Permit •
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00457
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/22/2010
Parcel: 2S104AB09900
Jurisdiction: Tigard
Site address: 13145 SW BENISH ST
Subdivision: MORNING HILL NO. 6 Lot: 128
Project: Howland
Project Description: Furnace installation.
Owner: FEES
HOWLAND, RUTH J REV TRUST Description Date Amount
BY RUTH J HOWLAND TR, 13145 SW BENISH Furnaces < 100K BTU 09/22/2010 $46.75
ST
12% State Surcharge - Mechanical 09/22/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 09/22/2010 543.25
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:
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:
•
Call 503.63 5 , y 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 /20 /2010 /MON 11:39 AM FAX No, P.002
Mechanical Permit Applica ECEIl Received
bolt OFFICE usis ONLY
Cit Of T lgal'd Date/By: • ' V . • Review , / a 13125 S W Hall Hlvd-, Tigard, OR 97223E P 2 1 2 010 plan ived
Phone: 503.639.4171 Fax: 503.598.19 Other Permit:
Date/By;
TIGARD Inspection Line: 503.639 Date Ready/By: Ju'r; H See Page 2 for
Internet: www.tigard•or-gov CITY OF TIGARD Natifed/Method: p Supplemental Information
BUILDING . :,... - ._,,,....- ......
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❑ New construction i 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. _
,. , /....,.. .�._ :. �, .
Value
• :.i.1., . .. ( V A. �]R�I.. :/��.�� ��.+A�.Ol`G � � ' n•+�' �yyC.�. ,cr CM. - _
p l - and 2- family dwelling ❑ Commercial/industrial ❑ building ' ry " ' Y
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
5 :ti4I : •_ / u = _ _ li g , ;itt. ,^ `ia Heating/cooling . .
Air conditioning •
{�t
lob site address: , `At- ] y �+-',( el S ' - (requires site plan showing placement) 46.75 _
City/State/ZIP; 1 .∎ h Furnace 100,000 BTU (ducts/vents) 1 46.75
Furnace 100,000+ BTU (duets/vents) 54.91
Suite/bldg. /apt. no.: I 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 heaters (fuel -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 .
t , i , t+ s s . Water heater _ 23.32
Gas fireplace 33.39
Flue vent for water heater or gas
fireplace - 23.32
A Log lighter (gas) 23.32
Wood/pellet stove - 33.39 _,
Wood fireplace/insert 23.32
'
:e.*:•,:.F iwY3 ii_ :• :.,if :''o? : j _'s^. ire _,. 1*.t rii-ezr . r: -r,: ' , - Chimney/liner /tlue/vent 23.32
;It'i'l'" ? ; ] " R;QQ ' ' r'. � , . : ?, i'i1;3 , -= Other 23.32
Name; Howland, Ruth R10351 Environmental exhaust and ventilation -
Address: 13145 SW Banish St qu e kitchen 33.39
City/State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 33.39
(503)521 -0760 — Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) , 23.32
w;.n. i:J'r. �i ;, +:« Ka fans 23.32 •
.C]
1 .
"t :• .< ,. :..�; ......... . ...! = *x ... : %d "i Attic/orawlspace _
Other 23.32 y.
Business name: Fuel piping
Contact name: S14.15 for first four; $4.03 for each additional
Address: Furnace, etc. 1
Gas hea9ump .
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: Range _ •
..- . ^. �.. .. .. _,. .J:...- :::'. :. i . 0 -
1�TBACTOR � Barbecue
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas) _ -
Other:
Address: 7500 SW Tech Center Drive #130 „ - , .
MECHANI
City /State/ZIP: Tigard, Or. 97223 • Subtotal
Minimum permit fee ($90.00) •
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Plan review (25% of permit fee)
CCB lie,; 66578 State surcharge (12% of permit fee)
- / TOTAL PERMIT FEE
This permlf application expires if a permit is not obtained within 180
Authorized signature: V ��
d a y s a ft er it has been accepted as complete.
Print name: Andrea Dripps Date: ' 1 11 O ' Fee methodology set by Tn- County Building Industry Service Board
-
t AButldingWermiu\MEC- Pumliapp. 10/01/09 see- 46i?T /02/COM/WEa)
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