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Permit , �" r °� C TIGARD CITY O 1 1 I CARD MECHANICAL PERMIT At DEVELOPMENT SERVICES PERMIT #: MEC2006 -00531 � `' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/1/2006 PARCEL: 2 S 103AC -01400 SITE ADDRESS: 11235 SW FONNER ST ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Replace gas furnace. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: GAS PRESSURE: 50 + HP: WOODSTOVES: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES HOBBS, RONALD E AND JUNE E Description Date Amount 7205 SW VENTURA DR TIGARD, OR 97223 [MECH] Permit Fee 11/1/200€ $72.50 [TAX] 8% State Surcha 11/1/200€ $5.80 Total $78.30 Phone: 503- 452 -0021 Contractor: A- ACTION HEATING 18240 SW TV HWY ALOHA, OR 97006 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 649 -3524 FAX 503- 649 -6095 Reg #: LIC 78369 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: L �L� ��� �F _ Permittee Signature: Y /) Call 503 - 639 -4175 by 7:00 a.m. for inspections 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. Oct 31 06 10:10a A Action Heating 503 -649 -6095 p.1 Application FOR OFFICE USE ONLY Mechanical Permit App ® Received ; A� _ _ -_ B ? J „ . / EN -'5 �� Date/13y:/ / ( OP / 5 Permit No.. 1 " l �t�(7 City of Tigard REC 13125 SW Hail Blvd., Tigard, OR 97223 Plan R� "ei Other Pcmut: Phone: 503.639.417 Fax: 503.598.1960 n r T 3 1 2006 � *'f Q•r, ; ` A Date/By: U 1, 1 .( (I Date Rcady/By: H Sec Page 2 for Inspection Line: 503.639.4175 � " .�,. M® Supplemental Information Internet: www.ei.tigard.or.us Notified/Methnd: CITY OF TIGP►R ®t to r DIVISION , TYPE OF W ORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work D New construction X, Addition/3lteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit Value: S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES` 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building f „• snecial information use checklist. ❑ Multi - family 0 Master builder ❑ Other: Description 1 Qty. Ea. j Total JOB SITE INFORMATION AND LOCATION Heating/cooling _ Air conditioning or heat pump Job site address: ii a3J 1 F n 0 e S.i-- 0- site plan showing. placeluentl 14.00 n Q r7a Furnace 100.000 BTU Wets/veins) 14.00 City /Statc/7.1P: j L�CtY C� 1 '7 A3 — / Furnace 100.000+ 13 "I'U lducts'veuts) _ 17.90 Suite /bldg. /apt. no.: I Project name: Gas )teat pump 14.00 Cross street/directions to job site: Duct work 14.00 I lydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel - type, not electric), in -wall. in -duct, suspended. etc. 10.00 Flue/vent for any of above 10.00 Subdivision: Lot no.: Other. 10.00 Tax map /parcel nn.: Other fuel appliances _ DESCRIPTION OF WORK. Water healer t 0 WORK. 10.00 {+ _ Gas fireplace �� - i ' Y1 � �- / ► eta f � � SOS 0 n a-0. �, Flue ent for water heater or gas G fireplace II) 00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10 00 Chimney /liner /flue /vent 10.00 PROPERTY OWNER ❑ TENANT Other 10 00 Name: D/'"i U d E Fn b 6 5 Environmental exhaust and ventilation Range hood.olher kitchen _Address: I 1 a, 3 5 & (,(„t FAA 0 er .�' equipment 10.00 City /Stuttc/Z1P: 6 ' r d f ' 7 -. Clothes dryer exhaust 10 01) V e A ►^r) © Single -duct exhaust (bathrooms. Phone: ) 00 I ; 3. J Fax: ( ) toilet companntcnts. utility rooms) 6 130 0 APPLICANT CI CONTACT PERSO i \!tic /crawl;p:tce fans .0 110 -- - I Ch ;a■t. l',.11S1ncs 'udnie: _ tel pi it ::: Contact name: 55.40 for rr'vt foatr; 51.90 for each zdelittioncal Furnace. etc. ! 6 -114 Q Address: Gas heat pump City /StateJLI I': Wall /suspended/unit heater Water heater Phone: ( ) j Fax:: ( ) Fireplace E -mail: Range .CONTRACTOR Barbecue . j/� Clothes dyer (Fas) _. Business ! ~I`i � ; s name. 1 bY) ea -i -- fl e L.0o fn c _11 /) / J Other l Address: q Lam) J V Y-iL() <I MLCtirtNIt..AL PERMIT FEES` r v 9 ,700 Subtotal . (DI Cit /5(atePl.lY: .� 1 �i� — � �/ �. j ‘-e),--4.5 i hhin:m permit ice (4+72.51)) /f 0 2 ' Phone (66 (66 L , 4Q ,..3,.... q Fax ( 533 t/7 `I % Plan review (25% of permit feel �j Ccrlie., '7g 3 ✓+1 %oq St tosuieltar TOTAL PERMIT FEE F5 T-, II ` I�/ ,, �t� /t - this permit t+plic inn eapirrr if a permit is not obtainer! within ISO rl :al : "I: l,l+ : , :u` r 'U G L _ . -.. . n n• r (t ar. After It I+a+ been accepted as complete. — - - I ---- /673 — I +' Pas :c,l:cc:ulu cr t:,yTri- Cutvay Buildin tadusty Boa, .. Date: • R4 3°