Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 00504
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/19/2010
Parcel: 2S111 DD11700
Jurisdiction: Tigard
Site address: 8630 SW AVON ST
Subdivision: CHESSMAN DOWNS Lot: 43
Project: Nave
Project Description: Install furnace.
Owner: FEES
NAVE, FLOYD Description Date Amount
8630 SW AVON ST
TIGARD, OR 97224 Furnaces < 100K BTU 10/19/2010 $46.75
12% State Surcharge - Mechanical 10/19/2010 $10.80
PHONE: 503 - 407 -1758 Minimum Fee Adjustment - Mechanical 10/19/2010 $43.25
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 Not ion Center - These rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dir questions to OUNC b . • lin . 503.246.6699 or 1.800.332.2344.
Iss ed By: / Permttee Signature: / l A igffllir
Call 503.639.4175 by 7:00 a.m. for an inspection that busin s day.
This permit card shall be kept in a conspicuous place on the job site I completion of the project.
Approved plans are required on the job site at the time of each inspection.
OCT /19 /2010 /TUE 07:19 AM FAX No, P, 001 /001
Mechanical Permit A lie FOR OFFI('� I_lSE ONLY
`J g
City of Tigard Received O �O III C EIVED Date/By: 761/, ' 7 ee°1 /e- d"
to 13125 SW Hall Blvd., Tigard, OR 2 Plan Review
I . Phone: 503.639.4171 Fax: 503.598,1964J .7 1 2010 Date/By: Other Permit'
TIGARD Inspection Line: 503.639 ( Date Ready/By: wall ruris: Er See Page 2 t.
Internet: www.tigard or•gov Notlfied/Method: ----■ &pp! ntormation
• CITY OF TIGARD -
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•ff, M. anical permit fees* are based on the value of the work
❑ New construction 1 Addition/alteration/replacement rformed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
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1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building "�
For special information use checklist.
Multi family ❑Master builder ❑Other: Description Qty. 1 Ea. Total
,:..: :,.- �M ik.::. "a Cooling
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Job site address: gi 3 7 ) ) LA Cf- Air conditioning
(requires site plan showing placement) 46.75
City/ State/ZIP: Furnace 100.000 BTU ( ducts/vents) ) 46.75
Fumacc 100.000 BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.; [project name: Heat pump 61.06
Cross street/directions to job site: Duct work _ 23.32
Hydronic hot water system 23.32
14 X 2 Q o( Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
P -51-4-`41--\+- in -wall, in -duct suspended, etc. 46.75
Subdivision: Lot no.:
FIue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no,; Outer fuel appliances
: �° ;�:... _a;� '„d:�.i..,.,., - - aa;la��l,. Water heater 23.32
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Gas fireplace 33.39
Flue vent for water heater or gas
_Acj,,,A4,etaLLL__64. fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove ` 33.39 _
Wood fireplace/insert 23,32
,. ;Hai'.:' :y• - -- .,. , , � „ , a"iO%$.:.,.:,. :.;wz: . : , ; : , • 3,; .-. e . Chimney liner /flue/vent 23.32
4 „ r ®EI r ''• ' :, - ! r a -i:,l ,
• � „ - � �• Other: i 23.32
Name: Nave, Floyd R10384 Environmental exhaust and ventilation
Address: 8630 SW Avon St Range hood/other kitchen
equipment 33.39
City /State/ZIP: Tigard, Or. 97224 Clothes dryer exhaust 33.39
(503)407-1758 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 23.32
;.. ..: -i�, .:r,,:.: Anrc /crawlspace fans
��,�a r = 23.32
Other
name; ec 23.
Fuel piping „_•^
Contact name: 514.16 for first four; $4.03 or each additional
Address: Furnace, etc.
Gas heat puma
City / State/ZIP: Wail/suspended/unit heater _
Phone: ( ) 1 Fax:: ( ) Water heater -
Fireplace
E-mail: .
..: : .:
.::.:,... :. arbccue
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
Other.
Address; 7500 SW Tech Center Drive #130 1t C1 AICpi'rPE1F14IT 7EEg - ". ,,,.• -
City /State/ZIP: Tigard, Or. 97223 Subtotal
_ Minimum permit fee ($90.00)
Phone: (503) 620 -5643 Fax; (503) 681.0793 -19_
_ Pian review (25% of permit fec) CCB lie.: 66578 State surcharge (12% of permit fee) /0.
TOTAL PERMIT FEE /
Authorized signature: aSt ' n This of i re sIFF 1Ta permit is cot obtained within 180
V/ d4ys fitter it has been accepted as complete
Print name: Andrea Dripps Date ( p f 1i i ‘,1J • Fa eth lo set b To- County Building Industry Service Board
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