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Permit CITY OF TIGARD MECHANICAL PERMIT 41 , COMMUNITY DEVELOPMENT Permit #: MEC2011 -00595 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/21/2011 Parcel: 2S104BA13200 Jurisdiction: Tigard Site address: 13794 SW MARCIA DR Project: NOSLER Subdivision: CASTLE HILL NO.3 Lot: 162 Project Description: Gas furnace replacement. Contractor: OREGON AIRE INC Owner: NOSLER, TERESA & DOUGLAS 7715 NE 33RD DR STE A 13794 SW MARCIA DR PORTLAND, OR 97211 PORTLAND, OR 97223 PHONE: 360 - 423 -1966 PHONE: FAX: 360- 423 -1978 FEES Specifics: Description Date Amount Furnaces < 100K BTU 12/21/2011 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 12/21/2011 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/21/2011 $43.25 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. Issued By: 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. Mechanical Permit Applicati�rt CEIVED FOR OFI OFFICE USE ONLY . City of Tigard Received . Phone: 503,718,2439 F `'r Date/By: I )/ I 1) Pcmtit eta.: 13125 SW Hall Blvd., Tigard, OR 97223 1 �-�rl S9� II Fa. 503.598.196 C Plan Review C 2 1 2 011 Date/By: Other Permit: • i' Ili ARD Inspection Line; 503.639.4175 Date Ready/By: lurix: See Page 1 for w interact: ww.tigard- or,gov CITY OF TIGARD Notified/Method: -1-.6 Supplemental in fnrmatiun RI III DINfl IMVISIQN ' . : 'PYPE OT WORK " C O M MF RC1AL' : FEE* SgA Utl e - trSE (r FCxi :" -• �.. ... ..,:. , .:.. - ...... =.. cam..,..,, Mechanical permit fees are based on the value of the work ❑ New construction ® Addition /alteration /repltuemenl performed, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials. equipment, Tabor, overhead and profit. 'A''(J4�X .C)F RIJCfI(Ii4 value. $ $3,781.00 , i . - ekstntEt+i'll"C;M1;v FQiJUa1iiNi'I S'YSTEMI o.:w El 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For specialInformalion use checklist ❑ Multi - family ❑ Master builder 0 Other: Description Qty. I Ea. Total .,, :J olt SITE INROR% Af ii)1V C©CA „ " Heating/cooling: ' ' .:: ,., ,;,,,, : d,..,... Air conditioning Job site address: 13794 SW MARCIA DR. (requires site plan showing placement) 46.75 Furnace 100,00(1 BTU (ducts /vents) I 46.75 46.75 City /Statc/ZIP: PORTLAND OR, 97223 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: NOSLER Heat pump - • - - (requites site, plan showing placement) 61.06 - Cross street/directions to job site: Duct work 23.32 _ - ilydronic hot water system 23.32 --• -- Residential boiler (radiator or hydronic) 23.32 " ... Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46,75 • Subdivision: - Lot no.: T Flue/vent for any of above 23,32 • --- Other: • 23,32 Tax mop /parcel no.: Other fuel appliancca: 1WSC'Ir O F. WORD : , ^ E Water heater 23.32 REPLACE CAS FURNACE Oro fireplace 33.39 Flue vent for water heater or gas fireplace 23.32 • Log Iighter (gas 23.32 Wood/pellet stove 33.39 Wood tires ace/insert 23.32 ® PRnP1,(t t WNER ' I T Chimney/liner/flue/vent 23.32 ,:..... ..... .: .....: :...:::: Others 23.32 _ Name: DOUG NOSLER Environmental ironmental exhaust and ventilation: - Address: 13794 SW MARCIA DR. Runge hood/other kitchen equipment _ 33.39 City/State /7TP: PORTLAND OR. 97223 Clothes dryer exhaust 33.39 Phone: (503)307-6648 Fax: ( ) Single -duct exhaust (bathrooms, toilet n .. hoe: ( 5 . ... . ., .� " .. utility ... ) ' ' . : . c: G . °: ...... ... . ... .. ... . ..... :... ter•.' : 11P . ,;; 0 CCiNTAGT - ; RSON . :: Attic /crawlspace fasts 23.32 nroms Business name: OREGON -AIRE INC. other; 23,32 Fuel piping: Contact name: RON STRONC ,. -_ 514.15 for first 5 four; .03 for each additional Address: 7715 NE 33 DR. STE A Furnace, etc. Gas heat pump City /State /ZIP: PORTLAND OR. 97211 _ WalVsuspended/unittreater Phone: (360) 423 -1966 Fax; ; (360) 423 -1978 Water heater E-mail; tstrong(A;oregon- sire.cam -- Fireplace Range COIN'FRACTOR r.,_ Barbecue Business name: OREGON HIRE INC. Clothes dryer (gas) Other: Address: 7715 NE 33 DR. STE A �° ' : :.. .-- . /;1:,1TRIvIrt.1 :0•:.'.. '.':r City / State/ZIP: PORTLAND OR. 97211 Subtotal 46.75 Phone: (360) 423 -1966 Fax: (360) 423 -1978 Minimum permit fee (190.00) 90.00 Plan review (25% of permit fee) _ _ CCS lie.: 64235 __ State surcharge (12% of permit fee) I O,RO ' / _.- TOTAL PERMIT FEE _ 1 00 fr .80 / '7�/fj�y ((( Thi s permit application expiref n pmt ix nut obt within tan Authorized signature: / (( ww days after ii has here ucccptcd as comple IP Print name: STRONG Date: 12/20/I 1 I * F ee methodology set b 'in- County Building Industry Service Board 1 .Buetliuctr'ermiul 'd.nnitnp9 }.ladx3 }io ,[do 'saaI ap Z. Wd917:8 ll0 'OZ'3aa