Permit „ CITY OF TIGARD MECHANICAL PERMIT
. + COMMUNITY DEVELOPMENT Permit #: MEC2010- 00010
IGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/12/2010
Parcel: 2S111CA15000
Jurisdiction: Tigard
Site address: 15060 SW 100TH AVE
Subdivision: ALDERBROOK FARM Lot: 7
Project: 'Comegys
Project Description: Replace furnace.
Owner: FEES
COMEGYS, DONALD L IDA J Description Date Amount
15060 SW 100TH Furnaces < 100K BTU 01/12/2010 $46.75
TIGARD, OR 97223 12% State Surcharge - Mechanical 01/12/2010 $10.80
PHONE: Minimum Fee Adjustment- Mechanical 01/12/2010 $43.25
Contractor:
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR #130
TIGARD, OR 97223
PHONE: 503 - 620 -5643
FAX: 503- 681 -0793
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 503246.6699 or 1.800.332.2344.
`
Issued By: /�1 ne ; (1 4 �IN� J A j Permittee Signature: S-ZSL « 26Tp
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.
JA,N? 08/2 0 /FRi 04:11 PM FAX No, P. 002
pp iRECEIVED p
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Mechanical Permit, A �ICi�tZU T i ra ROROFFICE LIS1 x QN1,Y V $4 . " � Y __.
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Receiv Perinit No.:
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171 Fax! 0398 2 JAN 0 360 O 2 l , Other Permit �� Or oGO� t
r Date/By:
L i'1 ` t ' I
-' ns cction,Linc: 503 639 4175
Ti D ate Ready 19Y: 1 cig: M See Page 2 f or
G • CITY OF TIGARD
n r ri t' >L Internet: www.tigardlor.gov Notified/Method: Supplemental Information
BUILDING,DIVISIO dMeth .
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❑ New construction . I I Addition /alteration/replacement Ivlechanical. pearl it fees',arc 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.
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`--TI 1- and 2- family dwelling El Commercial /industrial III Accessory building `"
For special information use checklisr,
❑ Multi family ❑ Master builder [] Other Description Qty. Ea. I Total
} l �F1I� � ;l' i ; ! 1 l� >" �el��l�t i al( l jl f f �Dt'y�� � f 4k�U'1� 11`4 a � � ,,�,�d 1"la� �i r t , �V� } F f � � 3 "I } i l lt'� + � } f A 1' , �:
ILll tt,i�s {ii I , lli u61 't�; al{ r . _ .......9,:wi?l.a ai r t: ditf�-k_ Iii:,#il ;� # i x.4 1 lit Heating /cooling
Job site address: r 0 w Air conditioning
_ (� c� SL,) (� `Tv� (relluiras "site plan showing placement) 46.75
City /State /ZIP: Fumacc 100.000 BTU (ducts/vents) ( _ 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: C o “243 Herat pump 61,06
Cross street/directions to job site: Duct -work 23.32
Hydronic hot water system - 23.32
T Residential boiler (radiator or
hydrunic) 23.32
Unit heaters (fuel -type, not electric)
. in - wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
i Other; 23.32
^w
Talc map /parcel no.: Other fuel appliances •
• r tri t t i' i G '1^ ��Ittt -; x' l- t 4 ",.�t111 ,"�"Tzr, [,� rr , } , l r, x ^r 7 w
r.,. : ,,' #ej1 7 � +, i t 1t (ay �, ' U.i. wo .F ""�r" ." ! rf .'."ri l i ti} I�Ir''`' 1 i , Water heater 23.32
I!t��_1:���ta�..;�.,lik,jslse i t IA t, ca"a: " ,t ±4i�w�}�_�:It
Gas fireplace • 33.39
Flue vent for water heater or gas
A (� , fireplace 23.32
f f \'A "'�"s A• '�^ r LQ•_, Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplat.e/insert 23.32
• t } =t4 r a r .r s • !ti, �s +u414f ryi0 +.r ! 1, h'7 if Chimney /liner /flue/vent 23.32
at , ,:l,ri ' • llz : ; itt .. l t a ; b . .� r` I N � 911 t ! �, f31 :t :. 1�1, . Other: 23.32
Name: Comegys, Don R10005 Environmental exhaust and ventilation
Address; 15060 Sul 100 Ave. Range hood /other kitchen
equipment _ _ 33.39
City /State /ZIP: Tigard, Or. 97224 Clothes dryer exhaust _ , 33:39
(503)620-2048 Single -duct exhaust (bathrooms,
Phone; ( ) toilet•compartmcnts, utility rooms) 23.32
{
l l . ,( t t t lr cal`( 1t1:} 1, } t0. t TAMP a s { k tit 7 . `,tri t 3 i ' A I1 I i el r ts Attic /crawlspaoe fans
Itl{ 23.32
1„W..ivrl:4Ur.Y.��:lL tZ cvItiS`Ffi'Lfitl.h...hh.L ll�'' u1A rA,w '�i{ .;1 ,irY,..r l ; ,,, •.wi. l ,z,i,.kt. • { ii.^.rl• i'tL.red_
Business name: Other: J 23,32
Fuel piping _
Contact name: $14.15 for first fours $4.03 for each additional
Address: Furnace, etc.
