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Permit y1 (.4= ,P, • CITY OF TIGARD MECHANICAL PERMIT 11 .4 - COMMUNITY DEVELOPMENT Permit #: MEC2009 -00290 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/17/2009 Parcel: 1 S133DA08300 Jurisdiction: Tigard Site address: 12641 SW SNOWBRUSH CT Subdivision: Lot: 0 Project: Coats Project Description: Replace gas furnace. Owner: FEES COATS LIVING TRUST Description Date Amount BY ROBERT N /JACQUELINE A COATS TRS, Furnaces < 100K BTU 06/17/2009 $14.00 12641 SW SNOW BUSH CT 12% State Surcharge - Mechanical 06/17/2009 $8.70 PHONE. Minimum Fee Adjustment - Mechanical 06/17/2009 $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: 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 Notifi . •• - - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or dire questions to OUNC by ng 503.246.6699 or 1.800.332.2344. Is ed By: Permittee Sig ature: ( e 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. COnt BRUTON CCU FT � � �� 503 646 0126; Jun -15 -09 11:42AM; J Page 1/2 ,_� 5 2009 MechinicaL P �l -A�pp1 bon 1 + )It 4 1I I I, 1. 1 `•1 11' 1 1 ty i . ffl OF V0 l n' �,i► No.: 1 C i of �d ( � I 9c 13125 SW Hsul.t I.. Ti .. • ,..∎ V f Ott) 11 Phan Review _ .. U Phone: 503.6 X511 F' , :) . ' :.1960 Da Other Permit: 1 1•,•\1,1% ]Ilspeetion Liric 3.639.4175 Date Ready/By: - 13 See Page 3 for Internet: er -t_ .gov Notified/Method: 1 Gp M, ^. _ _ ',," c 7-1 c i c r • >. L`"- rt :e ue ew w' I in n , I . ��y ;;;yyy e t q� v t ., - x4Rj (S S : $+ ,W.4 .5 l ±t r i' P. • r 4 � - h :,. M,;V,,. ,,V r• :P4. 3it L. s r nR , 'Y Xr ..;:i g,: I , ,., ' , . ' • L m l � ..f�la.. 'Y ..'�*'i�'!�fk:';L� {3. .: �i ^ , st4 :i:ruy , i, lr w :....:... .....srL. .ir.u._;: yW „� �?�f �� ,. ,. , .. I ?rr..yy.rlr�r clr�r,+d�:Ka L.a„n , ?;,V, , ❑ New cottsuuction Egi Addition/alteration/replacement Mcehimical permit fees* are based on the value of the work k��- ladit:ate dw value (rounded m the nearest sorer) or ell [] Demolition [} Other: mccbWi caf i»ate equipment, tabor, werltea an pro e n a , 4: "- .. 1 - m ;:. r r,., ', ,� ) t lV ` 57 d e Val $ v { { { r( �e y al t.1 ,� I , i+ ` 'lt+ us r 4, '' r o 2 Rii 7..Il,11L1 Ute1w;2.n,' I�.1Y''�: , �?,. ;.7�.},�:1�•int.E".S {Cr` trite. v w'•n�1 f�:ni~ { lr i n c (, ', i;A; , h° -ci � e y - '� 1+ „' rat}, t, ry- - ,ti e , l n � y1YUi:rl drl ,,,)��ery�i f>. •4.1 ,, ..,, -0 • . ,,,6,, , - .: ,., , 'J:,; , 0:' , 1:;1 : 141 , ; :, r;!'. : ffe. a ,I; ;;:Agk)+rJ� Tl ®1 - and 2- family dwell in 0 Comnsercial/indugtrial ❑Accessory building Fro Special information rue checklist. ❑ Multi - family ❑ Master builder © Other: y� Description 1 Qty. I E a. L Total .. . 'i i r , y 1'.14 : Frw�r�,r1t_ 'tj t},_ 7 1, n ., r- r G �.�'q +y!` " ,. ' � r � yux� r , �, A t•I:r.!_' FenzSi•.u't.4'.;.n, 71 - 4.4 9'.r4 per. . Psi.. e.7., -.Air ve. :T :rw.tL,,siity c. t •r1= y avC ..�' -n.M :S.:� 2',7..,. Heating/cooling . Job site address: 12641 SW Siw Brush Ct air • .. ite7 , i s al or heat pump site imistiowm:.Imxmeltt 14.00 City /State/ZiP: Tigard, OFt s 23 Furnace Ill 000 BTU ductshenra 1 • 14.00 . 