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Permit 11111 ,, CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT MECHANICAL MEC2012 -00066 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/03/2012 Parcel: 2S110DD03800 Jurisdiction: Tigard Site address: 10430 SW CENTURY OAK DR Project: Bond Subdivision: SUMMERFIELD Lot: 45 Project Description: Replace gas furnace. Contractor: OREGON AIRE INC Owner: BOND, JERRIE -JEAN H 7715 NE 33RD DR STE A 10430 SW CENTURY OAK DR PORTLAND, OR 97211 TIGARD, OR 97224 PHONE: 360- 423 -1966 PHONE: 503 - 968 -0765 FAX: 360- 423 -1978 FEES Specifics: Description Date Amount Furnaces < 100K BTU 02/03/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 02/03/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/03/2012 $43.25 Occupancy Grp: 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: ' ` ``_ 1 OP Call 03.639.4175_by forthe 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 Application e‘.\\C:C) . I,oR ol� :1c;r_ l;si; ()NI City of Tig ''` ti \ Rc.ivcd / r ■ P e mi t N o.: f�./G�/ Dale /Dy: ,,,e � / a / /Ui I „ors,. i too 't 131 25 S W iIall Dlvd. Tigard, OR 47223 r'i'0 11111 . � ` 5 i t'l:m Revi Phone: 503.718.2439 Fax 503.598.1960E G (r�w� �i� other Permit: Inspection Line: 501639.4175 y �' \O` T I U A R t.y I � V chile Ready /By: Tuns: Sc o Pagc 2 tor Tntemet: www.tigard- or,gov r� , °v * .S {%1 , Notified/Method: Supplemental tnformu 4 6 .6 Ntif tilm - i « , gin i ' . ----,.._._ ..-.... -__ - .......,_,_ E*S • .. ;• TYP E k 1�'STttt€ :: �� . ,..... - -- � col e.. Trrr; vs�a_;EE�;c►cy.TC�r:: •" 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 ❑ Demolition 0 Other; mechanical materials, equipment, labor, overhead, and profit. 11 ;: : ,C Y I VG OIZ (IF CQ) j;:koe`E'IO 1 t1E5 Tlr 'f r` 1 . 1759 . J 5 1 ' ' TURN '� P S FFT;4" ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information u e checklist ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ka. Tatal ' . ;` E[eating/coollnR: JOEE- SiT>~: INI�'iG�>�14fATxOPI':!�IND !~�t;"ATECIIV* ' , .,, , - -- Air umdiLiunmg .lob site address: 10430 SW CENTURY OAK DR (requires site plan showing placement) 46.75 Fumaec 100,000 l3UU (ducts/vents) 1 46.75 46.75 City /State /ZIP: PORTLAND OR. 97224 Furnace 100,000t B CLi (ducts/ vents) 54,91 .-/\ Suite/bldg./apt. no.: Project name: BOND pum �ro Iteal urtrs sit e R l t` show placement) f1(.06 - Cross street/directions tlijirb site: ` g Duet work 23 32 ^u • \ iiydronic hi1L water Sy3tem Residential boiler (radiator or • (��/// hydonic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: • Lot no.: Flue/vent for any of above 23.32 Other: 23.32 23.32 'Tax map/parcel no -: Other fuel appliances: ;;97, TE r7 G yF ; WORK. . . .,r. _ Water heater • 2332 REPLACE GAS FURNACE a tins fircplacc 33,39 Flue vent for water heater Or gas t)'oee- g EPm2A -rt. r tr" fireplace __ _____ ,L 23.32 Log lighter (gas) 23.32 Wood/pellet stove s 33.39 • Wood fireplace /insert 23.32 '_ ii6IP F 1 k WNJaR ❑, r , chimne 23.32 NASv1T - -,—„. Q _Other: __ __ 23.32 Name; JACK BOND Environmental exhaust and ventilation: Address; 10430 SW CENTURY OAK DR. — T Range hood/other kitchen — equipment 13.39 City /Slate /ZIP: PORTLAND OR. 97224 ^ µr ^ . Clothes dryer exhaust 33.39 �� " — Single-duct exhaust (bathrooms, - Phone: (503)968 - 0765 y Fax: ( ) toilet compartments, utility rooms) 23.32 .,E A�PPLiCANT ;; '.. ©. CON FA ( "1 LTB' ON Attic/crawlspacc tans 23.32 Business name: OREGON -AIRE 1NC, Other: 23,32 Fuel piping: . Contact name: RUN S'T'RONG . 814.15 for first four; S4.03 fur each additional Address; 7715 NE 33 DR. STE A Furnace:, etc, Gas heat pump City/State /ZIP: PORTLAND OR, 97211 _ wall /suspended /unit hearer Phone; (360) 423 -1966 Fax: : (360) 423 -1978 Water heater . Fireplace E -mail: rstrong;a;oregon- aire.cotn RanGr CONTRACTOR s Kanc�cuc Business name: OREGON -A[RF. INC. Clothes dryer (gas) iti\l Other: Address: 7715 NE 33 DR. STE A NI:FCTTAN7E'A1, 111tM1T.14[i$': i.':::i .:.:'..,... . City /State /LIP: PORTLAND OR. 97211 Subtotal 70.07 t Phone: Minimum permit fee ($90.(11)) 911.00 1 hone: (360) 423 -1966 Fax: (3611) 423-1978 - Plan - review- (25% ofpermiLte) - - - -- CCI3 lie.: 64235 Stale surcharge (I2% of permit fee) 10.80 TOTAL PERMIT FEE 100.80 Y" This permit application expire; if permit i; not n18 red within 180 Authorized signature: Jay; after it has been accepted Im ramplatc. Print name: RON STRONG I Date: 2/3/12 " Pee mrthod01012,y nai by 'I'ri.Ceunty Building Industry Sorvicr. Board L,H,,,�u,._�it�,,,,, 'd', 00.° }iadx })o�wo0 'sea /bap Z Ad81:L zlO 'E 'q'd