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Permit
,� CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2009 -00280 Date Issued: 06/11/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112CB13800 Jurisdiction: Tigard Site address: 14800 SW KENTON DR Subdivision: Lot: 0 Project: Westlund Project Description: Install heat pump and gas furnace Owner: FEES WESTLUND, ANDREW NNALORIE A Description Date Amount 14800 SW KENTON DR Air Conditioning or Heat Pump 06/11/2009 $14.00 TIGARD, OR 97224 Furnaces < 100K BTU 06/11/2009 $14.00 PHONE: 12% State Surcharge - Mechanical 06/11/2009 $8.70 Minimum Fee Adjustment - Mechanical 06/11/2009 $44.50 Contractor: OHAC INC PO BOX 241 DUNDEE, OR 97115 PHONE: 503 - 691 -9699 FAX: 503- 691 -8556 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: Total $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC b calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: en, Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit shall- be kept in-a- conspicuous -on -the job -site until completion -of- the - project. Approved plans are required on the job site at the time of each inspection. 4 06/10/2009 16:41 503 -691 -8556 OREGON HEATING PAGE 01/03 i � Y� t-. � O RfiOF fI[lvIiSEOr['.Y Permit A iicatian.° � .; . Y,. �ecliaal;tlkcal Pelra<>rz>k p � ; ._ �. y,� City of Tigard Received / / Permit No.: M : c, • c �Ud all, '� IA ! 13125 SW ball Blvd., Tigard, OR 97223 U N 10 2009 pate,By: C� Plait Review Phone: 503.639,4171 Fax: 503.596.1960 OF C Rate /py. Other Permit: TIG " RD ijispc tlon Li ; 503.639 � jl" I Dat Rea dy/}By; 1' Ea See Page 2 for • Internet �vww.Liga nd -0r.$OV ° ",fi=ll DIN G DIVISIC Notified /Method: Supplemental Informatiau r . • ,•,:, i. ,., hint qr ,,,, ,I : r ? .liii,q "S Y -4T CU, , .,, 1 'LAi 1 lgIy�� v �¢ }q y i '4ljf i ,„ .: . . -:' ,k,,,1, I l , s ,�, .yl {. ��.�:Il;em;r�a' t. ',t?�j•l�il.,iWr�.,p,l rl ,r, I ,f ,).1, �rP�# `, a. #� ��,i�.�, #:, ��,tl�y ,�„ �j 9 � ,. '9} a f�¢I 7 ; Y.. i ft , i 3 :1 f'l # ,4' {fI i; ,, d# �, i i . . i '� ii 4j i { V lj i 4,, ,I a }I 4 h l6 ibIi Mlil' ,14i a ql � _ , }, ,,iipil - ( ', . t i t ! ,0, l ( 1 ip , , i � l E' ll U r, � ➢ � c' ll i ,g, ; 4 !,i .itll l i , r, I t 1 ∎ !n r 12S. 0 lil/. � , l 1, � ,, t,ldt l o l l #,t ,fit, #1 @k. lb. 7iE 1 �,,.. ,' ? U , v o , W ,.� a b • >> _ ! ": �' � x'.111 a }1. - NI ecbauical permit fees* are based on the value of the work ❑ Now construction Addition /alteration /replacement performed, Indicate the value (rounded to the neatest dollar) of all ❑ Demolition Otlher: f mechanical materials, equipment, labor, overhead, and profit. R'�f RAW s , ) , rarr I {{ t 1' if 9 ' �fi r i 1 "' I4 Value; Ili .1 3 l�il! Ill i P {'ir i ;3 a '� l l a ';! N' f 6�i h PE' �1I ) ( r 'i6 , 4i�ip'7!'1;,, ' ,�I l�l rli jl.. ' r- ,,,3, d 4 r. f. �i i #� k�{>JIFI# i #',:f �� ilq i Ir �4k LP1 t gi 'E hill: ". t ' �i, io. i � � i r , li � ,1,�� � � 1- and 2- family dwelling ❑ Colmnercial /indhStrlai ❑ Accessory building For special information use checklist. • Multi family ID Master builder • ❑ Other: Description Qty. I Ea. Total o, i 6,:;"i ,:rrn 11af. '''I''' f si ri , - y! u , - ",.i n,, . ,,� i I I Y /Spo; is { t f ' vi 'g t �i$Ii Ali �{{ , # � , { I , t I" bftl! 9 #I�P r Heatiogicooing l 15� ,:If r� f Ni � ., {� #� f �-r' �1� !,,t31y . ��r :' II ,It,',:„ r; � r ..r, e r 'aka r ^ _ � Air conditioning or heat pump Job site address: L-` en � n _ (requires site plan showing placement) f 14.00 e/ZIP, 14 City/State/ZIP: 7 •� 4 Pomace 100,00013Tt3 duetsh'en 1, y ts) _ I 14 "00 _ .0ir _ � 1 `� 0 ' w (Z Furnace 100.000+ BTUJduetsivenrs) 17.90 Suite/bldg./apt. no.: Pr ri tm e: Cias beat Pump 13. _ Cross street /directions to job site: Duct work: _ 10.00 liydxooic bot water system. 