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Permit :..' CITY OF TIGARD MECHANICAL PERMIT ry 'r' COMMUNITY DEVELOPMENT Permit #: MEC2009-00541 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/14/2009 __, . ,, TIGARD Parcel: 1S133DC16100 Jurisdiction: Tigard Site address: 13018 SW LAURMONT DR Subdivision: Lot: 0 Project: Banks Project Description: Install gas furnace and heat pump. Owner: FEES BANKS, LEROY Y & CYNDY F Description Date Amount 13018 SW LAURMONT DR TIGARD, OR 97223 Heat Pump 10/14/2009 $61.06 12% State Surcharge - Mechanical 10/14/2009 $12.94 PHONE: Furnaces < 100K BTU 10/14/2009 $46.75 Contractor: FOUR SEASONS HEATING & A/C INC. 1005 INDUSTRIAL PARKWAY NEWBERG, OR 97132 PHONE: 503 - 538 -1950 FAX: 503- 538 -0165 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas Gas Pressue: Total $120.75 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. I Issued By: _ =A_. _ f _ -` • Permittee Signature: �� -{ )r l Call 503.639.4175 by 7:00 a.m. for an inspection that business day. J \IVt✓u This permit card shall be kept 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. 10/13/2009 15:04 FAX 2003/004 Mechanical Permit Application � F(.t!{ i;tl I-• 1( I- I. `.4. O \ I:1 City of Tigard � . ' 13125 SW Hall Blvd., Tigard, OR 97223 1 -_ thy: /O / 3 0 9 y Pamir No.! Kee l ,i' —�51�/ • Phone: 503.639.4171 Fax: 503,598.1960 DateS Y � " Other Permit: , ,I I ; :, Inspection Line: 503.639.4175 OCT 1 3 20 09 Juris: liti See Pape x for Internet: www.tigard- or,gov /� / cffy E. S,l CO. Supplemental Inferm ition , 0 C , r a® N - ... �"" III I Y11 :.: .. - � �IVIS ' 1 " , ; a t , >PA��: ,FEk� .SCRIE(g -- �C 12 ew construction X• Addition/alleration/replaccment Mechanical permit fees" are based on the value of the work ❑ Demolition Other performed. Indicate the value (sounded to the nearest dollar) of all meth cal materials overhead, l : $1 equip labor, o a and profit. Vale y dwelling ©C ommercial /industrial ❑ Accessory building 1- and 2 -famil dwellin ilding 0 Multi family ❑ Master builder 1:1 Other: For specie! information use checklis Description I Q. I Ea_ I Total . • JOE SfTE I 11I'FO1Bl`] A;110tf;A,NW A N Heating/cooling Job site 13 . r - b � . Air conditioning (requires site plan showint, placement) 46,75 City / State/ZIP: ` Furnace 100 000 BTU (ducts(vents) ( 46,75 • 7 5 Pomace 100,000+ BTU (duck/vents) 54.91 Suite/bldg. /apt no.: .. Project name: k Heat pump L 61.06 ( I p( Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fitel - type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: I Lot no.: Flue/vent for any of above 23,32 Other: 23.32 Tax map/parcel no.: Other fuel appliances pl mitt$ ,O ° .;'i Water heater 23.32 ' ��� 1 ` 1 L 1 Flue ( vent f for 33.39 4 C'T�d� ( Flue vent for water heater or gas (-,tr s FlJ�.t1- wax -e fireplace 23.3 Loa lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fi lace/Insert 23.32 / 'PROPERTY OWNER ,, = Chimttcy/lirer/flue/vcnt 23.32 . Other: 23.32 Name: L-Q v-p .. , c . Environmental exhaust and ventilation T.4-1, Range hood/other kitchen Address: I (g �() La. flIAa-yi.� equipment 33.39 City/State/ZIP: ' ' t 1 t, Clothes dryer exhaust 33.39 Singlc -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) - 23.32 ,. :.,� � . p fans ;4'PPI�GAN'1' , ', ,' " ,)��; Ct�t!YYt~�'T -.>E�t.. , . ..j. , Atticicrawls ace f 23.32 $saints& name: Other. 23.32 Ne Fuel piping Contact name: AND AIR CONDITIONING, INC. 514.15 for first fbur; S4.O3 fbr each additional Address: 1005.INDUSTRIAL PKWY Furnace, etc. i NEWBERG, OR 9'i' 132 - Gas hea pump _ City/State/ZIP: Wall/suspended/unit heater ( )$ j 1 Fax :: s Water heater Phone: ('� � �' p 1 Fireplace_ E -mail: Rang O Business ... N RAC <: Barbecu e flame: - Clothes dryer (gas) - �l . 1 1 k p . _ 1 • Other: Address: A'"i ' ' • DITIONING, INC, _ 141EC>11mvic,4. .Jp ' : s, Subtotal /02t. f City/ State/ZIP: II} B ( OR 97'1;;' p. �^ Minimum permit foe ($90.00) Phone: (5 5 p p- — (q Q I Fax: ( ,��X —0� (QS - Plan review (25% of permit fee) CCB lie.: s _ _ State surcharge (12% of permit the) / 3.,, Lk _ TOTAL PERMIT FEE /94 15 Authorized signature: Q v ° ` ' This permit application expires if a permit is not obtained within 180 days attar it has heat accepted nit complete, Print name: Date: fa 01 fo f • Fcc my hodology set by Tri -Cgwny Building Industry Scrvicc Board r :\Buildnettin C,PeratitApp,doc 10/01/09 4404617T(ii /O2/COM/WRa) g KJ g , - A/C HEAT PUMP--UNIT SITE PLAN . 0 T O BACK OF PROPERTY LINE _'r� _....:.._ :. - • . ! . • `< .............. . .V. 4` FEET T� {O �`y PROPERTY `ii LINE . d J�.iM b l V SIDE ���gi/� i o te l f" ,--- wr...„_- , -.... . • 0 n . • FEET TO FRONT PROPERTY LINE . • • L " P LEASE,REPAX APPLICATION WITH S rT. P LAN o I N � I "e _ 11 • i M i a O , r 1