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Permit CITY OF TIGARD MECHANICAL PERMIT . .� `� -- COMMUNITY DEVELOPMENT Permit #: MEC2009-00412 T1GAF7D' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/11/2009 Parcel: 2S 111 BA08000 Jurisdiction: Tigard Site address: 9534 SW JUBILEE CT Subdivision: Lot: 0 Project: Warren Project Description: Install gas furnace. Owner: FEES WARREN, RANDY G & JANET L Description Date Amount 9534 SW JUBILEE CT Furnaces < 100K BTU 08/11/2009 $14.00 PORTLAND, OR 97224 12% State Surcharge - Mechanical 08/11/2009 $8.70 PHONE: Minimum Fee Adjustment - Mechanical 08/11/2009 $58.50 Contractor: ADVANTAGE HEATING & AIR CONDITIONING PO BOX 21086 KEIZER, OR 97307 PHONE: 503 - 393 -5315 FAX: 503 - 393 -2253 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas 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. Issue By: ) 0 ,•,• l f Permittee Signatur : 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. • k ;,, Ra pp '. ' ,CEIVED Mechanical Permit A 11Cat1 ti u; ! FOR OFFICE USE ONLY City f Tigard REiew ived i 1 1 / 0 " )/ , • I Permit No figC • — © 4 00 ila q 131 SW 1 -lall Blvd., Tigard. OR 97223 AU G 0 7 2009 D Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: TIGARD Inspection Line: 503.639 CITY OF T Date Ready /By: MI H See Page 2 for Internet' wwtv.tigard or.gov Notified /Method: Supplemental Information BUILDING DIVISION .,. , ,,��.:,ii ,,, „ �. ; CHEDULE = :' GKLIS as , , ..._., „ ,. ,�, �, _. _. �' � RGIAL' -FEE S ' SE >CHE T .`.� -.' L.. � .. <..�a ;�'r a.! „.�� ' .., ; " "'....:«a �N . .::..... . ... .'«�., . Pi k ,.. ,.>,,.- '<w,, ". <- ,. sn�. . «,. zx.H .. :.. � ,,, ., .azm Lws' a:,= xs. .,,,v'�'.n:- :,; "....h.u;..e� �:,✓�..,.',:�'.0 ,,:,,-- <x- :,,,,,; ..:s,{C � Mechanical permit fees* are based on the value of the work ❑ New construction `ddition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all • ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and rofit. `�?ta; x„ , ;,- 3- '•,,i >i €F- ,'s'r; °''- :;:�;:� Value: ��, �): ::�:. y, CA'itEGO Y =: ' N STI2LTCTION.`.:•,.tx::��� �> �,. R OF = `.CO • and 2-family dwelling , 4. S ID E N TI A L t E,Qi7IP�E /SYSTEMS, F' E, S * y � % sr, ,, y g ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total :v �Ipi: "�i•'�; ., .r .,„��,,,, > u T,w,t�n ,�ruH ,i;lf' �',�e HeatinWcooling f ,i SITE n1NFORMATION,.;AND LOCATIOlY =;" •'' y; Air conditioning or heat pump Job site address: ' �5 3 �l (� pe c_..1.-- . (requires site plan showing placement) 14.00 a) City /State /ZIP: f a,�� OR g _ aalI Furnace 100,000 BTU (ducts /vents) / 14.00 � I I Furnace 100,000+ BTU (ducts /vents) 17.90 Suite /bldg. /apt. no.: Project name: k Ctc \ Gas heat pump 14 00 Cross street/directions to job site: Duct work 10.00 • Hydronic 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: 10.00 Tax map /parcel no.: Other fuel appliances ' A;, ',•:4, _ "': " s Water heater 10.00 ,a< DESCRIPTION" OF ;WORK' ,.:: ",. • . _ , ..': ., ,,;., •': _.:.. ;..�;� �,5''�.: "�=�' " .,..,,,'_,'(,'pin' - (' � - nQCn Gas fireplace 1000 � 1 �� e ` � x X r 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 iner /Flue /vent F� �, Chm hey /I' 10.00 4 ;;3 ';; ROPEIiTY' " i +;,; ,",: * I ` ” ,:�'-. ¢» , ��., ,., E;> _.,�.� ..,,�e�•,:, >- �;;,,, ,- . ": ".. .> ...., . -�..< .,?;i °, .�, -A. �.., � "z� ... „ri.,i, >_ - .... >,., .. �� :���<�;�,:i,,,,:.,,,�:: -...;_ ter. 10.00 oth Name: (� „ (id I , 4 l carc r Environmental exhaust and ventilation 1 �L �%V �i Range hood /other kitchen Address: is34 `Jt `x ,,,,b, t ex C equipment 10.00 City /State /ZIP: J; (lei , no c l a--- Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( 5 -63 ( (p 9 1 Fax: ( ) toilet compartments, utility rooms) 6 80 `i , ''. ,.2°�,> , i>3'i „'"t ttic /craws ace fans 10.00 p '; � _ � , � • PPLI CANT;'�;�: CONTACT;, °PERSON ''� „ '3; , r;� A l I Business name: �” _ Other. 10.00 . , q 1ti` c.0 �z _e Fuel piping • Contact name: )'1 L t( $5.40 for first four; $1.00 for each additional Address: •2t", c v .e u o . t� N Furnace, etc. ��11""�I Gas heat pump City /State /ZIP: ( 7 f (Q c1 —)363 Wall /suspended /unit heater Phone: (9)3) 7 - r I ,, Fax: : ( - .- as 53 Water heater Fireplace E-mail: Range ,s;. li=;,,; , ,r ,: r %. "•a;;t,j ;.�s` c:z:,: ?y- 1,s,.: ..i;;a :;,.; „ r , .,.;;r,,;,;:. ,,,,, . €_° s ',1, , , ,._, -, :.- ,<'; Barbecue s� °'CONTRAETAIt;^ Business name: R�� p n ' Clothes dryer (gas) �9 i��� 1.( ,3Ih O ther Address: /(� -� 1 - ��/ : i i e :o : ' 4v .-. -. •, % _ , _ I" ' - , _ x p� g , , xtz, :• P S* - _ " '• City /State /ZIP: � � f j - ier a , . q - .. Subtotal /1.4 0 0 Phone: ( j -' s Fax: ( c ? � 3 pHas-- 3 Minimum permit fee ($72.50) -7=/-6-45) � I 3 � Plan review (25% of permit fee) CCB lie.: \'ly "...ti, U a • 9, • ti State surcharge (12% of permit fee) TOTAL PERMIT• FEE ���,� -fir g — � _ �� This p ermit applicat expires if a permit is not obtained within 180 days after Author signature: ) ,&, df it has been accepted as complete. ((�pper�' Print / Date: _. * Fee methodology set by Tri- County Building Industry Service oard i:\ Building \Penniis\UIEC- PermitApp,doc 01/19/07 440 -4617T 111 /02 /COM /WEB)