F ..-4 / - Log lighter (gas) — 23,32 . Wood/pellet stove 33.39 Wood fireplace/insert 23.32 _ '!Y° y •, "g T,1 „9:ev , : i -rTfi ii is ., r .i:. Chimney/liner /flue/vent 23.32 . ..,;, : ..., CJiYLt)PBRQYR •: 'w; : '�T ` 'lr F ; _ 32 :.:......: , .... 23. Name: Environmental exhaust and ventilation Gates, Charles R10423 --- Range hood /other kitchen Address: 9775 SW Ventura Ct equipment - 33.39 City/SteteiZIP: Tigard, Or. 97223 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: ( ) (503)244 -698 toilet compartments, utiiiVrooms) 23.32 .,.;:n .... ......:::z....... - ;K- awlspacefens 23.32 �y }� l i' ; Attic /c[ Other: 23.32 Business name: , - Fuel piping Contact name: $14.15 for first four; $4.03 for each additional — Address: Furnace, etc_ Oas heat pump , City/State/ZIP: Wall/suspended/unit heater _ Phone: ( ) I Fax:: ( ) Water heater Fireplace E Range ;'7: °;.;Q0XTnACit :::: ''; i 5.: • .:r .. •:: = ; Business name: specialty heating & Cooling, Inc. Clothes dryer (gas - - Other: Address: 7500 SW Tech Center Drive #130 .: : .'. � `:.;`: ' " ilitlECHANICALI 'ERM)TF1:ES "-; .`c:` • ': .. City/State /ZIP: Tigard, Or. 97223 Subtotal J, -75— 503 620 5643 F ax (503) 681 -0793 Minimum permit fee ($90.00) q p 40 Phone: (503) ( > . Plan review (25% of pennit fec) CCB tic,: 66578 State surcharge (12% of permit fee)' )7 TOTAL PERMIT FEE i 00, 'i Authorized signature! This permit a ppticatton•expires if a permit i9 not obtained within 180 !in t /� --1�' } days after It has been accepted as complete. Print name: Andrea Dripps Date: (U l ft s Fee met set by Tri- County Building Industry Service Board t: l9uddingU 'ermils■MEC•PenniiAnc.doc 10/01/09 440 - 45111 (1I/02/COM/WEB)