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Permit a CITY OF TIGARD MECHANICAL PERMIT '1 " s COMMUNITY DEVELOPMENT Permit #: MEC2013 -00059 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/28/2013 Parcel: 2S103DC00804 Jurisdiction: Tigard Site address: 11445 SW FAIRHAVEN ST Project: Torres Subdivision: VIRGINIA ACRES Lot: 2 Project Description: (1) gas furnace replacement Contractor: SUN GLOW INC Owner: TORRES, JANET ; 2428 SE 105TH 11445 SW FAIRHAVEN ST PORTLAND, OR 97216 TIGARD, OR 97223 PHONE: 503 - 253 -7789 PHONE: 503 - 277 -3371 FAX: 503 - 253 -7693 FEES Specifics: Description Date Amount Furnaces < 100K BTU 01/28/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 01/28/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/28/2013 $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: �� U /l i �/ y /d J Permittee Signature: ©k, �Pe� C ,a�/ t� (: Call 503.639.4175 7:00 ` ►�` 1 , 03 5 by .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. Mechanical Permit Application City of Tigalr•d C. �� Dnte/B ; 1 9--1 / 3 sf Permit No RE�,3p / 3 00�' _ N. ....:,. • 13125 SW Hall Blvd., Tigard, OR 97223R plan>ic�,;o,H Phone: 503.718.2439 Fax: 503.598.196 � . Date/By; Other Porn 1 . } i; s , Inspection Line: 503.639.4175 ,JAN 2 8 2013 Trite Rcadp /By: tort +: la Sec rage 2 for Internet: www.tigard - or.gov Notified/Method; 'T [ L' Supplemental Information � � , ,:u 4 4 '," -p•' .a; <. .: :.�:s a • 1d 8 "q �C1�t ." t 'tjat u .0 rC "; ! rl ' , k A r , � .f t' L W .� p . :, 'Y ,,,, , „ .„ „w "ri ti ' ' l: P r.{ A , 4, . 4 -.7 � , . - u. -1t a ' ,.S -.1 VP ; ,}R . Mechanical permit fees* arc based on the value of the work ❑ Ncw construction ddition /alteration rep acement performed, Indicate the value (rounded to the nearest dollar) of all [3 Demolition ❑Other: mechanical materials, equipment, labor, ovcnc�od, and profit. Value: $ ii: t,h >. , u''W.'.,�irfj�'�'{�� �� �,C7 . :w'�.: "!t`�s i >: ^,Y€ ;4; �¢K" :�er ° ` i : '3.. � � � ";' ""l °• r I. and 2- family dwelling CJ Commercial /industrial 0 Accessory building For special Information use checklist. 0 Multi- family ❑ Master builder ❑ Other: Description I Qty I Ea. 1 Total FM' „ .1�:,..:'�'�±r��.�a:# � � ��#. � .s..,, h a'... Air conditioning Job site address: r l (4%4 S 5CL 'Q,pt•e, -� . (rerluirea sil�lan showing placement) 46. 7 5 1. - Furnace 100,000 en., (ducts/vents) ■ 46.75 .' City /State/Z1P: --t-- r � , 0 R. co � .'? -• 3 Furnace 100,000+ [BTU (duots /vent) - 54,91 Suite/bldg. /apt. no.: Project name: 1-tcat pump (regrrire$ .rite plan ahowina placemen 61.06 Cross street/directions to job site: Duct work 23,32 - Hvdronic hot water system 23.32 _ -_ Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -typc, not electric), in wall, in -duct, sust ► ended, etc. _ 46.75 - Subdivision: Lot no,: Flue/vent for any of above 2332 . Other: _ 23.32 Tax map /parcel no.: _ Other fuel appliances: g::' ,'iy +yi : > yJ,�< >a M •- !