Permit CITY OF TIGARD MECHANICAL PERMIT
. I COMMUNITY DEVELOPMENT Permit#: MEC2013-00461
T t G R r\ D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2013
Parcel: 2S104BB12300
Jurisdiction: Tigard
Site address: 13951 SW WALNUT CREEK WAY
Project: MUNAWAR Subdivision: WALNUT CREEK Lot: 40
Project Description: A/C Installation. Placement of A/C unit must comply with manufacturer's installation requirements.
Contractor: FOUR SEASONS HEATING&A/C INC. Owner: MUNAWAR, KHAWER
1005 INDUSTRIAL PARKWAY AHMED, NAJAH
NEWBERG,OR 97132 13951 SW WALNUT CREEK WAY
TIGARD,OR 97223
PHONE: 503-538-1950 PHONE:
FAX: 503-538-0165
FEES
Specifics: Description Date Amount
Air Conditioning 08/07/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 08/07/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment-Mechanical 08/07/2013 $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.
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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.
FROM:Four Seasons Heating TO:5035981960 08/07/2013 12:37:31 #7989 P.003/003
Mechanical Permit Application ��® 1 ,,i,,i i ; i, I : j ., �,
City of Tigard ®� Y P�n,<N�.,
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' :-''a 13125 SW Hall Blvd..'Tigard,OE 97 �'� Plata Review
Phone: 503.7182439 Fax: 503. A �'O Ihae/I-ly: Other Permit:
Kion I.ine. 503.639.4175
I.t ;.-..:1...,..1..), Inspa \(7 ,\5� \0^ )oto mellowoy: lure RJ See P
Internet: www,tigard-or,gov p, (_ Not:find/Method: /• Supplemental information
-- ---.-_..---,.w_w -___ .....,.....
TYPE OF WORK _ COMMERCIAL- FEE* SCHEDULE,.. USE CliEcKI Isit
�--_ �� - Mechanitkl permit fees*me based on the value orthe work
❑New construction $Addililut/ull(:rnlion/4r e tent perlimncd.Indicate the value(rounded to the nearest dollar)oral)
❑Demolition ❑Other: mechanical materials,equipment.labor.overhcld,and profit. _.. .
CATEGORY OF ''...,.............., ._..._,... .,.... . Value:S
CONSTRUCTION
-
RESIDENTIAL --
RESIDENTIAL EQUIPMENT/SYSTEMS FEES"
tgl I.and 2-hunily dwelling ❑Commercial/industrial ❑Au.i ory building - For special frrfonnallon use Medrlht -
multi-family ❑Master builder 0 Other: Description I Qty.i La. I Total
JOH SITE INFORMATION AND LOCATION Ileating/cooliug:
---- Air conditioning _....) ..... 4(1.75..._`A.,:iS,
Job site addrms: t'3"1 C 1 J u J 1,.)c l r1�* C_(' e_L L.k�...j Furnace 100,(00 BTU(J(deem/vana) - - -,. 46,75 .
City/Stale/LIP: ^ I urnau:100,0001 L1'1lJ(dwxervans) 54 91
--... . ..`�c vim. ...:,,.,..,G JI:�.�.3...._.:._._.__ .... , ..
Suite/bld5Japl no.: Project name: I lem ptunp - - - - - 61.06
tit Y10.v.l Ck -.-,_-,_-- Duet work 23.:12
Cross street/directions to job site: Ilydronic hot water system . 23_32
— _-.-------- Rcsidmtial ttttilcr(radiau>r or
hydrunic) _ 23.32
- - - --- Unit heaters(fuel-type.not electric).
-. ._--._....... . . _.. _ --- in-wall in-duct.suspended.etc. 46.75
Flue/vent for any of ubyvc _._..._......_... 23.32,
Other: - r 23.32
-Subdivision: IArt no.: ... ,
(3t her fad apllaa(xs
Tax map/parcel no.: Wrath.heater -- 23.3.2___
DESCRIPTION OF WORK (las fireplace/insert 33.39 ----
:... --_.-......... .....:.....: ........-
Flue vent for water heater or gas
•- •_-n.' (n.l.. At r L•v t--� ;, .nE,,C-....._._.._..- -- fireplace —._ 23_32
Ismatitttei(gas) 23,32
WcroJ/pc Dld stout 33.39 ..... .....
Wood fir511Fehr iert 23.52
Chimney/liner/flue/vent 2332
Environmental exhaust and ventilation:
—_ Other: 23.32..
ki PROPS IYTY OWNER ❑ 'TENANT -- ----
Name: ,{�'Z�1..Y_.�l<<'.3r t_(cU1 W 4d.Y____ . _ . Rangeheod/othcrkilclscn
_.. _ ....Addrr.�y: 13 CA.51 St ...LJ i,l tin k.t:... -re..�,k.- GJ cry _—._., Clothes dryer exhaust 33.39
(.'it /5tateJLlP: 7 Single-duct exhaust(bathrooms:
`.._s �UY C-� - � ....: ........ :..... . ''� _e�_�.— . utilctrxrmpertrnertts utility r(xasa).—_....___ 23.32
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Phone:( ' ) LDS - c ' Fax:( ) Auic/crawlspaec fans . 2i,32
3l KO �
'APPLICANT 0 CONTACT PERSON Other; 23.32
!twigless 118C: Fuel piping 11818C:
- $1415 for first four Se.03 for each additional
Contact name: � Furnace,etc.
Air Conditioning, Inc - _._.._.`.. ...... : T.....
Address: 1005 Industrial Pkwy Gas heat lw .
( ------- Wall/suspended/unit heater �.,- ----
Idzrwl,ei g, OR 97-132
City/State/III': Water heater
Theme:( .u.j) a� C.' fax::( ) y Firoplau .._...........—_
1 1 Ca ..,._ 58..E ,�-0 1(i)5_... �_—.._._._...
li-mail: , ��
----._........,d-�„_�JU r'c,_1'1. _ w�,c 4;1�ISU,v1cks..GMl�x_r_.__.L& rte.,._.,.. Ilarbe:cu
CONTRACTOR Clottus dryer Sgas)
llusincss name: Four Seasons Heating O her - ,.__,�
_.._..- &-Atreanditiuii r)g, Inc MECIIANICAL PERMIT FEES*
Addres.,......_...«.... _ ._......_....__ &•1nrluStrial Pkwy- -.__..__........_.............__. _. _—_ Subtotal (0,1c
City/StauJZIP: Newberg, OR 97132 _Minimum permit fee(590.00) '10:CQ
1 h..__._.. .. . ........ ._ .. . .......--- Plan w(25% fee) --
° rewic p(utna eA.)
' one•(So5) 534s '1S [ax.(CfUvS3)4;_G1(- —
-
- fit...-. . . ..
State surcharge(12%of permit lie) Lo.$'3
C:C'13 lie.: (Ell t c 'L'O'YAL PERMIT FEE I 01.6.g-6-• Ph1p pormll apNaeaUaa eapirea it s permit Is 1101 obtained within 180
day■after it has been accepted as cumpktr.
Authorized signature: /( ),,� j(� � ' toe methodology nut by'Fri-County nodding Industry Service mend
Print .. (..3._(..r)
i......._._...- y
rlrentluunc: �,�..._.....
I Date: g- 1 --13
I u.„,.„.U•ami.,..C P4rmikApp(340113 do<: ---._.440-46171'111/D7n:OM/Wfn)
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