14:00 FamaxSe 100;000+ BTU (ducts/vans) '...17:90 Suite/bldg./apt. no.: I Project name: Gas heat pump 14.00 Cross street/directions to job sr": SW Summer Lake Dr, SW North Dakota St Duct wok 10.00 Nydronio hot water system 14.00 Residential boiler (radiator or r. 'c 14.00 Unit hcatas (fuel -type, not electric), in -wal in- duct, suspended, etc. 14,00 SubdiviFion: F1ue/va t for any of above 6.80 L Lot no.: (t>r� C 10 , 00 r Tax map /parcel no 'IS133DA Other fhel appliances `+S, 1 .c (t�Y V U^ rl tv,. Y n vc - --';',.'77- t ' c � 4 °1„,n 'r . -. m %t.;"n %. mum howl ,...J.,.- 10.00 u �rv - v ), y � 9n n e.Xr + au Yi611' ti'r1 .YS.r.,"... ,�:r4q+ 1 :Y.� ..l..Y✓ ' a r r � m . - .!y. -r <r ,.r n��_ xi��e�k r Nil. `„ j " t;:_ "•S - -- Gas fireplace 10.00 . .. Replace gas furnace Flue vent for water heater or gas fireplace 10,00 Log lighter ices) 10.00 Woodlpellet stove 10.00 Milli 'q�, �• , - Wood ,.frrepiace 10.00 "& � {i i t, s v , r , of ,1,: "� 0. C , fi t 4 p",iy rc !y :t 4 r -r , r r -r ;l t i•.,� -r Chi / /fl 10.00 .. . �° x n r k a;xr4ry t„. : :,0.,. ,,e Y, -S N.,rr��,S ,4 1 ';` „ ' r :: , - 11;, . • " :"JI .:.r- ; oth . 10.00 Name; Bob & Jackie Coats Environmental exhaust rind ventWtlod Address: 12641 SW Snow Brush Ct Mange hood/other kitchen ' cquipittBnt 10.00 City/State/LIP: Tigard, Or 97223 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: -(503)524 -4125 Fax: ( ) .. . toilet compartments. utility rooms) 6.80 1g 1 x, a1f r e era car r w � r y = �'y: - ' , ( • e1eCllr • 4r (` . ♦ ,./ 00 4 ,..a ,�,',WiI tU �N r i 1 . r 5 � r�, 40/4 �` 4e.e � ,,, �Y km. h.... ;, 1 5 1 ,,` d ., •. t e rg iJ ry, AllrWrira �aee �S - t�./Wy� M' Ar. Jlll'{r .�.�i , LiYJ/'ll.,.� ,C211C,.:�1.1.'� # 5 ,:, ,S.�A'f5:( �"",ll f,W V C n�,i;,J,4n 4311r Left } 9 L..i:. ,1.1124 �J�.Y.�J: i0.00 Business name: Bruton Comfort Control. Inc . Fuel piping. °K , Contact name: Michelle Poreelll • , ' SS.40 for first four[ $1.00 for each additional Address: 12855 SW 22 St a C. _ _,, _. . . (ices hash • ; S1111111= • City /State/Z1P: Beaverton, OR 970118 will r- , .. r unit heater Phone: (503) 626 -7477 I Fax: : (503) 6464)126 Water heater • . . Fireplace E •mail service (�bt5rtwrtomfomontevl.enm • : . • r !M �,� 2' v N •J «r( �.,.� �:X.`..:.:'.,..n -i._. . ";n•1' I.l,r.,., ?r- Y'„ r J; .s .Yi,t,i:: , dryer Business name: Bruton Comfort Control, inc Clothes (gas) Other, ::' " Y.l 1 / _ - Y-Mf ! A (II l r4 1y Address: 12855 SW22"St ;; • ltnYtu°r,L Ott "1 _ r rp r r ...:.; 5 rt' , , N V 7 •_ ^r r ,. -.rev - .- ,.1.�. .,.w . City/State/ZIP: Beaverton, 012_97008 . Subtotals , 14.00 ' Minimum permit feee ($72.50) 72.50 Phone: (503) 626 -7477 -id (503 -) 646-0126 Plan review (25% of permit fee) 0.0() CCB lie.: 65296 • State surcharge (12% of ermit'fee) 8:70 .. TOTAL PERMIT FEE 81.20 T h i s . O m appSratioh extens N e permit is not obtained within tea Authorized si Bture: el: dim after it has bans accepted as complete_ r rint name: MIe elle Porcell1 Date: 06/15/2009 • Fee methodology set by To- County Budding Industry Service Board I: V1uad 'uetwom:tawec- pcm,:tApp.dac 0IItu07 14046in(II/M./COM/WEB) • •