Permit ' CITY OF TIGARD MECHANICAL PERMIT Ili
` 2 COMMUNITY DEVELOPMENT Permit #: MEC2010 -00414
TIGARD; 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 08/18/2010
......:...:........ :
Parcel: 2S 103C B03500
Jurisdiction: Tigard
Site address: 13155 SW 124TH AVE
Subdivision: WILLAMETTE NO.2 Lot: 14
Project: Kent
Project Description: gas piping for (1) water heater, (1) range and (2) barbecue
Owner: FEES
KENT, ROBERT R Description Date Amount
13155 SW 124TH AVE
TIGARD, OR 97223 Fuel Piping 08/18/2010 $14.15
12% State Surcharge - Mechanical 08/18/2010 $10.80
PHONE: 503 - 849 -2048 Minimum Fee Adjustment - Mechanical 08/18/2010 $75.85
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: Natural Gas
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.
Issued By: � j 7 % / - Permittee Signature: Q x _ eA
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.
AUG /17/2010/TUE 07:10 AM a
� FAX No P 002
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Mechanical Permit Applicati n n , ... -., I OR OFFICE IIS ONl i ' _ I -;
t .. " City of Tigard Reeeivmd e 4.. /0 4 % , Permit No
A UG 17 2010
Dat �"1��. o ...;00 / A
n ]3125 SW Hall Blvd., T Olt 97223 Plan Review
A Phone; 503.639.4171 Fax: 503.598.1960, Other Permit:
I f r r, �� D ate/By:
TIGaRD Inspection Line: 503.639.4175 C„ S-'r. t A, ID DateReady/By: 65 SeePage2for
y : Internet; www.tignrd or.gov BUI UN( DIVISION Notified/Method: Supplemental Information
�p i i �, t!E Z i i i t '{ i i ., +m t :�na to aKa� a y
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i�lll r : + E l + c i���was var' �� f + t . w r�t't�tarsa - rte. ut �K.aafliw�lacyer..... ;
❑ New Construction 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.
r �r Value $
<, A. 01;i 4;i v,b,l,to,, ./ ., r,a' i , -, ..=°, . m h' .. , }" S e Cif i' "' F '``'" "* Iona , t: , a r F a- � •
'� I- and 2- family dwelling ❑ Commercial/industrial 1=I Accessory building
V ++- ,e,, ri, u. t E,>r , o l'l� ` : mitt,; , ,,,L f '
For special information use checklist.
❑ Multi family Q Master builder ❑ Other
t 7.1 7 r- r a > $ N r m + u as+41� ; F f Description I Qty. I Ea. 1 Total
g 1 ; s1 ,; t r ;F`' ,' It � l _l., i : a t� 9.iZ �° � 'ur r tri '1 w.,,,,,.+ .fa ' Heating /cooling
Job site address: 4 /�� _ ,, Air conditioning
� � � 1 `1 Air-e_ (requires site plan showing pl acement) 46.75
City /StatelZIP: 1 I y„ 1 a O 1 ',�, Furnace 100,000 BTU (duots/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: I Project namo: Heat pump 61.06
Cross street/dircctions to job site; Duct work 23.32
Hydronic hot water system _ • 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fucl -type. not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue/vent for any of above 23,32
Subdivision: Lot no.: - -
Other. 23,32
Tax map /parcel no.: Other fuel appliances
S I ! 4fitIVI ,'NR i i I '�a' i , �. �n Ill%. -{ tiT IA 7 RI:. r 1 i fn,�rp' n ' l: Water heater 2332
T
�
h L ^�t .r al;�.sAig «lI il� i il aa{ w a l se ti ” ,u not r •
vii rialigtit `iiii .51 3
� :11 i tl.
Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log Lighter (gas) 23.32
Wood/pellet stove 33,39
Wood fireplace /insert 23.32
-' 1 t* 4 I; ,t �yi iw . i Pr h r E ,I Y t t .i° � N ,� /_1 m,� .: �t ' } (I `1`11 i f }{ ntney/lincr/flue/vcnt 23.32
� �° df r a t e ! u t t Other Chi 23.32
Name: l� b� re-1--1— Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 33.39
City /State/ZIP: Clothes dryer exhaust 33,39
— Single-duct "-'w- r Single -duct exhaust (bathrooms,
Phone: ( ) ('L(q r- E., (-{.a � Fax: ( ) toilet compartments, utility rooms) 23.32
1'116.4 y " "Y M� " �" k` } t " '' +t Y }q r +` r Wlfi Gerawls ace fans 23.32
i • r L�i� u m . 2. gga � A 1t 1 .'m.,. ] t au 1 �1 V —. , � Atti p
Business name: Other. 23.32
_
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Furnace, etc.
•
Gas heat pump _
City /State/ZIP: _ Wall /suspended /unit heater
Phone: ( ) I Fax: ; ( ) Water heater
Fireplace
E -mail: cp t �i� s `. Range f ,
I, 1 iii P � IlS t; . I 4 s u e , .�dcctl i oAmk f p ,,, r " f � •
ir � r:.
1 :. s+ ri i �,' "�'� �It! Barbecue ,-
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Drive #130 aE1;�( ;:r' zcdg'i��.1. ' °'. � � � •, .,, , , i .r
a,4�:a�_:..r2� ai : . �., ,a .. �^:t "f:'r!frlt: -
City /State/ZIP: Tigard, Or. 97223 Subtotal
1 Minimum permit fee ($90,00) l0 , o)
Phone; (503) 620 -5643 Fax: (503) 681 -0793 Plan review (25% of tt fee)
)
CCB lie.: 66578 State surcharge (12% of permit fee) to , r0
TOTAL PERMIT FEE 400 r 1)
Authorized signature: This permit application expires if a permit is not obta within 180
days after it has been accepted as complete.
Print name: Andrea Dripps Date: g I / ' /, d • Fee methodology set by Tri County Building industry Service Board
I:r Buitd;ngtecrmite'C- PemiIApp.doo t0/01m9 440 -46177 (11/02/COMJW59)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13155 SW 124TH AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2010-00414
David Young
Violation Summary:
Inspector Contractor