Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT ''7 2 • COMMUNITY DEVELOPMENT Permltu MEC2011 -00480 Date Issued 10/27/2011 T icAALI 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 25115AA04800 Jurisdiction Tigard Site address 10861 SW CHATEAU LN Project MARATUKULAM Subdivision REBECCA PARK Lot 5 Project Description Furnace and water heater replacement Contractor OWNER Owner MARATUKULAM TRUST BY DOMINIC J /LIZZIE D MARATUKULAM T 6362 EL PASEO DR SAN JOSE, CA 95120 PHONE PHONE 408- 439 -6556 FAX FEES Specifics' Description Date Amount Furnaces < 100K BTU 10/27/2011 $46 75 Type of Use SF Water Heater 10/27/2011 $23 32 Class of Work ALT Type of Const Minimum Fee Adjustment - Mechanical 10/27/2011 $19 93 Occupancy Grp 12% State Surcharge - Mechanical 10/27/2011 $10 80 Stories Fuel Fuel Types Gas Pressure • Total $10080 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 � A Issued By Permittee Signature `lie Call 503. • 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 10/26/2011 12:27 206706078 °\ )) FEDEX OFFICE 1918 PAGE 02/04 Mechanical Permit App heati on t � ti '` O Resat PemrtNO„ City of Tigard QC ` c.." N DRI 10 , tv a i.r t cII— c ° 13125 SW Hall Blvd., Tigard, OR 97223 r0 ,1\S \ PluiRew Othc Pent nv - C . ' Phone: 503,718 2439 Pax, 503,5961960 \ <4 rOiV DoWNOy, TI U ART). Inspection Line: 503,639,4175 G V3\�V Date Ready /Oy sues: See Page l for Internet www. tgmd- ot g��� Donned/Method 7326, . upplmnentnl Information t' It „r I a -0.I S ,dN , ,i P , u , < " -e'F I d1Y '� V'( RIttIk,e rot, ,.,u, a;vj f t5, N� , V A'' I ,;a ItCY , . ': t1 kilii'FL t gc±titlo 1�f;' 4 tlt,ESt, : },, s $4'i;h, r i„r `+ .b`^ , 1 L': u9 - / '+ r - 'N II Mechanical permit fees" a a based in the value of the work ❑ New construction ® Addition /ntlemtion/replaeement performed Indicate the wine (rood ped to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, ma imam, l or overhead and rofit. G aloe.$ I P„1 .,,;r/t.ijli,igg't.wrF;u "riot"tt t"1$v?.'j19i.' iN tf4"toN A ifl•"ti i , "kl^ " r e X' a ' " i : (:, t i'ItLI dSYSL� StftblMti�u'.':;o fEl 1 - and 2-family dwelling ❑ Commercial /industrial ❑ Accessary building For special itformar44n one checkhn, © Multi - family 0 Master builder ❑ Other: Dosed don 1 1 I Qty Ea. Total 1 • , 'I.,R3]-').5 '1 , ty y,�y,� 1 141 4 ,j �,y,fy�G tX itAt a . 1, T lMa, a�,,e ta .,,I;' 'j164 Q ,,,,' ,,A∎ I � o / r I 1,„ . u I'd diP :ttilv(. sr 46, con Job Site address: 10861 SW Cliaten law c woe site Inn shown tin matt) t 46 75 Furnace 100 000 BTU dui events 46 75 46 75 City/Slate/MTh Tigard, OR 97224 Funtacc 10A 0004 W 'eisf ems) _ 54 91 Min Suite/bldg /apt no • i Project name' Fnrnace -W. Heater Replace Hest pump tweet ate. Ian shown Ii• tot . 