Permit 4 CITY OF TIGARD
MECHANICAL PERMIT
` COMMUNITY DEVELOPMENT Permit #: MEC2010 -00243
Date Issued: 05/27/2010
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S103BD07800
Jurisdiction: Tigard
Site address: 12562 SW 115TH AVE
Subdivision: HUNTER'S GLEN Lot: 34
Project: Williams
Project Description: Replacing furnace and venting.
Owner: FEES
WILLIAMS, JOHN BEN Description Date Amount
11241 SW BOONES FERRY RD
PORTLAND, OR 97219 Furnaces < 100K BTU 05/27/2010 $46.75
FlueNent For Any of Above 05/27/2010 $23.32
PHONE: 12% State Surcharge - Mechanical 05/27/2010 $10.80
Minimum Fee Adjustment - Mechanical 05/27/2010 $19.93
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 $100.80
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: Permittee Signature: 0� C�
i
Ca 1 503.639.4175 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.
MAY-25-2010 09: 09A FROM: TO:5035921960 P . 1
, . , . •
, NOISIAIO Onnalme
. . . .
Mechanical Permit AnnlicatioCIHVOLI dO kin -
City of Tigard OR 97223 g rr Received " 1 • . „ . . , . , .. „ , ,
'..- .. ': , i' II .-- i t 13125SW Hall Blvd., Tigard, °I ° Z 9 A" Dateaty: /0 a Punn1114 /) 90 10
i
Plan Review
PlItate: 503.639,4171 Fax: 503.59 '; i . , . -• /.,- other permit.
__.
• ,•,, ;, ,,, , 1 ,, , ;,,, I ., lespeetion Line: 503.639.4175 erlitieJjj91171 Datealy:
Date Ready/Dy: - JigitA., 1 IN See Page 2 for
' ' :: Internet: wnvw.tigard-m.gov
Norittedimethed: -j....Q flippteraeataf terannation
• - .::;,,,.. , :z.::....if..J..:ri.:.!'' . ; ; !4.`,:!■:i'.v , .7.7..: , . , :'F: 7,,,....• A 6 :,,,,,- !;,,..,7 .....: . : . . . .. . . „
!.F:.!tu ”r,)!!!...:*-1,71' f: :! .. : :'.;: . ; ..: : ::'tOtRSRRO14i::rOffRdttadtC"''rijiRttOttkikre'''
0 New construction 10 Addition/alteration/replacement Med1 Penrili feca am based On the value of the work
°Demolitift-rforma ;Indicate the value (rotonindiothe moat dollarlotall
on . [I Other: mechanic& materials, equipment, labor, Overhead. and pa%
: ' Value: 5
,
0 1- and 2 dwelling 0 Commercial/industrial 0 Accessory building '
For special bilbrmallos tale choral*.
0 .Multi-family 0 Ma.Ster builder 0 Other:
Description , " TOtill
1 ir::::.4i0kilkO3,-,;:::VgAlltrAitli ' "1 .. .14$ .ti3O p
,1:iq,'::: . ; ,,,, J::.i',:i;il'ii)?' ,1 :':'i':.'1':' Heitinkomng
Job site address: )2,5(ol 6 t Ayontyc 7e1y3 Air conditioning
(requites site plan showing placement) 46.75
City/State/ZIP: Tl (11 Furnace 100,000 ATLI (ducts/vents) 1 , 46.75 q6 , - 7
Furnace 100,000+ BTU (daciewouts) 54,91
'SuitelbldgJapt. no:: Project mime: 1 1 1 ' oyvIS Heat pump . 61.06
Cross street/dirr,ctions to job site: Ductwork . 2332
•
liydrunic but water system 2332
Residential boiler (radiator or
hydron le) 23.32
- unit heaters (fuel-type, mat electric).
in ini4rna, suspended, etc. 4615
Flue/Vent kir any of above 1 2332 2-3 , !
subdivimoo: I Lot no.:
• other 23.32
•
Tax map/parcel no Other fuel appliances - i
P,:ig#1:35A,Wf,7314,11,,,qi..rrmit,40:0, *Fox, ,, •;:;::<iii.:::: Water heater 2332 . .
. i
Cos fireplace 33.39
flue vent fbr water heidef or as
- i
D kpictrciurn[AeL fireplace
23.32
Lo_g lighter (gas) 1
. - 3
Woodillet stove .
Wood fireplace/insert 2332 '
.,,,,,, , ...,..1. , ,,,,, ., . -, .... ,, .., . Ehimney/lincr/flucivent 23.32
:j; a i.W l':'`:7;f4''•''''l t41 :4. ' ' . ,k) . .''P ip:'::' other. - 23.32 i
Name: do _I 10,1111 , Environmental exhaust and arsine ion
• Addres Range hood/other kitchen ...
s: aunt
equipmait. 33,39
City/State/ZIP: Clothes .dger exhaust , • 3339
"OW a ) Oto Nli't) Fax: ( ) Sinle-duct exhaust (bathrooms,
toilet compartments, utility rooms ,.., 2332 , 1
t
gl , ',.:c . ..1 , .,4 , .. Attiderawlspace rrs .. 23.32 • 4
' Other: 2332
B
' urnes." name: Same as contractor .
Fuel piping .
. I
Contact neat; Platte Masan 514,15 for first fuer; 54,03 for each additional.
Acidness Furnace, etc. ,
. :
' Oita heal pump q,
City/State/ZIP: Wall/sulpended/unit heater ,
Phone:( ) 1 Fax: : ( ) . Water heater . 4
PlrePlacc „
Atie . '..■;1■.F4.igi:0,!,iig: tiezbemle
Vait.'5:;74:11p!.,,-,..iii ■44 ,, , ,f..: ' -,'".,,,,. , '.i., ''
ntlaineso fulMe: Tri County Temp Control Clothes-dryer (gas)
•
Other ..
...i
Address; 131$0 S Cisetiomps itWer Drive , V= . 4 - 4 , 140 1 !•;^'AlisiO i) tTroO• eit 1
•,!•••,•:'. '. !:'01• ..• , ., • ,,:- ,..1-i.kil,O.1.••••1•,h ,..,- • .
• City/Suitt/21P: Oriegel,Cdy, OR 91045 . . • • . ' ':•'.,.. Stsbrnial ! . 7 j ; 0 , 4 !,
, minimi4n,:paiiiii-*tsoci.00:: :11 _ i...). .
• .PirtL(O1k!21Li ) a (503)557.091 rat
9 . , .....
Plan :avid* 25%0 aruthe)'
, C.Cfi'lle,..:1262.3 &Ise surctisrO(MWOfiit als • I 11)
. 8 a 'I ''•
TOTAL PERMIT .FitE
, ..- .
v:i0i 1A4tt__*_—, ibto Permit appikatlis o irattortre prima to Mg abridged irlthin IN
days after it leo been accepted as cremplete.
• Authorized Signature: :
Fri:117)0;Yr: . via.nc, ktmo3 1 Date: 1 . Fee metbodningy to by TriCAbudy Building initially Service Hoard
'
,. . _ . ..
440.461ir (I trottcommtna)
twetanapenatteVAIC-eartattnop.sec toiotina
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