Permit q CITY OF TIGARD MECHANICAL PERMIT
114 a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00508
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/20/2010
Parcel: 1 S136AA01002
Jurisdiction: Tigard
Site address: 10270 SW 70TH AVE
Subdivision: Lot: 0
Project: Tuski
Project Description: Furnace, heat pump and kitchen hood installation with gas piping to range.
Owner: FEES
TUSKI, JOSH Description Date Amount
10270 SW 70TH AVE. Furnaces < 100K BTU 10/20/2010 $46.75
TIGARD, OR Heat Pump 10/20/2010 $61.06
PHONE: Range Hood /Other Kitchen 10/20/2010 $33.39
Fuel Piping 10/20/2010 $14.15
Contractor: 12% State Surcharge - Mechanical 10/20/2010 $18.64
BIRCHFIELD HEATING & AIR CONDITIONING
INC
PO BOX 562
PHONE: 541- 926 -1374
FAX: 5541- 926 -7278
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $173.99
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.: n 412 2344.
Issued By: �1��.^.: E Permittee Signature:
/ f i
r ...____,,... Z .e>.. ,.. ,
Ca . 9.4175 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.
10/19/2010 14:47 5419267278 BIRCHFIELD HTG- #1926 P.003/005
Mechanical Permit Applicati ('r ! V I ; );< < , ; (; i , I / ;
City O xlgaPd � ? j .: ; 1 r �D R xerved �
11 ._ __ �^• C gi/'1 Permit No.: O — • :1
13125 SW Hall Blvd., Tigard, OR 97223 p
0 . Phone: 503.639.4171 Fax 503.598.1960 OCT 1 9 2 010 P y .. " Other Permit: v i� 0 f) _ _∎ 57a
c ., Inspection Line. 503.639.4175 Rare aoady /toy, r ® See P 2 for
Internet: www.tigard- or.guv CITY OF TIGARD Nti 7 & Supplemental Information
BUILDING.
-
..... . ....... , ..::..: - :.:::. •'�i of w.ox� :,`,;; tol00.R . cs>aCTa.TsT
[l New construction 21 Addition /alteration/replacement Mechanical permit fees* are based on the value of due work:
performed- Indicate the value (rounded to the nearest dollar) of all
O Demolition I] Other mechanical materials, equipment, labor, overhead, and profit
Valur
®1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building RE ( a
For special information use checklist.
❑ Multi - family ❑ Master builder I] Other:
:... ,... � I Qtr 1 Ha. Total
_ 13' SITE - I NBORMA• ON ANI -OCATII:1N ,i.'?
Description
_ Heating/cooling
•
Job site address: 1.0270 SW 70TH Air conditioning
_.�,.,_,.. .____.. p l a c e m e n t ) (reclaims 46.75
City / State/ZIP: TIGARD/ OR/ 97224 Furnace 100,000 BTU (4ucr2/.erit) , 1 46.75 46.75
- .._ ._„--..__. ..... ... ._ Furnace 100.000+ BTU(ducts/vents) 54.91
Suite /bldg./apt no.: Project name: ,
(� Heat pump 1 61.06 61.06
Cross street/directions to job site: Duct work 2332
•
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
— Unit heaters (fine! -type, not electric),
in -wall, in -duct, suspended, ctc. 46.75
Subdivision Flue/vent for any of above 23.32
- Other. 2332
Tax map/parcel no.: Other fuel appliances
TEICRTFCT
ale- heater 23_32
REPLACEMENT OF EXISTING FURNACE WITH NEW 95% FURNACE AND Flue vent f Gas firepl
entf r 33.38
,-_,•, �. _ for water heater or gas
ADDITION OF HEAT PUMP. fireplace 2332
Log lighter (gas) 23.32
GAS PIPING TO RANGE AND VENTING FOR KITCHEN HOOD. Wood/pellet stove 33.39
Wood fireplace/insert 2332 _
IlmerMacJvcrrt
. Other: —. 1 2332
Name: TUSKI, JOSH Environmental exhaust and ventilation
Address: 10270 SW 70TH
!range hood/other Idtchen
equipment l 3339 ,__33.39 ,
City / State/ZIP: TIGARD/ OR/ 97224 CIothes dryer exhaust 33.39 _
Single -duct exhaust (bathrooms.
Phone: (503)4734120 Fax ( ) toilet compartments. utiiit rat ns) _ 2132 • .:.::..> ... •5I°. Al+PC 41 '!'. :..)Od1kT!1L?I' tpl $ON - w fate • AmGcra ispace 2332
Other •
Business name: BIRCHFIELD HTG. & A/C, INC. 233 - _.__
-- . —..,.. Fuel pilling
Contact name: JAKE BIRCHFIELD S14.1S for first four; S4.03 for each additional
Address: 1490 INDUSTRIAL WAY porn etc.
Gas heat pump
City / State/ZIP: ALBANY/ ORJ 97321 WaWsuspended/unit heater •
Phone: (541) 926 -1374 Fax: : (541) 926 -7278 Water heater
Fireplace
E-mail: BRAC@BIRCRFTELDHEATING.COM Range 1 14.15 14.15
CO
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. arbocuc
,
Business name: BIRCHFIELD HTG. & A/C, INC. Clothes dryer (gas) ^
- Other:
Address: 1490 INDUSTRIAL WAY
City /State/ZIP: ALBANY / OR./ 97321 Subtotal • 155.35
Minimum permit fee ($90.00)
Phone: (541) 926 -1374 Fax (5 41) 926- 7278 --
Plan review (25% of permit fee)
CCB lic.: 8893$ 3/g7/ _ — State surcharge (1 of permit fee) 18.64
TOTAL PERMIT FEE 173.99
Authorized signature' This permit application capins if a permit is not obtained within 180
_ days after it has been accepted as complete.
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