Permit CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit #: MEC2010 00443
T I GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/08/2010
Parcel: 1 S134DA05200
Jurisdiction: Tigard
Site address: 11300 SW 108TH AVE
Subdivision: DOREEN COURT Lot: 9
Project: Woodcock
Project Description: Heat pump installation. Unit must meet minimum 3' rear and side yard setbacks.
Owner: FEES
WOODCOCK, STEPHEN M & FLORENCE L Description Date Amount
11300 SW 108TH AVE Heat Pump 09/08/2010 $61.06
TIGARD, OR 97223 12% State Surcharge - Mechanical 09/08/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 09/08/2010 $28.94
Contractor:
HONKE HEATING & AIR CONDITION INC
840 NE CLEVLAND
GRESHAM, OR 97030
PHONE: 503 - 666 -3725
FAX:
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332 - 4.
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Issued By: Permittee Signature:
CaII 503.; by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Sep 0710 08:57a Honke Heating 503- 666 -0589 p.1
Mechanical Permit Application l 1.z O I. FI(F l 51 0\ l,l'
City of Tigard D 1G C' EWER Data - Q L C:: ' - ,9 •..
:t 13125 SW Hall Blvd., Tigard, OR 97223 Pte, Review
Phone: 503.639.4171 Fax 503.598.1960 DardBy: Other
Inspection Lint: 503.639.4175 ? Q 1 LQ\a Date ReadyBy: Juth 1 ES See Page 2for
Internet www.tigard-orgov Notified/Method: w i i Supplemental tnfortaatloo
( '' � pF TIGARD
. B 01! WO l ( DINfi DIVISIO CO IERCI L: s . 1 a 1 uI.E vsECHEcilai lst
the vain • (
Q New construction ' ® Aiidition/ahera on/ /replacement peed pemm fawn are on the value of the war
performed. Interi(rounded to the nearest dollar) of all
❑ Demolition 0 Otter- mechanical maerials, eei.. . labor, overhead, and profit
V. ..$
CATEGORY. OF CONSTRUCTION
RESIDENTIAL EQ ' MENT / SYSTEMS FEES'
® t- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building For special intimation tup checklim
❑ Multi- family ❑ Master builder ❑ Other Description • 1 Qty. 1 Ea Total
.30B SITE INFORMATION AND. LOCATION Heatiog/000li _
lob site address: 11300 SW i0& AVENUE Air ices conditioning
Q 46.75
(regimes si Plat showing placement)
City/State/ZIP: TIGARD, OR 97723 Furnace 100,000 BTU (ducts.rents) 46.75
Furnace 100,000+ BTU (dedavente) 5491
Suite/bldg./apt no.: [Project name: WOODCOCK Heat pump 1 61.06 61.06
Cross street/dir�edions to job site: Duct work 23.32
,.tf Hydronic trot rater system 2332
1 (Ail baler (radiator cr
■ hydronic) 23.32
A t) l� - Unit heaters (f el -type. not electric),
V" O ff , l / in wall, in -dac, suspended,. 46.75
Flue/vent for any of above
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Subdivision: �t lJ Other: 2332
2332
Tax map/parcel , . .: �' t — Other fuel ap Amos
DESCRIPTION�OFWRK Water heater 23.32
Gas fireplace 3339
INSTALL MINI S ' u :1 ' . • Flue vent for - ,rater heater or gas
fireplace 2332
Log lighter (gas) 23.32
Wood/pellet smve 33.39
Wood Sreplacelinseit 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY 'OWNER .1 0 TENANT Other: 23.32
Name: STEPHEN AND FLORENCE WOODCOCK Environmental exhaust at d ventilation
Range hood/who. tatcben
Address: 11300 SE 108 AVENUE equipment 3339
City/State/ZIP: TIGARD, OR 97233 Clothes dryer exhaust 3339
Single-duct erbaust (bathrooms,
Phone: (503)579 -6511 Fax: ( ) toilet compartnents, utility rooms) 2332
® APPLICANT 0 CONTACT PERSON Attie/aawlsproe fans 23.32
1 Other. 2332
Business name: HONKE HEATING AND AC k Fad piping
• Contact name: KATIE ROUL1N 514.15 for first foir, S4.03 for each additional
- r
Furnace, etc.
Address: 840 NE CLEVELAND AVENUE Gas beat punD
City /State/ZIP: GRESHAM, OR 97030 Walvspeodt:dlunit heats
Phone: (503) 666 -3725 I Fax:: (503) 666 -0589 Water heater
Fireplace
E-mail: KROULIN@HONIATING.COM Range
I ..: CONTRAC•rOR : Clothes Barbecue (gam)
Business name: RONKE HEATING AND AC Other.
Address: 840 NE CLEVELAND AVENUE MECHANICAL PERMIT FEES'
City/State/ZIP: GRESHAM, OR 97030 Subtotal 61.06
_ Minimum permit fee (S90.00) 90.00
Phone: (503) 666 -3725 Fax (503) 666 - 3725 Plan review (25% of permit fee)
CCB lilt.: 71762 State sarcha-ge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
1 This permit - ppticat on rip res if a permit is not obtained within 180
Authorized si _ + ' : di • lays after it his been accepted as complete_
Print name: in�� , tens ;t Date: 09/07/2010 • Fee methocotogy set by Tr-County Building Industry Service Board
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