Permit 1' , ,,, ; :, MECHANICAL PERMIT
. ' �� p CITY OF TIGARD
t °r COMMUNITY DEVELOPMENT Permit #: MEC201000022
: Date Issued. 01/19/2010
ti.GAgD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S114AB00400
Jurisdiction: Tigard
Site address: 9290 SW DURHAM RD •
Subdivision: Lot: 0
Project: Strothers
Project Description: Install gas furnace & ductwork.
Owner: FEES
STROTHERS, HARRIET A Description Date Amount
9290 SW DURHAM RD Furnaces < 100K BTU 01/19/2010 $46.75
PORTLAND, OR 97224
Duct Work 01/19/2010 $23.32
PHONE: 818 - 203 -0658 Flue/Vent For Any of Above 01/19/2010 $23.32
12% State Surcharge - Mechanical 01/19/2010 $11.21
Contractor:
THERMAL FLO INC
7236 SW DURHAM RD 100
PORTLAND, OR 97224
PHONE: 503 - 670 -8343
FAX: 503- 598 -6746
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $104.60
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 ifwork 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 N • ation Ce e Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dir t questions to OUN by (ling 503.246.6699 or 1.800.332.2344.
Issu d By: , C zwuq k Permittee Signature: t ,e6 -ti___)
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.
��
II . Mechanical Permit A IV 1y w >t roi i i ;r ` o�f i 4 ` ' � 4 �� "
F .. '�� � t . :33 I � ' �- "�`��5 L.�t,� ` � tr .. ��1 �;� P y,: � ' ,
'q e i City Of Tigard A 010 th0 _ rlcmt N„: H it. a'
Tigard OR 3 1 '2 S
p Phone; '503.639.4171 Prue; 503.598.1960 Date/13y: Cu her Pnrmit: L1, CaoilO. 47 •
4_1Cv,4P D' Intcrrteto Said -o3 oO V.75 CITY OF TIGARD t ;r •keady /By: J' El Ser- rage 2 for
$ BUILDING DIVISION Notified/Method: Supplemental lnforn,ation
, 'RCLU "EFF.79 CHEDT.iLE `CJSE,CLE CHI,IST
� TYPE , Y7F' �F'ORK
' aCOM11iE
❑ New construction Addition /alteration /replacement Mechanicfil'permit fees` are based on the value of the work
perform . indicate the value (rounded to the nearest dollar) of all
Demolition. 9 Other; mechanical materials. equi ment, labor. overhead. and profit.
.. "CA.TFG�DRY OF,.C`fNSCkUGrIOi�... ; . value S
❑ C /industrial Accessory building
and 2 - family dwelling 'RE O /% STEMS FEE5w.:
❑ ry cling
❑ Multi - family ❑ Mastcr builder 9 Other: Furopecra/;nfnrnwrion use Q cAeckksr
Q Total
Description ty.
^SOB ° STI'E ni lion aribi :r ',- Heatiwciolim
-- --
Job site address:
4C1 r) q /� / u"/ i n Air c
2. "7 (_/ 63' !� �^ �! / /let,. - (requires site plan shoe, ing placement) 46.75
City/State/ZIP; 7/ 74 j ` 1 OR Q1 2 Z 4 - Furnace 100.000 BTU (duos/vents) i 46.75 45
_ / "/ _ Furnace .100,000 BTU (ductsfv nL) 54,91'
Suite /bldg /apt. no Project name: I / I Iert�ump 61.06 �.
Cross street/directions to job site: Duct work d �s 23.32 [%�2.-
Hydronic hot water system _ 23.32
__ • Residential boiler (radiator or
• - h 'dronic) 23.32
Unit ters (fuel-typc, not electric), 1 1 23.32
• in -wal in -duct suspended, etc. 46.75
— - ` Flue /'vent hea For any of above '�3, g 2._,
Subdivision: Lot no.: Other. r. 23,32
Tax map/pat Other fuel appliances
.g 'DTSGRJP` iON 0.F' WORK wat 32
t °Y f heate r 23
Ors: treplacc ! 33.39
�i
r +• I n
Flue -vent %r water heater or gas I
7 J/ ja/ . FUf 7aL.e l, 1 e O / Lro Qhter ( gas) 2332
L O/2_t1'lg iii?/ ∎-' W ood/pellet stove - 3339
_
• e.J Wood fireplace /insert 23.32
g r I yry/ 11 y mncv/lincr /flue/vent 2332 J - li � WL ;e f Li,..a�YY1Yly2y' 1 �. � (d, �0 N � � A � A � �SN.�I�Vr1 � 1 . µ C. - ..
� � 23.32
Namc: L f/''f L[��e ('tK/9 Zie-r" Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 3339
City /StatelZlP: 57
16_6"
Clothes dryer exhaust 3339
— Single-duct exhaust (bathrooms,
+� g 2Q (Q Fax: ( ) toilet compartments, utility rooms) , 23.32 ■
A0x;l!C, ,NI ` / r A ON'TAC"T�'PERSON , , : ! Atticfcrawlspace fans 23 32
Business name: q �} /� �y� Other: 23,32
!l /f& �[/ dl Fuel piping
Contact name: ;' .= LW ! S14.15 for first fn ur; S4,03 for each additional
Address: /Z '' ;� ' LI i i 4, j 19 Furnace. etc. - i
Gas heat purr)
' City /State/ZIP: / t. , 04 9i%2 i- Wall /suspended/unit heater
Phone: J
h ) 4,'D,. , 'A Fax:: y / ) 50 -47744, Water heater
/�¢�' �yp� y� /s , Fireplace
E-mail: ,(,� s m4 ��J Li� � Range
a/ -
•
Business ... name: .
rC01�"I RACTOR Barbecue
u CIOthCS dr (gas
s /� ?� Address. darn& 4 0 /" �✓ Other ---
.;. MIYlI4TT102AY A1'4ZYIj?I dMEES*:::
City/State/ZIP: . Subtotal �11t -
Minimum permit fee (S90.00) t "
Phone: ( ) i Fax: ( } Plan review (25% of permit fcc) H
CCB iio.: State surcharge (12% of permit fee) f r_ L
! f
-- TOTAL PERMIT FEE io , i
l /„ This permit application expires if a permit i5 uol obtOined within 180
Authortr- -ed slgnarn - . J ...
/ day's after it has been accc1)1C4 AS complete,
Print natne t(` / ' } •'cd mcthodolo se, by Tro- ount Building Industry Service Board
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IA AAitn,1 '1T /1I /A'1 /r/IstAV=n\
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