� „.,, - -: r �yM� 2 `'8.' 1!: :: q " ?j:. "+`,`,;4' f. Water heater 23.32 ' : Mi.,'��i: �A ..::.. 'r1 Y b;'•:.,.'n i:Z, .GIs___, 1. 'r'...,,_ , '� F7;i ,` . �. > �..� '' , Gas fireplace/inccrt 33.39 R Qi 9 \it.c.9, -Om. C hCI, a.-. - ._ Flue vent for water heater or gas fireplace 23,32 --- Log lighter (gas) _ 23.32 Wood/pcllet stove 33.39 Wood fir jlace /insert 23.32 a::;; s -q - Chimney/liner/flue/v 23.32 , 1 :17i . J r71' r "'�. :.: +C .Vn. •, "i" i " .'', i�iR ? ..� , �K'1SY�JC1 1.( > � �,'�'ri :'. J: >s;'ril:�?•, . f'�:I.'r!`;.:�'����'6'� yG �',.'° ?3,� 2 !( i�,. �a•,s,, .r•E t; �i rw - �� t.; 011ter: 23.32 - Name: i_��.- ` I. �(( c' Environmental exhaust and ventilation: _ 0. �� Range hood /other kitchen Address: 1` l}� �j �r .3 -p•-n _ equipment 33.39 - City/State/ZIP: -r a, 1 D i3. q 7 - -� V- Clothes dryer exhaust 33.39 Single -duct exhaust (bathmoms, Phone: (.5 3) „9,-- - '3 3 `j i Fax: ( ) toilet compartmcnte, utility rooms) 23.32 Jw:r" ' :X % .y',a� ' 'Ye.u��•,"5.#y� , :,c !: :: 10, 1 g�.�}y�,�:�y�i #•.',;Y :',r1.. 1 lice fans 23.32 °�:'� .. II o �.. :';•� ,R.. 5'!:':I:Y: a ;:RR�; j,'1'v ' "bra: *•, o,.. �;_y yr_ .o?, : '1�,7, VIA'; i ±.i'c ,, Attic / Craw sp , a,4�'�1! as':'', `� � �,�. . ?T; ` !� �r:e.r { , 7, v; +wa. )1RW.1�, , . � ,�., � .. 23.32 - - -• .... Other: Business name: Sun Glow, Inc. _ Fad piping: _ - Contact name: , 514.15 for first font; $4.13 for osch additional Heating & Air Conditioning F urnace, etc. Address: GLOW . 242.8 SE 105 Ave Gas heat pump City /State/ZIP: Portland, OR 97216 Wall /st pendcd /tmit heater Phone: ( ) Water heater Firer lace E -mail: hrt5 b ( • Oc.v a •.. Ran s+ �, '' ; yrr" r: 5 tr- N.,,,:. : r, 4 iN � 0: � f'..•i ;r %' �` r�. ...„ : ..1,; >; ; 'i 1i'.";- 1 �'T. ' ' '. ,.v rr;, ..` �ri : �� y : 0. 1 : 'E' , :h � , i + . .. l �r , 4 r . �.'7 .A - Barb Business name: Sun Glow Inc. - Clottres dryer ( a.'ts) Other: Address: :a ATA ., . s;. Heating & Air Conditioning - gtabtoml 4 . City /State/ZIP: G. 'fir 2428 SE 105 Ave ) P OR 97216 Minimum permit fee ($90.00) CIO .o Phone: o ( Plan review (25% of permit fee) - i CC$ l ic.: 147 1 f State surcharge (12% of permit fee) 10 . $0 TOTAL PERMIT FEE ) D D AO Q _ , , n 'this permit application expires if a permit is not obtained within 180 Authorized signature: � U �"^"� days after It has been accepted as complete. • Print name: C . � be U D itto: l a 5� "Foe methodology not by Tn - County Building Industry Service Board r., n+. ;l.4i.,mmmir.tnmr.o,.,mii Ant ene 03m7/12 44e..461TT(1v02/COM'WPn)