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Permit CITY OF TIGARD MECHANICAL PERMIT ;� ': COMMUNITY DEVELOPMENT Permit #: MEC2011 00444 Date Issued: 10/12/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Parcel: 2S111 BA02000 Jurisdiction: Tigard Site address: 9875 SW VIEW TER Project: Feller Subdivision: INGEBRAND HEIGHTS Lot: P -55 Project Description: Install two head ductless heat pump. Placement of unit must meet 5' rear and side yard setbacks Contractor: WOODWARD HEATING INC Owner: FELLER, DONALD C & MARY PO BOX 13610 9875 SW VIEW TERRACE SALEM, OR 97309 TIGARD, OR 97223 PHONE: 503 - 448 -4328 PHONE FAX• 503 - 448 -0038 FEES Specifics: Description Date Amount Heat Pump 10/12/2011 $61.06 Type of Use: SF 12% State Surcharge - Mechanical 10/12/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 10/12/2011 $28 94 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 Not ion Ce Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or dire questions to OUN. - c. Ili 3.232.1987 or 1 800 332 2344. l O Issued By: / ` l� / ? / Permittee Signature: 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. 10/10/2011 09:20 5034380038 DOUG WOODWARD HEATNG PAGE 01/03 Mechanical Permit Application FoR nl'r1' i l.!sh; ON 1,1 City of Tiigalyd rived /( i Pcnntl No,: e Q.,l I - ° 13125 SW Hall Blvd., Tigard, OR 97223 R E y ( .} / RCVactv B �� 1 Phone: 503.718_2439 Fax: 503.598.1960 Daten9y, Other Permit: I l l i nit f) . inspection Line: 503.639.417 OCT 1 0 2011 rule Ready /By ,Turin 55 See Page 2 Tor Internet: www tigard- or.gov Notified /Method. Suppiarnrntai Information ;r I, M �;);Ai1,�!W INpiCfa �•`�� #i' 11.rt)a!C.r<,� .rtdt .,:r . — I r , �,• ' �. �y� y "� U Y ',)•1/4 ,k • , ! . 1 r A{(� i;ji t A �p a p ' • ,, - q ' ..r1', 1, )' .r / r, 1 , 1"- VN ;�, N �•'i r:.),-,,, J 1 o.�'r ^ ' ,4 ..' , .'kl'litpi ii - :'ti _v' a , . ttAF` ''' '� `n - 1, r v ba - Mc ,,, a o fthe , ' c,•, • Mcchant permit fees^ arc bawd on the value of the work ❑ New construction Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition Other: mechanical materials equipment, labor, overhead, and profit„ — > •rl•,•JP�y�ryrU,�aa F o il . �..��rr�_�'�.Y �y'y 1 ` •,• {A ^ •a r. l:' ; ;r:•. ,, ,a r( Value:S �tirr itL p A,Pdy !"r�1 „�� '� t .• . U ,, ;. .,,.. ' '� . ,, , `, •,a "r, jp A y",�I'r`yy qty wg� {�,*�gyqpp �! -ru `r ,,44 i." :vU 2 ,, . ,,.6 • - ` � p.. tM••w, r ric11- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For sprclnl ieformallon 115E checkl(er ❑ Multi- family D Master builder ❑ Other; Description _ Qty J Ea. Total r"P, t r 1 1 , ' � S' 'a I 1 t1 J a ( ,� r It • ,; • ',O "∎; 1 ,'v;" �)I;(` . esh roolln m ! ti i ' �. r r �; uu ; , K ?i . r i,'` ''''' ! '' a'', "- Fl 6t ,i ''^�• ;• ># ", rt,��^ l �' .. .