Permit a CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00103
T I G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/11/2010
Parcel: 1 S 135CD00790
Jurisdiction: Tigard
Site address: 11520 SW 98TH AVE
Subdivision: GREENBURG HEIGHTS Lot: 4
Project: Lamm
Project Description: Replace furnace, vent w /h, replace gasline to furnace and w /h.
Owner: FEES
LAMM, DEAN Description Date Amount
3920 SW ALICE
PORTLAND, OR 97219 Furnaces < 100K BTU 03/11/2010 $46.75
Flue Vent for Water Heater or Gas 03/11/2010 $23.32
PHONE: 503 - 244 -9428 Fireplace
Fuel Piping 03/11/2010 $14.15
Contractor: 12% State Surcharge - Mechanical 03/11/2010 $10.80
SUNSET HEATING & COOLING Minimum Fee Adjustment - Mechanical 03/11/2010 $5.78
0607 SW IDAHO ST
PORTLAND, OR 97239
PHONE: 503 - 234 -0611
FAX: 503- 234 -0439
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: •i7 `_ _. , _, I' 1 )] Permitte Q _App
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
�ICa • 1OR OFFICE USE ONLY
Mechanical Permit AR Eill11 City of Tigard j • -
lig
13125 SW Hall Blvd., Tigard, OR
A w 23 Plan Review OtharPennit
Phone: 503,639.4171 Fax: 503.59$.1 �R 1 Q 2.013 Date /9 2a U
Date/13y: t r i y Si Page 2 rue
Inspection Line: 503.639.4175 Date Ready /By: IZI Se e P autal Information
1' l t , A - it 0 Netificd /Method:
Intoner: www.tigard or.gov - -•, \s
I
1 r�
(1 "� V7 I., .'j rb ' ' i� , i a ,: :1 i . ,r,i
r'r , Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
o New construction �Additionlulteration /ropllteement meclumical materials, equipment, labor, overhead. and profit.
[] Demolition 13 Other: ( � {} �/� Val $
y ue: p y fir` y Q
'.,':,''',.'','‘L f ' ' l r': .^ l�i Q i 4T 'M i�li� l �3�1. .,�.� ( ,, ; $y Pir�7:'.J:,� .4+ MC",1.i II''7 A:+� l kgS, : ;: ,
+! I , ,tut A T •
Iti 1 and 2-family dwelling 0 C ,�,
Accessory building F ors eciu! information use checklist,
7 ing ❑ Commercial/industrial ❑ r W � �
w ilder ❑ Q er ,:. l Description Qty. ► =a. Torel
Master b Other
Multi faintly ❑ '�
� � Ir � "•'' 1 ' ' hIeatin�:lcoolint;
t , 4;1$% :ii$':; IQ0A ' .R1"1'kAi!?0• pie co nditioning
u••', 46.75
{ �� ^ W , O r %Mt= site bin showiu t •laceinent
Job site address: IVL a Furnace 100.000 BTU1ducts/vancs) i 46.75 .� 5
City/StatrlZll': Lr�(2Z� - -- Furnace 100 000+ BTU' (dueIWvents) 54.91
Project Hume: Wry vYl Beat pump _ 61.06
Suite/bldg. /apt- no.: Duct work 23,32
Cross street/directions to job site: — 1-1 dronie trot water s stem 23.32
Residential boiler (radiator or 23.32
—'--- hydronio) —
Unit heaters (furl -type, not electric), 46,75
in -wall, in -duct, suspended, etc
- - " Flue/vent for an of above 11 23,32
-� Lot no.: Other I 23.32
Subdivision: sr __
Other fuel a glances rasp /parcel no,: -, • ; Water heater _ _
1 WOE''
1 '1aECK��X4!lY Ql" ., , „� r Gas fireplace
0 � L LC 4 Flue vent for water heater or gas ; 23.32 0.3.3X AL AA J 1 11 k 1I tie p1aee _
Log lighter (gas) _, 23.32
Wood/-ellet stove MI 33.39
Wood fireplace/insert 23.32
Chimney /liner /tlua/vrnt 23, 32
. 23.32
y� ,r 'k i � ' , i fP I11 N� " ' .'1:.:,,,'";',.';.,q;,. i r , : Other'
33.39
Name: , V J 1 t 111y1 Environmental exhaust and ventilaventilation , 1 u 'n'1 Range hood/other kitchen
Address: a ccLpme t 33.39
�' Ctotltes dryer exhaust
City /State/ZIP: a�a21` / t Single -duct exhaust (bathrooms, 0251.32
, , T O ty rooms)
phone: (jt�j) `� a r `� �'� Fax ( ) � ry nn �y Attic /crawls ace fans
toilet compartments
7 f ^ ;;f Y. "/ ,�1 , . . *� ,lf tIt�SiA�s_.. -�i� Other:
:tip, t#k 'NIiCA�I �. '',,,,,'V,
_.
2 _ fuel piLtintt
Business 11 me:
514.15 for Best four $4.03 fur each _additional
`�
Contact Herne: — ' Furnace, etc.
Address: Gas,heat pump . III NI
WalUsus ended/unit heater
City/State/21P: Water heater ' EN
• Phone: ( ) Fax: : ( ) Fireplace
R an lc
P- Irrai1 (( }7 t pp p ff ' ."t Clo arbrcue i I= NMI
' "�{ Clothes � �� R
'• thes dryer as
Set - 1' 4- '�:'rr> i t Other: IMP_ � �
Business name: SLY _,(:� Nc . L + s .
Address: Vi_ 5 v+r ct ►° t' -' Subtotal % •3%
City /State/Z1P• P y .x.i ii,..„,(k, Ira to 2-31 Minimum permit fee ($90.00) qO
F (503) 2 -o . J A Plan review (25% of permit fee)
Phone: (SO) ) 2'54-Div 11 State surcharge (12% of permit fee) tO
CCB lie.: J G 8 - TOTAL PERMIT FEE , 11% n
This permit upplieutlun enplri if a wok is not obtained within 18U
., � , si-
j�
9 /S�f ,. - days after it has been accepted as cum +fc.
Print name: �
Authorized signature: ? melhodoloby set by Tn Ser
.Counly Building Industry vier Board
' �l� -- 1 i�� 1�ss. 1a�te:3 It t l O
t C ( / 4i0-t617 ^11U�CObi/l'D)
. �w„
,i,dinoiPermiinlffitP�•PwmitAPP4o0 rW °I /p5 ` v �,� r L d Z0 /ZO 39dd JN b3H 1SSNf1S 6E17 EZEOS Eb:GT OTOZ /60 /Ea