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Permit CITY OF TIGARD MECHANICAL PERMIT 2 > COMMUNITY DEVELOPMENT Permit #: MEC2012 -00003 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/05/2012 Parcel: 2S114AB00100 Jurisdiction: Tigard Site address: 16025 SW 92ND AVE Project: MOONEY Subdivision: 1993 -078 PARTITION PLAT Lot: • 2 Project Description: Gas furnace replacement and heat pump installation. Heat pump must meet 5 ft. minimum rear and side yard setbacks. Contractor: OREGON AIRE INC Owner: MOONEY, WILLIAM P & TINA M 7715 NE 33RD DR STE A 224 CROUSE WAY PORTLAND, OR 97211 ST HELENS, OR 97051 PHONE: 360- 423 -1966 PHONE: FAX: 360- 423 -1978 FEES Specifics: Description Date Amount Furnaces < 100K BTU 01 /05/2012 $46.75 Type of Use: SF Heat Pump 01/05/2012 $61.06 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 01/05/2012 $12.94 Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas Gas Pressure: Total $120.75 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 By: / Permittee Signature: �� Call I .•39.4175 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. G. , d `, C. •v 1Wi, f ■• 1 L� ( ca \J r Z.✓ 1,..1 1- •••-• Mechanical Permit Ai i licati uri � FOR OFFICE i;s1. ()NIA City of Tigard 0 I keceived � Permit No.: llate lily jgrA ilAi a..._........, _ 1111 13125 SW Ilan Blvd., Tigard, OR 972 JAN 0 5 2012 flan Review Phone: 503.718.2439 Fax: 503,598 :19 '0 °Melly O her Permit: ins cction Line: 503.639.417,5 , T I G,4 K D P ]'lyre Ready/By: H Sec Page 2 for -� Interne[: www.tibttrd�ir.gov J r 9r71 i Noti,„„Melhtxl: pplcmentallntormHtiun S u lVjs] 1Yl°k 4)F Wi7I�K MMic�� J L SC I'1UL '.. &C:liiCLT'S ' Mechanica p es* are based on the value of the work ❑ New construction ® Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor. overhead. and profit. © Demolition 1:1 Other: CATP, GIOi;Y O1H:C )'JSTRIJCT ON ' .O Value: , . .: .. ... ....... ' s , .,, ',, . : u>,.tilt71EN'IIr\1E. I' Ct1itwstp �XSoNI'S.FI6TGS" E 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special informnfiolt use checklist. 0 Multi-family ❑ Master builder ❑ Other; Description I Qty. L Ea. I 'total Heating/cooling: JOB i gh , ' iNPC}taktIitig iNfrr L 0A1,i91 :. Air conditioning Job site address; 16025 sw 92 ave (requires site plan showing placement) .46.75 City/State /ZIP: Portland, or. 97224 .... Fumsec 100,000I3TU (ducts /vents) ^ 1 46.75 46.75 F'umego 100 ,000+ RTI1(dduucts /ventss) - 54.91 -- Suite/bidg. /apt, no.: ( Project name: MOONEY — T•leat pump (minim 5 rim" sl,<,wing placement) 1 61.06 61,00 Cross street/directions to job site: Duct work _ 23,32 Hydrunic hot _water s stem 23,32 �.. _. .^ • _.. Residential boiler (radiator or hydronic) 23.32 — Unit heaters (fuel -type, not electric). in -wall, in -duct, suspended, etc, 46.75 T — Subdivision: 4 - no.; Fltic /vent for any of above 2:3.32 — - -• -• Other: 23.32 fax map /parcel no.; Other fuel appliances: , w ,' 1IPSr. irr )N W ii0 , Water heater 23.32 G s• _.,___ REPLACE AS FURNACE, ADDING HEAT PUMP AND COI Gas fireplace 3139 ' Hue vent for water heater or gas fireplace 23.32 • Leg lighter as 23.32 • wM. Wood/pellet stove 33.39 Wood fireplace /insert 23.32 . ( ,N'ItOPERT�' ii.ws tie 7I livai�;r l cy /hoer /flue . i vent 2 .»� .. „ .� Other _ 23.32 Name; TINA MOONEY Environmental exhaust and ventilation: Address: 16025 SW 92 "0 AVE Range hood/othcr kitchen - equipment 33.39 City /State /ZIP; PORTLAND, OR. 97224 Clothes dryer exhaust 33.39 _ Single-duct exhaust (bathrooms. Phone; (503)869 -8748 Fax: ( ) toilet compartments, utility rooms) 23,32 i A AL ' , CCIIVTACr , � " 1;R Ni r' I Auic/t:rawlspace tans 23.32 Other: 23,32 Business name: OREGON AiltE Fuel i in Contact name: NA'I'ASSIA DVORAIti _ $14.1.4 for first four; 54.03 for each additional Address: 7511 NE 33 DR. SUITE A Furnace, etc Gas heutpunJp City /State /71P: PORTLAND, OR 97211 _ Wail /su-tipended/unit Phone: (503) 335 - 1111 Fax: : (503 - 335 - 9977 Water heale Fireplace E NDvorak4doregon- aire.com CONY tAC _ Business name; OREGON AiRk Clothes dryer (gas) �_ Other; Address: 7511 NV 33 DR. SUITE A :: ME(HANk: A1« .... .-- - -t City /State /ZIP: PORTLAND, OR. 97211 Subtotal 107,111 Phonc ; (503) 335 -1111 Fax: (503) 335 -9977 Minimum permit fee permit fcc Plan review (25% of perttut fCC)_ ,enrol a i permit is not obtained CCB lie.; 64235 State surcharge (12% of permit lec) __ 't " 'Ili _. - •_ - Pr" , - I'hir TOTAL PER FEE 11d .15— f application i s tion ex p' res if p ed vithin loll • Authorized Sibmuturc: ' �� days after it has been accepted as complete. - Print name: ' - .. II' � � .. ' Date: 1/4/12 , j • Fee methodology s by'I'ri- (;aunty iSuifdiny, Inda..i y Service Board I:',H,..Inn \I'r,,ncl d rnni,A1 6 9L6 '0N I) adx3 1 ) 0111/03 'saa)2ap Z WdSZ :9 ZlOZ 'ti 'lFr Jan. 4. 2012 6:26PM 72 degrees, Comfort Expert No. 9769 P. 3 \f • Nis V � t 0