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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2012 -00056 Date Issued: 01/27/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 1/27/2 D01100 Jurisdiction: Tigard Site address: 11385 SW LAKEWOOD CT Project: Varga Subdivision: ENGLEWOOD Lot: 51 Project Description: Install new gas furnace, a /c, venting for gas water heater and gas piping for furnace, water heater, range, dryer & bar- b -que. Placement of a/c must meed 5' side and rear yard setbacks. Contractor: AIR PRO HEATING & A/C INC. Owner: VARGA, RANDY 7405 SE POWELL BLVD. 11385 SW LAKEWOOD CT PORTLAND, OR 97206 TIGARD, OR 97223 PHONE: 503 - 771 -7871 PHONE: FAX: 503 - 771 -5579 FEES Specifics: Description Date Amount Air Conditioning 01/27/2012 $46.75 Type of Use: SF Furnaces < 100K BTU 01/27/2012 $46.75 Class of Work: ALT Type of Const: Flue Vent for Water Heater or Gas 01/27/2012 $23.32 Occupancy Grp: Fireplace Fuel Piping 01/27/2012 $18.18 Stories: 12% State Surcharge - Mechanical 01/27/2012 $16.20 Fuel Fuel Types: Natural Gas Gas Pressure: Total $151.20 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 -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: 4 9 4 7 } 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. 01/27/2012 15:14 5037715579 - AIR PRO HTG PAGE 02 Mechanical Permit Application RECEIVED 1,•Ol: <►1.1.1c' I tit: OM A City of Tigard Dat / permhNo.: � D /o? — dGYJ r.. w. 13125 SW Hall Blvd., Tigard, OR 97223 JAN 2 7 2012 i»�n Ra ,, ; �,, ti ' 1 Phone: 501639.4171 Fax 503.596,1960 Date/By: Other Permit 1 I r:; A r; 1a Inspection Line: 503.639A175 CITY OF TIGAR Datc RcadyBy, Yens! ha see Pngc 2 fee Internet: www.tigard- or,gov BUILDING DIVISIO 1 Notified/method. , Supplemental information , o I J ',, r I: t { ' i. , !' ' t , 1 , ,, 4,G. I6 ' t © New construction "Addition/alteration/replacement Mechanical permit fees'" arc based on the value of the work performed, indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. 1 Value $ 0 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For " special information use checklist. ❑ Multi - fancily ❑ Master builder ❑ Other; Description I Qty. I Ea. I Total .i....-..,.: ..,- 7 ;.:'t, - _� ___. ........._. ,i_I ...........::.r:.:'i...i.,. ,.....,.,,. ...,.,,,...... Vi . � 1 — - - ...+ A .! r fl ' . I 1 1 ;1 g/ g Cl Job site address: ] Air conditioning 7 / 3 es , 5 to /� c t' ,,J . e,7 d / (requires site plan showing phaoamarnt) 46.75 7l City / State/ZIP: r C Q r a ok 9 7 2. 2J U Furnace 100,000 BTU (dtcta/vents) 46.75 d / • J / Furnace 100,000+ BTU (ducts/vents) 54,91 Suite/bldg. /apt. no,: Project name: Heat pump 61.06 Cross street/directions to job site; Duet work 23.32 ... . Hydronic hot water system 23.32 Residential boiler (radiator or h dronic 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 23.32 . _ . Other: 23.32 Tax map /parcel no.: Other fuel appliances i r A Water heater . 3 • f �l z3 :..,,."1 . ) • I L it 33.39 Gas fireplace Flue vent for water heater or gas / / .� fireplace 23.32 .Z 3.3 ("e r, I�& Y IL , .n 4i ,,,! di j e. C C. G.-rr -- A�'6..l t Log lighter (gas) 23.32 i i i.4 s ` A - f . ,, Wood/pellet stove _ 33.39 P Chimney/liner/flue/vent 23.32 + ,,"*. ` I I I I .i. 'l ' Other: 23,32 Name: ,, f �!, f� � c,-J, o r , Environmental exhaust and ventilation Address: 1 /3 8 5/ 7 . 5� V - a 1 6�. Range hood/other kitche � c.ui,mcnt 33.39 City /State/ZIP: , . i , , 2 .. Clothes dryer exhaust _ 3139 • Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet corn . artments utili rooms 23.32 -- - . } ._, ii r i y 1 - ;: Att1C/CrawlspaCC fans 23.32 _ Other: 21.32 BusincsStume:A / yrcy,, . n.� A16- , i • Fuel thin; S � Contact name: w/ $14.15 for first four $4.03 for each additional Address; Q I Furnace, etc, • Gas heat pump _ City / State/ZIP: a /../ 4. ,J Q 4 g7 � C _ Wail /suspended /unit heater 1 � � Phone: (S-Q7 )"7' /- 18 -2 / Fax: : S� ) 77/ —,r'- 7 y . water heater � ■�t L ila Fire -lace . 111.1.1 E -mail: e/ /la e �, ,. / ,- A G �,�. • . Co Range h 'I Barbecue I Business name: y Cloth es dryer (gas) Address: '- . I , ..,. ., �I'�l tf, Subtotal City /Statc/T,TP: pirmged Minimum permit fee ($90.00) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) .— CCB lie.: - 7 2, of 6 State surcharge (12% ofpetmit fte) 16 AO TOTAL PERMIT FEE / 5/ .a Authorized si aturc: This permit application expires if permit is not obtained within 1V 0A dor. after it has been accepted as complete. Print name: ,,..., 4 44,0 u•. , G Date: / -- Z6 / 'L, ' Poe methodology set by Tri- County Building tndu*y Sorvico Board 1:lgnlidInq \PennItANI C•PermitApp.doc, 10101/09 440.46171' (11 /02/COM/WCII) 01/27/2012 15:14 5037715579 AIR PRO HTG PAGE 04 f /,,, 1158s s L5 GrJ, 6L Y72.2_3 (S 7 7 /- 787/