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Permit N ,, CITY OF TIGARD MECHANICAL PERMIT ''�. COMMUNITY DEVELOPMENT Permit #: MEC2012 -00094 TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/17/2012 Parcel: 2S109AD01000 Jurisdiction: Tigard Site address: 12765 SW BULL MOUNTAIN RD Project: SCHAER Subdivision: BLUE RIDGE Lot: 7 Project Description: Furnace replacement. Contractor: SPECIALTY HEATING & COOLING INC Owner: SCHAER, JOHN ARLEN & CHRISTI A 7500 SW TECH CENTER DR #130 12765 SW BULL MTN RD TIGARD, OR 97223 TIGARD, OR 97224 PHONE: 503 - 620 -5643 PHONE: FAX: 503 - 681 -0793 FEES Specifics: Description Date Amount Furnaces < 100K BTU 02/17/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 02/17/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/17/2012 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: 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 OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 0 001111 111 . Permittee Signature: 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. FEB /17 /2012 /FRI 02:16 PM FAX No. P. 002 Mechanical Permit Application. FOR .? ICE USE ONI.V 14 Received CI� 0 Z I AI (� + Date /By: , I7 Allrll ' 13125 SW Hall Blvd„ Tigard. OR g ti V Plan Review Phone: 503.7182439 Pax: 50 - ; 1t9b0 j ,�� +„Q • Date/By: Other Permit; \ 'CIGAR 17 Inspection Line: 503.639.4175 `' .1? � �Q` e J �- Date Ready /By: EI See Page 2 for Internet: www.tigard-or,gov 0 � � �V, Notified/Method: Supplemental Information T o f vvo e g�`° COMMERCIAL FEE* 'SCHEDULE '- USE CIIECRIIST • w ; .��° Mechanical permit fees* are based on the value of the work I=1 New construction PI ' ddition /alteration/¢lacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY 4F CONSTRTJCflON RESIDENTIAL EQUIPMENT / SYSTEMS FEES . • 1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder Q Other: Description Qty. I Ea. Total . , . .. .... , . • • . eating 70B silt ' INFORMAT. ANb , LOCATI(Ol� H . -- - Air conditioning Job site addrt (requires site plan showing placement) 46.75 City/State /Zl. Schaer, John & Christi R12048 Furnace 100,000 BTU (ducts'vetrts) 46.75 1(, -74 Furnace 100,000+ BTU 54,91 12765 SW Buil Mountain Rd Suite/bldg. /aI Heat ptunp Tigard, Or. 97224 (requires site plan showing placemet 61.06 Cross street /el (503)684 - 6532 Duct work 23.32 C-Cydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), • in -wall, in -duct, suspended, etc. 46.75 Subdivision; Lot no.; Flue/vent for any of above 23.32 —1 Other: 23.32 Tax map /parcel no.: Other fuel appliances: • DESCTiIP.TION or WORK • :. Water heater 23.32 Gas fireplace 33.39 Flue vent for water heater or gas fireplace 23,32 4 LI`, ig - Ob. • Log lighter (gas) 23.32 0 - Wood /pellet stove 33.39 Wood fireplace /insert 23.3 .PROPERTY OWNER. • � 0 TENANT Chimney /liner /flue /vent 23.32 Other: 23,32 Name: Environmental exhaust and ventilation: Address: Range hood /other kitchen equipment 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 _ Single -duct exhaust (bathrooms. Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 © APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Other 23.32 Fuel piping :_ Contact name: $14.15 for first four; $4.03 for each addttlonat Address Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone; ( ) Fax: ! ( ) Water heater Fireplace . E -mail: Range - CONTRACTOR Barbecue _ _ Business name: Specialty Cleating 6'c Cooling Inc Clothes dryer(gaas) _Other _ Address; 7500 SW Tech Center Or Suite #130 MECHANICAL PERMITFEES* City /State /ZIP; Tigard, OR 97223 Subtotal II&,')5 Phone: (503) 620 -5643 Fax; (503) 598 -0718 Minimum permit fee ($90.00) e40,ct) Plan review (25% of permit fee) CCB lie,: 66578 State surcharge (12% of pennit fee) f,0 , - - — - - L ° ...L ., TOTAL PERMIT FEE 7 329 ', is e application expires if a permit Is not obtained within 1S0 Authorized signature: v (' "" d A l b _ /„ y s after It has been accepted as complete. Print name: / f ----1..„ Date: AV I Z :et by Tri -County Building Industry Service Board I: Buildinz Permits AEC- Fermi:App.dot to too 440 -4617T (11.02 COM WEB) •