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Permit CITY OF TIGARD MECHANICAL PERMIT '' 1 '' COMMUNITY DEVELOPMENT Permit #: MEC2009 -00205 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/12/2009 Parcel: 2S102DCO3700 Jurisdiction: Tigard Site address: 13868 SW ANDREW TER Subdivision: MCDONALD WOODS Lot: 10 Project: Hymark Project Description: Install a /c. Owner: FEES COMMUNITY FINANCIAL CORP Description Date Amount PO BOX 1969 Air Conditioning or Heat Pump 05/12/2009 $14.00 LAKE OSWEGO, OR 97035 12% State Surcharge - Mechanical 05/12/2009 $8.70 PHONE: Minimum Fee Adjustment - Mechanical 05/12/2009 $58.50 Contractor: SUPREME COMFORT HEATING 9425 SW COMMERCE CIRCLE #16 WILSONVILLE, OR 97070 PHONE: 503 - 682 -1985 FAX: 503- 682 -1018 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue Total $81.20 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 Issued By: Q A--pp �("\ at f\9 Permittee Signature: C\ /1 1 c -}-V r) �' 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. 05/08/2009 12:29 503- 682 -1018 SUPREME COMFORT INC PAGE 01 - x a Mechanical Permit Application o D / By 5 • O, O� t�+<) t Vii ?t 1� J 1 O V 20S IN City of Tigard U f e ,,, u t N,,, >a R " 13125 $1V Hall Rlvd., Tigard, OR 9 23 Plan Review Phone'. 503.639.4171 Fax: 5'0189$. l 0 Other Pe inir * w; , rti •l- Dnlc /BV, OA'kC) Inspection Line: 503.639,4175 " . �� J ;' , u a - Doe Rcadv/By Iu(�d E Sec Page 2 for lntcrna: www,tigard- nr,gov U u 2-° Notified/Method' g I (3 ,Supplemental Information DR AY o rr 0,, v;RK � .i^ , q, , citiS tErt'C rAl" Ftio' SCHEDULE USE CHECi>;'LIST U eyCT'\! C1- P "° Ir Mechanical permit fees* are based on the value of the wort. ® In New construction Addition /a Scration /t }a st)t �U�It..� @1 l'ri l performed. Indicate the value (rounded to the nearest dollar) of all © Demolition Other: ba mechanical materials, equipment, labor overhead. and profit -- y ATECO1tV OP C:O1‘STTttleT1ON- flue S ._ __,_._,_ RESIDENTIAL EQUIPMENT (,5VSTEMS FS* 1- and 2-family dwellin ❑ Commercial /industrial ❑ Accessory building . - o a,rcir.,l i, F'F. rrsr chr.chlr ❑ Nlull.i family 0 Master builder ❑ Other: Description Qty 1cn r 'total . ,I0 . INFORMATION ANib 1LOCA111ON , . ' .. Heating /cooling -- .lob site address: 13868 SW Andrew Tern. Air conditioning or heat pump (re sile plan .:bowing placc,ncnt) I 14.00 14 00 City /Stare /ZIP: Tigard, OR 97224 Furnace IOO,I)QO 14 II) (rincl „ /venis) 14,00 "'- Furnace 100,0004 BTU ((uets /vents) 1 7.90 Suitc/biclg. /apt, no Project name: Ilymark hlomes - - ............. •„ ... (ins heat hump 14.00 _ Cross street /directions to_joh site: Duct wort. 10.00 1 - 1ydronic hot water system 14. — Rcsidential boiler (radiator nr hydronic) 14,00 Unit heaters (fuel -type, not electric). in- Nvall, in- duct,. susP 2ded, etc. 14 00 --- --_ Flue /vent for any of above 6.80 Subdivision: Lot no.: .� ,..,,.._ _ -. ___,T_, __-... Other: 10.00 Tax mop /parcel no.: Other fuel appliances . . '. ' ' DE; CR1T''TION. o:f',. "Oldi( , . ' .. ' . Water heater 1 0,00 ....._ , ..._..._ ._:.,..,, Gas fireplace 10.00 air conditioner — Flue vent for water heater or gas 1ilacc - -- 10.00 _ - -,. Log lighter (gas) 10,01) Wood /pellet stove 10.00 Wood fireplace /insert 1 0,00 — PROPERT OWNER' -' Chimney/liner/rue/vent 1 0.00 -- - � _d T Nt1MT Other. ^ - Name: I-Iymark Homes Environmental eahauvt and ventilation - - Range hood /other kitchen Address: equipment 10.00 - City/State/ZIP: Clothes dryer exhaust 10 Do - - -- ._...__._,.,.,,_..,-- - .. - - - Single exhaust (hath corm. Phone: ( ) Fax: ( ) �. toilet compartments, utility rooms) (LW) APPLICANT ] CONT'r1CT, PERSON Attic /crtnvl fans 10.0t) Business name: Same as contractor Other: 10 Oil -- - - -- fuel piping . - - - - Contact name: $5.40 for first four: 11,00 for each additiona Address _. Furnace etc. - -- _ _. - -- — ..._-_ _ ..____ _...,......,.., W.. ..�_- Gas heat pump - — City /State /ZIP: ..___ __ P tun l /it heater Wall /sus cn. ° ................� y - - -- Phone: ( ) Fax : ( ) Water heater _________ ., . -. _ - ..._._ .._ _ - -._ ' Fireplace E - ,.. ,., ......,.. Ran - _ i~' . - - - CONTRACTOR ' ' Barbecue 13lisiness name; Supreme Comfort Inc C :1Nhcs dryer (?as) — ,....._. -_ .__ —.. Other Address, 9425 SW Commerce Cir. #16 T _ " ' • • MEC:'1-ir1N /CAL PERMIT PEES Cif /,State ZIP W il son ville ,_ . O . R 97 .,,._ ................_. ...�. -,. Mi permit 0 Subtotal I C - ' OR 07 4 O(} l �t Ice ($72,50) 7 2 50 Phone: (. O.) Fax: ( 503) 687 �. _....., ., ..- - - --- - - - - -. ___ ., _ ,,,....__, ... _.__,.....,_,,..... _. — .....- ,_.._U_.. _,_ —__-- — P l a n rev iew (257n or perm i l l cc ) CC.'ta Iin, 21R92 State surcharge lZ" e l,!'perniit li,'cl — R ii / / / / - - -- 81,20 ' nth Authorized signature: upplicntian explrm If p permit is tint nht1ine l within l 11 ii on after it has been accepted ns complete. Print name! Randal Lapp 1)at e; 5 /R /09 " Fcc tnelhndnlny by Tri- Cnunty RnAdi nit lnchwiry Sc,' ine.bard I : 1nq lldlnyiPCnniusOr) i .(Tana App, Inn I1l /19 /ii7 4411 -4,17T ( 11 /117,TOhl /W'r,13) 81 f-t I Y+1 A r r (-/`D Yh g‘ 132.6P SW bind rev,/ Terr. 7 a r 0 C q72,2-4 SUPREME COMFORT INC. 9425 S.W. COMMERCE CIR. # 16 WILSONVILLE, OR 97070 • 682 -1955 0 j 1 H 5E Li- W C (n co E 3 I 1 N CO • iD I • N CO ■ L!7 m a. _I.-.s T , r