14.00 Residential boiler (radiator or hydronic). , 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 -. Fiue/vent for any of above 6.80 Subdivision: Lot no,: parer - 10 -00 - ax ma / arcel no.: Other f uel appliances T p p Tl � tii i,; I I1 IC ,t t , t ` a t� i#1 ?lt 9 [ E . ., 11 if / 414 l 9 Water h eater 10.00 hii 7' if t G 10.00 3 � S Flue vent for water heater or gas ,)lace - 10.00 - ct Lf nOCEL Log lighter (gas) 10.00 Wood/pellet stove 10.00 , - g� E �p �9 �) � Wood fireplace/insert 10.00 „ t _ i { i; l '2,1 a ar � ,, 't Ft ffi Z£- t{iIB#lll$.Sltlti I All i i C4sboanovAiner /flue /vent Other r... 10.00 f 10.00 Name: r # f di - t� ` € S *' 1 U n d Environmental exhatitt and ventilation �( y, Range hood/other Kitchen I Address: `k1 ;1 ' ,+ kV 1 t en I ma U n ., 1 e W 10.00 City/State/ZIP: a . A . --L2)- y c d yer exhaust 10.00 Single n haust (bathrooms, Phone: Fan ( ) toilet compartments, utility rooms) 6.80 tt � � >l�@ " # i f ".� } , 1 . .tt` 1F 1 1n, 1 1 3q �1� 1. � #l Attic /oiawlspacefsns 10.0)0 k - b i , ; 1 f 7. 1 t # i,l. , I :e 1 r I , I ftt ' 3 I, lir Other; 10.00 Business name: (')Y ec r11 rs t • NC- Fuel piping Contact name: 85.40 for first four; 11 "00 for each additional Furdace etc. Address: lX c X11 Gas lzeatiminp City /State /ZIP: cf n i \ 5_ wall/suspended/unit hearer . . �-• �^ Water heater. Phon Fax ( 63 3 ) 69. I - U 55 E Wer he E -mail: Range 10.1111 J'1 q� 1' { � ; t' i' rcff'. r n it r' + MI,` 5,Ii + 'i1111 t I ,�e f) 4 i 11 I l .' 1 l i E� i ll 1 1 i #' ry ,i i ` I I Barbecue • yf t ;; ,1 , , ,N, l { � .': a' t: h d; .i ' r 5 f #[l h � 4, . d.1 1, r Clothes dryer (gas) Business name: I, cLII_ \r01_ C: ' . ©che • I' , 1 '. t { .� �i� 017211.1; ': � �� f bgpl'. I } 41 i,4 li• Address: s it iii .� jlili 4 ii,' .111 li to � c �' � 1 1111i'i ∎11 City/State/ZIP; cii 115 w mu Subtotal I f ' Minitlr permit fee (572,50) la . • Phone: (Q c7"t \ Gi 6ctot Fax; (50 ( 5 \- 55 b Plan review (25% of permit fee) VOW � � CCB lie.: '1 ,,.‘ State su,,ckratge' %ofp 'u3 fee)- - -- 7 ,„1. 1 0 - - - -- TOTAL PERMIT FEE 1, .0 d This permit application expires if a permit is not ohtalned within 180 Authorized signature: I - - oi days after it baa bees accepted as complete. Print name: ( � S0 () To f J.,. Date: (c -) 0,-.. 0Q s Fee methodology set by Tri-County Building 4,odustry Service Board .c 06/10/2009 1 6: 41 503 - 691 -8556 OREGON HEATING PAGE 02/03 • First Floor 10' + 1 10' t - Maio For 1 10' + Living • ( Garage • • • N SW Kenton Dr Jurisdiction - City of Tigard Job # Scale: 1/8" = 1'0" Oregon Heating & Air Conditionin... Performed for: _ a 1 Andy & Valarie Westlund PO Box 3971 992 Hwy 99W - 0 9 g0- t d entisi 18400 SW Kenton Dr Dundee, OR 97115 6.a .1 R�85s6 2009- Jun -10 12:0 &:04 Tigard, OR 97224 Phone: 503 C:1My Documents \W ightsoft HVAC1... Phone: 503-740-6734 cr i oregonheating.com