Permit ""'` � CITY OF TIGAR® MECHANICAL PERMIT
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` • • a; - COMMUNITY DEVELOPMENT Permit #: MEC2010 00183
Date Issued: 04/27/2010
[ GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
xr,x ,w Parcel: 2S112BA02000
Jurisdiction: Tigard
Site address: 7975 SW FANNO CREEK DR
Subdivision: WAVERLY MEADOWS Lot: 33
Project: Martin
Project Description: Replace gas furnace, furnace venting & water heater venting. Water heater installed under minor
label.
Owner: FEES
MARTIN, RAFAEL C & JAN L Description Date Amount
7975 FANNO CREEK DR Furnaces < 100K BTU 04/27/2010 $46.75
TIGARD, OR 97224 FlueNent For Any of Above 04/27/2010 $23.32
PHONE: 971 - 226 -6317 Flue Vent for Water Heater or Gas 04/27/2010 $23.32
Fireplace
Contractor: 12% State Surcharge - Mechanical 04/27/2010 $11.21
CLAWSON HEATING
PO BOX 899
GRESHAM, OR 97030
PHONE: 503 - 618 -9646
FAX: 503 - 665 -2375
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $104.60
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
Utilit ''cation Cen - Tho ti les are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or 'rect questions to OU . •y calling 1 .246.6699 or 1.800.332.2344.
I ued By: 1/ / Permittee ' nature: ;
Call 503.639.4175 by 7:00 a.m. for an inspection that busine - . ay. /
This permit card shall be kept in a conspicuous place on the job site - 1 'l completion of the project.
Approved plans are required on the job site at the time of each inspection.
APR -27 -2010 07:36A FROM:CLAWSON HEATING 5036652375 TO: 5035981960 P.2 /3
1 p g' J t � e�• 3 f
Mechanical Permit Applicat •t i � ]J ��� '';' ° , rl �1u , t►I I� It 1 I, I. ,: i l l : , . � � r.tt,. l r g cti
,� +nm. L 14 '4S.aw' Pit:4Jus )1
PI , t _, City Of Tigard Received R 7 l0 / Permit No.: t / vb//
*a 13125 SW HaII Blvd., Tigard, OR 97223 APR 7 n Plan Review
n p ' �t1� r. osi
u Phone: 503.639.4171 Fax: 503.598.1960 Date/By: ' + mil Internet: www.tigard -or gov 5 CITY OF TI Note Rd/ ec h o furls 116. S n
�a TIGARD Other
iJ Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION
" RESIDENTIAL EQUIPMENT !SYSTEMS FEES*
/"- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Air conditioning
777-5 , 5 � 5.cJ.4 irh p, , v A , , (requires site plan showing placement) 46.75
77714
City /State /ZIP: ! O� 9 o 97�rZ .2/ Fumace 100,000 BTU (ducts/vents) 1 46.75 "f (o.
/ Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: / Heat pump , 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 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 ( 23.32 _ , 3.3a.
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRiP ION OF WORK Water heater -10 23.32 a
Gas fireplace 33.39
t! t 5 eA ax Flue vent for water heater or gas
/Z/1474-1-11- fireplace 3 23.32 ,la,
�� S �� Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
PROPERTY OWNER I ❑ TENANT Ot y/1iner /flue/vent 23.32
Other: 23.32
Name: Ai 0 , 1 `0 A , ` t` Environmental exhaust and ventilation
Range hood/other kitchen
Address: / `r � 1 i .1Z equipment 33.39
City/ State/ZIP: 7-7, , „Acd O,2 , Q 7� a 1-{ Clothes dryer exhaust 33.39
/ Single -duct exhaust (bathrooms,
Phone: (Y • �� _ Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: 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/unit heater
Phone: ( ) I Fax: : ( )
Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue .
Business name: ( l - m/L �--/ ,i ' /97c Clothes dryer (gas)
/ ( / .5 Other:
Address: D , �y-,� �- ? /� �y MECHANICAL PERMIT FEES* t „
City/ State/ZIP: /� "/ s �i `• / f�^�"� VlQ • ! ac �� Subtotal .,J-J 1 9J' f
Minimum permit fee ($90.00)
Phone: 6 z) (/9 -9 /_ I/ Fax: (03(��C�' � � 9. Plan review (25% of permit fee)
CCB lie.: / ! ( r / / (//AT it v State surcharge (12% of permit fee) II•Pl
�� - TOTAL PERMIT FEE I,'
Authorized s; ature: This permit application expire, If a permit is not obtained within 1BO, l &A t
&t , �� CI days after it bas been accepted as complete. 1 0 `7 .
/�7 Print name: J �� T� �7 Date: / 'T I 0 I . Fee methodology set by Tri -County Building Industry Service Board
I.\ Building \PermitsWEC- PetmitApp.doc 10/01/09 440 4617T(11/0 COM/WEB)