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Permit
, , CITY OF TIGARD MECHANICAL PERMIT I I COMMUNITY DEVELOPMENT Pe CITY MEC2010 -00645 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/10/2010 Parcel: 2S114BB00800 Jurisdiction: Tigard Site address: 10125 SW SERENA WAY Project: MCNAMARA Subdivision: PICKS LANDING NO. 1 Lot: 7 Project Description: Furnace replacement. Contractor: CLACKAMAS HEATING & COOLING LLC Owner: MCNAMARA, MAUREEN A 15115 SE PENNY LEE CT. 10125 SW SERENA WAY CLACKAMAS, OR 97015 TIGARD, OR 97223 PHONE: 503 - 658 -4808 PHONE: FAX: 888 - 500 -2912 FEES Specifics: Description Date Amount . Furnaces < 100K BTU 12/10/2010 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 12/10/2010 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/10/2010 $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 at 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 1.811 ... -2344. l r- , Issued By: . Permittee Signature: I �_= ter: iAl . 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. Fm:Clackamas Heating & Cooling 18885002912 (15035981960) - 21:33 12/09/1 OGMT -08 Pg 01 -02 Mechanical Permit A hide @� 1 t ' 2 \ a " FOR.O FICE'US£ ONIA' Received City of Tigard D EC 1. ® ® Date/13y: 1 e 1/4., 7 ] to 1♦ v 13125 W Hall Blvd., Tigard, OR. 97223 yt n Pier Review Phone: 303.639.4171 Fax: 503.598.1960 rf ,\ , \DI Date/By: Other Permit: 'T1c ARD Inspection Lute: 503.639.4175 rr \\I Date Ready/By: luny . Internet: www.ti and -or. ov C"" �? o S See Page for $ $ ‘3,‘ \\ O` \`t Nut ftecl Notified/Method: "I , Supplemental Information TYPE OF WORK 1• COMMERCLAL FEE* SS - USE CHECKLIST ❑ New construction ►Z1 Addition/alterationrreplacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all El Demolition [f Other: mechanical materials, equipment, labor, overhead, and profit. 5 CATEGORY OF CONSTRUCTION Value: RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2- fancily dwelling ❑ Commercial,'industrial ❑ Accessory building ❑ Multi- family ❑ Master builder ❑ Other: Ivor special information use checklist. Description 1 Qty. Ea. 1 Total , JOB SITE INFORMATION AND LOCATION HeoHng /cooling Job site address: 10125 SW SERENA WAY Air conditioning (requires site plan showing placement) 46.75 City/'State /ZIP: TIGARD, OR 97224 Furnace 100,000 BTU (ducts /vests) 1 46.75 46.75 Furnace F ' _. 100,000+ ETU (ducts/vents) 54.91 SuitSuite/bldg./apt. no.: Project name: G Hem Heat 61.06 Cross streevdirections to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Tinit heaters (fuel -type, not electric), in -wall, in -duct. suspended, etc. 46.75 Subdivision: Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 FURNACE REPLACEMENT Flue %re t fu 33.39 Floc vcut fur wafer heater or gas _fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace insert 23.32 ® PROPERTY OWNER NER . Chinmeyiliner /flue /vent 23.32 -- ©TENAIV'1' Other: 23.32 Name: Environmental exhaust and ventilation Address: 10125 SW SERENA WAY Range hoodiother kitchen equipment 33.39 City/State/ZIP: TIGARD, OR 97224 Clothes dryer exhaust 33.39 Single -duct exhaust. (bathrooms, Phone: (503)333-3333 Fax: ( ) toilet compartments, utility rooms) 23.32 ® APPLICANT D CONTACT PERSON Attieferawispaee fans 23.32 r _ Business name: CLACKAMAS HEATING & COOING LLC Other: 23.32 L Fuel piping _ Contact name: VLADIMIR MIKILATS 514.15 for first four; $4.03 for each additional - Address: 15115 SE PENNY LEE CT flrrarnce etc. - -- Gas heat pump City/State/ZIP: CLACKAMAS, OR 97015 Wall/suspended/unit heater Phone: (503) 6584808 Fax: : (888) 5002912 Water heater Fireplace E -mail: CHCLLC(4b,COMCAST.NET Range CONTRACTOR Barbecue Business name: CLACKAMAS HEATING & COOLING LLC Clothes dryer (gas) Other: Address: 15115 SE PENNY LEE CI MKCIIANICAL PERMIT FEES* City /State/ZIP: CLACKAMAS, OR 97015 Subtotal 46.75 Phone: (503) 6584808 Fax: (888) 5002')12 Minimum permit fee (590.00) 90.00 Plan review (25% of permit fee) CCB lic.: 165630 State surcharge (12% of permit tee) 10.50 .•,'. .. f TOTAL PERMIT FEE 100.80 sr� y ;i" This permit application mares If a permit is not obtained within 180 Authorized signature: s 1 . - ' P �� e days after it has been accepter] as complete. ` l ,..4. . , _ t r -; - I',- i.: r . / 3 j {.. fc - -,