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Permit } , i = CITY OF TIGARD MECHANICAL PERMIT y'f k Permit #: MEC2009 -00633 , ` - COMMUNITY DEVELOPMENT wt , : 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/30/2009 vT:1 Gp'RD 9 Parcel: 2S 111 BA05300 Jurisdiction: Tigard Site address: 14120 SW 97TH PL Subdivision: SOLARCREST Lot: 5 Project: Michels Project Description: Replace furnace Owner: FEES MICHELS, KENT Description Date Amount 14120 SW 97TH PL Furnaces < 100K BTU 11/30/2009 $46.75 TIGARD, OR 97224 Flue/Vent For Any of Above 11/30/2009 $23.32 PHONE: 12% State Surcharge - Mechanical 11/30/2009 $10.80 Minimum Fee Adjustment - Mechanical 11/30/2009 $19.93 Contractor: SUPREME COMFORT HEATING 9425 SW COMMERCE CIRCLE #16 WILSONVILLE, OR 97070 PHONE: 503 - 682 -1985 FAX: 503 - 682 -1018 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: . Fuel Fuel Types: Gas Pressue: Total $100.80 Required Items and Reports (Conditions) • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: j at Permittee Signature: er)l— 4 t CC /Y - �'vL— Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . ,~1'1/27/2009 15:50 503 SUPREME COMFORT INC PAGE 01 ~ -;\''� -� ;=" r �����@���N| U`��1��� L«�= `— m}����nC�UAE$��r � - � � .�=� y n ���^ City of Tigard w� x��U��� �Y- �� � � |3|D ow*w�*' OR 97221 �0V � ' `� ' '� hone: 501639.4E71 Fax! 503.598 1960 - .0.....; �`~° other Permit: nuxuo Inspection 503.639,4175 C�._�' ,�.�T. 11111: �aymx�m' Internet: ~ ~~ e '' 1.11411*a°ct*ncl` nlITnxmmm`mmmooOO -`: ,'■r `''_ /.'.,-�, ' �� ,, ---------' ---,------------- . .�- `������ .^ . 0 Np'm,nmmw�n �� Addition/alteration/replacement Mechanical permit fees' arc based on the value oldie work Indicate the value (rounded m the nearest dollar) mall 0Dcmvmiom 0 Other: mechanical mow*^* ------- �� Waite.; - - ., ___ � � ' '{ATE00QY OF _. �..,,.'�� �, �� �• '. • . FEES* IE |' and z-funi(rdwelling 0Cvnmereie@nV"strim 0 Accessory building -� �� mmd^�nih [� N"m�hvux� [� Other: -- Description �nodm ____~__ Qty. Ea. Total I0111 SITE ,coCArui� .` :`.�.- � _ Heating �b�� "�ro��1wzomwYr'n Air -'-� ___ _ ��" �o 46,75 city/smo¢|p:rigpm. OR 9722* Furnace |o0,ono BTU (mmts/.n"* 1 46.75 46.75_ ----- _ ----- __ __1— . �������0o+ Bro './"�~�".w 5,1,91 Svk�NdoJxm.n".: pnjounu�": ____ Heat ��_____ Cross street/directions m job site: D��w2� | 23.32 Hydrous° hot water -- ------- 23.12 , �*um^^|�~.u,�^a�� ------------- 23.32 __-.,_-__.-__-______--_- unit heaters (o.a-trpe, in-wall. in-uvot, suspended. ,it.:. 46.75 | nom+e"`» n/ above 1 zs�z 23.32 Subdivision: �*t n^ ----- / ' ' _-__ �-- . Othcr: ( 23.32 Tax nmr/purec|n^.: Other fuel app ____ DESCRIPTION or --- � . � .: - ww���yr u23.32 ----- --^'~-- no`nnn|mc �� Replace furnace ~_______. n`o • ,muxxmmr -- `� � '- - - fireplace 23.32 - Log/ightc (gas) ����---- Wood/pellet stove _ 33,39 W",wnrcpl,wchnnn � 23 . 32 __ ___ _ [] PROPERTY | • �� 7r��wT� ' C __________��� / Other: 23 32 | _ Name: Is",,nt Michels Environmental exhaust and licn1i11yyn Range hood/other � �'hcn Address! 14120 ov/97 m ---'------ '^- ----' ----------_------_-' �g�rmcn' _ rity/stuu/Z|r:r/vim OR 97224 Clothes un*, ,x hails( ---------- --------'----- - nmzl^4uct exhaust (bmmm*m,, | o Phone: ( ) Fax: ( ` ���.��p��_ cn�m�,n �u�nms) \ 23 ra»rrIX:*Nr | . ��|�0�r^Crrsn�0� m'/u*m°* _________����� -----~------ ��--�---------^----'-----'---~ - ' - ~---- . oth^r 23.32 oo,/n�,name: Same mr^",m^w, - '— ------------------. ---'' --------------_------ !iteipininu cootactoome, o/ms for first four; s*.113 Lfar each additional --- ----- — Furnace. ctc Address: �- -' Gas licatpump ____ city/m ute/7.|p: Wall/suspended/unit . ______ phnnn:( ) | p"=.( ) Water heater -_�-__ ____ _ ' Fireplace n„rnnx: -___ -. _-_ CmNrmAcTOm' : ,� . `' Barbecue ___. ___�_ --'---��-''------' Clothes -- -- Business /mmv:mprmnvcvmm�Im. _ _ ---_�__. / --- Other! / Address: uz�nncv~rmn�r�mo � . MECHANICAL PERMIT FEES* .___-__ -_-__-__--'-- -__ -__-___-_�--_ -_- oty/Stnwz>r:rvov"ovmo. OR vrv7o _ subtotal 7o»7 -- -''--------'-------�------ ------ ------' Minimum permit 90 00 nmnx(sm)onz,me �m: �o3)oo�mm --- ---- � -- __-- _---- Plan review �smnrpomroz� cnx 21892 ----- --'---- lie.: » ��nr nm'* permit m x^ � '_' -- ___ _ ._ - __.____' TOTAL rFewnrFEE /0»�O m T�r ""�/"nt��m mv��7 --- ������^�m�/nv -- - «m5"�'^*"�" ""��/ ���pm� nin�nmn��*"nom'�np /~~ C*��//ormv ~ n=�u»�v/��,w� n-Cumy u"./w�/*up, v*`�"om� ���� �� _ �