0)06 Cross street/directions to job site' SW 108 Sr., close to Durham Rd rot 1W . 1111r ' ,all — 23 23,32 lb dronic hat water: ate `wnirs- Residential holler (radtatm I drone III 23,32 Unit Neaten: (fhel -type, no electric 1 in - wall in duct ann•cndet, eit., ,.4675 Subdivision: Let no.: Floc/vent for any of abov ___ 23 32 Ina Other, � Tax mdp /parcel no„ Other fuel a , Alamo: p 23,32 2332 • R " at �1* { ') 11' 0�yy " W}z' " "'ll :�� ;), '/;l".3/11P, - 11 '; ` Wilier healer Alldlllnl ,bS / 1, : l' . AA rV(lf +P s :I 1;�i`vuY� ia 1YWi1l }av )'" 2 A :. is e /�i<`i l 'F^••.o�rg e{ Replace existing Dwane with, new 95% efficiency furnace. Gas fireplace 33,39 Flue vent for water heaterlIor gas Replace existing water heater with new water heater of same capacity fireplace f 23.32 Lou, h :htcr ;as I 23.32 Wood/pellet stove _ 33.39 Wood fire lam/insert _1f _ imeremon v, ";, , p,ii;Al i'.7lb001 H ,h�.ih�ia` /i C, 'l�k } y��i, , k , i o �h(ccnti� tji�31r✓P31;w�}i��: 41 f 2332 23.32 Environmental exhaust nd vent Name: Traci, David Madonna R nd Address: 10861 SW Chateau Ln Range hood /other kitchen a tai, i• cot 4I alien: _ 93 City /Stale/ZIP: Tigard, OR 97224 Clothes d er exhaust „L 33 39 5113 70.7640 I Pax' Single -duct exhaustt(bathrtoms, Phone: ( ( ) toilet door .anmen unlit, moms), 2332 �a,. ,t• �:,dqo ll Cm ,e l4ty` ^,:A. w. rl, ,^h d " ° (,n.47; 4 (, , tagl , +t Y C i„U i9kid�:.4, vi Sd11, dH i! aSerna§; ;Ik,"i;,C�1!Y;'I�uKC•`�r0tkiOti {w.'.,r, Attic /crawls ncc fans 23,32 MN Business name, Dominic Maratukolam (Property Owner) Other - ci 23 32 Contact name. Dominic Marattrkniam 514.15 Our first bar $4 for each additional Address, 6362 El Pasco Dr. Furnace etc. —1 Cny /State/ZIP: San ,loise, CA 95120 Gas heal pomp , Wall /sirs, ended/unit Mare Phone' (408) 439-6556 Fax; ( ) E-mail: mnrdominictgmaiLcnm l • Rank - .rl�� i iryl )M1q,:,ikk "' : .'s Y9 °, 061 C,+tCiR., r, n, r „ vi.y,l;;V I' �IId'� r , sk.f,. " U. 1.�.:�; ' f�'I� 1e :$ ` n�;� 1 :7 t,. ... - ;,te s; ',r ° . l,. 1s w u 7,. Barbecue I - Busmess name, ^ Clothes dryer (gas) // . ` l \/ Otter: Address- (9� /v �— �.,s,. , a, „�� 'r'�:tr ^: sir �r,NI�"Ci�k 1,'P1�',)VII`�G)���SWy:1' ; "n ( `i:. City/State /ZIP Subtotal r — -C ck, Minn um pera.a fee ($90.00) I III- Phone: ( ) Fate, ( ) ew (254i pif perms fee) CCB Ile,• laiiii (I2Stictfpenmt fee) 11.21 10, TOTAL P,;SRMIITTEE 144'66- fu) -St= Authorized signature: 7/441:4-4e------ This p ermit application ex. Wm if n aif a a • it le not 40190 40190 within 180 gtmmittr'C days after d h been to peed an complete. Print name. Dominic Murutukulam Date, 10/26/11 a Foemch roes by Tr•Gimty I ilding Indastxy Sol-vice cord l'ZIAP mgtPCrmTIMCC- POmntApp site 09/09/10 410 -IG17t (11 /O2/COM(A(n)