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Permit CITY OF TIGARD MECHANICAL PERMIT ': ' COMMUNITY DEVELOPMENT Permit #: MEC2009 -00298 T1GAg. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/22/2009 Parcel: 2S111AD17900 Jurisdiction: Tigard Site address: 14826 SW JONAGOLD TER Subdivision: Lot: 0 Project: Venturini Project Description: Install A/C Owner: FEES BEACON HOMES NW INC Description Date Amount 12703 SW 67TH AVE TIGARD, OR 97223 Air Conditioning or Heat Pump 06/22/2009 $14.00 12% State Surcharge - Mechanical 06/22/2009 $8.70 PHONE: Minimum Fee Adjustment - Mechanical 06/22/2009 $58.50 Contractor: THERMAL FLO INC 7236 SW DURHAM RD 100 PORTLAND, OR 97224 PHONE: 503 - 670 -8343 FAX: 503 - 598 -6746 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: Total $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: ill A V Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 08122/2008 08:17 5035988748 THERMALFLO #0834 P.002/003 Mechanical Permit Application FOR OFFICE USE ONLY Received pCrmrt No.: A� City of Tigard RECEIVED Rec l' I `�C o ( ,7, 7/ 14 a 1 3125 SW Hall Blvd., Tisard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503,59£ 4 DseBY Other Permit: TI GA RD Inspection Line: 503.639.4175 JUN ' 2 2 2009 Date Ready/fry: .Ion 0 See me 2 for Internet: www.tlgard -or.gov Notified/method. SUppleVnental CITY OF TIGARD -�.. , Ir4 , P IVISION' ., • ,,coniiigRCtn:[ ?O .s:qT1E`fSTTT,"E � t;filE, � c1EI3✓CK]G}•5'r :: 0 New construction Additionfalteration /rcplaccment performed. n dica t the arc based on the value r s td of ar perlMmed. Indicate tfie value (rounded to the nearest dollar) of all 0 Demolition 0 Other: I mechanical materials, equipment, labor, overhead, and profit. Value: S (] Accessory building SID l l� CAPEGORY UF, (?Qiiid$TRi1GTI01\ E14 P) Q JIP141ENT (::SY,5TE1ViS k ES' . ..:.„ i. :,,•..i II 1 - and 2 family dwelling D C.ommcrcial /industrial Far s cial in ormalior use checklist. D Multi- family D Master builder D Other: Description l Qty. I EA. ! Total :,JO1iIcL � 'MATiOI\ . i .t. `li•OcA710 Ileating /eooiing• • Air conditioning or heat pump 1 a 6 ,lob site address: /4-e C 9d i 0/b '7 o' - T P/ "(rec site plan showing placement) I 14.00 iii City/State/Z11': �0r�� Furnace 100,000 BTU (ducts /vents) 14.00 n — . ` � 2 � 2 0 � Furnace 100,00(;` BTU (duets/vents) I 17 90 Suite/bldg. /apt. no.: Project name: (jut, heat pump 14,00 Cross streetldi•ections to job site: Duct work _ 10,(X) lydronic 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 Flue /vent for any of above 6.80 Subdivision: Lot no.: Other I 10.00 T + Tax snap /parcel no appliances DESCRIPTION OF;'? e a e . , , ;' „ :. h er fuel I U UU Wat h r GEL'S me lace • 10.00 Flue , r7 � ue vent for water heater or gas �+ -� �// fa / / �+ Con. %l/ � Lop •Iiace :h Log l (has) 10.00 I • Wood /pellet stove • 10.00 Wood fireplace /insert 10.00 . m iner /flue /cot ' P-ROPE1'TY iOWNEIt i t k' iiTT' .: - I 10 00 (;}ti ncy/i v Other Name: ,' 1 1 Elms l -aTttr F /2 ( ' Environmental exhaust and ventilation Range hood iothet kitchen Address: o equipment } 10.00 City /State/ZIP: / gf a 0 / , .F Clothes dryer exhaust 1 I 10.00 Single -duct exhaust (bathrooms, 11 Phone' . 2q- /,) 70 Fax: ( ) toilet compartments, utility moms) 6.80 . eta c f , ' wis c ans 1000 _ ', . ® AI'I'�1CAl\''I' -.,. : ,,. ;. D, i(•Ol'1T'AG ''P.ER5U3� ,:. .11:•;:::.::.:. — Other _ __ I 10.00 I Business name:. " Fuel piping . — Contact name: >< 5 5.40 for first four: 51.00 fo math additional • f y � i � r Pumacc, etc. Address: • + Gas heat pump City /Stale /L11': Wall/suspended/unit heater I , Water heater { i Phone: ( ) Fax: : ( 1 Fire place E Thalia/ QI IGV • Cain-- 1 1 C:NTRACTO ....', ,,, O � .,. .. .. ; Barbecue _ I • e Clothes dryer (,as _��_ Business name: 17 f _ + -j'ej•'J I fn l/ i A / . I Other: • - Address: /' o (7 • i ,/ 100 MECII „f City /Stale/Z1f'' joartla., , _r 1 f Su btot al I if. ad 3 i� `��F/ �% Minimum perrrtit f (S7,2.50) '72 �0 P hrme: Fax• D - i =/ C!� I f I H - Plan review (25% of pen tee) et CCD lie.: ib �7 State surcharge (12% of permit ice) I e 3-7e,7 I TOTAL PERMIT FEE 0 j•-101 • This permit application ex¢eres.tf a permit is not obtained within 180 Authorized signatur days,after it has been accepted ax complete. i name � ©� /e f N j Date: 6 �Z a 1 ntethodolog sat by Tri- County (;uilclin lndusrr3 Scrvioc Board { r 0'x/22/2009 14:26 5035986746 THERMALFLO #0642 P. 001 /001 ( Site Plan Prepared by: She Date: 6 r o 4 Customer Name: L/e4o_f Address:/q.816 o old - Customejr Phhon ?- % ✓ - 7 y Property Bo undary Line CL"; • 1rJ C Coo let- ;' /3' House to . Ccsnsa. ' r -... _. _..._ - - - - -- . . .......... . street