Permit CITY OF TIGARD MECHANICAL PERMIT
q
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00111
T [ G kip; SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/17/2010
Parcel: 1S133CD06200
Jurisdiction: Tigard
Site address: 11753 SW SWENDON LP
Subdivision: Lot: 0
Project: Equall
Project Description: Replace furnace and install heat pump.
Owner: FEES
EQUALL, STEVE Description Date Amount
11753 SW SWENDON LOOP
TIGARD, OR 97223 Furnaces < 100K BTU 03/17/2010 $46.75
Heat Pump 03/17/2010 $61.06
PHONE: 503 - 430 -1646 12% State Surcharge Mechanical 03/17/2010 $12.94
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: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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: r' A t ` Ji J,,c) Permittee Signature: A
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.
MAR -16 -2010 10:27A FROM: TO: 5035981960 P.1
Mechanical Permit ApplicIt' .1 EIVED 1.0I( Ill II( 1; ',sr ()NI 1
Received
City of Tigard Date/By: _ P a i A `. `ek
• 13125 SW Hall Blvd., Tigard, OR 974 . i • r ^'
. Phone: 503.639.4171. Fax: S03.598! ' • ( ' " ' ' Plan Review Other Permit:
Date/By:
1 1 c..\ 1(i, Inspection Line: 503.639,4175 Date Ready/By: Kim See Page 2 for
Internet: www.tigard- or,gov CITY OF TIGARD Notified/Method: Supplemental Informadon
BUILDING DIVISION
.
TVP.E OF 'ORK . .COMMEI.tc41 F#` E . II CHteiCi IS4'„
❑ New construction ® Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
Performed. Indicate the value (rounded to the nearest dollar). of all
0 Demolition ❑ Other: mechanical materials, equipment, labor, overhead and profit.
CATEGORY OF 'CONSTITUTION , Value: $
RESIDENTIAL E911fP14EN1 /SYSTEMS FEES* .
® I- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory huilding
. For special Information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea- I Total
.,: ;108aSITE INFORMATION • AND LOCATION Heating/cooling
1 Job site address: t 15a W 0WtAd0 LbO� Air conditioning
(requires site plan showing placement) 46.75
City/Butte /ZIP: -1-k ` n �� ( ducts /vents ) � Furnace 100,000 BTU 46.75
l
Furnace 100,000+ BTU (ducts
Suite/bldg./apt. no.: Project name: /vents) , 54 91
.
eTAC k l _ Heat pump + 61.06
Cross street/directions to job site: �J Duct wnrk _ 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydmnic) 23.32
Unit heaters (fuel -type, not electric),
in =wall; in -duct, suspended, etc. 46.75
Subdivision: . Lot no.: Flue/vent for any of above X 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
- � . DESCRIPTION O:F 'WORK . ' . . Water heater a 3.32
Gas fireplace 33.39
° ��- ` Flue vent for water heater or gas
• t a +I
[Olt h ,p A , j . n' 1 n fireplace 23.32
1 6 �( J`J�J +(J Log lighter (gas) 23.32
Wood/pellet stove 33,39
Wood fireplace /insert 23.32
Chimney /liner /flue/vent 23.32
34. OWNER ❑ TENANT
Other: 23.32 _
Name: at um 1 Environmental exhaust and ventilation
Address: Gee) Range hood /other kitchen
equipment 33.39
- City/State/Z1P: . Clothes dryer exhaust 33,39
Single -duct exhaust (bathrooms,
Phone: (e0) 460 i ' Fax: ( ) toilet compartments, utility rooms) 23.32
®APPLICANT, ❑' CON ACT PERSON Attic /crawlspace fans , 23.32
Other: 23.32
Business name: Same as contractor
Fuel piping
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 heater
- Fireplace
E-mail: Range _
CONTRACTOR Barbecue _
Business name: Tri County Temp Control Clothes dryer (gas)
Other
Address: 13150 S Clackamas River Drive MECHANICAL PERMI:1'. FEES* •
pler
City/State/ZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee ($90.00)_
/ Phone: (503) 557.2220 Fax: (503) 557.0919 Man review (25 %of permit fee)
�!/ Cal lic.: 72623 State surcharge (12% of permit fee)
—s TOTAL PERMIT FEE 144;
.l ®�� This permit application expires if a permit iii not obtained within 180
Authorized signature: CG� v"' 5' days after 1t has been accepted as complete.
Print name: vane, mason Date: 3/( ( J lO 1 • Fee methodology set by Tri - County Building Industry Se Board
1 \Buildng '.Permits \MEC- PermitApp.doe 10/01/09 440 - 4(1177 (1 I /02 /C M/WBB) ` —
a( \ Q,,r1.okc2
3
D
7J
V-
•
CON I RACTOR A/C -I PUMP --- UNIT SITE PLAN
N
m
.
m
` ceF TO IIACK PROPERTY LINE e� �'O n N
m
D
. 3 c�
0
3
... _
S
tO t0 TO SIDE PROPERTY LINE .
-Vice.1(kfiro,.* r co 13er1- j Lit.e
Zcb
TO STREET -
___._ ____ _ o
._ W
CUSTOMER INFORMATION ION m up
cn
NAME eQUAu
ADDRESS m 1 lba ow U Lion! ""'T m
CJYY and Q722b
PLEASE REFAX APPLICATION WVITI1 SITE PLAN.
ru
t