Permit CITY OF TIGARD MECHANICAL PERMIT
� COMMUNITY DEVELOPMENT Permit#: MEC2009 -00176
Date Issued: 04/23/2009
,TiGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S133DA08000
Jurisdiction: Tigard
Site address: 12660 SW SNOWBRUSH CT
Subdivision: Lot: 0
Project: Sloan
Project Description: Replace gas furnace.
Owner: FEES
SLOAN, DANIEL J /CONNIE J Description Date Amount
12660 SW SNOW BRUSH CT Furnaces < 100K BTU 04/23/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 04 /23/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 04 /23/2009 $58.50
Contractor:
BRUTON COMFORT CONTROL INC
12855 SW 22ND ST
BEAVERTON, OR 97008 -5152
PHONE: 503 - 626 -7477
FAX: 503- 646 -0126
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue
Total $81.20
Required Items and Reports (Conditions)
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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
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Issued By: C�Q A �'1 � ` - � Q � A Q I �� Permittee Signature: <� l � `yC 10)1
l Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Sent By: BRUTON COMFORT CONTROL; 503 646 0126; Apr-21-09 9:48AM; Page 1/2
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Mechanical Permit AnplicalitgiCEIVED ,.-,„.; „,.,,, i , ,......,, ,
City of Tigard
P Received
Date/BY: ' , • q L 1.1. P.m"- rue 20c ct -
IA , •13125 SW 'Tall Blvd., Tigard. OR 972 2 1 2009 4 it o
A - - PItul Review
• . ' Phone; 503.639,4171 Fax: 503.598.1960 Duc/By: Other Permit:
, R, . inspection Line: 503.639.4175 CITY OF 'TIGARD Dam Ready/By: www.ti
Inte rd-o aim c tilt See Page 2 tor
. rnet: gargov Notified/Method: 1 , Supplemental Inrermenea
BUILDING DIVISION i
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Mechanical permit fees* are based on tht value of dm'work
0 New construction 121 Addition/alteration/replacement
performed. Indicate Me value (rounded to the nearest do1180•01 all
El Demolition 0 Other: • • •• • • mectumieel materiels, equiptnent, labor, overhead, and profit.
. ... .. . ....
- llig5 .. . . Value: S. •• . -.. .. . .
• •
ist4:1:scit.40.4g1111:14,;.64qUikr4t4t4.si.i1.sw.:4e,c.....-,,g;;•,, ., ■"/W.":"ft; , s">KrN'•.'aT , +rq•' , 'P. 2 ''it'j';' , '"W.•tt'JrAV' - ' , ''•Vk5!r* - t".Adoz , '' , NWqrqiir
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I- and 2-1i:unity dwelling 0 Commercial/industrial El Accessory building .,0"0,0,•e.m.tr,..r.i..q.,..r.in:',',m-'ke..cfisniciticc.r.v.,Yrict.d:LiVitel'cir,s6
For special mformation use checklisa
p Multi 0 %LAW builder 0 Other: Description . I Qty. L Ea. I Total
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lz•;,:eg,*.iiki al ,,,,,,
Air conditioning or heat pump
Job site address: 1.2660 SW Snow Brush Ct (requires sits plan allowing placement) 14.00
City/Statc/ZIP: Tigard, OR 97223 Furnace 100,0006111 (diets/vests) , I ., 14.00 14.00
./apt. no.: I Project name: . G Furnace 100,000+ BTU (ducts/vents)
as heat pump 17.90
Sui in/bldg
14.00. • • - . '
Cross street/directions to job site: SW Summer Lake Dr, SW Hawk's Beard St 'Duct work 10.00
• .....
SW 130' Ave ' Hydronk.hot system 14.00
Residential boiler (radiator or
hydronic) 14.00
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• • Unit heaters (fuel-type, nut electric),
• in-wall, in-duct, suspended, cm. 14.00
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• Flue/vent for any of above 6,80 ,..
Sulxiivision: Lot no.:
Other 10.00
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Tax map/parcel no.: . . . Other fuel appliances .
: iViln:14•Vilf,TriVAFM4r$W,1`.'!':".'iltr•-•:''''Z'"? Water heater I a oo •
- miuh,,,e.k.s.,trAfwvwsni,24-4;z,v,110.,,v,,i...zi....,a,4,4z,e•;..)..;..kpl,...er;„•..:::.(fr,==.67,==tati.52,...,,,.:::a.;:.:, • -
(..as rittplace 10.00
Replace gam furnace Flue vent .for water heater or gas '
fireplace 10.00
--•-
Log lighter (gas) 10.00
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Wood/pellet stove 10.00
—
Wood fireplace/insert 10.00
. :
10.00 ' " " •
- iniiMP,,i57,1r.'V. Oti1R4'-'4.0Wet Chimn
Name: Dan & Connie Sloan Environmental exhaust and ventilation
' - • Raagelioad/other kitchen
Address: 12660 SW Soon Brush Ct •
equipment 10.00
City/Statc/ZIKTigard., OR 97223 • Clothes dryer exhaust 10.00. •
— Single-duet exhaust (bathrooms,
Phone: (503)524-2690 .... . Fax: ( . . ) toilet compartments, utility rooms) .., 6,80
EMCIVIS173117.V.777 c ,4:74_,,V17: - .14 M•tni$ , Pg'J'i' ; "':''T.'n:t1CYd'4t Altic/crawlsPace fans .10.00
iii:ati.,„&t,*:;3 - .
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other: • . 10.00 ..
Business name: Bruton Comfort Control. Inc • ------ •
Fuel_piplog • • • • • .
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Contact name: Michelle Poreelli • $5.40 fur first four; 51.00 for =Kb additional .
_ -....
• -I'
Address: 12855 SW 22 St Furnace, '
Gas heatjAmp
City/State/Z1P: Beaverton, OR 97008 Wall/suspended/mit heater
Phone: (503) 626 , I Fax: : (503) 646-0126 Water heater -
Fireplace • .
E-mail: seryiee@brutOtmomforteontrol.eom . , ._ ti_gt et
Barbece —
KIAFROSA.t.10agfiraiii,;:,-Mici;. u
Filiviie'eS...71:V.b".•050.i1q1V. '.0‘446;ira,k'S•t..4=11:'r:L:014tV.sz., . .
• Business name: Bruton Comfort Control, Inc Clothes dryer (gas)
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Other: ... : . .. .
10.
Address: 12855 my 22.1 St • .„,;,,,,:. ,,,,„•05cp,"„,,',:;7
;e ,, ,:.,::- - '': .
City/Statd/ZIP: Beaverton: OR 97008 Subtotal 14,00
Mil:Mourn permit fcc (S72.50) ' • 72.50
Phone: (503) 626-7477 . Fax: (503) 646-0126 Plan review (25% Of permit fee) 0
C.(714 lie.: 65296 OK. ..,.
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N _ , . . State surcharge (12% of permit fe)
e
8.70
•TOTAL PERMIT FEE . 81.20
This permit applipidoel oipkto If 1 permit is oat obtoated 'Within 180
Authorized gna1(tre: . ...,. / (i411 - , days after U has been accepted is complete.
Print name: Michelle Poreelli j Dare: 04/21(2009 1 • Fee methodology so by Tri Building Industry Service Board
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lAivildingTermits 1 MI 01/19(07 4404617r (1 I(02/OOMME11) ..... .....
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