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Permit CITY OF TIGARD MECHANICAL PERMIT '1 COMMUNITY DEVELOPMENT Permit #: MEC2009 -00131 Date Issued: 03/26/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102BC00105 Jurisdiction: Tigard Site address: 10260 SW BROOKSIDE CT Subdivision: WALNUT ACRES Lot: 4 Project: Mack Project Description: Replace furnace. Owner: FEES MACK, DAVID J & LORI A Description Date Amount 10260 SW BROOKSIDE CT Furnaces < 100K BTU 03/26/2009 $14.00 TIGARD, OR 97223 FlueNent For Any of Above 03/26/2009 $6.80 PHONE: 12% State Surcharge - Mechanical 03/26/2009 $8.70 Minimum Fee Adjustment - Mechanical 03/26/2009 $51.70 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: (paI, y e MtvA Permittee Signature: ` 0 , ;�. • ( • 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. 03/26/2009 10:52 503 - 682 -1018 SUPREME COMFORT INC PAGE 01 FOR :OFFIC 115E ONIN ' Mechanical Permit A iica COVE" .. .. City of Tigard d Receive Datersy, • ► ,' © �.� Permit No.: u � Q4q. 13► " 13125 SW Hall Blvd , Tigard, OR 97223 VAR 2 6 2009 pion Revi phone: 503.639,4171 Pax; 503.598.196 Date/By; 'TIC-VAR . Inspection Line: 503.639.4175 DarcRcney/ny' loin 10 .tetoile2for Internet' www,tigard•or,gov CITY OF TIGARD Notified /Method; Supplemental Infnrmntion BUILDING DIVISION.. . _ _. TYPE .OF 1rt?ORK,,. .....• • • f COMMERCIAL' FF3;L* 'SCHEDULE - USE CHECKLIST "� "' Mechanical permit fees* are based on the value of the work ❑ New construction F^I Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment labor, overhead, and profit, Value • . ,' CATEGt7Rl'' Ot CONSTRUCTION .,,' ... . . --- S • - ' RESIDENTIAL ECiUIPMENT / SYSTEMS FEES* ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Fur spr.Ncrorman,t I.. f ln�o checklist. E:1 ❑ Master builder 0 Other; Description W.. Qty. t-.a. Total ioh site address: 10260 S ;Ml SIT .1'NNORNIAT1'Oi`J,A,ND IOCAtION:, :.• Heating/cooling „. W (requ conditioning plan hu or heat pump SW Brookside Ct. - ( . nn chtlW lilt; placement) 1400 City /State /ZIP; Tigard, OR 97223 • Furnace 100,000 'f"U (ducts /vents) - I 14 00 14.00 - - Furnace 100,000+ BTU (tlncls/vents? 17.90 Suite/bldg./apt, no Project name: Mack Gas heat pump _ - 1400 Cross streaUdireclions to, job site: Duct work 10.00 - I- (dronie hot Water system 14.00 Residential boiler (radiator ut' hydronic) • 14.00 Unit heaters I fuel-type, not electric), in -wall, in - duct, Suspended. etc. , 14,00 _ - -- Flue /vent for any of above I 6.10 6 80 Subdivision: Lot no.; Other; 1000 Tax map /parcel no.: Other fuel appliances . : ''DESCTtiP1iON 'Of` ,WORk a r • ,. . ' . . W to heater 10.00 - _ ' `` Gas fireplace_ 10.00 1 pla Furnace Flue vent for walur heater or gas Fireplace 10.00 Log lighter (eas) 10.00 Wood /pcllel stove _ „ -- -- 10.00 - _ M_ Wood fireplace /insert 1(1.0(1 f'RCyPCRTY, .01�wI R ❑ "N "IyNA i incrfflue /tact 10,00 Ch nuacyJ � 1 n nn _.. .._. ,_,,., -- Other -- 1 000 Name: Dave Mack Environmental exhaust and ventilation u ._ - Range bond /other kitchen Address: _ ". equipment - 1)1.00 City/State/ZIP: Clothes dryer exhaust - -- 10 .nO „ __ - ._ ,• Single-duet exhaust (bathrooms. Phone: ( ) Fax: ( ) toiict'compartments. Wilily rooms) 6.80 ® API'I,ICANT .. ONTWC 1' P ERSON, Other: 1 10.00 Cl C: " ' AIl1C /craNlsmcL fans 1 0. (1(l Business name: SAmc no contractor ^ -- -- — Fuel l'!l': "8 ,_ _ ..._ Contact name: 85.40 far first four: $1.00 for each additiona µ Furnace, etc. Address: __ M -- Gas heat pomp • ._ City /State /ZIP: wail/suspended /unit heater -_ Phone: ( ) Fax: : ( ) Water heater _ ,.,-. --- Fireplace, .r.. •..,_,. E-mail: ' • Ranee — - -- . . ": CONTRACTOR,, . , Barbecue - Business name: Supreme Comfort Inc dryer (Ras) w -._ ,_ , Oilier; _ Address. 9425 SW Commerce Cir, ti t , . . MECHANICAL PERMIT FEES* • City/State/ZIP; Wilsonville, OR 97070 Subtotal 20.0 Phone: (503) 682 -1985 y Pax: (503) 652 -1018 M „�,,, . Minimum permit CeC (872.50) „ ,",,._ Plan review 125% of perntil I•ce) _ C ca tic. 2l 92 _ _ Sinle yrchnrgc 1 12 %of permit fee) 8.70 f — -- - TO. TA PERMIT FEE 81.20 / A horized signature:: Thic permit npplit e�p■roo if of permit iA riot ohtninrd within ISO . - nyx at1Cr it hail been CC 31C1)trd to complete. Print name, Randal Lapp _ • r d Date: 3/26/2009 ! " Red mcthoclology set by Tri- County fondant!. lush of y Service Board 1,e nedl ,I,, rnrml+App,Anc 01/19)07 400.4617T ( 11102ICOM /Wien