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Permit CITY OF TIGARD MECHANICAL PERMIT ` - s: COMMUNITY DEVELOPMENT Permit #: MEC2013 -00300 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/04/2013 I I G ARD Parcel: 2S104CA07600 Jurisdiction: Tigard Site address: 13337 SW HILLSHIRE DR Project: Lange Subdivision: HILLSHIRE Lot: 76 Project Description: Installation of furnace. Contractor: SPECIALTY HEATING & COOLING INC Owner: LANGE, CEZANNE 7500 SW TECH CENTER DR SUITE 130 13337 SW HILLSHIRE DR TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503 -620 -5643 PHONE: 503 -639 -8022 FAX: 503 - 681 -0793 FEES Specifics: Description Date Amount Furnaces < 100K BTU 06/04/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 06/04/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/04/2013 $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: Permittee Signature: GA/ / C 09-7 -78 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. From: RECEWED 06/03/2013 14:56 #669 P.001/002 Mechanical Permit Application JUN Q 3 2013 FOR OF I l (L usi O i' !� ' City of Tigard Received 3 ..._03,0,0 6 © • �g Permit No 13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIGAR t Date/By: Er 0 • Phone: 503.718 2439 Fax. 503 598 19 Other I Other Permit. ILDING D T I c; A R U Inspection Lane: 503.639 11 to Ready/By ® See Page 2 for Internet: www.tigald- or.gov Notified/Method. Supplemental Information .. , . - , - TYPE_ - tip V YPRK -. - . - , C011 M> RCIAL :+ EE SCHEDliCE, t'Sk:CJ1ECKLItiI . Mechanical permit fees* are based on the value of the work ❑ New constructionCddition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. - _ ., Value: S - `CATEGORY OF :CONSTRUCTION - - , A 4. . - , - - r..swENTI L EQUIPMENT /,SYS IEN1S FEES *. " " ❑°rand 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total •, 313D ,,SITE INFORMATION`• AND J.QQATION - _ Hcatinglcooling: Job site add' Air conditioning 46 75 Lange, Cezanne R13164 Furnace 100,000 BTU (ducts vents) r 46.75 City/State/2 g + Furnace 100,000+ BTU (ducts/vents) 54 91 Suite bldg. /, 13337 SW Hillshire Dr Heat pump 61.06 Tigard, Or. 97223 , Duct work 23.32 Cross street/ (503)639 -8022 Hydronic hot water system 23 32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), to -wall, in -duct, suspended, etc. 46.75 Flue/ventfor any of above 23.32 Subdivision: Lot no.: Other: 23.32 - Other fuel appliances: Tax map /parcel no.: Water heater 23.32 • DESCRIPTIQI9 OF ,WORIt Gas fireplace inspY 33 39 Flue vent for water heater or gas fireplace 23.32 l / - - tit... k_ Log lighter (Ras) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ChinmeyAmer/flue 'vent 23.32 El PROPERTY. OWNER - , ' ❑ TENANT - - Other' 23.32 Environmental exhaust and ventilation: Name: Range hood.'other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 23 32 Phone: ( ) Fax: ( ) Attic crawlspace fans 23.32 - - , Gi tines ( APP,LICANT,- - , , -' .1] CONTACT PERSON" SON": ' ' . Other• 23.32 Business name: A C �L"L Fuel piping: �( 514.15 for first four; S4.U3 for each additlonal Contact name: Furnace, etc. Address: Gas heat pump Wallisuspended/unit heater City/State/ZIP: Water heater Phone: ( ) Fax:: ( ) Fireplace Range E -mail: Barbecue - ' : - - - .. :4. CONTRACTOR _ ! - • ° Clothes dryer (gas) Business name: Specialty Heating & Cooling, Inc Other: . . ` MECHANICAL_ PERMI3'FEES•- Address: 7500 SW Tech Center Dr #130 Subtotal City/State/ZIP: Tigard, Or. 97223 Minimum permit fee ($90.00) Plan review (25% of permit fee) Phone: (503) 620 -5643 Fax: (503) 598 0718 State surcharge (12% of permit fee) CCB lie.: 66578 TOTAL PERMIT FEE ! (..0r. W i,„V This permit application expires if a permit Is not obtained within 180 L days after it has been accepted as complete. Authonzed signature: * Fee methodology set by Tri- County Building Industry Service Board Print name: Andrea Dripps Date: 6/3 1, 3 I \Bmldmg \Permm'MEC Per rtApp 040113 doe 440 -4617r (11'02 /COMIWE Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13337 SW HILLSHIRE DR, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final 06/20/2013 00:00 MEC2013-00300 PASS - No C of O Minor Label ELS#368482 Violation Summary: Inspector Contractor