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Permit CITY OF TIGARD MECHANICAL PERMIT i '1 • COMMUNITY DEVELOPMENT Permit #: MEC2009 -00544 T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/15/2009 Parcel: 2S103DC01500 Jurisdiction: Tigard Site address: 11430 SW VIEWMOUNT CT Subdivision: Lot: 0 Project: Flores Project Description: Install furnace Owner: FEES FLORES, ALEXANDER & ELMA Description Date Amount 11430 SW VIEWMONT CT Furnaces < 100K BTU 10/15/2009 $46.75 TIGARD, OR 97223 12% State Surcharge - Mechanical 10/15/2009 $10.80 PHONE: 503 - 851 -5910 Minimum Fee Adjustment - Mechanical 10/15/2009 $43.25 Contractor: OREGON HEATING & AC PO BOX 397 • DUNDEE, OR 97115 PHONE: 503- 691 -9699 FAX: 503- 691 -8556 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility - - • er. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules o erect questions to OU • • . I • r .246.6699 or 1.800.332.2344. Issued By: I • Permittee Sign lure: ::��� V)/ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . . Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received ED Da n Re 44117101311=1,, -' , Posit Na: 11 e ° 13125 SW Hall Blvd., Tigard, OR 97 `.1_L Plan Review '��� �� . Phone; 503.639.4171 Fax: 503.59>l CE� iJ Dates Other Permit Inspection Line: 503.639.4175. Li �bbb \��WYYY TIGARD DateReady/By: 8 See Nip 2for Internet: www,tigard or.gov C� 1 2009 Notified/Method; M Supplemental Information r O • f'l 4g:;. p, - ;. eA i ., 1.' i .1Y.: 11. _ . ._ :;: 1 *; : . i v.. '. . .)E.� :U�_�•�ti � ��.' 4 fiGiitiip�: "�'l�'$ � ,� � leiCS'!n ❑ New construction PLAddition/altB ��11 is SI Mrolranical permit fees" arc based on the value of the work performed- indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑Other: mechanical materials. equipment, labor, overhead, and profit. c : .,! ;: � 1 : i ;: : Value i . / Ir . . ' " .. i � .. = •d', <i ;" T G ORY" Q �GONST'RU(?IION _ •.i `.'•. . S l_■ 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building "`, ` " „` : 0 Multi-family ❑ Master builder 0 Other. Far sprcial3xformotionusetltetklisr. tin Description Qty. J Ea. J Total V •� , +;pt� L dQB 1 ur>t� +. j.� ,+ ,'; 11T rt ; r -. . �. �:,•..:•:`° o �. ar:. �1F: 1:.:,' +;......,.., :•+�- : :._ :... RMA�;,QlV :� , . _ �;� :,? . Heatin �/roolinq� ... .......... ... :.., : ., ;ACA. .,. ,.�, :.� _ . . ' _ Job site address:1 1 :1 f) S? W 'p A J 4- M /m ( r e conditioning, iuoui s or Last pump � � V� J v t L (requires site piss showing placement) 14.00 City/State /ZIP: Ti (a r1 - Furnace 100.000 BTU (ducts/veots) - I 14.00 1 l cJ. Furnace 100,000+ BTU (ducts/vent) 17.90 • Suite/bldg. /apt. no.: Project name: Gas heat ptffip 14.00 _ Cross street/directions to job site: Duct work 10.00 • Hydronic hot water system 14.00 Residential boiler (radiator or • hydmtrio) 14.00 Unit beaters (fuel not electric), . in -wall, in-duct, suspended etc. 14.00 Subdivision: Fluetvent for arty of above 6.80 1 Lot no.: ' Other. 10.00 Tax map/parcel no.; Other fuel appliances 'It• ' I ' i• if ;i 1 �s J�wy`"u MI° a lei'' duds y 1 Water heater 10.00 Oat fireplace 10.00 r rZ a_e_.c. Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 _ Wood fireplace/insert 10.00 " • i Afi!: < tk... ., - 17a . : ` a t;w- trill tit' i 1,,wi . g.Fsp�,e�.,.� Cbimney/Gaer /liue/vent 10.00 . .14. w 1f. ie illit T n : . :� : :d ; .. iiAIR,P.1, ? Other. 10.00 • Name: a J / Environmental exhaust and ventilation Address: , l L.1 sup (() nylon -1 Range hood/otherldtohen egttipmtmt 10.00 City/State/Z2: ( rci_ e ll t ?1, Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: , C) Fax: ( ) toilet compartments, utility rooms) _ 6.80 7, . r r . �� lt. l �N', : tl ., l ,r i , . : • z , i . �1;,{ I�x ' 1 ! 4 Attic 4 /craw 5 10.00 ace fans '. : :° ' .N ?� .. n. .r :Irwl::'t �. � t � J `i +u�h �( 'l � ,. . .i tT it - �•i ' F , Other, 10.00 Business name: Verki11'1Ci �C- • Fuel piping Contact name: I • $5.40 for first four; 51.00 for each additional Address: kx)X a4 I Ptunace Gas heat Pump City/State/ZIP: i a a - - c)11 " WalVsuspended/wtit heater Phone: ( ) • • ♦ + - Water heater E-mail: Fireplace Range �'� J_ i :'• :i' -. : y iI ? atif,'j.} :'.•i ? ^ .. a:.,"h' t< r:, fXii ULi "i;Y.'r�YO'!.�•++ :.�., : r. :i l ,i. ;; .; i. � r ,.• .7g�'gair;;Ii." 9: t.bt.' -+.'' :c : > a :l : :+. v?©.nIiL , :tP;%iV 1.1Q„j.c'�.,_,_`5�1h.• ., _ :i_ i :°�*f.Ilil , Barbecue v . Business name: Ore or\ Hit t ri� 6 k Clothes dryer ( ) Address: t�1 I r Othe ti'd� ,I' ~~ '°'{':':'..§# � � r` 4'r.`' `+`'�iri.; t ` J i r�r� i +� �;��'�1�7?t15:. ��d� .:pq.4U r t . Y s g � �rK.� City /State/ZIP: 1-)t, ,m e e 91 15 . - y Subtotal Q Minimum permit fee ($33.:99) D Phone; Fax: b Plan review (25% of permit fee) &Al -a6 (50 1 � �l_ ?�5 CCB lice; State surcharge (12% of permit fee) - : er /Q • ' , • 1 TOTAL PERMIT FEE ._ ��ito ry Authorized si _ •.: 11`'11 '�/�/t - ,f /i / h .,, This permit application expires if a permit it not obtained within 180 /06, aa+ I days afar it has been accepted as complete. . Print name: ' I C.4 illk. . � P-IA.: A OE Date: 16 1 • Fee methodology set by Tti -County Building Industry Service Board muildint\Pemit aloe- PamitAno.doc 01 /19/07 440 - 4617T n l%o2/O WwEal ZO /t0 30tid EEiNIlt13H NOS3H0 9558- t69 -E05 tZ :tt 600Z/VI/OT