Permit CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit #: MEC2011 -00231
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/26/201TIGARD • Parcel: 2S104CC08200
Jurisdiction: Tigard
Site address: 13722 SW ASCENSION DR
Project: HAWKE Subdivision: HILLSHIRE WOODS Lot: 101
Project Description: Water heater replacement.
Contractor: SUPREME COMFORT HEATING Owner: HESS - HAWKE, MARY ANN
9425 SW COMMERCE CIRCLE #16 5043 MOORPARK AVE
WILSONVILLE, OR 97070 SAN JOSE, CA 95129
PHONE: 503 - 682 -1985 PHONE:
FAX: 503 - 682 -1018
FEES
Specifics: Description Date Amount
Water Heater 05/26/2011 $23.32
Type of Use: SF 12% State Surcharge - Mechanical 05/26/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/26/2011 $66.68
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.
IOW
Issued By: ��,��3 f i Perm ittee Signature:
Iv •
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.
05/26/2011 13:58 503-682-1018 SUPREME COMFORT INC PAGE 01
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City otK r�" No
13125 SW Hall Blvd., 'Tigard, OR 97223 ..„,.... ‘ \.a-c,,IN,) Daic/By: Plan Review
il l : . . Phone: 503.718.2439 Fax: 503.598.1.9.60rcA ',"'s Dritc/riy, (*Mild' Nisinih ;
re_____. Sipplymental lam-million
0 New construction EN Addition/a.lteratioliireplav performed. Indicate the value (rounded to the nearest dollar) of all
p Demo I i t ion l:j Other; 0 mechanical Matcrisls, equipment, lahor, overhead, and profit.
21 I- rind 2-family dwelling 0 Commercial/industrial 111 Accessory building For Specfril Informatimi ISSP checklist.
D Multkhmi I y 0 Master builder El Other: Description 1 Qty. Ea, 7 Total
'--- -- -- - �����8��T`p����� � • '�� omuo�mv/r=:
Air conditioning | 4o7o
/��c ��:|�������n, (requires site plan .
1 ��
'-----' --' --- ----� - _ ���e|o�o� BTU �m�,n°* , o
_ u��m��rr: Tip* , � OR 97223 _. Furnace 100,000+ 54.91
su.mm\do�p .nn�: ) Project name: Hawke Heat _ - _ - rwc/meno • 61.06
Cros stroet/direci ions in job rite: Duct work � 23.zz
----- --' -.------- -- '--- ---- 23,32
_ _ Residential boiler (radiator "r
23.32
_- -- - �n� .
_______ ___ _____~__
in suspended, etc. ! ^u�_.
s"*a/~i"/"". | �^rm��
__ nuavo�»xu��� 23.32
_� -�-'---- -- ^ ouuc .
23.32 __
{^p mnr�a�uinu: wN�m��p��^f��______L_
. /���.O��`��� .' ,•` .. '�.��'� Water heater / I 2��� ��
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Gas fireplace / 33.39
replace water heater
�m ;
_
nmplace � ��2
-'-----'------ ' --- - --' '-- Lou lighter (gas) | 23.32
__ __�__ _wonmna|��n� � 33.39
woodn=pl _____ 23.32
, rB DnT� OWNER [] TENANT: � : • - �|�imnm^onon�uowvo� � xa.az
-��' ~---� ' ----- Other, 23.32
Name: n"nn^wx* Environmental exhaust and m^mauov.
Range hood/other kitchen
Address: 13722 SW Ascension ^
," n
-'-- ----- ..99y■urtslt 33.39
Chy/S.n'cmp Tigard, nc "zzz3 Clothes diycr exhaust: �33.39
'------------'— ' --- --.-'-----
Single-duct ",»nv*(bw»romm".
Phone: ( ) pnr( ) rooms) • 23.32
'' -' --'-- ---- - -------- 2
0 APPLICANT
____ . FE' (T,pmnoON ..: • o.3
-� Other: 23,32
�omn�n S"m" "" om/num,
_ Find piping: ______
n _�____ --- m1*m»xonxumnnm�i*nm,xmwx�"*
Address: Eum �� n � _______
__ ___ __ Gas heat pump
nty/sute/Z/p: wumu�vu�mn/�oo�o �
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Phone: ( ) Fax: :( ) wn,o xeater _
Fireplace
�nn�|: !- --'--
- ___~_-_---- .
- �_-_'~_� � CONTRACTOR � ' �� � ��_�� Barbecue
Bttsioess name: Supreme Comfort Inc. Clothes dryer (gas) Auu wz��� ci mo a°�~�� ~ ---
_ __��� Commerce ____ ___ •
,Other: ' '' ' ","`�c�» �� �``�'� • � •
Ciw/S/atc/Z|P: 0m97nm ~___ | Subtotal
----- - ~�-- ------ -� Minimum .m8 90.00
/`iw"*:(ooa)oouvxs Fax: (503)082-1018
'-- __� | -_.-__ mxn�n/o*on�prp�mi��� ____
'V13o,.:21m2 State surcharge /rm 'of permit roc) 10, go
._-- __._ __--- --
Atithori7.ecl signature: / . -
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