Permit E � CITY OF TIGARD MECHANICAL PERMIT
rfi: - ° COMMUNITY DEVELOPMENT Permit #: MEC2010 -00269
Date Issued: 06/16/2010
14.14kRD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
„ „, � Parcel: 1 S133CC80013
Jurisdiction: Tigard
Site address: 14198 SW BARROWS RD 3
Subdivision: SCHOLLS VILLAGE CONDOMINIUMS Lot: 0
Project:
Project Description: A/C Installation.
Owner: FEES
COVINGTON, PAMELA R Description Date Amount
14198 SW BARROWS RD #1 -3 Air Conditioning 06/16/2010 $46.75
TIGARD, OR 97223 Minimum Fee Adjustment - Mechanical 06/16/2010 $43.25
PHONE: 12% State Surcharge - Mechanical 06/16/2010 $10.80
Contractor:
HEAT RELIEF CO
13122 NE DAVID CIR # 800
PORTLAND, OR 97230
PHONE: 503 - 261 -9915
FAX: 503- 261 -9814
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $100.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: j��y — ��� 1 Permittee Signature: - / `�
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
06/14/2010 MON 11:00 FAX 5032619814 ZZ001 /003
Mechanical Permit Applicati i= r 1 }OR OFFice UsE oNLy -:,'-. �
:; ks City of Ti and Received
K �J g O , e 6 �1 d Permit No.: � (V — • I , 7
FA ° 13125 SW Hall Blvd., Tigard, OR 97223 JUN 1 � 0 Pla Review �l
` I Phone: 503.639.4171 Fax: 503.598.1960 nary Other Permit:
w Inspection Line: 503.639.4175
TI G ` ARD, C L 9 GI 'D Date ReadyBy: El H See Page 2for
-x_ . ,i - ' Internet: www.tigatd-or.gov p art ;i Notified/Method Supplemental Iaforma ion
BUILDING DIVISION
", . q '5- : T " f -c7'i'3.' n ,$,;" '. *M. L'': sY =v ':.�-�f't `'_Y S •?r S - : . F S:r�.x" .. _ IVii .�- -�r t °'+ ?s•.v 74 � `' �.. i ,r
F
<? <.,x� 'ate; a- s'v - , ` � c �� t. a``+ :;".�� rr 6r fi {h' $ , � Br tr�i�isl`yo r fJ1 J" t C �2�i.`3
. t,....,. c � s.,, �"^�.c.. i . u y � "._...i,
❑ New construction ® Addition /alteration/replacement Mechanical permit fees* are based the value of the work
perfomled. Indicate the value (rounded to the neatestdollar)_of all
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit
3 T�'� �.� x '* S er.,Yer S"°"' .r�- ^e�y„v+fl 1. �*-a s�'71 ^r.�.. x,r n
}; � :i , e Til3 f i tigtei:3 x3 >^ ,: a Value$
ti^. ikl _:::12 .�X.R .j;:.. ,.,.r..•• L'4W ._ . ..k' w. 6e -, :Y_1, rz 1i.. n�c'"•. .t xls. h :.tt--+. -2--7 . — - .E, r+ 1•-- .7. r
1- 2-family dwelling , tt� O :(1�i ac'),1e >'s t 4,� �=
❑ y g ❑ Co mmercial/industrial ❑ Accessory building �' ; t
For special information use checklist.
® Multifamily ❑ Master builder ❑ Other:
_ ` Description I Qty. II Ea. I' Total
� ,� a 1 te .. 14.2...-0-v. .Er tat ,(: . 1` 1 t t;. C x f i alt ' y (A r t! a •
•: �;�a x..,. � � ,.,.., . ,y _ _ 1 ,. .. �?� ._, r :,•� � ; Heating/codling
site address: / ■ 4 , v ~M Air conditioning or heat pump
ter.. �) r r (req uires site plm sho wing Plac / 14.00 14 ---
Cit Af ( _ tJ� y11 Furnace 100,000 BTU (duets/vents) 14.00
Suite/bldg. /apt. no.: Project name: e ig 41/2 Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
pry Hydronic hot water system 14.00
(yet /� Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00 _
Subdivision: I Lot no.: Me/vent for any of above _ 10.00
Other. 10.00
Tax map /parcel no.: _ j 1 ,. �.
_ Other fuel appliances
.apt s +`..A...6w -.z lib : .; t ` .a..`eS !". l ( - /ai :S....: 4 d -. - ? � a. y: �: - 'f n. r Water heater 10.00
-- ._� ...•._ __.! �u. �.a= Gas fireplace 10.00
,tie (t 47�� Flue vent for water heater or gas _
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove , 10.00
Wood firejdace/insert 10.00
r P ' 1� � a F e�,� s �� r' �r 3 �4 >s z� �. , , � , , r -, s " -,, z,.� Chimney/liner /flue/vent - 10.00
.ua.s. «.A :1 - - - .�;. ''`_ , ._..a..:.- .F.. - `s., ., a.<.,..,.. ,.,...t -_, ,.. .Z:; -. t:: other 10.00
OM 1 ` ( 4 afA Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes Myer exhaust 10.00 ,
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rootns) 6.80
•_.-, ..4 ,. "v `. I- Cat . x_ _w .._.;" 4 Fa.2!.. ZR" - -i_hi n 1v ?, d'��r,1 Attic %rawlspace fags 10.00
Business name: HEAT RELIEF �'� 10.00
Fuel piping
Contact name: MARK DEFRANCISCO S5.40 for first four; $1.00 for each additional
Address: 13122 NE DAVID C1R DR # 800 Furnace, etc.
Gas heat pump
City/State/ZIP: PORTLAND, OR 97230 Wall/suspended/unit heater 1 _
Phone: (503) 261 -9915 I Fax:: (503) 261 -9814 Water heater ,
Finyace
-
E -mail: Range
v , x <•�5� ., fi `a a ro. } r Barbecue _.
_?x7..2._',. c_ ..: ...-..,t5... �'_ . /. �.��._,r ..s �r.._.�- _�..�_a.. }
r .... _ r _ ___ >_. : _ Clothesdiyer_lgas)
Business name: HEAT RELIEF
Other
Address: 13122 NE DAVID CIR DR # 800 -, , ` l " t "�, ty s 6, 1 : t r s a t, ` #
City/State/ZIP: PORTLAND, OR. 97230 Subtotal CO OU
503 261 -9915 Fax: (503) 261 -9814 Minimum permit fee ($72.50)0 r)
Phone:
(503) ( } Plan review (25% of permit fee)
CCB lic.: 122424 ✓ 14 fi i / I i State surcharge (12% of permit fee) I i1 ,
TOTAL PERMIT FEE /11)
Authorized si lure: �,4� This permit application expires If a permit is not obtained within 180
!>na i� Ir--. � .C-- -' y days after it has been accepted as complete.
I Print name: MARK DEFRANCISCO - Date: i `' Fee methodology set by Tri -County Building Industry Service Board
Jo -f{Dn1 C i-
06/14/2010 MON 11:01 FAX 5032619814 21003 /003
HEAT RELIEF
Customer " C J) ' 4 � . . _. .
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Address / `/ /' 9 .... J. y rr'au4s G409 ..
Phone 7i ,,,p/Z, 9 7.2,x,3 As
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