Permit s,,`''q CITY OF TIGARD
MECHANICAL PERMIT
s .u:.
COMMUNITY DEVELOPMENT Permit #: MEC201000061
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/10/2010 •
T ��"� D, Parcel: 2S111DA13800
Jurisdiction: Tigard
Site address: 8890 SW GREENING LN
Subdivision: Lot: 0
Project: Schneider
Project Description: Install a /c.
Owner: FEES
SCHNEIDER, TERRI Description Date Amount
PO BOX 4017
BEAVERTON, OR 97076 Air Conditioning 02/10/2010 $46.75
12% State Surcharge - Mechanical 02/10/2010 $10.80
PHONE: 503 - 915 -5093 Minimum Fee Adjustment - Mechanical 02/10/2010 $43.25
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: COM
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 •UNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: `I /1 • _ A _, # - 1 0 l k Permittee Signature: 4a—k-Q_ --k1('10
Cali 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 -10 -2010 02:18P FROM: TO: 5035981960 P.1
Mechanical Permit ApplicationRECEIVED i't►it I11"i i( i I NI ON1.1
City of ive T Receive d
'Tigard Rete Permit No.: (I `_�� •
• 13125 SW Hall Blvd., Tigard, OR 97223 FEB 1 0 [.010 Plan Review ` �x
0 Phone: 503.639.4171. Fax: 503.598.1960 R Other Permit:
I I .; ARP Inspection Line: 503.639.4175 C ITY OF TIGARD pate Ready
By: ®See Page 2 for
Internet: www.tigard- oc,gov NottCt Supplemental Information
BUILDING DIVISIO
TYPE OF WQRk. : COMMERCIAL 11I'E" ct3aaIiDLJ1 i1 il,SO44ir- Ok1r44':,
❑ New construction ® Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded mare nearest dollar).ofall
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGOR'Y'O Value: $
1 -and 2-family dwelling Commerctal /m S1Rt1Gf10N
• T `.CON
RESIDENTIAL F.Q[TIPMFIV'T'/ 4Y510EMS WL^1'$"
® y g ❑ ' dustrial ❑ Accessory building
. For special ie ormattoa use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
JOB INFORMATION AND LOCATION Heating/cooling
Job site address: U U -10 Careen{ l La i\� Air conditioning
(retLres site plan showingplacement) 1 46.75
City/State /ZIP: 1 ( q122. Furnace 100,000 BTU (ducts/vents) 46.75
V Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump 61,06
Cross street/directions to joh site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
irrvwati in- 'duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 2332
Tax map /parcel no.: Other fuel appliances .
. , • DTSCRIPTION tP ORKf Water heater ;23.
Gas fireplace 33.39
Flue vent for water heater or gas
o i_31,tt alreonul,ftlovter fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
Chimney/1 incr /Fue/vent 23.32
PROP.ERiY "OWNER ❑ TENANT Other. 23.32
• Name: Environmental exhaust and ventilation
Address: art 1�� Range hood /other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33,39
(p- Single -duct exhaust (bathrooms,
Phone: E a) q jb'�'J Fax: ( ) toilet com utility rooms) 23.32
®. APPLICAM - ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: Same as contractor Fuelpiping .
v Contact name: Diane Mason $14.15 for first four; $4,03 for each additional
Furnace, etc. _
Address:
Gas heat pump _
City /State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water .
Fireplace
E-mail: Ranee
CONTRACTOR Barbecue
-
Business name: Tri County Temp Control Clothes dryer (gas)
_ Other:
Address: 13150 S Clackamas River Drive MECHANICAL NERMCt' FEES"
City/ State/ZIP: Oregon City, OR 97045 Subtotal
- Minimum permit fee ($90.00) _
Phone: (503) 557.2220 Fax: (503) 557.0919 Plan review (25% of permit fee)
CCB lie.: 72623 State surcharge (12% of permit fee) ` 4A
-- TOTAL PERMIT FEE , NCI
This permit application expires if a permit is not obtained within 180
AUthorieed signature: days after it has hecn accepted as complete.
Print flame: D'icifIC Ma. On Date: 21D110 • Fee methodology set by Tri•County Building Industry Service Hoard
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FEB -10 -2010 02:19P FROM: TO:5035981960 P.2
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