Permit IN ,, CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00058
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/31/2012
Parcel: 1 S136CB11100
Jurisdiction: Tigard
Site address: 8225 SW PFAFFLE ST
Project: PARTAL Subdivision: 2006 -016 PARTITION PLAT Lot: 1
Project Description: Gas furnace replacement
Contractor: FOUR SEASONS HEATING & A/C INC. Owner: PARTAL, ELLEN
1005 INDUSTRIAL PARKWAY 8225 SW PFAFFLE ST
NEWBERG, OR 97132 TIGARD, OR 97223
PHONE: 503 - 538 -1950 PHONE:
FAX: 503 - 538 -0165
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 01/31/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 01/31/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/31/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to O . C by calling 503.232.1987 or 1.800.332.2344.
Issued By: / - 11■111110 •e • •
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
IL ecb$nicnfl F �.ppiicnla r ;
CYty of '� gsrd crrnit F itsvicw � � i ice.: Mme, s a '7;
13125 SW Hall Blvd„ Tigard, Olt 97223 Phone: SO3.639 -4171 Free 503.598.1960)A N 3 1 2 012 i > y- Mho' Porn.
Inspection Line: 543.639.411$ v y Aube ono p,8, n �,■
Internet: www.tigard.or.gov CITY OF TIGA RD ' NotltldlMc h od: s ap ptaaeaattl +t.atias
TYPE OF '{y' ft„w Y r 5 r l COMMERCIAL PEE" ' gamuts - usE argaaar i
❑ New construction AddlCion/aheratian/roplsetmdnt
Mechanical permit fire am based on the value of the work
performed. Indicate the Yelue (rounded to the neatest dollar) of all
0 Demolition Other_ mechanical mateiiels, equipment, labor, overhead, and profit.
CATP.GoRY : OF ..co CONSTRUCTION Value: $ nano
g. and ?r nily dwelling ❑ Caratrtsrciallinchtsuial 0 Accessory blinding � / FEES
For special k�nrtavion uw ela ltat
Mulii.fsmily 0 Master builder 0 Other: Description J Qty. J Ea ) Total
JOB MIT INFORMATION AND Loczertp1K Heatinilcooliet
Air caaditionit,g Ul
Sob site : I • . . , 1 (requires rata showingp 4 6
iaoem _m)_ 46.75
FtItitaee 100,000 BTU d 46.75 4647
City/Slate/ZIP: ' k q A V` r� t " 0 �1 `7 {
Suite/bldg./apt. no.; � f Project name: Heat pump BTU dneahrottm 54.91
Heat pump _ 61.06
•
Cross street/directions to job site: Duct work 23.32
Ridranic hot water system 23.32
Residential boiler (radiator or
yv � : ? Unh t hecra Mel-type, not electric), 23.32
i n -run .. etc. 46..75
1KAV /� Lvt no -: Fillenfit for lure of above 2332
Other:
11 Tax map/parcel no.: other fuel vellums -
DESCRIPTION OF WORE Waaer hearer - 23.32
IIM
Gas rim •lace 33.39
!, ! �e '� /_ 1 IL �, . h Flue vent for water heater of gas
&nitr to ■ 23.32
- Lo_ I; -,.: 23.32
W .. , • het salve I ' 111111111111
Wood Ereplace/ctsert 23 -32
• PROPERTY OWNER. • I .TENANT ChtmaeY/liner!$tte/vC�t 2332
Odra` 2332
Name: • �.Q. • a _ Environmental &want and ye/ligation
Address. _ rL ii , equipment ho4diotlrorltkcl►am
equipp ment 33.39
City /State:/23P: 'I I 0 / p 4 Clothes dryer exhaust ` _ _ 33.39
._ .... - -- Single-duct Wariest (bathrooms,
Phone: ( ) Pax: ( ) _ toilet compartments, utility rooms) 2132
<' .APPLICANT . • .. ` .'.0.CoN A i FUSON Anidertiwlsvacefame 23.32
Other: 23 -32
. �.: W,'= '•_ �+�, Fuet Rtp
Comact name: AND AIR CONDITIONING INC- $14.15 litr first lbw; 84.03 for each additional
Address 005 INDUSTRIAL PKWY ` °c
NEWBCRG, OR 97132 Gas heat ,
„I
City /Statel7JP: _ Well/sm.. heater
Phone: (,5D3 : — q `o Fax_ : (46-0 , 538 -- 0 6S- Water heater - �-
Fi ace IIIIII &iltail __.... _ Range
. CDNTBACTOR" Barbecue
. 1 L _ Clothes &Yet {Ens)
,. u. W -,; I 1C Other. ,a ss: AND AIR snit [ r 6,, 0- _ MEtOiICAL FEES*
city/Stare/zrP: Iif 1 " USTRIAL P • Strbtot$l
L permit MOM) in 0
Phone: (. r ) . I ' n _ y mt
) 7 3-- 5 6 -01 O .S Plan review amps of permit fee)
GCB lie.: q 7 1 S rte .. Stale surcharge (12% of permit fee) /U gp
-
'y OTAL ik PERMIT FEinE Jth 4 $lam lS
C - This permit unt end q getmit le root obiund r+ft;:4a tt
Au�torized stgrtaa�: eu4s edeu u hs been as oeptad u gearptato
Print name
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