Permit
f CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2009-00583
2 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/03/2009
Parcel: 2S 1020006800
Jurisdiction: Tigard
Site address: 9930 SW GARRETT ST
Subdivision: Lot: 0
Project: Dressler
Project Description: Replace furnace
Owner: FEES
DRESSLER, AILEEN L LIV TRUST Description Date Amount
9930 SW GARRETT ST
Furnaces < 100K BTU 11/03/2009 $46.75
TIGARD, OR 97223 FlueNent For Any of Above 11/03/2009 $23.32
PHONE: 12% State Surcharge - Mechanical 11/03/2009 $10.80
Minimum Fee Adjustment - Mechanical 11/03/2009 $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 $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: rCe Permittee Signature: lT&
n
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
- -;;NOl72 - 8009 09:01A FROM: TO: 50359E31960 P.1
• ' t ,�I '>Mr1 r "M"r , ''ivl,��a'W.a�,!� ti V�frs'i 7 , til „ , t� ti,' .
Mechanical Permit Applicati i 1,40 d , ,,,,,,i' I� ,1[ � t �� . ti[ c)N[ ', ' '
4 t " �1 i Received G
'4'. �' O TIgAI*[� 2009 Date/By: Pcrmit � 1 Q D�
C
s �' " " ° '13125 SW HalfBivd Tigerd 97223 NOV 0 Plan Review
N ® ,1'$ ' Phone: 503.639.4171. Fax: ,503.598 1960 DateBy.,,
�" Other Permi t:
9 LI A� ci Inspection Line: 503 639.4175 Y y rut it la See Page 2 for
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internalww.ti and or. ov CITY OF-TIrAR Date'Read /e
g g ted/Method: Supplementallnrennation
PL GINEEF w
TYPE OF. WORK .COM F SCHE -. USEC
❑ New construction El-Addition/alteration/replacement Mechanical permit fees* are based an 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.
CATEGORY OF.CONSTRUCTION Value :.$
RESIDENTIAL EQUIPMENT,/ SYSTEMS FEES*
is 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special Information use checklist.
❑ Mu lti - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE. INFORMATION AND LOCATION Heating/cooling
Job site address: qua SW ar a , Air conditioning
(regwre5 site plan showing placement) 46.75
City/State/ZIP: eard 100,000; BTU (ducts /vents) 1 46.75
• Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump 61.06
Cross street/directions tojob site: Ductwork 23.32
Hydronic water system 23.32
Residential - boiler (radiator or
hydronic) 23.32
•
Unit heaters (fuel -type, not electric),
in- wall, induct, suspended, etc. 46.95
Flue /vent for any of above I 23.32
Subdivision: Lot no.: .
Other: 23:32
fax map /parcel no.: . Other fuel appliances •
DESCRIPTION OF''WORK Water heater 23.32
t tlJ n j„ {_�. `( A Gas fireplace 33.39
� Flue for water heater or gas
fireplace 23.32
Loq:lighter (gas) 23.32
Wood/pellet stove 33.39
:''Wood fireplace/insert 23,32
11 ��^^ TENANT Chimney/liner /flue/vent 23.32
PROPERTY 0*NER G lV _ - Other: 23.32
Name: i T Environmental exhaust and ventilation
( ,��,p Range hood /other kitchen
Address: V I l / equipment 33:39
so � 02
r�� Clothes dryer exhaust 33.39
City/State/ZIP: 1" O t I/ ��L�^� _. Single -duct exhaust (bathrooms,
Phone: (S ). 111 --72,4q Fax:.(' • ) toilet compartments, utility rooms) 23.32
Q APPLICANT ❑ CONTACT PERSON Attic/crnwlspacc:fans 23.32
Other: 23.32
Business. name: Tri County Temp Control
Fuehtiiping
Contact Mason $14.15 for tirstfour; $4.03 for. each, additional
Address: 131'50•.S Clackanias River Drive . Furnace, etc. •
Gas heat pump
City/State/ZIP: Oregon City, OR 97045 Wall /suspended/unit heater
Phone: (503) 557.22 Fax: : (503) 557.0919 Water heater
Fireplace ,
E -mail: :Range
CONTRACTOR Barbecue
Business name: First Call Installation Clothes dryer (gas)
Other: •
Address: 13150 S.Clackamas River Drive ME CHAN1CAL PERMITfEES*
City/State /ZIP: Or'egon•City, OR 97045 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 557.0230 Fax: (503) 557.0919 Plan review (25% of permit-fee) •
CCB tic.: 1/12714 State surcharge (12% of permit fee) !0 0
iet r� 1'OTALI' m il is n o t FEE
obtained This permit application eipir� it a ; permir not ob`within 180
Authorized signature: days after it hos been accepted as complete.
Print name: Diane Mason Date: * Fee methodology set by Tri- Cnunty Building Industry Service Hoard 1
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