Permit
CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit#: MEC2010-00059
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/09/2010
Parcel: 2S111 AA01700
Jurisdiction: Tigard
Site address: 14425 SW 87TH CT
Subdivision: GREENSWARD PARK Lot: 21
Project: Bruun
Project Description: Install electric furnace and heat pump.
Owner: FEES
BRUUN, LORENTZ Description Date Amount
14425 SW 87TH CT
TIGARD, OR 97224 Furnaces < 100K BTU 02/09/2010 $46.75
Heat Pump 02/09/2010 $61.06
PHONE: 12% State Surcharge - Mechanical 02/09/2010 $12.94
Contractor:
TRI COUNTY TEMP CONTROL INC
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045
PHONE: 503-557-2220
FAX: 503-557-0919
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Electricity
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.
Issued By: Permittee Signature: AVD~Q
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
FEB -9 -2010 12:22P FROM: TO:5035981960 P.1
Mechanical Permit Applicati IZECETVED . l OIt (ll. [I( I I tit O.I 1
City of Tigard FEB 0 9 2010 4 ►
13125 SW Hell Blvd., Tigard, OR 97223 Plan Review .
Phone: 503.639.4171. Fax: 503.598.1960 nspection Line: Other Permit:
111 i 503.639.4175 CITY OF TIGARD Date/Br
Internet L ine: gerd- or.gov BUILDING DIVISION N t , ®P for
, a - 0�1 4 dA! ': , • ' , . ;Go 1 "081,: - F ' 0.01. t4;ilig r 5 :,;
❑ New construction ® Addition/alteration /replacement Mechanical permit fees' are based on the value of the work
performed Indicate the value (rounded to the nearest dollar).of all
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit
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,: :.
;, , ._ • . F- :•':;.':..":''?"''' ! ..:.::.: ,.::.0 O(W die -C&+'I'Rl)f'1'IQN ' . , ,
® 1- and 2- fancily dwelling ❑ Commercial/industrial ❑ Accessory building .. ` "RF.S�bgN' special F .1 .ANT a checklist
I k /L et ` FS;
. For JnformatIon we check
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
i: � :;, . --.. ,:;.:. .' t1OH SITE . •INFORl1�FAT ON`AND LOCA`t7:QN ' . Jleatinsieooling
Jnb site address: 14 l 11
(requires site plan showing placement) 46.75
City/State/ZIP: -122_, V . Air conditioning
Furnace 100,000 BTU (ducts/vents) I 46.75 ,
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: Heat pump I 61.06
Cross street/directions to job site: Duct work 2332
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in- wall,in.duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other 23.32
Tax map/parcel no.: Other fuel appliances _
,.,,•......... ... R • ':pF.$G bF �V0 >G: ' Water heater 1 73 32
� fireplace
Flue
• Flue vent ant for water heater or gas 33.39
• I,,-1 ill h �,,,,u,,, fireplace 23.32
�AlCr1 UYdi N �/ r 1W Log • Wood/pellet stove 23.32
•
Wood/pellet stove 33.39
Wood fireplace/insert - 2332
Chimney/liner /flue/vent 23.32
+>'RORT : , OWNE.R. "'.4 :, .. 0 'TENAiVT Other. _ 23.32
Name: LoY L ()'t4,1jf t ()�/'. Environmental exhaust and ventilation
Range hood/other kitchen
Address: ealye equipment . 33.39
• City/ State/ZIP: - Clothes.dryer exhaust . 33,39
2) ) `('( ) l e ( c
Single-duct exhaust (bathrooms,
Phone: Fa x: ( ) compartments, compartmenrtments, utility lily rooms) 23.32
• . • ?' ' : s ' Oiy J ICA.N7' . - . a CONTACT PERSON. Attir/crawlspace fans 2332 • Other. 23.32
Business name: Same as contractor Fuel piping
Contact name: Diane Mason $14.15 for first four; $4.03 for each additional .
Address: Furnace, etc.
Gas heat pump
City / State/ZIP: Wall/suspended/unit heater
Water heater
Phone: ( ) I Fax: : ( ) Fireplace
E -mail: Range
CONTRACTOR
Barbcwe
Business name: Tri County Temp Control Clothes dryer (gas) ,
Other:
. Address: 13150 S Clackamas River. Drive , • MF,QHAN1CAL ERMIT. . .
City/State/ZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 557.2220 I Fax: (503) 557.0919 Plan review (25% of permit fee)
CCB lie.: 72623 State surcharge (12% of permit fee)
431 TOTAL PERMIT FEE
This permit application expires if a permit 14 not ohtat, d within 180
Authorized signature: days after It has been accepted as complete.
L Print name: vanc, moon I Dote: 21' 10 I • Fee methodology act by Tri-County Building Industry Service Board
1•. ;∎Idmg \Permiu\MI :C- PemritApp.don 10/01/M 440.4611r(Il!02/COM/WeB) I `�''TS