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Permit CITY OF TIGARD MECHANICAL PERMIT 1 4 COMMUNITY DEVELOPMENT Permit#: MEC2013 -00422 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2013 Parcel: 2S104DD03500 Jurisdiction: Tigard Site address: 13720 SW AERIE DR Project: Pieratt Subdivision: EAGLE POINTE Lot: 26 Project Description: Install A/C. Placement of A/C or heat pump units must comply with the manufacturer's clearance requirements. Contractor: COLUMBIA NW HEATING Owner: PIERATT, RYAN PO BOX 622 13720 SW AERIE DR SCAPPOOSE, OR 97056 TIGARD, OR 97223 PHONE: 503 - 543 -3624 PHONE: 503 -543 -3624 FAX: (503) 543 -6285 FEES Specifics: Description Date Amount Air Conditioning 07/25/2013 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 07/25/2013 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/25/2013 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: OA/ 70/ e 62770A/ Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept In a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicaj ECEIV D rOli Of Fit l( 1.;5F. ON t.1 City of Tigard Received JUL 2 5 2013 DatciRy: r PeniitNoNCo203 DO «a . "� . 1312$ SW Hall Blvd.. Tigard, OR 97223 Plan Review __ Phone: 503.718.2439 Fax: 503.5913.1 b char rc rmit: Inspection Line: 503.639.4175 I TYOFTIGARD Dttue ReadyBy: if- I See Page 2 far Irrtcntet: www.tigtrd•or.gov iii:: l: T? BUILDING DIVISION Notified/MetYtod: ii. , SnpMc+entnl lnfarmadon { SCT 7I : - gl�• ;L;:. = .1C1SE;f.'#�E�Ii']�ISr Med:414ml permit feee are based on the value ofthc work ❑ New construction ® Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of alt ❑ Demolition ❑ Other: mechanical materials. equipment. labor, overhead, and profit, Value: $ . CATF:C` tRY of :CONST.11,teir1O1' Ft1EtiIb1�Tilvt., E6?tJI / 51i'S �T> fi351+EIigA' ® 1 - and 2- family dwelling ❑ Commercial/industrial. ❑ Accessory building For special reformation use checklixt. [] Multi- family D Master builder ❑ Other: Description } Qty. 1 f.'a. Total . ....'.S RM t1ON. Ah11}':.L( ATION IIrAN1221 }itt0: -- Air conditioning 46.75 lob site address: ) an O Sly) (jerl•L., fir Fttr=a=e 100,000 BTtJ (duets/vcnta) 46.75 City /State /ZIP: q�Ct ( q ']�� Furnace 100,000 +>3TLi ( durtc /vantt) • 53.91 JJ Hi Eurnp 61 Suite/bldg. /apt. no.: Project name: per, rats _ Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel-type. not electric), in -wan,, in-duct, suspended, etc. 46.75 _ Flue /vent for any of above 23,32 Other: 23.32 Subdivision: Lot no.: Other flue) appliances: Tax map /parcel no.: Water heater 23.32 G oa f ircp l etce r n sort 3 9 D' _ .. N:. bF •'WOitK .. 1 . Flue vent for water heater or gas fireplace 23.32 as.r' C r. Los liter (gas) 23.32 Wend/pellet stove 33.19 Wood fireplace /insert 23.32 Chimney/liner/flue/vent 23.32 Other: r 116 ..bw1°410t', ©. TENANT':: Envlirnemtental exhaust mad ventllatlon: Name: rat . Range hood /other kitchen � O^t �w f�C�rl� -� �( thm 33.39 Address: Clothes dryer exhaust 33.39 City /State /ZIP:rQO -b cr2p -a'-3 Sin exhutct (bathrooms, L l , 0"g_ toilet compartments. utility rooms) , 2.3.32 Phone: ( 603) M ._ 3 Fax; (5: ) sµ8 , - 1oa85 Attic/drawlspace fans 23.32 23 3z : •(1:li>'PI , t c &rrf . C cor'r c'r ' lv. Other: ... Fuel griping: Business pamc: Vr lit ' , C±n_ — y - $14.15 for first font; $4.03 for each ndditinnal Contact name: Furnace. etc. Cr Address; as heat pump • Wall /suspended/unit heater — City/Slate/ZIP: Water heater Phone: ( ) Fax: : ( ) Fireplace E S0. t.%e Co I to .rin6a•rtt..ti. C.O ..-' Barbecue es 8 CbIV'i'i'!AC'1'U>Ik Ctcrth drytr ( s . ' Irim6 eU(t) Ht .: Other: Business name: /.� { V (et � "� MEC'�ANi+�111' pF,R14II1` kEl'yS*, �.. ::. � ' Address' I V /t� (c . City /State/ZIP: ..!•o .. e, •)' rr D6 / (� - � ^� Minimum permit fee ($90.00) 90 e�C) sL C/ Q S Phn char (2 /o of permit fee) ' o ( T • i 4 a ( 7 J t ( State surcharge 12 %of fee 1 D. 80 / CCB lie,: ./41`4/7 TOTAL PERMIT FEE 160 .90 •✓ • - - Thu permit application expires ire permit is not obteined within tat days after It hoc bean seenptod as complete Authorised signet . " Fes methodology set by Tri -coumy Building lnduairy Snrvtcc Board Print name: , A. I _ / s / J ` Date: 1 Elg a c',nnildinR\Prnnih \MCC rerrnnnpp_040113.doc nao - (11 /02/COM P/F 3)