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Permit Support Document (10) CITY OF TIGARDMECHANICAL PERMIT 1I ' ' COMMUNITY DEVELOPMENT `` = ��� Permit#: MEC2019-00359 T 1 G A R f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/30/2019 Parcel: 2S110DA04300 kfr ',I Jurisdiction: Tigard Site address: 10810 SW KABLE ST Project: Meehl Subdivision: ERICKSON HEIGHTS Lot: 4 Project Description: Install heat pump&air conditioner. 6/26/19:REPRINT to add(1)replacement gas furnace. Contractor: FOUR SEASONS HEATING&A/C INC. Owner: MEEHL, ROBERT C& 1005 INDUSTRIAL PARKWAY GUERTIN, MARY M NEWBERG, OR 97132 10810 SW KABLE ST TIGARD, OR 97224 PHONE: 503-538-1950 PHONE: FAX: 503-538-0165 FEES Specifics: Description Date Amount Air Conditioning 05/30/2019 $46.75 Type of Use: SF Heat Pump 05/30/2019 $61.06 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 05/30/2019 $12.94 Occupancy Grp: Furnaces<100K BTU 06/26/2019 $46.75 Stories: 12%State Surcharge-Mechanical 06/26/2019 $5.61 Fuel Fuel Types: Natural Gas Gas Pressure: Total $173.11 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1. 00.3 .2344. Issued By: Permittee Signature: ,,I ,f1,eZij '1, ' i �, i "t Lw Call 503.639.4175 by 7:00 a.m.for the next available inspection date." This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. Permit Application , -,1 , ; i Mechanical pa � � � � � s. City of Tigard �,N ,_ RAE), Penn';' t 4GS-79-0$ IIII - 13125 SW Hall Blvd.,Tigard,OR Plan Review �. Phone: 503.718.2439i i Fax: 503.598.1960 j 2 v 2 ii 9 Date/By: Other Permit: 1 i,, I O Inspection Line: 503.639.4175 Date Ready/By: Irate: a See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information Mechanical permit floes*am based on the value of the work ❑New construction Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit CFi►F'GORY OF coNSrkU '11 19 Value $ y o ,Er1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For apeda[Wormoson use cheakltvt ❑Multi-family ❑Master builder 0 Other Description . Qty. Ea. Total JOB SITE INFORMATION. a ATION Heating/eooling: Air conditioning 46.75 Job site address:j )d Io So lea/21e C1]p f. Furnace 100,000 BTU(ducts/vents) _ I_ 46.75 444 76 City/State/ZIP: Vivid ©k 9 7„707 V Furnace 100,000+BTU(ducts/vents) 54.91 Duct pump Suite/bldg./apt.ne. 1 Project name:/e4' Ductwork 23.32.32 / 2 �'Yf Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 2332 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. _ 46.75 Flue/vent for any of above 23.32 Subdivision: I Lot no.: Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Gas fireplace/insert 3339 /,,/ DESCRIPTION 0)'` iT$lLi}}., Flue vent for water heater or gas 114tGl, Qb, fat' ila-Tei /imt-T' catyq' .59 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 2332 Chimney/liner/flue/vent 23.32 Other 23.32 'moron( owNER 1 , fl"RANI'. Environmental exhaust and ventilation: Name: Boab A€l 41'gat, Range hood/other kitchen equipment 33.39 Address: /O /0 dSi,t) , , ,,,' a+ Clothes dryer exhaust _ 3339 _City/State/ZIP: T�^d,p e 9�? toilet compartments,utilitye-duct exhaust @rooms) 23.32 Phone:(x-03) '„? - 9o.?A Fax:( ) Attic/crawlspace fans 23.32 )APPLICANT E 1 CONTAer PERSON Other 2332 Fuel piping: Business name: Four - ' s Heating $14.15 for first four;$4.03 for eadk additional Contact mune: &Air Conditioning, Inc Furnace,etc. Address: 1005 Industrial Pkwy Gas heat pump Newbefg, OR 97132 Wall/suspended/unit heater City/State/ZIP: water heater Fireplace Phne:(Sp3)SW Fax:: 503)538—4/6 E-mail: otSL/ 4PazoI4 ¢ir, aD/LRBarbecueange CONTRACTOR Clothes dryer(gas) Business name: Four Seasons Heating Other: ; C �1 Address: &Air Conditioning, Inc subtotal if cite'96 1905 industrial wEwy Minimum permit fee($90.00, City/State/ZIP: Newberg,OR 97132 Plan review(25%of permit fee) Phone:(50,3)X53? -/9AQ Fax ) 5av•Ot if,S* State surcharge.(12•/a of permit fee) •", CCB lie.: q 9/6;a TOTAL PERMIT FEE S'' ,3(e This permit application expires if a permit is not obtained within 180 / days after it has been accepted as complete. Authorized signature: �� ii/i �'r I + Fee methodology set by Tri-County Building Industry Service Board P Date: (o .26031 I:nuildisePenminnni MEC_PetApp 000113.doe Al 17T(11 M/WBB) City of Tigard Tel: 503.718.2439 Location: Inspection Date: 10810 SW KABLE ST, TIGARD, OR, 97224 July 3, 2019 at 11 :14:53 AM Record Type: Record ID: Residential - Mechanical MEC2019-00359 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS - NoCofO Comments: Minor label #ELS 726466, 724027 721911 Violation Summary: Inspector Contractor