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Permit CITY OF TIGARD MECHANICAL PERMIT 2 , COMMUNITY DEVELOPMENT Permit #: MEC2011 -00390 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/01/2011 Parcel: 2S102CCO5800 Jurisdiction: Tigard Site address: 13665 SW GARRETT CT Project: BROWNING Subdivision: BEREA Lot: 19 Project Description: Heat pump and gas furnace installation with fuel piping for furnace. Contractor: SKY HEATING & AIR CONDITIONING, INC Owner: BROWNING, STEPHEN D & LINDA M 1637 SE NEHALEM ST 13665 SW GARRETT CT PORTLAND, OR 97202 TIGARD, OR 97223 PHONE: 503 - 235 -9083 PHONE: FAX: 503 - 235 -0454 FEES Specifics: Description Date Amount Furnaces < 100K BTU 09/01/2011 $46.75 Type of Use: SF Heat Pump 09/01/2011 $61.06 Class of Work: ALT Type of Const: Fuel Piping 09/01/2011 $14.15 Occupancy Grp: 12% State Surcharge - Mechanical 09/01/2011 $14.64 Stories: Fuel Fuel Types: Natural Gas Gas Pressure: Total $136.60 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 503.232.1987 or 1.800.332.2344. Issued ,^^ Permittee Signature: Call 503.639.4175 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. 08/31/2011 01:52 5032350454 SKY HEATING AND AC PAGE 02/03 Mechanical Permit Applicati 1 Tigard 1pi u c ' k "" fi RcCCfvccl Pesmit N n .; . City 25 SW Fran aid,, Tigard, OR 9717 G Plan Revie nn( y; 3 / �► /1'1FG� ll ` [�U C.O IR. ' 1 l Phone: 503.718.2439 Fox: 503.598.1 1 2011 n�rcy; Other Permit! r r i; A 12'r) Internet: Line: 503.639,4175 • ip Date Ready/By: Jvri?' RI Ste r O 2 for lntcct: www.tigard -or.gcn 11 f OF T!G d Not;Kcd/MCihod; Supplemental Information atilt-DAM 67 t ° u ? 7 ,J L� ' Mechanical permit .flees'" are based on the value of the work [I New construction IS Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit 'Clrr74: Value: $ . uy � � ;; , .. , :. , , ir Itr ' `�tq' ' ,' A ' _ ' I'd I '? '.: 'Y 7'•i ittifi i i ,. ® I - and 2- family dwelling 0 Commercial /industrial. [D Accessory building For special drrfnrmaeiwr rive checklin: © Multi- family El Master builder 0 Other: Description 1 Qty. 1 Ea. I Total Job �Cx''la ., '4f`IV'0'`� ' 'lf"IOIiT': ':r ,, :.: . .. pfcoali g1E, --.... Heat,n Air conditionin site address; 13665 SW GARRETT CT (requires site plan showin lecemcnt 46,75 Furnace 100,000 BTU (ducts /vents) 1 46.75 46.75 City/State/ZIP: TIGARD, OR 9722.3 Furnace 100 BTU ( ducts/vents ) 54,91 Suite/bidg. /apt_ no.: I Project name: BROWNING Heat pump (requires site plan showing placement) 1 61.06 61.06 Cross street/directions to job site: Duct work 23.32 Jydronic 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; I Lot no -: Flue/vent for any of above _ 2332 Other; 2132 Tax map/parcel no.: Other fuel appliances: Y , Imo:` :?ik!CI , Water boater 23.32 INSTALL GAS rAS FURNACE, HEAT PUMP. RECONNECT TOE . , -- Gas fireplace 33.39 XiSTiNG VENTING, Flue vent for water heater or gas DUCTWORK AND GAS LINES. UPGRADE MAIN GAS LINE TO I ". filoplacc 23.32 Loglighter.((a.) 23.32 Wood/pellet stove , 33.39 wood'fireplace /insert 23.32 ner /flue/vent 23.32 , ROWNI .,_ .' NG , °. - Other: 23.32 Name: STEPHEN & LINDA B Environmental exhaust and ventilation: Addresm: 13665 SW GARRETT CT Range hood /other kitchen mm - .. equipment 33.39 City /State/z1P: TIGARD, OR 97223 Clothes dryer exhaust 33,39 Single -duct exhaust (bathrooms, Phone; (503)307 -7301 Fax: ( ) toilet compartments, utility rooms) 23.32 ,, . ,.. : . . . , ',.,. � �`�� li"i1iT : � p Cel$n4 „ .. .. .. - Attielcrawls a ........23.32 Business name: SKY HEATING & AC, :INC Other: 23.32 Fnel piping: Contact name: TAMI HAGEMAN $14.15 for first foari 54.03 for each a dditkmal Address: 1635 SE NEHALEM ST furnace, etc. 1 14.15 Gas heat pump City /State /ZIP: PORTLAND, OR 97202 Wall /suspended/unit heater Phone: (503) 235 -9083 I Fax; : (503) 235-0454 Water heater —" - ' Fireplace E -mail: TAMI@SKY1[EATING.COM Range fJ iTCJe[L : , , , Barbecue Business name: SKY HEATING & AC, INC.. Clothes dryer (gas) Address: 1635 SE NEHALEM ST Other: City /State /r;iP; PORTLAND, OR 97262 Subtotal 121.96 Phone: (503) 235 -9083 P Minimum permit :fee ($90.00) Pax: (503) 235-0454 Plan review (25% of permit fee) CCB tic,; 50244 State surcharge (12% of permit fee) -- 14,64 _._ TOTAL PF.RMIT FEE 136.60 Authorized signature: # • i r 4k Thin permit applleatino expires if a permit ix not obtained within ISO days after it has her,, accepted as asmptett= Print name: TAMI HAGEMAN 7 Date: 5/31/201 • Pee methodology act by Tii -County Building Jndurtry Service l3ns M r: uu , dieing\iermitew..c- ra'manaP.dec 01/ow 410- 1617T (Ii/02/('OM/WEBY 08/31/2011 01:52 5032350454 SKY HEATING AND AC PAGE 03/03 r Z x Let c s A i U. k s X _ — r-3 , i ta 1 8 ___________---- ____ '----------- ...-,, ,,,k ...._) e= \r‘