Permit v CITY OF TIGARD MECHANICAL PERMIT
F COMMUNITY DEVELOPMENT Permit #: MEC2009 -00360
tR?9- eiti� 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/20/2009
T [ GARI?' 9
t Parcel: 1 S 133CD01600
Jurisdiction: Tigard
Site address: 11766 SW SWENDON LP
Subdivision: Lot: 0
Project: Baily
Project Description: Install new gas furnace
Owner: FEES
BAILEY, ROBERT M Description Date Amount
11766 SW SWENDON LP
TIGARD, OR 97223 Furnaces < 100K BTU 07/20/2009 $14.00
FlueNent For Any of Above 07/20/2009 $6.80
PHONE: Water Heater 07/20/2009 $10.00
Flue Vent for Water Heater or Gas 07/20/2009 $10.00
Contractor: Fireplace
SUN GLOW INC Fuel Piping 07/20/2009 $5.40
2428 SE 105TH 12% State Surcharge - Mechanical 07/20/2009 $8.70
PORTLAND, OR 97216 Minimum Fee Adjustment - Mechanical 07/20/2009 $26.30
PHONE: 503 - 253 -7789
FAX: 503 - 253 -7693
Type of Use: SFA
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
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.
•
2 j I J J 1 J L L/ I ssued By: j Permittee Signature: (' ,a
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. D
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.
,- Permit Application •AMU"14:"..ft.-6117.6fiNi7.47,11S-17.76N–MoNA*../.=t44-H.,..YMit:5:-24,i0j
.- 4..zotgigiwIlii- ."..Sr.'.7e:rikLk :he 4 , , !.. ei.**7v;
. l' City of Tigard Received
itte
it 4 13 I2S SW Hall Blvd., Tigard, OR 9
Datc/By:
Phan Rcvsem/
norm: 503,639.4171 Fax: S(13.59 . ( m Other P4unit No.; cao-DI- ix)90
Permit:
_ Onte/a :
i qz &„.,,
fl?T inspection Line: 503.639.417S
bate Read,y/Sy: 1111. lia Gee Pcgn 2 fitr
ttour' Netter: www.tigard-or,sov
Neti.Sed/method: Supplement:lir Inthiaurifon
JUL 2 0 2009
......:,... ,WM :•:,,com SPFIZEDULE. .`
, '
New con on Struoti elddition/ft4
'11114elEffinsibN Mechanical permit fea's'" bas' ed on the value or the work
0
pertbruted. Indicate the vaitm (rounded to the nearest dollar) grail
DCMOlition 0 Other:
MCChanigai Matreilli lli 1pnotI isIttop1: Overhead, MCI TOP,
V ' $
''':•; • :.• • ' :',F:?. " ..;,-...:;: • ' :• , .. CATEGORY OF GGNSTRUCTION;,' : ' ' -.* . '''.' ' ' — 77. - - — - - ni4C.
..i.a REgriOVP4A7PINEINti ' •
Er- and 24am El ily dwelling commercial/industrial 0 Accessory building SitTENS FEES. '.
s .. cle we checklist,
El multi-family 0 Master builder 0 Other:
De For , f terformolon scription Qty. Ea. Total
JOB GM ENFORIKATION Arm LOCATION ..: : - .,,,....',,,.:.,:. '. rfalthigfeoeu
— . " - "
Air conditioning or heat pump '
Sob 5 neichvkl(ale S („t.),Lrx AL _1r Ane olcn showing olneement) 14.00
City/State/VP: I 14.00 I .0
Fat_tar,....-F. BTU ductivent
Suite/bldg./apt. no.: Project name:
- — . 9as heat pump 14.00
Cross street/directions to job mite: Duct work )0.00
F. conic kot water system _09
- . - Reaidential boiler (radiator or
hydronie) 1 400
—
Unit heaters (fuel-type. not electric),
in-wall, in-duct, eutmended, etc,
Flue/vent for any of above I GAO la. c3
Subdivision: Lot no.;
_ Other: 10.00
Tax map/parcel no.:
Ong flue1piaa4ioneeli
..: , 7,. .', , t• :,', : . Water heater 30.00
. Gas fireplace 30.00
M 5 --‘ 1/4K , 4.1neare. 0 -vvve,..,L.9,,, Flue vent er water beater or gas
• fireplace ___
JrzLbe___(itce BLI.71 j9,4:■O
Woodipellet stove 10,00
- -....
Wood A lace/inscrt 30.00
. ,, Chimney/liner/flue/vent 30.00
.": ---'• : --::• L FROMM OWNER . : 1 .: : .. : :' ... 0 itourtri ,:: • . ' ,• . ....: •
, ....–.... Other: I 0.00
Name: , 6 0 \- .) '66:\
letwironmenta I exhaust awl venalrttlen
Addr Range hnod/other kitchen
ese: \ k ‘ ( S t...cp 5 Ro 1_,...0 • equipment I 0,00
,
City/Sono/ZIP: —c ' n t kTh ,.. ci --, a-a- a 10.00
••• 1 -v.'" Single-duct exhaust [bathrooms.
Phone: (,D) S1 0 - 4 0140 Fxlc: ( ) toilet commitments, utility:moms) , 6.80
APPLICADIT:".`.%: •:':'':'' :'. ...• • ' :.`'... 0 CON'rAter ratstis ::::-,:.- . : Attic/m=13Pa= Nis _ 10,00
, ---- - Other: 10.00
,
Business name:
SUN GLOW, INC., Feel piping_ _ . .
Contact mitre: 55.40 for first four; St.00 lbr each additional
Heating & Air Conditioning
—
.
Address: 2428 SE 105th Ave. Portland, OR 97216 rurnaoc, L-(c. .
(503) 253-7789 FAX (503) 253-7693 Gas heat pump
Ciry/State/ZTP:
. Wall/auspendedfunit heater
Phone ( )
-- F — six: ; ( ) .._,..........
Water heater
:
E-mail: ,
Range -
- . . .
', ' . L ... : '%!: "').: ' ',. ...;‘ : ' . '• ':'' • • 1. • . CONTRActe : • ,: ' .: , , : : Barbecue
-_- -- . ,
Clethe; dryer (gns)
Business name:
SUN GLOW, INC. Other:
Address:
Heating & Air Conditioning .•. nAractil, PERMIT MEV -
City/State/ZIP: 2428 SE 105th Ave. Portland, OR 97216 Subteen! 0,4i,o
Phone: ( ) -- (503) 253-7789 FAX (503) 253-7693 Minimum permit fee ($72_50) . -i_ c l i . 0
.. . - Plan review (25% of permit fee)
"
CCB lie.: 14 % t z (
State surcharge (12% of permit fee) 9 .10
• - • - -
. TOTAL PERM/T FEE ,
Thin Polak nnPlill etetvieee tra permit la nor obtained within tau
Autbori7±d signature: Cir\ ijet
itilts mar It Ma been accented cc compiete.
PrTint name: C Jr\ tc1,.. p, (1/4
..... _. C'N. knit- c.. - rDate: 1 1 a,c) 10 9 • Fee methodelov sct hy TrKetmty Banditti/Ind:Ally Arrviery)eard
I:caniidtasltmilotImteznentimpa doc 01/19/07 44n.de,trr twoarcovuntri