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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2009 -00277 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/10/2009 Parcel: 2S112CA10400 Jurisdiction: Tigard Site address: 7483 SW ASHFORD ST Subdivision: RENAISSANCE WOODS Lot: 30 Project: Ouellette Project Description: Replace gas furnace in basement. Owner: FEES OUELLETTE, KENNETH J & Description Date Amount OUELLETTE, JOANNA E, 7483 SW ASHFORD Furnaces < 100K BTU 06/10/2009 $14.00 ST 12% State Surcharge - Mechanical 06/10/2009 $8.70 PHONE: Minimum Fee Adjustment - Mechanical 06/10/2009 $58.50 Contractor: EASTSIDE HEATING & AIR CONDITIONING 7200 SW JOHNSON CREEK BLVD PORTLAND, OR 97206 PHONE: 503 - 774 -3281 FAX: 503 - 774 -3057 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 or direct questions to 0 by calling 503.246.6699 or 1.800.332.2344. Issued By: 9 J � Permittee Signature: 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. ' .., F'f aln: 06/09/2009 07 :24 #447 P.002/002 Mechanical Permit Amalie i,4t: ��-i CEIVED ' EOROFFICE l'SEp \Ll City of Tigard � bJ1 7 SJ Received �/ f 13125 SW Hail Blvd., Tigard, OR 97223 Date/By' /r ` I Phone: 503.639.4171 Fax: 503.598�� 0 9 2009 Plan Review Date/By. Other Permit TL Gi\R'D Inspection Line: 503.639.4175 Date Ready/By: t ens- El See Page 2 for u, Internet: www.tigard or.gov CITY OF TIGARD Notified/Method. Supplemental Information TYPE IV • ' _ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work 121 New construction , Addition/alteration/replacement performed. indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. - CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* %I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: "� l..( ^ S S ,.� Air conditioning or heat pump ' di (requires site plan showing placement) 14.00 City / State/ZIP: , '‘ 6 �, o ♦ CAl 22..1\ Furnace 100,000 BTU (ducts/vents) 1 14 00 114.00 Furnace 100,000+ BTU (ducts/vents) 17 90 Suite/bldg. /apt. no.: Project name: Gas heat pump _ 14.00 Cross street/directions to job site: Duct work 10.00 jydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 - Unit heaters (fuel -type, not electric), in -wall. in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances ____ DESCRIPTION OF WORK K Water heater 10.00 Wilim Gas fireplace 10.00 P9 Ne `�0 C. CCU �LA. A '_ ‘ VV - A. • 0. e AA ' WM= Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 G PROPERTY OWNER Chimney /liner /flue /vent 10.00 ❑ T ENANT Other: 10.00 Name Cj` ' Environmental exhaust and ventilation Address: �9 n Range hood /other kitchen i Svj �l O'C S equipment 10.00 City/ State/ZIP: ,. ©% C4 22 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (S6 ) L a 3c _ r 2 Fax: ( ) • toilet compartments. utility rooms) 6.80 -- RI APPLICANT ❑ CONTACT PERSON Attic /crawispace fans 10.00 Other: 10.00 Business name: E,,,,5 \-\te.�\tn kr ' • r 00,6. Vi Ov'\v, Fuel i io PP t Contact name: '�,� r'\ E r >�I00� , $5.40 for first four; $1.00 for each additional Furnace, etc. Address: 1 Z.QC` `,,C SGhr\SGf C,v . \V& - Gas heat pump City /State/ZIP: Ip . te a 0 g1ZU(r Wall/suspended/unit heater Phone: (SC _3) ,1 --I y_ '3 2e) ■ Fax: : (5G3) 7 ' 1 Water heater yv 3d c, Fireplace E- mail: v 'rCt - O e ZC.-S \•j \ \ t"\l'0 - \ k.v-, . Cs t'r Range CONTRACTOR Barbecue r l Clothes dryer (gas) Business name: e0. .sS - s�xr\ -- Y \<` G�v \ OV�I Y\r' Other: Address: — V100 SC• j6\--,,r, ;y �,.- N ' 'c-,e__ , ' \vet • MECHANICAL PERMIT FEES* City /State /ZIP: aQ - c: \\,a� \ ` G 1. C, Co Subtotal - Minimum permit fee ($72.50) - L , S0 Phone: ( 5t-y'3) - 1 - 7 +-k - 3 2! \ Fax: ( b3) -) 1 '-,,- 30 S l Plan review (25% of permit fee) CCB lie.: 32 S 6 _ State surcharge (12% of permit tee) f3 710 TOTAL PERMIT FEE • Authorized signature c( : �:.�� i, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. i n „o • • Fee methodoloe-e set by Tri- County Buildine Industry Service Board