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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2011 -00245 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/02/2011 Parcel: 2S104CD00700 Jurisdiction: Tigard Site address: 13591 SW HILLSHIRE DR Project: YODER Subdivision: HILLSHIRE ESTATES Lot: 7 Project Description: NC installation. Unit must meet 3 ft. minimum rear and side yard setbacks. Contractor: SUPREME COMFORT HEATING Owner: YODER, STEPHEN M & PENNI J 9425 SW COMMERCE CIRCLE #16 13591 SW HILLSHIRE DR WILSONVILLE, OR 97070 TIGARD, OR 97223 PHONE: 503 - 682 -1985 PHONE: FAX: 503 - 682 -1018 FEES Specifics: Description Date Amount Air Conditioning 06/02/2011 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 06/02/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/02/2011 $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 503.232.1 Issued By: 6 Permittee Signature: Call 503.63•.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. 06/01/2011 14:19 503 - 682 -1018 SUPREME COMFORT INC PAGE 01 Mech anical Per mit Application ` \• FOit OFFICE USE ONL ` Rc ec,ved /._ -_ Permit No City of Tigard ` q t)ni e/i3y: ;,. / � Ali C-- -W Y 14. y R 13175 SW Hall Blvd . Tigard. t1R 9723e� 1 \ Plan R vi w i : . ,.,. Q Permit; Phone: 503,718.2439 Fax; 503.598.19 0 N. P Inre /F3y! Oilier Permit; • Inspection Line: 5113.639.4175 \\� Mite Ready /NY: ittt'iii: m' $cc Poke 2 for I 'It,tA[LD Internet: www.ligal'd- or,Rmr J " Sug piementnt Information • 1 �\c� t \Notitmri /Muho . 11 �, _ A �� , T.Y1''E. t7)p 1N�JR - t 1 _ 1�e :.. ��` Mechanical ,TiAL' fees" E . �r�bos on USE f �� c w B'I' ... . . N ew construction anicul nddil'a<�nln.lteration% c.11tcelncnt M ��n Indicate ❑ P I the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment. ■1alxr, avencead, and profit, . .. CATEGORY Value: S i S .1ICT.ION.. • ---- ....,•..-- -- OT . CC)NST';It.. . ,.. . _ rrstbFiv >,aurTrMrrrT i:NSrI�TS TrF, • , • W..,.,., _. Z 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information l oaf checklist ❑ Multi - family ❑ Master builder' ❑ Other: W Description 1 Oty, I 13 T oth( ..._ m� JO13 51TTF INFOR114A7`ION. AND' 'LOCATION ' ' ' licatin_g/cooling: - , - loh site address: 13591 Fiillshire (i cr oondite pl A "' ''" Dt , quires silo plan ahowin} pincc;ncnt} I 16.75 46.75 . -. _,•• - -- -..,., _ Furnace 100,000 BTU (duets/vents) 1 46.75 City /Stare/7.IP: Tigard, OR 97223 Furnace 100.000 + Jdacts /vents) 1 j 34.91 � / Sufic /bIcl „ a � ^ P t. no ) CCt. name: oiler, I -lent pump ...._ -.._ _. Project R ..... _, .,.� (requires site plan sho placcnicnt) 61.06 ('rose street /dirccl.iisn, in,loh silc: Duet work 23,32 1- lydronic hot wafer System _ -_ 2137 - -:. Residential boiler (radiator or Itydronic) 23.32 .W. Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. .__.... 46.75 W Fluc /vent for any of above 23.32 Subdivision: 1,nt nn.: ------ — .....,.,._ Other: 23.32 Tax map /parcel no.; Other, fuel appliances: -- DFSC;RTPT�ToN OF .WcJ Rk Water heater 23,32 . Cos iircpluce 33.39 Add air iondiliuucr Floc -- - Floc vent for water heate or Ras Fireplace 23.32 -.. -- - - Log lighter (gas) 23.32 Wood /2cllat stove - 33.39 Wood fireplace /insert - 23.32 . . E. Chimney /liner /Iluc /vent • 23.32 D PfiOM:r le (y1' N R':.:: . .. ©TT;t1VANT ._ • Other: __..J 23,32 Name: Fnviennmental exhaust and ventilntinn: _ ........ d Range han/ 8 " her kitchen Address: equipment 33 qp,39 ._... nt 1Lr Clothes dryer exhaust' - -- - -- .- ..� -,, ('it, /,State /ZIP; y Ist' 33.39 Y -------- -• -'•' — -_ " -" - Single -duct exhaust. (bathrooms. Phone: ( 1 Fax: ( ) toilet compartments, utility rooms) 2132 . raw fans_ 3,32 .. _..,, AIyI',' -'•-«- . ©.:ZO7`�lt . I' spat e :PERSON „_ ,.,..,..._ �,.,.,... _ Other: I 23.32 Business name: same an contractor Fue1 pipin _ _ Contact name: $14.15 for first four; 54.03 for each additional Furnace, etc. Address: W ('ias heat pump City/Sono/71P Wall/suspended/unit healer Phone: ( ) Fax: : ( ) Water heater - _ 1 --- - -.... -- Fireplace L..- F - mail; rand,yl(!r),cesystrecr.nit -- Ranee � - --- CONTRAC'TOft r . : ' l3 Barbecue Business name: Supreme Comfort Inc. Clothes dryer (gas) , -.. - - __. - - - '.,... Oilier; .� _. . i Address: 9425 SW Commerce C'ir, #16 NIiFCYANIC'A.L:PR4MTT:1FCES" City/Slate/ZIP! Wilsonville, OR 97070 _._._.,_...... -- Minimum pclnti lice (gy(j r Planrcview ZS .adil crmtl Subtotal -- ......._._......... ,00) 90.00 Phone: (503) 682 1985 lax: (5(13) (X2 -1(118 CCB lie,: 211192 State surcharge (12% hf permit fee) 10.$0 - -- ._._...... - .._..,. - l'OTAL PdRMIT FEE 100.5(1 Authorized ti nature: 'Tilts permit nppiientlnn expires If n pctmil in not obtained Witlsin lRO - B r diys die,' it Iran hoon nevi ptr•rl na enmpletc. — Print name; Randal La p , / 1 Date; 6 /1/11 - Fee methodology set by Tri- County 816i1dini! industry Service Board I imilling \Pcrnnii0M7r'- PcrmkAilt Jru tl'u / 4440 - 4(171'111 /oz /C OMhVEBl S i - eve Yoder i4611 f-hilsA)/ m 7 i c� a n d 0 r):5-).__; SUPREME COMFORT INC. d 9425 S.W. COMMERCE CIR. * 16 a WILSONVILLE, OR 97070 d 682 -1985 U z H j O Li 0 U W ! o t ,` k I (f) f j I l i ti c m CO lD I • cn 0 lD \ \\