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Permit • CITY OF TIGARD MECHANICAL PERMIT 141 a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00056 - F [GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02!05/2010 Parcel: 151 33DD01000 Jurisdiction: Tigard Site address: 11747 SW 129TH PL Subdivision: VILLAGE AT SUMMER LAKE PARK 2 Lot: 49 Project: Bunch Project Description: Replace gas furnace. Owner: FEES BUNCH, STEVEN P & TRACEY Description Date Amount 11747 SW 129TH PL TIGARD, OR 97223 Minimum Fee Adjustment - Mechanical 02/05/2010 $43.25 Furnaces < 100K BTU 02/05/2010 $46.75 PHONE: 503 - 590 -8043 12% State Surcharge - Mechanical 02/05/2010 $10.80 Contractor: ABLE HEATING & COOLING 8900 SW BURNHAM F -5 TIGARD, OR 97223 PHONE: 503 - 579 -2250 FAX: 503- 620 -3980 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 cation Ce - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or d• ct questions to OU .y :II" • . 503.246.6699 or 1.800.332.2344. Is ed By: G I Permittee Signature 71 112p Call 503.639.4175 by 7:00 a.m. for an inspection that busine- 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. Mechanical Permit Application FOR orru: u sE. cnvLv City of Tigard p� �;ENED Received �� • 13125 SW Hall Bind, Tigard, OR tS7 D y: y /O A - VD Permit No.: iiec , y0-- O(05& Phone: 503.639.4171 Fax: 503.598 Plan Review Inspection Line: 503.639.4175 0 4 2010 DatdBy, Other Permit TIi;;litlj Internet trww.tigard- or.gov NotifieDato Ready/Sy: Luis. EA See ne 2 for dlMetlw CITY OFTIGARD SnPPtemental Information • TYPEERTIMINC DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST 0 New construction ition/alterationlreplacement Mechanical permit fees* are based on the value of the work © Demolition 0 other: performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, and profit. �' CATEGORY OF CONSTRUCTION Value: $ -- - and 2- family dwelling ❑ Commercial/industriat ❑ Accessory buildin RESID T El2UIPMEIVT /SYSTEMS FEES* g ❑ Multi- family 0 Master builder [] Other: For special information use checklist. ' Description 1 Qty. I Ea. Total JOE SITE INFORMATION AND LOCATION Heating/cooling Job site address : y r" \ k'l i C� r . .e\'`'�� , _ Air conditioning 1 �(r . (requires site plan showing placement) 46.75 City/State/ZIP: (�` y�� C"\r\ - Furnace 100,000 BTU (ducts/vents) \ 46.75 b Suite/bldg./apt. no.: ( l rojectname: Furnace 100,000+ BTU (duets/veou) _ 54.96 t 1 r Heal pump 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 ao.: Flue/vent for any of above 23.32 Tax map/parcel no.: Other 2332 _ Other fuel appliances - DESCRIIPTTION OF WORK Water heater 1 23.32 Gas fireplace 33.39 . >r -V� . A V k r Cs � , : � k . "tNCX FIue vent for water heater or gas • c fireplace 2 I Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 QPERTY OWNER ❑TENANT Chimney/liner/flue/vent 23.32 Name: �, t t Other: __ 23.32 �' Environmental exhaust and ventilation ! Range hood/other kitchen I Address: \\•\ l ` * ,. '� - equipment I City /State /ZIP: '1` ; Clothes dryer exhaust 3339 Phone: ( � _ t, 1,..)..0 p er: ( ) — Single -duct exhaust (bathrooms, I. ❑APPLICANT _ toilet compartments, utility rooms) 23.32 0 CONTACT PERSON Atticicrawlspace fans 23.32 Business name: Other: 2332 Contact name: __ Fuel piping S14.15 for first four; $4.03 for each additional Address: Furnace, etc. City/State/ZIP: Gas heat pump - Wall/suspended/unit heater Phone: ( ) T Fax:: ( ) Water heater E -mail: Fireplace Range CONTRACTOR Barbecue ' Bus iness name: } r L Clothes dryer (gas) Address: '-7 � rr C1 ki— lr\ tom. •fi tiR� t r� r� MECHANICAL PERMIT I Other: � C k `'. ; t], tin . ° o PERMIT FEES* City /State/ZfP:—.\--\ ti•.,1 , h • 9 0- - Subtotal PProne: (11�� r 1 l n 1 Fax: (t. f , _ `) Minimum permit fee ($90.00) 1 _ +( _ �, t � A f‘ I S. eC) . CCB lie.: \ ., t ., 0 r an review (25.0 of permit fee) 1 State surcharge (12%ofpermit fee) . V0 . yO Authorized signature: 9 1 � TOTAL PERMIT FEE \ t`�1 - cin / A)�;, , -...:` This p app expires if a permit is not obtained within 1 1• days after it has been accepted as complete. Print name: ' t Date: . ; ' Fee methodology set by Tri- County Belding Industry Service Board InSuildieggPennits\.2C- Permit p dor I0101/C9 440.4617T (I 1/071COle!JWEB) I. 17OL66L9009 DNI1000 QNV ONILVBH 319V d617:1.0 OL b0 qaJ