Permit a CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit #: MEC2012 -00407
T t G A R o 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/02/2012
Parcel: 1 S135DB12800
Jurisdiction: Tigard
Site address: 11475 SW 90TH AVE
Project: Sawatsky Subdivision: 2003 -073 PARTITION PLAT Lot: 1
Project Description: (1) installation of gas furnace
Contractor: BRUTON COMFORT CONTROL INC Owner: SAWATZKY, STACEY J
12855 SW 22ND ST 11475 SW 90TH AVE
BEAVERTON, OR 97008 -5152 TIGARD, OR 97223
PHONE: 503 - 626 -7477 PHONE: 503 -430 -6954
FAX: 503 - 646 -0126
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 08/02/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 08/02/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 08/02/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: Okl, A-Ph,' C✓��)DA1�
_,L114jeipshLal_____ Call 503.639.4175 by 7:00 a.m. for the next available inspection date. �
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
08/01/2012 11:22 5036460126 BRUTON COMFORT CNTRL PAGE 01/02
..anic Permit A,nplicati E x(112 Ot F II E I. Sr. O 1.1
City of Tigard - _ n a -I l..Y Permit No. .701.1- opel
13125 Sw Hall Blvd,, Tigard, OR 97223 A U G n 1 2012 Flan xeview Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 1)at&By: _
I' 16, \R P Inspection Line: 503.639.4175 /ry CTt/� �r� Date Ready/$y: runs: ® see rage 2 for
Internet, www.tigard-or.gov l.1& )I Ol� IIUt L Notified/Method: f((, Supplemental lnfonnation
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Mechanical permit fees are based on the value of the work
[] New construction ® Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: , mechanical materials, equipment, labor, overhead, and profit
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® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Fur sped d htfornraon sac chaddLIL
El Multi- fancily ❑ Master builder ❑ Other: Description F Qty. I Ea 4 Total
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Job site address: 11475 Sw 90 Aveenu (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 1 46.75
City/State/ZIP,: Tigard, OR 97223 Furnace 100,0001 BTU (ducts/Yenta) 54.91
Suite/bldg. /apt no.: I Project name: Sawabky . Heat pump
(requires site plea showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
-
hydronic) 2332
Unit beaters (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:
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,II.IIh f.I, ITV ,11 I I „ii11.L,i {1411tH ill . L' J .:..iLL•[9t.d,.1 I L :u 1 Gas fireplace/insert 33.39
Installation of new gas furnace. Flue vent for water heater or gas
fireplace 23.32
Log lighter O 2 3.32
Wood/pellet stove 33.39
Wood fireplace/insert - 23.32 .
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,, 7;; f . ;1:It,1;',. , .,,,.a.,: ; „iyi! ;r,;'!";17-7:: ChChime/liner/flue/vent 23.32
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Name: Stacey Sawatslly Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 11475 SW 90 Avenue
equipment 33.39
City /State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33,39
Single -duct exhaust (bathrooms,
Phone: (503)430 -6954 Fax: ( ) toilet compartments, utility rooms) , 23.32 •
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u:iil?ll Attic/crawlspace f ans 32
23 32
Business name: Bruton Comfort Control. Inc. .,l.tl hn �� ...N.. .! a : IL 1!r,,,.e h.. .,.k.. , L+,.. Ni,( (u. ,,c.nL. w,11. 1, 1. , ., l . t11,1,.n,1, ...,,.n r .. —
Other
Fuel '
Contact name: Matt Bruton 514.15 for first four, 54.03 for each additional
Address: 12855 SW 22 Street Furnace, etc.
Gas heat pump
City /State/ZIP: Beaverton, OR 97008 WalUsuspended/unit heater .
Phone: (503) 626 -7477 I Fax: : (503) 646-0126 water heater
Fi . lace
E -mail: servicejbrutoncomfortcontro l•com R ange
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-.. I I d f ,, r 7 t t 1 , , II 11 tl "1 !, t �l 11 i Il 1 ' f 111 1 ! j ' {.`I!f ! r : ,3 i 4, r Barbecue
:, ,1.' ?iri rt � f13,!IlI1 , !lull 1 i,. 1 f r I I,I.IIIIu;;Tii,;1?1 41 ,.1„ .rh,1,; :x 141:11,1:1 i ,t t! IYAIul,l'lli .I I.f! I f1 1.1' 1 i.i'n W.': . .
Business name; Bruton Comfort Control, Inc Clothes dryer (gas)
Other.
Address: 12855 SW 22° Street -fl i 17' I , 7! I I , 4. 7 7 1 1 , 1 " Zfl , LT',b 11 "1
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City /State/ZIP: Beaverton, OR 97008 Subtotal
Minimum permit fee ($90.00) 90.00
Phone: (503) 626 -7477 Fax: (503) 646-0126 Plan review (25% of permit fee)
.CB lic.: 65296 State surcharge (12% of permit fee) 10,80
TOTAL PERMIT FEE 100.80
• / Thi pima application expires if a permit is not obtained Within Ian
Authorized Signature: j I4 J ji& . / / days after it bas been accepted as complete.
Print name; Karen Normandin Date: 8/1/2012 • Fee methodology set by Tri- Cuuuty Building industry Service Board
1:13uildi s\PemiolhlEC-PermitA.pp.da 03/07/12 440.4517T (1 1/07/CO01/W B) ,