Permit CITY OF TIGARD
MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2010 -00379
r tsC Date Issued: 08/03/2010
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S112CD08200
Jurisdiction: Tigard
Site address: 7555 SW ONNAF CT
Subdivision: Lot: 0
Project: Hammond
Project Description: A/C installation. Unit must meet minimum 3' rear and side yard setbacks.
Owner: FEES
HAMMOND, MIKE Description Date Amount
7555 SW ONNAF CT
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:
TRI COUNTY TEMP CONTROL INC
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045
PHONE: 503 - 557 -2220
FAX: 503 - 557 -0919
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 1.800.3
Issued By: Li % Permittee Signature: c = ( %�., /
CaII 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.
DECEIVE _ ;
Mechanical Permit Application RECEIVE � �' ''I i '' ' �" . ,' ' + ;
City f Tigard _ 9
131 SW Hall 2f
L °' '� c Bl d., Tigard, OR 97223 2 11 Pt= , �(J 8
': Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 , ) 0 See Pam: for
Internet www.tigard- or.gov CITY OF TIGAR 1 , { ; Supplements! t torrasivas
BUII WING DIVIS e 1 ,
TYPE OF. WORK COMMERCIAL FEE* SCHEDULE — .USECHECKLIST
Mechanical permit tees° are based on the value of the work
❑New construction ® Addition/alteration/replacement
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value S
RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building For special information we chsck/lrr.
❑ Multi - family 0 Master builder 0 Other. Description 1 Qty. 1 Ea. 1 Total _
• JOB STTE INFORMAT AND LOCATION Ifeetieg/eoeting _
Job site address: 1655 5W 0' 1Vf ` ON a Air fires ste pl t
(requires site plan showing owinp ptacemenr) ( 46.75
City /State/ZIP: 1 8ar g12Z lIJJ -- Furnace 100,000 BTU (ducwvents) 46.75 ,, V Furnace 100,000+ BTU (duets/vents) 54,91
Suite/bldg./apt. no.: (Pmject Warne: , yt...v rs Heat pum _ 61.06
Cross street/directions to job site: Duct work 23.32
Hydmnic hot water system , 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (tllel -type, not electric),
m- -wail, in =duct, suspended, etc. 46.75
Lot no.: F iue/vent for any of above _ 23.32
Subdivision: Other: 23.32
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
f i cur �+ /�� �r -{-i Flue vent for water heater or gas
• 1n/tnt conditioner I�}of fireplace 23.32
Lal� lighter (gear) 23.32
Wood/pellet stove 33.39
Wood fireplace/ insert 2332
PROPERTY OWNER 1 1 ❑TENANT Cheraw/liner/flue/vent 23.32
Other: 23.32
Name: WI mono p p lono Eeviroameotel exhaust and ventilation
an Range hood/other kitchen r
Address: `71 111v equipment 33.39
City /State/ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (.5Q) &14" 9572, Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32_ ,
Business name: Same as contractor Fuel piping
Contact name: Dlaae Mason S14.15 for first four; S4.03 for each additional
Furnace, etc.
Address: Gas heat pump .
City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
- Fireplace
E -mail: Range
CONTRACTOR Barbecue - ,
Business name: Tri County Temp Control Ciotha•dryer (gas)
Other:
Address: 13150 5 Clackamas River Drive MECHANICAL PERMIT FEES*
City /State/ZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee (S90.00) cI (1.0Q
Phone: (503) 5512220 "Fax: (503) 557.0919 Plan review (7.556 of permit fee) /61 px ,
CCB lie: 72623 State surcharge (12% of permit fee) 1 A0_QO
TOTAL PERMIT FEE V
m is permit application mires if a permit k not obtetaed within 180
Authorized signature: days after It has been accepted as complete.
f Print carne: V (Qnc moon ( Date: 71251 110 1 • Fee methodology set by Tri -County Building Industry Service Board
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