Permit CITY OF TIGARD MECHANICAL PERMIT
.;. COMMUNITY DEVELOPMENT Permit #: MEC2010 -00150
T E GARL? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/06/2010
Parcel: 2S 111 DC08400
Jurisdiction: Tigard
Site address: 15725 SW OAKHILL LN
Subdivision: Lot: 0
Project: Vogel
Project Description: Install furnace and a /c.
Owner: FEES
VOGEL, JOHN Description Date Amount
15725 SW OAKHILL LN
TIGARD, OR 97224 Air Conditioning 04/06/2010 $46.75
Furnaces < 100K BTU 04/06/2010 $46.75
PHONE: 503 - 639 -6785 12% State Surcharge - Mechanical 04/06/2010 $11.22
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115
PHONE: 503 - 691 -9699
FAX: 503 - 691 -8556
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $104.72
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.
r
Issued By: V < Permittee Signature: Q (1
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.
- 2' , ; :
Mechanical Permit Application • • • ,..' FOR OFFICE USE ONLY
City of Tigard itea,i,d
II 13125
- S Tid, OR 97223 APR 02 2010
W Hall Blvd.. gar Dateifty: tz j Permit No.: iy\o
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 • riate/By: Other Peihait:
--: • •
r t c A
. SD Inspection Line: 503.639 . .4175 .
Date Ready/By: Jun:: 1 g Stt Page far
..: .
Internet: www.tigard-or.gov • NorinedAlellind: l Stippicamwtid Inform3 doll
1
TV* (0 *Ofti • , .:'.. !'' " ::'''' :','''' 7 7. j'654 : Nik*:417. 77- 1*E'',*iiiottillgt - PAcitLIST , : .
Mechanical permit fees* arc baud on the value of the work
El New construction Addition/alteration/replacement petformcd. Indicate the value (rounded to the nearest dollar) of all
til Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
, . - ......... „, ,
.,..r :,' 'I., ''': ;. ' ,:f. ':'•'• ''''/:•?:';r:':::'0FG6iiie ;4*•:;Cti51*41i*:: 1 ..' .;.' ',•-, : .:' ,., . , . , .,. 7 .. „:, „ n' :7 .'f. . „I: .„. . .. ,. „ ., , - , .,, _ .,, .-,
' ..— ' - ' ' ' '. " ' " ' - • ' - ' . " ' ' ' - ' ' . :".:.;, ',:l.!'..**$14.1N.k:19YOY40971-..***, ,`.„";,
f 1- and 2-family dwelling 0 Commercial/industrial 111 Accessory building
For special plformation u.se checklist.
U Multi-family El Master builder 0 Other: Description Qty. Ea. Total
, • ' ' ' . '':• '‘''' • ' ■ ''' ' - 'ISITE",INFORMATION:ANO:LOCATION .', ,‘:...',':.'',, :,..,.,,,.'.''' ',..: Ileatingjeooling -
Alt conditionme
• job site address: k5-1 to 9 . 1 ._ .- sires site .ian showicg placement) 1 46,
....
City/State/ZIP: 1 f fp 110 —I Furnace 100.000 BTU (dui:IE./vents) r 46.75
— I
IL*. , Furnace 100.000+ BTU (ducts/vents) _ 54.91
Suite/bldg./apt. no.: Qt Project name: Heat um. 61 •
- .
