Permit
v° 1
u CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2010-00016
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/14/2010
Parcel: 2S 1040003500
Jurisdiction: Tigard
Site address: 13962 SW HILLSHIRE DR
Subdivision: HILLSHIRE ESTATES NO. 2 Lot: 141
Project: Weiner
Project Description: Install heat pump with associated ductwork.
Owner: FEES
WEINER, ARTHUR & Description Date Amount
WEINER, CHRISTINA L, 13962 SW HILLSHIRE Furnaces < 100K BTU 01/14/2010 $46.75
DR Duct Work 01/14/2010 $23.32
PHONE: 12% State Surcharge - Mechanical 01/14/2010 $10.80
Minimum Fee Adjustment - Mechanical 01/14/2010 $19.93
Contractor:
FIRST CALL INSTALLATION COMPANY
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045
PHONE: 503-231-3311
FAX: 503-557-0919
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
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 952-001-0100. 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: Ci Of
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.
JAN-14-201Q,08:44A FROM: T0:5035981960 P.1
f'
Mechanical Permit Applicatio T ED
City of Tigard AN 1 2q~Q Re«tved PennitNo.:
13125 SW Hall Blvd., Tigard, OR 97223 Date/By:
i Phone: 503.639.41.7.1 Fax: 503.598.1960 Plan Review
Inspection Line: 503.639.4175 CITY OF TIGARD DatelBy: Other Permit:
Internet: www,tigard-or.gov IVISIO Date Ready/By: s ®See Page 2 for
BUILDING D Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHEC"T
New construction Mechanical permit fees* are based on the value of the work
❑ ®Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, a ui men labor, overhead, and profit.
CATEGORY OF,CONSTRUCTION value:S
RESIDENTIA1, EQUIPMENT / SYSTEMS FFES*
® 1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi-family ❑ Master builder F-1 Other: For special information u klfsr.
Qty. Description Qty. . Ca. Total
JOB SIT E: INFORMATION AND LOCATION Heatin coolin
Job site address: q 6 2 6 Y V V I Y~ b V~ Air conditioning
r wires site plan showing placement) 46.75
-j
City/StatelZlP: ( Furnace 100,000 13Tt1 ducts/vents) 46.75
Furnace 100,000+ BTU ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: Heat um 61.06
Cross street/directions to job site: Duct work 23.32
- fldronic hot waters stem 23.32
Residential boiler (radiator or
h dronic 23.32
Unit heaters (fuel-type, not electric),
in-wall, in--duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for an of above 23.32
Other: 23:32
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23:32
y~/~ v1 Gas fire lace 33.39
I ► t I t I ' I Flue-vent for water heater or gas
_ fireplace 23.32
Lo ti hter as 23.32
Wood/pellet stove 33.39
-Wood fi ace/irtsert 23.32
PROPF,RTY OWNER ❑ TENANT Chimne /liner/ttue/vent 23.32
Other: 23.32
Name: e W ` 11111 Environmental exhaust and ventilation
Range hood/other kitchen
Address: a ui menu 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (M14-1 Fax: ( ) toilet compartments, utility rooms 23.32
® APPLICANT ❑ CONTACT PERSON Attic/crawls ace fans 23.32
Other: 23.32
Business name: Tri County Temp Control Fuel piping
Contact name: Diane Mason $14.15 for first four; $4.03 far each additional
Furnace,
Address: 13150 S Clackamas River Drive etc.
Gas heat um
City/Statc/ZIP: Oregon City, OR 97045 Wall/suspended/unit heater
Phone: (503) 557.2220 Fax:: (503) 557.0919 Water healer
Firelace
E-mail: Range
CONTRACTOR Barbecue
Clothes
Business name: First Call Installation dryer (gas)
Other:
Address: 13150 S Clackamas River Drive MECHANICAL-PERMIT-FEES"
City/State/ZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 557.0230 Fax: (503) 557.0919 Plan review (25%ofpermit fcc)
CCB lic.: 182714 State surcharge (12%ofpemnit fee)
TOTAL PERMIT FEE r
This permit application expires if a permit Is not obtained Within 180
Authorized signature: days after it has been accepted as complete.
Print name: Diane Mason Date: V Fee methodology set by To-County Building Industry Service Board
itnnii,lino\Permits\MEC-PermitAoc.doe 10/01/09 T 440-06171'(14102/COMMED)
PVC ~a.ln cl\e. 2
JAN-14-201P~,-08:44A FROM: 70:5035981960 P.2
Uq/[L/LVU4 Vr.UV tAn 1~ 002/002
1ffNff STALL01UN ADDU5.ga
D~~--...__
rttCJPrlt7`Y LINE _
1 E,j o~vr, inn!
ill
1'~'ItYt S / ~ r
orb CT.
nto N'r
rrr:
1'ROF.Em LINE
- OUTS v uN~r~ -T L. E ~T
l q (e Z