Permit ft ' q
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00112
Date Issued: 03/17/2010
T[GARL� 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S114BB04100
Jurisdiction: Tigard
Site address: 16535 SW GREENLAND DR
Subdivision: PICKS LANDING NO. 1 Lot: 55
Project: Kelleher
Project Description: Replace heat pump and electric furnace.
Owner: FEES
KELLEHER, JAMES & KIMBERLY Description Date Amount
16535 SW GREENLAND DR Furnaces < 100K BTU 03/17/2010 $46.75
TIGARD, OR 97224
Heat Pump 03/17/2010 $61.06
PHONE: 12% State Surcharge - Mechanical 03/17/2010 $12.94
Contractor:
COAST HEATING & COOLING
PO BOX 1496
CANNON BEACH, OR 97110
PHONE: 503 - 440 -6975
FAX: 503 - 436 -0543
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Electricity
Gas Pressue:
Total $120.75
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: /11... /, . , , , 1 • Permittee Signature: c.‘? AVp
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 : M-JABER FAX NO. :1 503 590 0589 Mar. 16 2010 12:50PM P1
1
Mechanical Permit A licatio 1..01:. ()Hi( 1. (
City of Tigard Received
Dateffiy:
1 13125 SW Hall Blvd., Tigard, OR 972 AR 1 6 2013
, 1 - I Man Rom w
Other Permit:
TiGAnr) Inspection Line: 503.639.4175 '..:.:,,/ f !; ,i ■ • % • .-.‘ 1 ,,, 7 • • !0; n E I-C 70 1C ' OCV-7
•4 • ..., ..,‘.. : I .V i .1'. .
Internet: www.tigard-orgov HI See Page 2 for
Notified/Method: 71(..... Supplemental Information
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EI New construction E Addition/alteration/replacement Mechanical permit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
o Demolition ID Other: mechanical materials, equipment, labor, overhead, andprofit.
CATEGORY :OF CONSTRIktiOlV; . : '., , S: Value: $
El 1- and 2-liunily dwelling 0 Commercial/industrial 0 Accessory building . ' ..
For special informatiOn We CheCkilit
O Multi-family 0 Master builder 0 Other:
Description I Qty. 1 Ea. I Total
'',. s ,;', '`',.:' ; • .; ' 's,'' ioti '117: 114ORMATION ANDI'ltoCAVION ' : ' . ' , ' ' , .
Joh site address! 16535 SW Greenland 1)r.
oRiti Air conditioning
(requires site plan showing placement) 46.75
City/State/Z1P: Tigard OR 97224 Fumacc 100,000 BTU (duets/vents) 1 46.75 4-6.75
Furnace 100,0004- BTU (dueadvent.e) 54.91
Suite/bldg./apt. no.: 1 Project name: Kcllaher
t Pump 1 61.06 61.06
Cross street/directions to job site: Duct work 23.32
.. .
Hydronic hot water system 23.32
Residential boiler (nulialor or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, ctc. 46,75
Flue/vent for any of above 23.32
Subdivision: I ot no.:
_ „... .__. .. Other 23.32
Tax map/parcel no.: Other fuel appliances
Water heater 1 23.12
Gas fireplace 33.39
replace and relocate heat pump Flue for water heater or gas
_
fireplace 23.32
replace electric furnace
Log lighter (gas) 23.32
Wood/pellet stove 33.39
_
Wood litieplace/insen 23.32
. - ,------ Chinn- /liner/tluevent 23.32
. PROPERTY ' OWNER ;!', ' . ,:'''', , I. , ' , , .,. .' .;;' u . TENANT : ,,,'.1.';r.: ,,' .'
, , Other: 23.32
Name: Kim Kellaher Environmental exhaust and ventilation
' Range hood/other kitchen
Address: 16.535 SW Greenland DR equipment 33.39
Clotho dryer exhaust 33.39
City/State/Z1P: Tigard OR 97224
_.--_ — Single-duct exhaust (bathrooms,
Phone: (503)6393579 Fax: ( ) - toilet compartments, utility rooms) 23.32
• ' -'' .
APPTICAtirt:''' • ' : : , , '' ' ", ' ' .. '.1:1' cONTACT•!/4 Attic/crawlspace fans 0).•I'' . :', : , 23.32
— Other 23 32
Business name: Coast Resting & Cooling Fuel piping
$14.15 for first four; 54.03 for each additional
Contact nurne: Ron Jaber
.. Furnace, ctc.
Address: PO Box 1496 — Gas heat pump
_ _
City/State/ZIP: Cannon Reach, OR 97110 Wall/suspended/unit heater
Water heater
Phone: (503) 4406975 Fax: : (503) 4360543
Fireplace
:. •
E-mail: criastheating@gmuil.com R _ Barbecue :';v-' . '.. ."''',',': „..' ' .',.: .', ' ,.,;,', ' ,',ccoPr. ' f ■ : ' ' ''' . '' ; ' ' ''''' '' ' ' ' ' :
•
, Business panic: Coast Heating & Cooling Other MIIIIIIII
,,.
A ittw es :,,.;, , ,, : ::. , , , :.
Address: same — - . .
--- —..
Subtotal 107.81
City/State/ZIP: . — Minimum permit ($90.00)
Fax. ,
Fax:( )
1 ...._ Plan review (25% of permit fee)
Phone: ( )
___.-------- Stale surcharge (12% of permit fee)
CCB lic.: I *IL c" q is/ 3 ,
am 4 - TOTAL PERMIT FEE :. 4
,—.!`2.•.‘ •
1.).+W This permit application =pi .. if i permit isnot obtained within ISO
d atter it has been neeePted as co 1 etc- .-t0 . .. 7
I ,
AutbOrized si , gnature:
FROM :M -JABER FAX NO. :1 503 590 0589 Mar. 16 2010 11 :59AM P2
1 Oit.'-4 ' , 4: I N I fi%
^Sp vim' 1 ,
Mechanical Permit Application - City of T igar
Page 2 - Supplemental Information
Commercial & Multi- Family Fee Schedule:
Total Valuation: Permit Fee
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $50 .00 and
$3.07 for each addi - • naI $100.00 or
fraction thereof, , and including
$5,000.00.
$5,000.01 to $10,000.00 $207 -21 for t first $5,000.00 and
$2.81 for c: h additional $100.0(1 or
fraction . t,-reof, to and including
$10,00,.00.
$10,000.01 to $50,000.00 $347 1 for the first $10,000.00 and
$2 4 for each additional $100.00 or
f :ction thereof, to and including
50,000.00.
—
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or —_ —" `
fraction thereof, to and including
$100,000.00. _ C C
$100,000.01 and u $2.608.71 for the first $100,000.00 and J
$2.92 for each additional $100.00 or l
fraction thereof. / t
Note: 1 new commercial buildings require 2 sets of plans. — __�`
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