• Gas heat pump
City/StatcJZIP; Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) µ Water h µ
-- Fireplace
E -mail:
Range
� r' S �1} tl � }� '1 1 1} ,Y1 , f ! I } s� {� � t f }1 r^ 7 } � ", { i r i t n.;� dydyt �j� } Z l ,l `h ' f r � L j rl- 1 � dr } j�I��}r3f 1 f 7' L } ,�, }:
' ;_ VIj it l „f!',1;i5 ` y � Ikf'..'.}G .a.Ln u.•tLu. .atu;+�ltJ:1.. ; � .iyE ffE, i : it:4' { JiL1il: : A1- Barbecue
Tech Center Drive #130
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
Other
Address: 7500 SW t I 1? :z ?, +"� 1 J r ( ll'•'� ='`t' I.
.1
. . lu � 1 }' 11 l r q i u Ril ,ibis S .,, i ii i: i ' 1 is I
,.., .i ;,.4: n :i r t 1 t :r:Luoir.. ;t ,a :4,,ti.0 k r�u r I Lt
City/State/ZIP: Tigard, Or. 97223 Subtotal
?hone: (503) 620 -5643 - 7 Fax: (503) 681 -0793 Plan rtnum permit fee ($90.0
Plan r ceview (25% of permit fee)
CCB lie.: 66578 State surcharge (12 %ofpermit fcc)
TOTAL PERMIT FEE 1(t-f . la
This permit nppii0Atian expires if a permit is not obtained within 180
Authorized signanlre:
i $qyS After it has been accepted as complete.
f Print name: Andrea Di-ipps Date: j i p " F m ethodology set by Tti- County Building industry Service Board
t : \BuitdingTermi[P \AMC -terml App.doc 10/01/09 440hb17T (11 /02 /COM/WE8)
L t L rY�= In e �3
i41-"08/'2010/FRI 04:II PM FAX No. P. 002 'FOR - Mechanical Permit ApplicatioxRECEIVED OFFICE
01
City of Tigard n Receive: Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 JAN 08 2010 Q
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 DateBy. Othr Permit:
Inspection Line; 503.639.4175 CITY OF TIGAM Date Rendy/13y: r 7 Ir7 See Page 2 for
Internet: www.tigard-or.gov NotiScd/Method: Supplemental Information
BUILDING DIVISIO
New Construction Ej Addition/alteration/replacement Mechanical permit fees' are 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,
Value: $
1- and 2-family dwelling ❑ Cotnmcrcial/industria.l ❑ Accessory building WINEMMORIMMEM
For special inforrnatlon use checklist.
❑ Multi-f0.tnily Master builder ❑ Other: Description_ Qty. Ea. Total
ll ' Heating/cooling
Air conditioning
lob site address;
~~~1 ~r C] ~ ? (1 i~ p t 1/f rt uire8 site plan Showing placement) 46.75
City/State/ZIP: Furnace 100,000 BTU duct%Neats) 46.75
Purace 100,000+BTU (ducts/vents 54.91
SuitcJbldg./apt. nom: Project name: r~~ bleat urn 61,06
Cross street/directions to job site: Duct work 23.32
li dronic hot water stem _ 23.32
Residential boiler (radiator or
h dronic 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended etc. 46.75
Subdivision: Lot no.: Flue/vent for an of above 23.32
Other; 23.32
Tax map/parcel no.,. Other fuel appliances
Water heater 23.32
Gas fire lace 33.39
Flue vent for watcr heater or gas
A fireplace 23.32
\ Lo lighter as 23.32
Wood/ cllct stove 33.39
Wood fire lace/iwert 23.32
pp Chimne /liner/flue/vent 23.32
Other: 2332
Name CorrlegyS, DOx1 R10005 Environmental exhaust and ventilation m
Address: 15060 SW 100th Ave. Range hood/other kitchen
equipment 33.39
City/State/ZIP: TIgaxd, Or. 97224 Clothes dryer exhaust 33,39
(503)620-2048 Single-duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 23.32
Attio/crawls )ace fans 23.32
Other: 23,32
Business name: -
)Fuel fin _
Contact name; $14.15 for first four, $4.03 for each additional
Address: Furnace etc.
Gas heat um
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) W Water heater
- Fireplace
E-mail: Ran c
EMMM, Barbecue
Business name; 8pccialty heating & Cooling, Inc. Clothes dryer as
Othcr;
Address: 7500 SVV Tech Center Drive 9130
City/State/Z1P: Tigard, Or. 97223 Subtotal
minimum permit (503) 624-5643 Fax: (503) 681-0793 foe ($90 00)
Plan review (25% of permit fee)
CCB lic.; 66578 State surcharge (12% of pcrinit fee)
TOTAL l?F,RN[IT FEE
Authorized signature: This permit applicotinn expires if a permit is not obtained within 180
_ days after it has been accepted as complete.
Print name: Andrea Dripps Date: b " lee methodology set by Tri-County Building Industry Service Board
I:1Buildin~lPCrmit.\D3£C-r'ermttApp.dac 10101109 4404617T (11/62/COMAVP9)
n~a~ln cis
L
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2010-00010
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/12/2010
Parcel: 2S111 CA15000
Jurisdiction: Tigard
Site address: 15060 SW 100TH AVE
Subdivision: ALDERBROOK FARM Lot: 7
Project: Comegys
Project Description: Replace furnace.
Owner: FEES
COMEGYS, DONALD L IDA J Description Date Amount
15060 SW 100TH Furnaces < 100K BTU 01/12/2010 $46.75
TIGARD, OR 97223 12% State Surcharge - Mechanical 01/12/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 01/12/2010 $43.25
Contractor:
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR #130
TIGARD, OR 97223
PHONE: 503-620-5643
FAX: 503-681-0793
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. Qs~U
Issued By: Permittee Signature: ~V Mot 9AZ 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.