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Permit CITY OF TIGARD MECHANICAL PERMIT e - COMMUNITY DEVELOPMENT Permit #: MEC2013 -00401 Date Issued: 07/17/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S 17/201 5600 Jurisdiction: Tigard Site address: 8753 SW MAPLE CT Project: Mathews Subdivision: MAPLE RIDGE ESTATES Lot: 11 Project Description: Install heat pump. Placement of NC or heat pump units must comply with the manufacturer's clearance requirements. Contractor: FOUR SEASONS HEATING & A/C INC. Owner: MATHEWS, SEAN 1005 INDUSTRIAL PARKWAY 8753 SW MAPLE CT NEWBERG, OR 97132 TIGARD, OR 97223 PHONE: 503 - 538 -1950 PHONE: 503 - 804 -7642 FAX: 503 - 538 -0165 FEES Specifics: Description Date Amount Heat Pump 07/17/2013 $61.06 Type of Use: SF 12% State Surcharge - Mechanical 07/17/2013 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/17/2013 $28.94 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: oA) /9 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. FROM:Four Seasons Heating TO:5035981960 07/15/2013 13:11:27 #6456 P.003/003 Mechanical Permit Anpiica4 ECEIVED City of Tigard RecC1ved Permit N� 5 Date/By: 2//7 /3 Ce2o /3 -4 DYc / .14 13125 SW Hall Rlvd„ Tigard, OR 97223 J U L 1 2013 flan Review Phone: 503.71 1 24:19 fax: 503.598.1960 Dateil)y. (Other Permit: 1-1, ; A 1 1 t inspection Line: 503.639.4175 CITY OF TIGARD Dale Wady/By. twin I @I See' Pat e z fur Internet: www.tigard- or.guv Notified/Method: . y -/ /j� Sapprmental Information BUILDING DIVISION _ .__ / ! ' 1 TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST - - Mechanical permit fees' are based on the value of the work ❑ New construction ® Addition /alteration /repint:anent performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical malerials. equipment. labor. overhead. and profit. _ - __. - .,.,.. - -- Value. S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES. ® 1- and 2-family dwelling ❑ Commercial /industrial ❑ Accessory building For special infornrorfon sue checkuu►t ❑ Multi- family ❑ Master builder ❑ Other: Ikscription I Qty. f Fa. I 'total JOB SITE INFORMATION AND LOCATION Ileatlnp/cooliniz: -- - -- -• -- - ----- Air conditioning 46.75 0 4/./ Job site address: 8753 SW Maple Court I urnace 10O 000 R l t l Itoeisivenls _ 46.75 City /StatcP7.IP: OR 97223 Furnace 10,0001 BM (duct>✓vem.a _ 54.91 - ....__... — p 1' ..... .......:....._.,, - ... ►6 Heal um I 65 (rl.l Project name; Mathews .._.... _...,.. Suite/bldg./apt. no._ 1 ro3 . ,.,. , ..,....._.._..._. - __....,....: -_ Duct work 23.32 Cross street/directions to ., i st 23.32 C'. Ooh site: I iydrantc. hub sober system y ___.._...,,,.... . Residential hndcr (radiator or h 7t . _.,n,m, _._c ) 1.32 Unit (fuel•lypc, not electric), ............ _._.... - ......_.. _ in wall, in -duct suTertded. etc. 46.75 Flue /vent fur any of above 2:1.32 Other: 2:1.:12 tiohdivtston. Lot no, , - -- -- Other fuel appliances: Tax map /parcel no.: Water heater 23.32 DESCRIPTION OF WORK ties tireplacc/irtscrt 33.39 - -- -- -• Flue vent for water healer or gas Install Heat Pump fireplace 23.32 Log lighter (gas) — 23.32 ....... -- — -_.... .... -_._ ._._.., ......— - Wigtd/pellet stove 33.3') Wood fireplace/insert 23.32 Chimney /liner /llue/vent 23.32 =- _..,,,. Other - 23.32 ® TENANT PROPERTY OWNER f © TENAN _717—.. ... ..- . -.-- --_, Environmental exhaust and ventilation:_ _ - Name: Scan Mathews Range hood/other kitchen _. -- _. -.... - -- equipment 33.39 Address: 8753 SW Male Court ... - p Clothes dryer cxhausl 33 .39 City /State/ZIP; 'Tigard, OR 97223 Single -duct exhaust (bathrooms, - .._..,....,.._._ -.__... ......-_... _.__-.-.... toilet com e utility rooms) 23.:12 . ::,.....- pare" mus . -- __ _ Phone: (503)804 -7642 Fax: ( ) Auic /ciawlspacc tans 23,32 1 0 APPLICANT ❑ (.'ON'1'ACT PERSON Other: _ 23.32 $14.15 for flrat four• 54.03 for t l3uyinitis name: ... -- Fuel piping: __._ .............:. _......._.....--- . Fol , r Seasons Heating ........._....:........ -_ - -- na1 ('onlact manic; .', nit C:i)ndltit)l ling, Inc: Furnace, etc. ut.) 1r )cltlStD wy Gash m -.. . Address: _..... NrWbi'1 OR .71 i .- _- _._._....__:::- ._..._ -___- Wall/suspended/unit heater City /Slate /GIP: Water heater Phone: (503) 538 -1950 Fax: : (503) 538 -0165 Fireplace - ..... -_ Range E-mail: dehnrah(Q)fouracaso aheatair.eom - - ---- ......- ._....._ -_. Elarbccuc CONTRACTOR clothes d cr _as) Business name: Four Seasons Heating Other: -- MECHANICAL PERMrJ' FEES Address; & aTrConditlrminy, ii Ic — r 1005ln(itttr.ial.E Y' Subtotal 6T06 City/State/ZIP: Newberg. OF 97132 Minimum permit Ice (S90.00) 90.00 - -. - ....,....,_ Plan review (25 %of permit fcc) Phone: (503) 538 -1950 Fax: (503) S38-0165 _._ � m . __ -_ State surcharge. 1 I2 / o of permit lee IO.KO k' D ('CIO lic.: 97152 'TO'I'AI• PERMIT FEE 11)0.8(1 -- • -- - - _ - - this permit application expire„ if a permit is not obtained within hilt days after it hail be'e'n 'tempted as complete. Authorized signature: L.O.,16kiji - A - IC) • tee mr.,hndiiinay ..et by 'I'ri - C'uunty Building Industry Service Board Print name: Deborah utlo ( Dote: 7/15/13 I u3Uddmi\PcTnils'ML•'t: re' '"I App 04511.1 doe '4431.4,1 Tr (1 I /02/1-nM /WbH) FROM Four Seasons Heating TO 5035981960 07/15/2013 13:11:14 #6456 P.001 /003 v ek.uE Sgt. y H ,,SEASONS:; a FAX DATE: ` J . TIME: (! It r eN TO: Ci of Ti and ATTN: Permits RE: Please issue and fax copy of Permit as soon as possible. NUMBER OF PAGES (including cover): FROM: Four Seasons Heating & Air Conditioning 1005 Industrial Parkway Newberg, OR 97132 Phone: 503 - 538 -1950 Fax: 503 - 538 -0165 Sent By: Deborah E -Mail: de borah @fourseasonsheatair.com