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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2010 -00580 ?1CrARD, 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/16/2010 Parcel: 2S 104AB 11800 Jurisdiction: Tigard Site address: 12427 SW MORNING HILL DR Project: Moore Subdivision: MORNING HILL NO. 6 Lot: 147 Project Description: Replace furnace. Contractor: SUPREME COMFORT HEATING Owner: MOORE, TOM 9425 SW COMMERCE CIRCLE #16 12427 SW MORNING HILL DR WILSONVILLE, OR 97070 TIGARD, OR 97223 PHONE: 503 - 682 -1985 PHONE: FAX: 503 - 682 -1018 FEES Specifics: Description Date Amount Furnaces < 100K BTU 11/16/2010 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 11/16/2010 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/16/2010 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. OP Issued By: , j - Permittee Signature: d N e7 4 Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. . 11/11/2010 09:41 503 - 682 -1018 SUPREME COMFORT INC PAGE 01 Mechanical Permit Application IV ED I Ror USE ONLY of Tigard CEO �! D Roy ived / �,,. Datc /BV- / / //( /4o Er . - Pcrmit No, /YE7J� „D ,_ea 13125 SW Hall Bivd,. Tigard. OR 9722_ Plata Rovicw f II Phnnc: 503.639.4171 f tlx: 503.598.1960 Other Pcrmit: Datc/BV: TI 3AP _ D Inspection Line: 503.639 NOV 1 2 2010 t Dalc Ready/13y: - Jerk' p See Pn ,c 1 for .._ Internee www,t.igard- nr,gnv e � gyp+► p - Notiticd /Mclhod: I- I � Supplementallnformntinn ___�...._...g._i_, a of 11�CUW' ^. ,,... : • . ' Ivor, of. YNG DNINIvN • .:. . ...:: OMMCA FEEw ........ • G C;r Ar,' SCHEDULE USE CHECKLIST ❑ New construction Z Addition /alteration /replacement Mechanical permit ices'” are based on the value of the work perforated, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: mechanical materials, equipment, labor, overhenct, - and profit, .CAT.fl' ORY''i)1 ('ONST1k'Ct ,11Olw value: $ ® 1- and 2- family dwelling El Commercial /industrial © Accessory building RSJDICIV "rl'AC T QLIIiJ'NJENT'. %5YS177,SgyF15* • • Ii - Or s /)CCiij/ info use checkliv, Multi-family ❑ Master builder [] Other Mulct y . Description Qty. E 'Total - ••• '• I • IJOB ll"C1C '.lff thrr'11'(:i1`J'JO7 .A,.ND :Gi C...it OT Hcatingg/ coollnR Job site address: 12427 Morning Hill Dr Air conditioning ..._,...,._ W „ • , (regniru site plan showing, phlcttncni) 46.75 City/Slate /7.1P: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) I 46.75 46.75 .. "`J Furnace 100,(100 RT l l (ducts /vents) 54,91 Su ilc /bldg. /apt, nn,; Project name; ibloorc P I 6) --- ----- -- .._........ - „ ._......._ bleat um? 06 -- C'I street /directions to job site: Dllcl work 2132 Hydra hot water system 23.32 _.__..,.,,.., -_- Residential boiler (radiator or hydronic) 23.32 — Unit heaters (foci -type, not electric), in -wall, induct, suspended, etc. 46.75 Subdivision; I,oi no : Flue /vent for tiny rif abo_vc 23.32 - y— — — - .,_..— ,,,..... _..... Olhr: 23,37, Tax map /parcel no.: Other fuel appliances DPSCRfPTION.OF WORKS Water heater 23.32 Gas fireplace Replace Furnace w. _ 33,39 —� _ Flue vent for water heater or gas fireplace I- 27.32 LnFjhtcr (gas) i_ 23,32 Wood /pellet stove 33.39 Wood fireplace/insert 23.32.,._. ® PROPERTY OWNER Chimney /liner /flue /ven 23 -- [� TENANT .3 --- - -- ..,_........,..,,:,, Other: .. ._._.� 23.32 Name: Tom Moore Environmental exhaust and vcnril[Itton AdcIress; 12427 Morning Hill Dr Range hood /other kit equipment _ 33.39_ City /State /7.1P: Tigard, OR 97223 Clothes dryer exhaust , 33,39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet: compartments. utility rooms).,. 23.32 • © APPLICANT . • ' ❑ CONTACT PERSON Attic /cravultip u.c fans 23.32 Other; 23.32 Business name: Sam :is contractor -- • - -- -. - Fuel piping Contact name: $14.15 for first four; $4.03 fnr each additional Furnace. etc. Addre.ss: _.- _ --- ,..__ City /Stale /7JP: Gas heal pump .. T U all /suspended /unit heater Phone: ( ) Fax; : ( ) Water heater - F -mini: -^ Fircnllncc _..._... _ Range CO1NT.i ACTOl. . Barbec _. Clusiltess Warne: Supreme . ,.. �,._:.'- �. .. me Comfort inc. Clothes shyer-Lulls) - ...,,..,._�. (,)the Address: 9425 SW Commerce ('ir. #16 'N1lEC,::FrANIC/ L PERMIT FEES* ^W City /State% /-IP; Wilsonville, OR 97070 Subtotal 46.79 Minimum permit tee ($90.00) 90. T F _ w (10 ' Phone; (503) 682 -1985 i Fax: (503) 682 -1014 _ (plan review (2S ^ro of permit fcc) Stnt:c sur chnr c l2., or permit fcc) 10.74n z . ....... . ..... . -.-.. r O-rm, PCRiMIT FEE I 100,80 Authorized si 'tot permit ntrplicnrion epre nermil is nn1 nbtnl nrrl within 1'111 nauire; e` � (leg Aft!, if hoc hero yecel■led es complcle. Print name: Randal Lapp DLitt:: 11 /11 /10 '� roc mclhndnlnl2y :ICI by Tri- cannll nbikIing tndlebry Neivicc nt,;lrr.l is10i ,iidinr<IPcrmitxVMCC- pcnniiApp doc WI IMO non -4 (17T (1 I/n^ /COM /wgh) •