�IS 1 s '��Fl�r� u� �� ° u, ;! � S � - �'1 • "; � -,-, Air conditioning Job site address: ph' D - \ ' i t 6, i - .4 .. . g�� (requires site plan showing placement) 46,75 Furnace 100,000 BTU n) 54 95 City/State/ZIP: `� 0 - Z2� BTU (duds Furnace 100,000+ BTU (ducts /vevcntt) 54 91 Suite/bldg. /apt. no.: Project name: Heat pump (requires site plan allowing ptnccmcnt) 1 61.06 - IA • d( Cross street/directions to job site: Duct work 23.32 _ 1•lydremic hot water system 23 32 Residential boiler (radiator or h ironic 2 Unit heaters (fuel-type, not electric), in -wall, in -duet, suspended, etc 46,75 Subdivision: Lot no.: _Flue/vent for any of above 23 32 Tax map /parcel no,: Other: 23.32 Other fuel appliances: '1- � 411 + `YH, .,. i r , ; ' ' "ia1a ' �d; -' 4,-,•". rintll ,!■' 1.o : ^r . .'1 •;MFr 1,g ",,,, 1' '7:f'^ 0 v o ..,f';ay 1 . ! - „ , Y r. : "j' p. . r 4j`^ , � 'i i ii;, - ", s '. Water - a ti' +'r 'i imp k;'i; �• 23 - Gas fireplace 33.39 ” A () l) c -Tl E55 1 A"S cl.n Flue vent for water heater or gas fireplace 23 -32 '-- I.og lighter (gas) 23,32 __ _ Wood /pellet stove 33.39 Wood fireplace /insert 23.32 lr' / i , ^ �t y �W'' "wig �' + "rh ',+ �r h Cimne /liner /flue /vent . ��1 Qtr;:, ��� r'• ?x,d,•;,� y 23,32 - - Name: Other: 23 32 Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City /S1ate /7.1P; _ Clothes dryer exhaust 33,39 Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms, toilet coin. artmcntn, utili rooms 23.32 „1'14,i °P Cyi�u r-o R"rn a , G nt1 'd f ; ,y ' i , d (j' "� :,) g �'t�i. .. r� r � i , ., „ ., , < � , , , uui,� ��, 'M;� n „ !. q�� x�y� ,�h� ' , � �,' , '�� �� „!,�„ ', .�' yi„t,17 �,1 Attie/crawls ace fans 23.32 Business name: Other 23.32 Contact name: - Fuel piping: $14.15 for first four; 54.03 for each additional Address: Furnace, etc, ■ Ga heat pump City /state /71 P: Wall /suspended /unit heater Phone; ( ) Fax; : ( ) Water heater E-mail: Fireplace r '' r � a ti'1! , � .t(fl ^e�lil "�*ll 'f" � �r!'r iy a � a r as ro� Range --., , ';: �?'� .f': ,; m',f•a. i }¢r?sto,s �� ir' ri , i .11,.'i i$' y 1 , }%NI k 'r'p„” a'>l'i�l�l°iQ.,�. ; � ; �;; ^ ,'�i�,4`,ar i +t '��,' •f,`� Barbecue Business name: Wt ›©tJV..) 1't7 1,�rr l Clothcs r _ Address: -1 f � � N l% Other. City /state /71P i ML► „_ �. • w' ci Ct r yrl;, N .,., 02 11 Del _ Subtotal '1 ..C)( Phone: (03 ) q Z' Fax: ( 'r 11kt ' ...% Minimum permit fee (�90.Oft) {?. ()p l 0 Plan review (25% of permit fee) GCB lie.: 1 L , /A. php. _ State surcharge (12% of permit fcc) lO,. '6u i TOTA f., PERMIT FEE 1 -' E Authorized signature: . �` �I 'this permit applicatiiao r><pires if n permit i4 not nhtrtined within 180 ■ days alter if hex been accepted as complete Print name: 'f' at >tlp Date: i 0 , to 1 4 * rce methodology set by Tn-Counry nuilding Itidnshy Service Board 1'\B MltC- PesmitApp,rt0t 09 /05 /I0 410.4017P(I i /02/cOMfwlnt) 10/10/2011 09:20 5034380038 DOUG WOODWARD HEATNG PAGE 02/03 p,/ • • (J P C I 3° )0/"/