Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00734
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 12/17/2007
PARCEL: 1S133CD-05200
SITE ADDRESS: 13595 SW FEIRING LN ZONING: R -
SUBDIVISION: COTSWALD MEADOWS LOT: 050 JURISDICTION: TIG
PROJECT: REYES
Project Description: Gas furnace replace/
CLASS OF WORK: ALT 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
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: 1
Owner: FEES
REYES, HUGO A + ELIZABETH M Description Date Amount
13595 SW FEIRING LN
TIGARD, OR 97223 [MECH] Permit Fee 12/17/20C $72.50
[TAX] 8% State Surcha 12/17/20C $5.80
Total $78.30
Phone: 503 - 544 -0965
Contractor:
JACOBS HEATING & A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -7331
FAX 503- 808 -9108
Reg #: LIC 1441
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: �t / i Permittee Signature: 0 GZ /,
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.
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rP5 City of Tigard pateleya - / / a 7 " Permit No . -1207a a ' q 13125 SW Hall Blvd., Tigard, OR 97223 7 Plan Review
It Phone: 5036394171 Fax: 503598196
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? ' . Ins uon Line: 503.639.4175 7 ( D ate/By:
1 f 1+ t7 CI l i O Notified/Method: S p
7uris/ p Supplemental information
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El New construction ® Addition/alteration/replacement Mechanical permit foes' are based on the union of the work
perfumted. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit,
pp P II � I .r aftr{ y or px�.tt� ow r r ii It '' yoi r r 41/,,._ U . r 1' i1 1,1 `Imp Value. $
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® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
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For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
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Hearing/cooling
-
Job site address: 13595 SW Felting Ln Air conditioning or heat pump
(requires site ohm showing placameeul 14.00
City /State /Z1P: Tigard, OR 97223 Furnace 100.000 BTU (duels/vents) I 14.00 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg./apt. no.: Project name: Gas heat pump 14.00 -
Cross street/directions to job site: Duct work 14.00
1•Ivdronic hot water system 14.00
Residential bailer (radiator or
hydronic) 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 t l 1111 f , , f Water heater 10.00
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Gas fireplace I 10.00
Flue vent fur water heater or gas
Replace gas furnace. fireplace _ 10.00
- Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
/'•,' 1tt P ya�wl I1 k i, PW � iI 1 , , r Chimney /liner /flue/vent 10.00
;n 4' ..%, • m = �' i • '..M . is i;It, g titsrail". ,, , , l wi. llt - . 1N r , , , ,. .1. , . � f11 ' i , to O _ 10.00
Name: Hugo Reyes Environmental exhaust and ventilation
Address: Range hex clother kitchen
equipment 10.00
City /Slate/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)544 -0965 Fax: ( ) toilet compartments, utility rooms) 6.80
a(( [ ff {tytly• "�� " 3 �p t ' t j n { (��11 rl i 'i [ 14 1 i f a 'r'i l > ,t,�r, tr;, Attic/crawlspacefans 10.00
1' 111lrFV71M N'K't' 4, •hl•! �'•/V �at ' l! 3.g . t , f, .,. 1 .. •I 1 Y .,1MN,'116 it
Other: 10.00
Business name: Fuel 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 healer
Phone: ( ) ' Fax:: ( ) Water heater
Fireplace
E -mail: R ange
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Business name; Jacobs Heating & Air Conditioning Clothes dryer (Pas)
Other:
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Address: 4474 SE Mihvaukie f 1ii�°',Fti f 1 . (�1� ` yf'} ' A • a7r 1 I� "; y ;(I I 1 % 1i91ii,'
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City /State /ZIP: Portland, OR 97202 Subtotal 14.00
Minimum permit fee ($72.50) 72.50
Phone: (503) 234-7331 Fax; (503) 808-9108
Plan review (25% of permit fee)
CCB lie.: 1441 State surcharge (8% of permit fee) 5.80
AQ TOTAL PERMIT FEE 78.30
Authorized signature: ` /l (� �/` `"-' j. U\"-----"" Thle permit application oxpirc if a permit it not uhts; .d wihin 180
days ys uRer it has been accepted as complete.
Print name: Michelle LeClair Date: 12/14/07 1 • Fee methodology see by Tr -County Building Industry Service Board
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