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Permit Na CITY OF TIGARD MECHANICAL PERMIT I - COMMUNITY DEVELOPMENT Permit#: MEC2013-00498 T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2013 Parcel: 1 S125DB08800 Jurisdiction: Tigard Site address: 7137 SW LOLA LN Project: HARRIS Subdivision: RAZBERRY PATCH,THE Lot: 8 Project Description: Furnace installation. Contractor: SPECIALTY HEATING&COOLING INC Owner: HARRIS,COLLEEN 7500 SW TECH CENTER DR SUITE 130 7137 SW LOLA LANE TIGARD, OR 97223 TIGARD,OR 97223 PHONE: 503-620-5643 PHONE: 503-209-9816 FAX: 503-681-0793 FEES Specifics: Description Date Amount Furnaces<100K BTU 08/28/2013 $46.75 Type of Use: SF 12%State Surcharge-Mechanical 08/28/2013 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/28/2013 $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. Issued By: ' sue • 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: 08/27/2013 10:30 #969 P.002/002 Mechanical Permit A .h a At + ��/E� Fog OFFICE USE O\l.Y . li City of Tigard �/ Da Received ! Permit No.: ig G97)I ....co O ift,• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718 2439 Fax: 503.598.1 rj 2 7 203 Other Permit: Dawsy: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: H See Page 2 for Internet: www.tigard-or.gov CITY OFTIGARD Notified/Method: FA1 Supplemental Information �. �;:t�/<�( D/=r : E«�`sep-�•Til °� �sE` -ii' =i< '=Y'- -{r .?it' .rc;I'�;:�• V.�/t�.tti•i1i.Ry�(.� 'Fl�<K -� �,f� (`?r, '�? -�IIY'��iy:!1711'[µ1W{ E�: ., -`-la""!c'. . -Tr: ...,-'4+ �. .-_ -... .n S,",'�:���.�:�Yy:�;�: :^ ;.. :< -_... Mechanical permit fees*are based on the value of the work ❑New construction ►'6 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. ^r, t. p _ :vti mr.:: ,<^r,µ =? :: :"y, ,. ,., Value:S t�rr=::tom 0,�" ,.l ...:.,w.;�.�,:�Du1�1j��,�_.�,Jti.,71,).4't.,tfti!.7irT,*tk.P.*1•!G**S igi 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total ,:; - ;: ,t.4, k, r: r,r;�;. .F. v: .,. ,;�,w,�.5;.;,:;� Heating/cooling: ''''.-.. -"',',..".1'),e-, �. ,3 r,.'f.�l'-.Y. 4 ©'7F,'a'S.,y�:'�9z�:i,X S:Al': '.Pr •�)',td":.{�:, "'�� :`�� �•`.:^"`t�''' . Air conditioning 46.75 Job site address: Furnace 100,000 BTU(ductslvents) ( 46.75 Y(o.71-- City/State/ZIP: Harris,Colleen 813275 Furnace 100,000+BTU(ducts•vents) 54.91 Suite/bldg./apt.r 7137 SW Lola Lane Heat pump 61.06 Tigard,Or.97223 Duct work 23.32 Cross street/diru Hydronic hot water system 23.32 (503)209-9816 Residential boiler(radiator or hydronic) 23.32 Unit heaters(feet-type,not electric), in-wall,in-duct,suspended,etc. 46.75 • Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 r'r " .-" :'f" Gas fireplace/insert lace/insert 33.39 -, �DESC'RiP7'10�'�Q>F'WOR�C-�::Y,:_`�u >:>... = r'eP ... ._.. ..::k, Flue vent for water heater or gas fireplace 23.32 _ten I I-�0 /-w`�� r Log lighter(gas) 23.32 Wood pellet stove 33.39 Wood fireplace'insert 23.32 Chimney/liner/flue/vent 23.32 e_ R OP ET -• t ;i-,tr � ;-" � J- 1 �-., ', : Other: 23.32 - ' - -'-" ', "-4` Environmental exhaust and ventilation: Name: s c Ot Q ✓a Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 .:44- `;4, 4.14 0. y.- F.,=-', s';("OT,ItI#i ..�,..;g ) Other. 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue .,P'` .vf:; ,:' '01 .P.R.4l'4.J�?uf,,?�..;:a. = r .yam,.,.r ^c...' . .. .{kr, �:•a.;�,.. ;ti a..-. ..`Y.vn. � ,. e....,......�...eo'•,�r. '�+.:,?.;r�'.>�fG:-. :'% Clothes drya'(8as) Business name:Specialty Heating&Cooling,Inc Other: Address:7500 SW Tech Center Dr#130 Subtotal 4"(pt.)S City/State/ZIP:Tigard,Or.97223 Minimum permit fee($90.00) gd.UJ Plan review(25%of permit fee) Phone:(503)620-5643 Fax:(503)598-0718 State surcharge(12%of permit fee) to,'7) CCB lie.:66578 / TOTAL PERMIT FEE Luc,.-ed This permit application expires If a permit is not obtained within 180 days after It has been accepted as complete. Authorized signature: , , Fee methodology set by Tri-County Building Industry Service Board Print name:Andrea Dripps Date: !//'L?/,3 I:.Buildiry'Peam its•.MEC_PemitApp 0401 I3.doe 440.4617x 11 I!02,COMIWEB)