Permit s
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;_ CITY OF TIGARD MECHANICAL PERMIT
'' s COMMUNITY DEVELOPMENT Permit #: MEC2013 -00113
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/25/2013
Parcel: 1 S133DC10800
• Jurisdiction: Tigard
' ' Site address: 13215 SW BRITTANY DR
Project: Hicks Subdivision: BRITTANY SQUARE NO.3 Lot: 62
Project Description: (1) gas furnace replacement
Contractor: COMFORT SOLUTIONS HEATING & COOLING Owner: HICKS, CHARLES G
PO BOX 1233 13215 SW BRITTANY DR
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 503 - 698 -2665 PHONE:
: FAX: 503 - 658 -4011
FEES
Specifics: Description ;.Date Amount
Furnaces < 100K BTU 02/25/2013 $46.75
Type of Use: , SF 12% State Surcharge - Mechanical 02/25/2013 $10.80
Class of Work:' ALT Type of Const: Minimum Fee 'Adjustment - Mechanical 02/25/2013 $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. p /
Issued By: ASA/ C Permittee Signature: O, -PPS e ^ -nod
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.
Mechanical Permit .A,palicatit CENEID FOR OF II( 'U. t 51'
City of Tigard 1 � Reaeind •
. is 13125 SW Hall Blvd., Tigard, OR 97223 FEB 2013
lyawsx a �� �� Permit No.��1 (�'a �t 3 -001 (.3
` r ' ` Phone: 503.718.2439 Fax: 503.598.1960 plan Review Other Pamir Ins non Line: 503.639.4175 Date/By: Date
it < ; : y i t } > Tnt www.tigard-or.gov q or.gov Notified/Method: (C� v! r TIG ARD R AY: tune See Notified/Method: �j i ip Supplemental Information
BUILDING DIVISION
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's H Mechanical permit fees* are based on the f t work
❑ New construction 0 Addition /alteration/replacement performed. Indicate the value (rounded to the newest 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 For spedal kfimrofron use checklist
❑ Multi-family • ❑ Master builder ❑ Other: Description I Qty. 1 Ea. I Total
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Job site address: 13215 SW Brittany Dr. (requires site plan showing placement) 46.75
Furnace 100,000 BTU (duets/vents) 1 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+ BTU (duets/vents) 54.91
Suite/bldg. /apt" no.; Project name: J1682 -1 Heat poop
(requiem aite plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
. "" Residential boiler (radiator or
bydronic) 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
Other: 23.32
Tax :map/parcel no.: ances
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Replace existing gas furnace Gas 5replacelutsert at 33.39
Flue vent for wider heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 3339
Wood fireplace/insert 2332
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,..:....... O _ 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/ her kitchen
-
equipment 33.39
City /State/ZIP: Clothes dryer exhaust 33.39 '
Phone: ( ) Fax: ( ) Single duet exhaust (bathroom
toilet compartments, utility rooms) 23.32
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Business name Other: 23.32
Fuel Piping:
Contact name: T $14.15 for Beat four, $4.03 for each additional
Address: Pomace, etc I
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
y
Phone: ( ) I Fax:: ( ) Water heater
E-mail: Fire
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Business name; Comfort Solutions Clothes . (gas)
Address: P.O. Box 1233
City/StatefZIP: Clackamas, OR 97015 Subtotal
Phone: (503) 69 8-2665 I Fax: (503) 6584011 Minimum permit fee ($90.00)
Plan review (25% of permit fie)
CCB lic.: 14647 I ' , (( State surcharge (12% of permit fee)
fikii TOTAL PERMIT' FEE b
Authorized signature: -/ - J / This m
pt application expires if a permit is not obtained m 180
i � days Finer it has been accepted as complete.
Print nappe, Susan Stanley errf22/2013 • Foe methodology set by Tr -Cow ty Building Industry Service Board .
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