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Permit CITY OF TIGARD MECHANICAL PERMIT 2 : COMMUNITY DEVELOPMENT Permit #: MEC2011 00461 Date Issued: 10/18/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 2S111CC12800 Jurisdiction: Tigard Site address: 10345 SW HIGHLAND DR Project: LAUNDER Subdivision: SUMMERFIELD NO.4 Lot: 179 Project Description: Replacing furnace and water heater Contractor: SUPREME COMFORT HEATING Owner: LAUNDER, LARRY W & MARILYN E 9425 SW COMMERCE CIRCLE #16 10345 SW HIGHLAND DR WILSONVILLE, OR 97070 TIGARD, OR 97224 PHONE: 503 - 682 -1985 PHONE FAX. 503 - 682 -1018 FEES Specifics: Description Date Amount Furnaces < 100K BTU 10/18/2011 $46 75 Type of Use: SF Water Heater 10/18/2011 $23 32 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 10/18/2011 $10 80 Occupancy Grp: Minimum Fee Adjustment - Mechanical 10/18/2011 $19 93 Stories: Fuel Fuel Types: Natural Gas 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: Call 503.• �� 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. 10/17/2011 11:15 503 -682 -1018 SUPREME COMFORT INC PAGE 01 Mechanical Permit Application lrOlz OFFICE USE ONLY a rt., > City of Tigard 111 ReCe1VCd D , te/gy ,�! if ti 1V �• ^ 13125 S W Hall Blvd , Tigard, OR 97223 E plan Review EN E 114 t1 S Phone 503 718 2439 Far 503 598 1%0 Date /By U11,e, Permit: inspection Line 503 639,41 75 OCT 1 7 20 pme Fundy /6y m See Page 2 for I1e.rA2D Internet www,tigard-or gov Nati /Method S upplemental Information CITY CF T,CAR© �„ ,'C 1� till. �V 1 ��1 �V�i [ )� ! )1 ' , �„ , GhIV11ffFR'I IAL FE D 'SCHEDULE '� "tiSI ;G rr t�8Sl " ...... -- Mechanical permit fees* are based on the value of the work ❑ New construction ® Addition /alteration /replacement performed Indicate the value (rounded to the nearest dollar) of all EI Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit, • Value: 5 .'CA11tG,orai; Or CONSTRUCTION , ' , ;RESIDENTIALitQU P MLNT;Ii�SkS`TTNS,FF'ES"I 1- and 2-family dwelling Accessory building F or5p a f _ Multi -html ❑ Master builder ❑ Other: Description Oty, ecklis Total ® y elling ❑Commercial /lndustnal ❑ For c rrlalln Information use c!r Q Y __ " , .I Renting/cooling: Sli a �.L'__ :lt'' • lob site address: 10345 SW H Atg u fires site pl conditioning site Highland Dr. (rcqtres plan ehowin • pincemenr) 46,75 Furnace 100,000 1 46 75 46 75 City /State /ZiP' Tigard, OR 97224 __ -__,__ t e 54,9 Suite /bldg /apt, no,; Project name Launder Heat pump - -- 61,06 Cross street/directions to job site: Duel work T _ 23 32 Hydronie hot water system 23 32 . Residential boiler (radiator of hydronic) 23 32 w - ^• Unit heaters (fuel -type, not electric), to -wall. induct, suspended, etc, 46 75 - Subdivision .. Loa no.' Flue /vent for any of above 23.32 - •--- -- Oihct; 23 32 -..m Tax reap /parcel no : Othcr fuel appliances: .. _* 'i" I'll;' ,';;; ;l' !' Dt G:RI 1' iN: ,f,�r W,,,'1Z'll Water heater I 23.32 23,32 ��r ��i,r•• �H�firda�i l,k )0 ,ill.i �rl i; � ;r ,wmmw�.�e .., , @111'., � n „�;�,��,�� � ����� -- - Replace furneace and water beater Gas fireplace 33 39 Flue vent for water hcatcr or gas fireplace 23,32 -- Log lighter (gas) -- 23 32 Wood /pellet stove 33,39 Wood fireplace /insert 23,32 �� . ,I'R,!p'PY'aR1 . , ,i© 'TENANT _ Chimneyllincrltluc/vcnr 23 32 AW Other. 23,72 Name' Larry Launder Environmental exhaust and ventilation: Address. 10345 SW highland Dr, Range hood /other laichcn -- — equipment 33,39 City /Store /71P Tigard, OR 97224 Clothes dryer exhaust 33 39 - - Single -duct exhaust (bathrooms, Phone, ( 1 Fax ( ) toilet compartments. utility rooms) ; 23,32 0 APPLICANT . 1 CONTACT, PiERSON Attic /crawl'pace fans 23 32 Business name same as contracto Other , 23 32 Euel piping: Contact name: $14.15 for first four: $4,03 for each additional Address, Furnace, etc Gas heat. inp City /State /ZIP: Wall /suspended /unit heater ' Phone; ( ) Fax; • ( ) - Water heater --^ ^. •-'- Fireplace E -mail: - Range 4; 1,., °'ls,, , j :,` '„ l l f`'4 ! ;„ . OT.F TQ i , Barbecue Business name; Supreme Comfort Inc. Clothes dryer (gas) - Other: Address: 9425 SW Commerce C fir. #]Cr , ",'i T ' `M,PCI•IANICA ,RE1 ,T,FFESw City /State /ZIP; Wilsonville, OR 97070 Subtotal 13,07 Phone. (503) 682-1 985 Fax: (503) 682 -1016 Minimum permit .fee ($90 00) 90.00 „ - -„ .,. Plan review (25% of permit tee) CC13 lie,' 21892 St ole sirrcherpe (12 %ofpermit fee) I0,R0 �" / � TOTAL PERMIT FEE 100.80 — T his p ermit application cxrnrea if a permit is ant hbtitmcd within in Authorized signature: r dnya nhnr H Iron hoc. ncwnprnd a■ et.srlein. Print name, Randal Lapp Date: 10/17/11 " Fee methodefotty set by Tn- County Malchni; industry Service Board I \suildin8 \rci itt \Mite- rcrmtcnpp doe 09/n9/ In 14o.1 In (1 UniicoMwnn)