Permit � d CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 00426
Date Issued: 08/25/2010
TIGAADI 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103DD00411
Jurisdiction: Tigard
Site address: 13620 SW 110TH AVE
Subdivision: FAIRHAVEN COURT Lot: 8
Project: Morales
Project Description: Replace furnace.
Owner: FEES
MORALES, RAYMOND Description Date Amount
13620 SW 110TH AVE Furnaces < 100K BTU 08/25/2010 $46.75
TIGARD, OR 97223 12% State Surcharge - Mechanical 08/25/2010 $10.80
PHONE: 503-747-0322 Minimum Fee Adjustment - Mechanical 08/25/2010 $43.25
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST
PORTLAND, OR 97239
PHONE: 503- 234 -0611
FAX: 503 -234 -0439
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.
Issued By: Permittee Signature: ®d „/ / 51-70/0 4.. e Q /0 / 0
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.
Mechanical Permit Application 14) i 01.11(E list ()Nix
. . - .
City of Tigard • y a .2 id pcanitN/6 -0 %.
D dame
l ' 13125 SW Hall Blvd., Tigard, OR 97223 Nun HaviDW
' P Phone: 503.639.4111 Fax: 503.598.1960 Date/ny: Other Permit:
I - 1 C A R D Inspection Line: 503.639.4175 AUG 2 4 2010 Date fteady/fty: j • y ,., 21 See Page 2 for
Internet: www.tigard-or.gov Noed/methed: I til Suppleakonlaki lutonnution
:::: .:: :,‘, :. :::'':!..::'Z'f"::.'i:4,al.f;!..1.'...K.:::::;:: ..,■::4:::i..,;.,:t.",:::!,ip:';2,1..,:.,e...y,:: .:?:ppygaggrAjaatiAgnAMIA#,VgdpAWpitt410,
El New construction &Addition/alteration/replacement bilechtuncal permit fees* arc bused on the value of the work
performed. Indicate the value (rotmded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment labor, overhead. and profit.
: '.-: '•:: 4'it.46‘..giAlflirt0iiktkiltrOOgge:Aig;k4k4i:',:iT,;!.1EP - ,,, - , .1- , . , , .. 11, i S - , , , , - - .„,- . ,
Fr: 1- and 2 dwelling El Commercial/industrial 13 Accessory building Far special information use checklia
0 Multi 0 Master builder 0 Other: Description I Qty. I Ea. J Total
1'..8f1' , g0:44 . 0Wtig 1 i :.. :tti6:11AtOi0.400;flAgiR::FY•5,,V; 11„tia„ eooli „
Job site address: I ?) 6 20 gL,3 1, t 01-1\11`C., Air conditioning
ekes silo Ian ahowin. lacoment 46.75
..,
City/State/Z1P: II) en 1,2;5 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100 000+ BTU (ducts/volts) 54.91
Suite/bldg./apt. no.: ( Project name: 1/Vt(frth) Heat pump 61.06
_ _ .
Cross street/directions to job site: Duct work 23.32
livdronic hot water system 23.32
Residential boiler (radiator or
hodronicl 23.32 _
Unit heaters (fuel-type, not electric),
in-Nvall in-duct suspendtaketc. 46.75
_ .
— Flue/vont for any of above 2.3.32
Subdivision: Lot no.: • -
— Other: 23.32
-
Tax map/pareel no.: Other fuel appliances
23.32
1:::','2tn,:4,,W61. ,,R 1) ,,:g1 —
------------ Gas fireplace 33.39
- _ g Flue vent for water heater or gas
v tire hex 23.32
Log lighter (mu) — , 23.32
WoocUpeilet stove 33.39
Wood fi 1 acefit all
23.32
111Woo g ,:,•,:.?.;.0.iiii,5w,iism ...,.:j,f:A,-,a.1r..16:mciltg;fiii-"rrr7r-,--T,,tor7,—r-,:;kv;,,o4: C ey/lincralue/vent
r: 23.32
_
Name: VNYI_j_1„. Environmental exhaust and ventilation
2
— _ .
4 2 ..------ Range bood/othei latchen
Address:
• ui r inent 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) 1 ' 1 --03;14?- Fax: ( ) toilet compartments, utility rooms) 23.32
„,,„t .4,6,J,.,„ it, Ii1 1 , g. ‘,3 Attic/crawlspace fun
Other: 23.32
Business name: Fuel pints .,„
Contact name: $14.15 for first four; S4.03 for cash additional
Furnace, etc.
Address: '
, Gas heutpump
City/State/ZIP: Wall/upended/unit heater
IZEIME.111111111.1111 Fax: ; ( ) Water heater
-
Fireplace
E-mail: Ran :e
' ''' • . :(' Y : ;.'.!' N AO *0 'Vii*. ;:':'.:■Wq,54*..i.V515:::iNIPIPPII:541,:!: .., Barbee=
;o !, .,„ , _ „..,- ,, A.!..,,,,,?:. .,...‘.,:,..0,:,!,.- —
Clothes dryer ( evil
Business name: St Lin se.* t.ted - i Ccri) to A _
other
Address: Oa C51 .5j4.) I
City/State/Z1P: p viz Al2.3.1 Subtotal
— minimum permit fee (S90.00) Citir
Phone: (50) 234-Dip i I Fax; (503 ) Z 3"4 . D 4YL
Plan review (25% of penult fee)
/
,, CCB tic.: il 0 ?5 ef'7/ -,c-b-2.--- State suraearge (12% of permit fce) h. ,. • .
—
TOTAL PERMIT FEE 00 -111
41111 .
• This permit application expires if a permit is nut ob , ' , • witbla 180
Authorized signature: days after it has been accepted as complete.
, * Foe methodology sot by Tri-Coaaty Buildin ladustry Servico Board
im lomm 440-4617T (11/02/COMIWEB)
ZO/Z0 39Vd ONIlV3H l3SWIS EIEVOVEZE09 TO:LO OTo/t/80