Permit
M q CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2010-00082
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/24/2010
Parcel: 2S110AD04204
Jurisdiction: Tigard
Site address: 14605 SW 106TH AVE
Subdivision: LANG HILL Lot: 39
Project: Behrendt
Project Description: Install furnace.
Owner: FEES
BEHRENDT, ROBERT Description Date Amount
14605 SW 106TH AVE
TIGARD, OR 97224 Furnaces < 100K BTU 02/24/2010 $46.75
12% State Surcharge - Mechanical 02/24/2010 $10.80
PHONE: 503-598-8570 Minimum Fee Adjustment - Mechanical 02/24/2010 $43.25
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115
PHONE: 503-691-9699
FAX: 503-691-8556
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of the rules
or direct q ions to U C b calling 503.246.6699 or 1.800.332.2344.
Issued y: Permittee Signat
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A licatid7~
J City of Tigard Received
eU PermitNo.:
13125 SW Hall Blvd, Tigard, OR 97223 FEB 2 3 2010 Plarr Review
Phone: 503.639.4171 Fax: 503.598.1960 D?are/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: luris: 21 see Page 2 for
Internet: www.tigard or.gOV M, Y Y „F)"$~~ Notified/Method. 3upplc6atnMl IofonmaC~oa
ILA!
7 7 ^ r'
`w;C1WW ~C N A .
Mechanical permit fees* are based on the value of the work
F1 New construction Addition/alteration/rcplaCement performed. lodicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead and rofit
7777, 1. r Value $
=77 177,-M.7
7i t
i~lr~rA,R?A~~~71'~"'R~~1;,'~~...
1-and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description µ Qty. Ea Total
r ' c t B Sp~ RA'lfAp( : f~A!SQ A ~'Y. I r , ;~i1 Hearin COolin
U V 1b (SO~ Air conditioning
Job site address: re wires site lam shOrvin laccmcnt 46.75
City/State/ZIP: O 1 Fuimnoc 100.000 BTU ducta/vents) 46-75
Fumacc 100.000+ BTU (ductt/vents 54.91
Saitr/bldg./apt. no.: C) I Project name: Heat um 61.06
Cross street/directions to job site: Duct work _ 23'32
i4dronic hot waters tcm 23.32
Residential boiler (radiator or
h c4'onic) 23.32.
Unit heaters (fuel type, not electric):
in-wall, in-duet, sus ded, etc. 46.75
Fuue/vcnt for an of above 23,32
Subdivision: Lot n°•= Other; 23.32
Tax map/parcel no Other fuel appliances
Y,t s Water heater 23.32 R-Ab
Gas fireplace 3339
Flue vent for water heater or gas
fireplace 2132
Lo lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fire lacc/insert 23.32
Chitnne /liner/flue/vent 23.32
,J.
a , p~iORCY Q,11kl1~ F 'F,,tim , f ' "i;f 'S' K Ij}V X„' 1. Other: 23.32
Name: Environmental exhaust and ventilation
Ytange h0od/Othct kitchen
Address: 1 ~ , equip meat 33.39
City/State/ZIP: ` Clothes dryer cxhaust 33.39
Single-duct exhaust (bathrooms,
Phone: Fax: { ) toilet compartments utility rooms 23,32
Attic/crawls ace fans 23.32
r , ,1g i t ..:''A ~,~`i'hF`.. ,r yr , t s .J ~ . ,,,'W. G"01Y, ~l' Y ►1y 23 32
Other:
Business name: Fuel i in
Contact trams: $14.15 for TiraC four; $7777~E
iFurnace etc.
Address: t LA Gas heat u
City/State/7-2: Wall/sus endcd/unit wearer
/ ~ Water heater
Phone:r Fax:: ) W
Fire lace
E-mail: Range
l M n } Barbecue
cloths dryer (gas)
Business name:
Other:
Address: 1-t f t rc°. k fs~ }'allF'vf,'~J1R~i$q
SnbtMSl
City/StBte/2IP:
Minimum permit fee ($90.00) t
Phone: Fax: Plan review (25% of pcnnit fee)
CCB lie.: State surcharge (12% of permit fee)
TOTAL PEIRMIT FEE
This permit application expires if a permit is not obtained within 1 0
Authorized sigrratit days after it ban been accepted as complete.
Print name: JNA Date: p~ Fee methodology set by Tri-County Building Industry Service Board
-s..xIror.o.....:.a....AM ,nmtlrw 440-4617T (1 1/02/COWWRB)
Z07Z0 39 dd 9NIld3H N093~0 9SS8-Z69-£05 TZ:bt 0Z0Z/£Z/Z0