Permit " ? CITY OF TIGARD MECHANICAL PERMIT
4
a ,.,; COMMUNITY DEVELOPMENT Perm it MEC2010 -00380
;:f A.
tGRD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 08/03/2010
Parcel: 2S114BCO3600
Jurisdiction: Tigard
Site address: 10336 SW BONANZA WAY
Subdivision: RIVERVIEW ESTATES NO. 2 Lot: 73
Project: Bonanza
Project Description: A/C installation.
Owner: FEES
HURD, JOHN E III & REBECCA P Description Date Amount
10336 SW BONANZA WAY
TIGARD, OR 97224 Air Conditioning 08/03/2010 $46.75
12% State Surcharge - Mechanical 08/03/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 08/03/2010 $43.25
Contractor:
OREGON HEATING & AC
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 - 691 -9699
FAX: 503 - 691 -8556
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... • • • .800
r
Issued By: / Permittee Signature: .„
Call 50 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.
Mechanical re1WtA FOR OFFICE USE ONLY
SW Hn lvd., Tiard, OR
City of Tigard
a Bg 31N-1-.
IN 9722 c CtIN V RD:r: icw AIM Pena it No.: ty ,.. . .
Al
P itc
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
TIGARD 9, 9 rc'Z \
Inspection Lint: 503.639.4175 ,\ \,‘A... '"
Date neady/By: Lila: iFf See Page 2 roc
Internet; www.tigard-or,gov G D Notified/Method: TT& Sopplemental Information
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0 New construction Vkdditionialterattgreplacernent Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other mechanical materials, equipment, labor, overhead, and pro&
CATEGORY O1 COITWCION Value $
• 1 S'O
9: 1 and 2 dwelling 0 Commercial/industrial 1=1 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Othe,r; ...
Description 1 Qty. Ea. I Tots/
: :. :: :.:: ', : .:; ::::. • 401R. SITE TNIFP*AtftiN 2611) 1.:6CATION : :: .,.: ..:, . ' ffeatinecooling
1 0 St - • na.A■k›.A.. LA.)0.46 Air conditioning
Job site address:
_ (reuires site plea showinp placement) I 46.15
City/State/Z1P: -- \ -- 1- f - A p ce L., 41 afaq _ Furnace 100,000 BTU (cluctaNent3) 46.75
Furnace 100.000+ BTU (ducts/vents) 54,91
Suite/bldg./apt. A0.! Project name: Heat pump 61.06_
Cross street/directionS to job site: Duct work 23.32
Hydronic hot water system _ 23.32
Residential boiler (radiator or
hydronic) 23.32
- Unit bearers (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Stibditision: I Lot no.:
. Other 23.32
Tax map/parcel no.: Other fnel sppliances Wattr heater 23.32
, ,::°:'.;:.fg/ig,4:;&.:;:::;i'i; , ;.;i;.:::.:":6: -
. Gas fireplace , 33.39
.. A A.. I.. 1 1 Flue vent for water heater or gas
fireplace 23.32
Log Ugh= (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
23.32
'.": iiii'EiiiiVOW/4iii;': '' :: : :'.:,''.ii:•.:',itS) . 0i:':' , : :',. ::'.... , " Y aliameYilincrifitir
'..•,,,,,.. Other _ 23.32
—
Narrie - Environmental exhaust and ventilation
- 7C-CL 4 AA" Range hood/othcr ldtchen
Address: 1 03, 62 SW arNN.CLit..3-4— (..0 equipment 3339
City/State/ZIP: 1 CO gc,13---( Clothes dryer exhaust 33.39
Single exhaust (bathrooms,
Phone: 6Z) Zi4Ci ypt 5(.2 Fax: ( ) toilet compartments, utility rooms) 23.32
•:: :*.' ' ,,.;•:: : :;' :: .:: :::., :iii tWiTAal.ii,kik§Oi4 :.;;:::.;:.::, Attic/crawlspace fans 23.32
tter: 23.32
Business name: cy l r4-- 1A- Fuel piping . _
Contact name: ii 1
c S14.15 for first four; $4.03 for each additional
Furnace, Ete, -I
Address: _ ' .- t 0 . OtIt C 4, ...—mit Gas heat pump
City/State/ZIP: Tc CAOlak-. a - 7 D.4)-4- Wall/suspended/unit heater
1311°x!(4 L4 1 ALactct Fax: : ( /IA # CIA -gsscp Water heater
Fireplace I
E-mail: Ran_ge
Business name:
• ( e • -v\j ''.- F'S Clothes dryer Os)
Other:
Arldress: 10 ° IL K aLt ‘
0 0 , ECfAMC/L PERMIT FEES
Citsr/StateJZIP: C — • —7
le . .... Subtotal
______t■,4 _ir _Urn __________ql permit fee ($90.00) -
P Vi bli • e 1 , 4 1%1111 Fax' 1 66al bct I. L
-*, SP
_ . pie. review (25% of permit fee)
—
CCB lie:- iiatao State surcharge (12% Of permit fee)
.
TOTAL PERMIT F*E Acin,g,-0
Authorized signature: till 1 t This permit appliceliOn expires if a vomit is not obtai withinito
days after It has been accepted as complete
Print name: ..,M,:idAy. Date: i& • Fee methodology set by Tri-Cmmty Building industry Service Board
EO/TO 30Vd _ ONII.V3H NO93NO 9gS8 -T69 -EOS TV:Ti OTOZ/EZ/L0
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Job #:
Performed for:
John & Becky Hurd
10336 SW Bonanza Way
Tigard, OR 97224
Phone: 503-349-0956
9NIlti3H NO93NO
First Floor
- 847 Cfm
Garage
Jurisdisdiction Tigard
SW Bonanza Way
m 0 -125
10
Oregon Heating & Air Conditionin...
PO Box 3971992 Hwy 99W
Dundee. OR 97115
Phone: 503 - 538 Fax: 503 -537 -2172
Tom(toragon heating. com
9998 T69 - E09
10
c1m
Scale: 1 : 103
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Right$uite Residential
6.0.106 RSR39325
2010- JuI-26 18:04:41
C:1Documents and Settingslsalesl...
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