Cross street/dircctions to job site; Duct work 23.32
I1 dronic hot water system 23.32
Residential boiler (radiator or
' - - -
11o:ironic 23,3
. . Unit heaters (fuel not electric),
in in suspended, etc. 46.75
—
Flue/vent for an' of above 23.32
Subdivision: Lot no.;
, .- Other: 23.32
Tax map/parcel no Other fuel appliances
'T'', '4,,:.:'' .'i•: .,.,;:',:''';;' 0.504,1*,4,' W a t er h ea t
:::;' ,„:, ',, ;,,,Ii. : -e' , 23.32 _
Gas fir . dace 33.39
_, ' 41.1.111■ a ......_.4.- ' rRat.L. 4• 1A,/0_, . Flue vent for water heater or gas . --
i
■
fireslacc 23.32
i
Lo • li• ter ells 23.32
_
Wood/pellet stove 33.39 ,
- I Wood fire.lue/iosert 23.32
: , , ... , , • . • Chimnevfliner/flue/vent 23.32
9 :'::;:':',-;'::; .'', ,::, ',;,;' ;...;',;.; o
acr: 23.32
Nanie: .(-asr.PaAkatrA.x_u__ Rane hood/other kitchen
Environmental exhaust and ventilation
g
Address: itl e•ui mcnt 33.39 1
City/State/ZIP: 7 „ c.c.. dryer exhaust 33.39
MB ., Single-duct exhaust (bathrooms.
Phone: VI) i l sr , fuzi: ( 4949-1–A6 17–.--..—.– . - toilet compartments. utility rooms) 23.32
H :: ,,:,,:: ' ,•':,,,,,.' , ;Appt46 4 iiii1,, :,,:, :, :„: , . :. ,,. ., .. C:1:63* kMoN ,■:, Y,/ Anic/crawlspace fans i 23.32 1
m ,
e: MO 1 - Fuel .i • in. 23.32
Business name: -
f , , so — .,.. ,,ni.f)_,.
Contact name: s1.4.15 for first four i $4.03 f or each addirionai
_. 1
Address: Ps- .0 A . (0 lc 9.4, 1 _ - Fumace,etc.
Gas heat um.,
City/State/21Y: ChAx\riaiL etl t ‘ 5 wan/sus ended/tam heater , -1
Water heater
Phone: 655 uctk —qu T Fax„ C65) Lott gssb
Fire lace
E-mail: Ranee --
' '' :. '" !" ' :' 'I' ',: ' ::' ''''' ':' ' : •''''''''''' '','.'::::''' (;',0 :,. - :'-'..: ' ::,. :!f,:; `.,•• B ar b ecue
gothes dryer (gas)
----I-----
Business name:
Address. —
jEi
City/State/Z11 qii, kA IVfini Subtotal mumpennit fee ($90.00)
Phone: * ; IQ IR Ct 4,549 I Fax: ' I g5(5 _ - Plan review (25% of permit fee)
... .
CCB lie.: 1 la I .
State surcharge (12% of permit fee) UM/
V• ' i TOTAL PE14.1%117 FEE I
.,
/
Authorized signat • : ittimai This permit app cxpires if a permit is Doi nbtalued within 180
days after it has been accepted as compkte.
,...
..--
Print name: IIIFMIITMWW Date: 1 a * Pee methodolog set by Iti-County Building Industry Service Board
_.4. I..... I ,.. .,.,
1.11i.aded,Pertnit31MEC-PemxitAmdoc 10/01/09 440-46171 (11/02/CCINIAVES)
£0/TO 39Vd --c ei esdNI_LV3H 10461 95 58-T69 -COS 170 :SI OT/0/t'0
CO/E0 39 c1
10
4-
10
10
Job #:
Performed for:
John & Sharon Vogel
15725 Oakhill Ln
Tigard. OR 97224
Phone: 503-639-6785
102 cfm
9NIll73H N0Jd0
First Floor
G-108 cfn
figt
Oregon Heating & Air Conditionin..
PO Box 397 1 992 Hwy 99W
Dundee. OR 97115
Phone: 503 -538 -2953 Fax: 503-537-2172
Tom @oregon heating, com
040008
N
J urisdidi0n Tigard 5725
dakhill Ln
R E C ER
APR 02 2
CITY
3 1
BULL
scales 1 : 110
Page 3
Right -Suite Residential
6 -0 -106 RSR39325
2010- Mar -31 13:51:03
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