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Permit • CITY OF TIGARD MECHANICAL PERMIT 114 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00073 T.AR,D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/08/2012 Parcel: 2S114AB10800 Jurisdiction: Tigard Site address: 9287 SW MARTHA ST Project: HARRIS Subdivision: KNEELAND ESTATES NO.2 Lot: 76 Project Description: Gas furnace replacement. Contractor: FOUR SEASONS HEATING & A/C INC. Owner: HARRIS, ABIGAIL A & ANDREW 1005 INDUSTRIAL PARKWAY 9287 SW MARTHA ST NEWBERG, OR 97132 TIGARD, OR 97224 PHONE: 503 -538 -1950 PHONE: FAX: 503 - 538 -0165 FEES Specifics: Description Date Amount Furnaces < 100K BTU 02/08/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 02/08/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/08/2012 $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. 1 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. 02/07/2012 10:28 FAX 5035380165 81002 /003 M , lest Permit iR 4 . , ; : n f ' i t , . .t n F\ I N City of Tigard ' ma 13125 SW Hall Blvd.. Ti y: I�- , _ >?amitNa.; M c. 1 - " `; e geld. OR 97273 4 \� ten xevia�r Phone: 303.639.4I71 Fax: 503.598.1960,, " `s' V �, y . Delos Pere. Inspection Internet v Line 503.639.4115 \ ` e7.� a iemc sse� By H Soo Pent 2 for r •8� � Naifiedli od: S pplemeatel Information • . • ,. T11PlE'' ltE WOE • . _:‘ •\:" aC ‘ s COMMERCIAL . FW , • SCmar ire E..- • tsitireciamr Q New construction 'A Additiott/alteration(reph a ,�1CClrtuticai permit f are based on the value of the want Q Demolition 0 Other_ VI mechanical perform equipment, r labor, to the nearest dollar) dell overhead, and profit. CA EGOYtY' •O8 .ct l .tRF1CT ON . Value: $ _ 1- end 2- family dwelling 0 Commercialindustrial Q Accessory builci_,g 1 t � � f FEW For special erriar useiou use checklist; Multi- fbtl7ily 0 Master builder ❑piper: Description 1 Qty. f Ea. Total . JOE sr " N rE I 1 A L TI Heating/coaling. _ • Sob site address c3,15 14 L _ •Y1.4't � E7C` ■ ... (requires site can showing placement), 46.75 P: - T - 1 , 3c 9 r8 t dg, . l 2. 2. Furnace 100 000 BTU (uctstvent) 1 48:75 Furnace 100,000+ m/vents) 54.9] Suite/bldg./apt. no.: I Project name: likyyj Beat 63.0 • Gross street/directions to job site: Duct wort 23.3 lied ouic hot ester system 2332 Residattial boiler (radiator or hydronic) 2332 _. Unit heaters (tirel -type, not electric), • in -wall, in -duct, susuended,etc. 46.75 Fllw/vprt far ally of above 23.32 StrWivision: - Rot no.: Other_ 23.32 Tax map/parcel no.: . Other fuel appliances _- • . - • D o>lt..WORR Water beater • 23.32 — p Gas fireplace - _ -_ 33.39 rr'C Q net Q Q •.� Flue vent for water heater or gas fireplace - _ 2332 — - - _ Log lighter (gas) _ . 2332 W°04/pellet - -- - 33-39 Wood fircalace/insert 2332 `.. }- 80PERTY OWNER �. . !/ANT - �' ' "t ` " S P Q Chimney/liner/flue/vent 2 332 _ _ Name: } bby 4 Pivlat4 Rok-vii ' Environmental eathattst and vendlatfon Q Range hood/other kitchen Address: G P' f� 5 II i71._ ... .. , . .__, .__ e meat 33.39 • City/Stabs/ZIP: 4 ©' 1 22,14 , Cloth dire exhaust 33.39 . 1..^. � - (p� 6 r " - - n co mp Single-duct exhaust (bathrooms, 1120114: e• Pax: ( ) -' toga coarunc11Q4, utility room) 2132 An ic/cra .. ..��' . APPLICANT . ' ' :0 0QtNT PERSON wlspacd fens 23.32 other. 23.32 Bu9irleesname r!!R SEA SONS HEATING Fuel NOR , . t �� ` Go��' ^T $14.15 fbr first fbar; $4.03 for each additional Furnace, etc, Address: Gas heat pump • City/State/ZIP: /� y� , . Wallwsuspended/tmit heater NEwatriel OA tl r Water heater _ _ phone! ( ) 1 : ( ) Fireplace E-mail: t.mp - . .. FQI]R SEAS Barbecue $ __, , AitO h n .. Clothes (gas) other: Address: • MECHANICAL P 'FECES" . 7: y/StatPlLl Subtotal E /BCR� r i 913 Minimum patrol fhe ($90.00) Phone: ( ) 1 r {S 3 ) � 3 - O / � �, r— Plan review (25% of permit (lee CCB lie.: l l l 5 state: .. : (12%of• .it the) i! - - ' TOTAL PERMIT , I r , 0 • Authorized signature: $ # . This permi mpplkstlon e if a permit is not . . - . •. . - -, �+ ,,loo:;r,,,,- i .. Pays after it bee twon accepted as complete. Print rmma: Data fili i 2 • Pea methodology sat by' i- Cotmty Building Industry Service Board ii llt!Gpmzumes.sec 1010 /09 . • - 7T .i I 4, owwaa