Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00684
T [ GARL) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/24/2009
Parcel: 2S112CC04900
Jurisdiction: Tigard
Site address: 8000 SW BOND ST
Subdivision: Lot: 0
Project: Johnson
Project Description: Replace furnace.
Owner: FEES
JOHNSON, BRADLEY Description Date Amount
8000 SW BOND
TIGARD, OR 97224 Furnaces < 100K BTU 12/24/2009 $46.75
12% State Surcharge - Mechanical 12/24/2009 $10.80
PHONE: 503 - 620 -6852 Minimum Fee Adjustment - Mechanical 12/24/2009 $43.25
Contractor:
AM HEATING & COOLING
5017 NE GRAND AVENUE
PORTLAND, OR 97211
PHONE: 503 - 284 -2173
FAX: 503- 284 -1552
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 • OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued = / ,�� �� Permittee Sig • , j //� �i
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.
. . From: 12/24/2009 09:43 11931 P. 001/002
..,:,..
Mechanical Permit Application ,:::,.....,,,.,,,....::,,,.--:,..:-:,..;,,,,,..::::: , 1 : ( .4 0 r r 1 c
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City of Tigard ' R i:C74-VED Received
Datemy: / , M - , 4 , Permit No.. f
... 10 '3125 SW Hall HMI., Tigard, OR ' " --d-
Plan Review
• ' 13 . Phone: 503.639.4171 Fax: 503.598.1960 Dete/By: Other Pennit:
i i (4 A i i r i hispection Line: 503.639.4175 DEC 2 4 2009 Date Ready/By: MI 63 See Page 2 for
Internet www.tigard Notified/Method: Supplemental Information
...E: ::-J..:.: i -".:..:;,..• ..:...:!-: - *** CITY of TIOARD . Otirivianivisrat4:.: ,.:. - : ' '.:,-....:. :
. -.:.'. OO4?,;.***
Mechanical permit fees* are based on the value of the work
0 New construction Fl Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
12 Demolition 0 Other mechanical materials, equipment, labor, overhead, and profit
' .,''... - ....;:;','.:::::::' ::".•.: ' - r . -1CATEGORY OF 'cONE - '': :-,:::,:.:*, ,,-,' '," ,": : :::: Value: $
::=:
1,74 1 - and 2 dwelling 0 Commercial/industrial 0 Accessory building .
For special information use checklist
0 Multi 0 Master builder D Other:
Description A Qty. J Ea. I Total
,4011:STITINFORB.4110N AND 'LOCATION' .:-.:.,: :: ..: - Headn,g/cooling
- Air conditioning
Job site address: 1000 Sty 6000 sr
(requites site plan showing placement) 46.75 4 ttr
City/State/ZIP: -a-6mo 011. 5.1,14 Furnace 100,000 BTU (ducts/vents) 1 46.75 15
./apt. no.: 1 Project name: - So ttk 4.)S0.4) Furnace 100,000+ BTU (ducts/vents)
Hat pump 54.91
Suite/bldg./apt. _ I
61.06
Cross street/directions to job site: Duct work 23.32
Hydrcmic hot water system 23.32
)6 f niiit_ttAivi f- Residential boiler (mdiator or •
hydronic) 23.32
Unit heaters (fitel-type, not electric),
in-wall, in-duct, suspended, etc, 46.75
Flue/vent for any of above .
Subdivision: I Lot no.:
Other 1. 23.32
Tax map/parcel no.: Other fuel appliances
777.";:',..60tiii[417-difi?..#:*0:1*::':ici'l:::;:c.',";i';;-',4-7,L.:743'.'',::'*c;;;,- Water heater 2332
Gas fireplace 33.39 '
Waft a% riA0a R*-44446- Flue vent for water heater Or gas
fireplace 23.32 '
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
•: ,'Z.::IT:..1 :.:'.:::.:-A.i.',2,:;
23.32 :
Name: RA() Tiotkosop Environmental exhaust and ventilation
Range hood/other kitchen
Address: go siA ( sr
equipment 33.39
City/State/ZIP: 1n/%, ) Ot 5)1).tt Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (503 ) 63.0 - gss4 Fax: ( ) toilet compartments, utility rooms) 23.32
* ;J: j Atfickrawis film 23.32
23
Business name: AAA HEATING & COOLING INC. Other .32 ,
Fuel piping
Contact name: $14.15 for first four; 54.03 for each additional
Address: Furnace, etc. .
Gas heat pump
City/State/ZIP: Wall/suspended/tmit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E-mail:
Range
Ir ,:^ ::;, . ',,.''..-.. r .: - , :,.:'-.' ,:;-:,' ...••• '::, GONTRACTOit' . - .', :,, ',.' - ' ' i .'; : Barbecue
Business name: AAA HEATING & COOLING INC. Clothes dryer (gas)
Other
Address: 5017 NE GRAND AVE . ' ; ' : !'"'1:MEOOAN10.4 ii.O.A00:****0.
City/State/ZIP: PORTLAND OR 97211 Subtotal "lp .0
, ctp
Phone: (503) 284-2173 Fax: (503) 284-1552 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB Iic.: 000222 State surcharge (12% of perrnit fee) V) t t
1 ■ 1 / D
Authorized si 1 TOTAL PERMIT FEE [O •
This permit application expires if o permit Is not obtained within 180
gnature . •
days after it has been accepted as complete.
l Print name: VICTORIA ALLEN Date: t - 2_.-1- 1 -f 7,7-1 • Fee methodology set by Tri-County Building Industry Service Board
I: \ Building \ PermitslMEC-PermitApp doc 10/01/09 44046171' (11/02/COM/WEB)