Permit a
q CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00056
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/26/2007
PARCEL: 2S 109AB - 04000
SITE ADDRESS: 14338 SW 133RD AVE ZONING: R -
SUBDIVISION: THREE MOUNTAINS ESTATES LOT: 033 JURISDICTION: TIG
Project Description: Replace furnace.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
CATHY DEVLIN Description Date Amount
14338 SW 133RD AVE
TIGARD, OR 97224 [MECH] Permit Fee 1/26/20W $72.50
[TAX] 8% State Surcha 1/26/20W $5.80
Total $78.30
Phone: 503 - 521 -1051
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -656 -1184
FAX 503- 656 -4650
Reg #: LIC 447
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections 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.
442 ta Q q 3. .• i • � , q
Mechanical Permit pp ication :FOR: OFFICE USE ONLY
City of Tigard Received • - v,;: : , • /'
DateBy: r � PerrniiNo..'rj, - 6) -6
13125 SW Hall Blvd., Tigard, OR � ( = V s� ` to
Phone: 503.639.4171 Fax: 503.5 0 �C ,, �
Plan Review eW Othe Permit:
Inspection Line: 503.639.4175 �� r:• I � .. Date Ready/By: luris: 0 See Page 2 for
Internet: www.ci.tigard.or.us g Notified/Method: Supplementallnformation ,.
AO 2• 7.00 • - . -.
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❑ New construction itObneti2G�� bLment Mechanical permit fees * based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
v' , t iaAa E R i0 7 6,40 RTXC`I'I*VI ' t'1 :ii ; Value $ . • 1 - and 2 - family dwelling 1: CommerciaUindustriai ❑ Accessory building . :: SID }Y7 Lei rEQ . LJiI'lYlEh{� / ,S Y ST EIVIS•FE E S*
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
* : I�!S A� 2. N- +.+n'^dfr ,,a .G r'4' {� 9d-.' M: ilt
- ' ad' �* , .,; JOB 1 NYT� ur iO1 D:LOCe#Tl its; ti + ' , t'aa'' Heating/cooling
Job site address: / Air conditioning or heat pump
! � � 4 (requires site plan showing placement) 14.00
City/ State/ZIP: / 1 C re Orr q7 2_zy Fumace 100,000 BTU (ducts/vents) / 14.00 / L/ OD
L° / Fumace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no. Project name: -
Gas heat pump . - 14.00 •
Cross street/directions to job site: ,fi //�� Duct work 14
Aka 0' N 1 "�' - /K o . .
Hydronic hoi water systt.rn • 14.00
• • - -- -Residential boiler (radiator or
hydronic) •'' . ' -•'• 1 ' 14.00
• • Unit heaters (fuel -type; not electric),
in -wall, in -duct suspended, etc. 10.00 •
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
t[Cr' f � f,.t ' ' t l! 5Olgt.I�N °O 'r.P, r 1 ; 1ii7""...�sI:; :' ,: i ifi= :,i�;,,e
I..i�.a:� �_ _2'.dS��iGl�'.�b. . Q . n.4ti!7 .� �..r. - �•' Y 1 ' Water heater 10.
.
Gas fireplace 10.00
EL • /;..<._, 0 A # Le _ Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
�'d �"`�a��`.• nv nt ` ; uo,:,.t� �o,)K� rp,�¢ {;�'e}•rj �r 4� �;' 03 '+fz Y. �v< t .:.., . y .,
1 � Chi Holey /1 iner /flue /vent 10.00
,. �,� �;- ,= .t,s -..�" <�- <' � al: Ttsr= �l..a, n1c9 �: �:._.�..�;,�.t'�? -�s• ,. tk,:�,- Other: 10.00
Name: T C_.L( r /r' A Environmental exhaust and ventilation
Address: I9 g J (() 1 3 x p,..t. Range hood /other kitchen
equipment 10.00
City/ State/ZIP: 7; r eLY O t 97 2:2-4 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5123 ) �Z) .- J / Fax: ( ) toilet compartments, utility rooms) 6.80
s -}f tl 1 ,W Y C zP, a TIR. 1 5 l R .,
�"?' ,,2 . �, • � ® �`A�PII,C�lNT 1 y � , 4'' q # '�i'�: ' {'��7 � 'i��,��,,�]� CON,�T`ACTt n 't�.E�2 $ 4 ;� .. _ ;u .; Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuei piping
Contact name: 55.40 for first four; 51.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
4, ,i, 4 � 5 :'"1 6 r'} ¢ a' a h l iM' : i t � 1 r e + T, _-.,i1,,,,'.1..-.':%,t..:4,. „•;e r ,'•r , r , Barbecue
.•;. ;. tin �; ..7.i , 'fAw. X1 4* .COZ,: ,,,;$. l{" I a1, ey ,v1g - ..
Business name: bpi I + t I �4� C - Clothes dr ( _
Q
Other:
Address: /3 -5 c ® s £ r i t CLZ /eta,,t " .ww, ,"r iii - . k4iECE1A I I Q AI;yPE RIVITT F EES*
City/State /ZIP:aackel_wv a S di p - 7 O / Subtotal 1 la OtJ _
Phone: (�� ) 6'6 �J Fax: ( ) Minimum permit fee ($72.50) I -. 7R .$j
1 Plan review (25% of permit fee)
CCB lic.: qq? / 0Zr1/ 1 1 f State surcharge (8% of permit fee) S,C)
TOTAL PERMIT FEE 9".7)73 Authorized signature: This permit application expires if cacrmlt Is not obtaine within 180
�/ / ���' days after It has been accepted as complete..
' Print name: bejeki o K.. �,e ( 1 . I Date: `_/ •- D - I • Fee methodology set by Tri- County Building Industry Sevice Board
V j
i:\ Building \Pemtitsi C- PermitApp. hoc 12/03 440.4617T (11'02 /COMAt'E13)