Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00506
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/20/2010
Parcel: 2S102CD00400
Jurisdiction: Tigard
Site address: 9600 SW FREWING ST
Subdivision: Lot: 0
Project: Knapp
Project Description: Install furnace
Owner: FEES
KNAPP, MONA L Description Date Amount
9600 SW FREWING ST
TIGARD, OR 97223 Fumaces < 100K BTU 10/20/2010 $46.75
12% State Surcharge - Mechanical 10/20/2010 $10.80
PHONE: 503 -473 -3726 Minimum Fee Adjustment - Mechanical 10/2012010 $43.25
Contractor:
OREGON HEATING & AIR CONDITIONING
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 -691 -9699
FAX: 503 -691 -8556
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: Permlttee Signature: N � ( i 7
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 FOR OFFICE USE ONLY'
1,1 City of Tigard RECEIVED Da Itatelecd telly: id
Z d fo .1s permit No. e , �/p _ 40 .
• 13125 SW Ball Blvd., Tigard, OR 97223 plea Review
Phone: 503.639.4171 Fax 503.598,196 Date/By: Other Permit:
f I G A R D Inspection Line: 503.639.4175 u C T 1 9 2 010 bate- a See Page 2 for
Internet www.tigard Not+ded/htethod: Supplementallnformadon
CITY OF TI GARD
FEE" tS tli - c*Os
TYPE .oil `.::COMi►l�.izcarA .. � iIiLE , ' .
Mechanical permit fees' arc based on the value of the work
❑ New construction r* • ddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
o Demolition ❑ Other: mechanical materials. equipment, labor, overhead, and profit.
,.. -.., ..,:; .... '• :,::::CAT)EGORX.OF :COl�1ST1<tUCTiON
',.',*Y ):15P.714:EQCI MENT / 00.01§ I* EE
Ac,_ S
and 2- family dwelling ❑ Commercial/industrial ❑ Accessory homing
For special information use checklist.
Multi - family 0 Mastcr builder ❑ Other Description 1 Qty. I Ea J Total
....:..' ..:., ..: ::::.: JOB.: 31TS .YNE.OR1014N AND LOCATION:. : :: :::' :. Heatinekoolir
q ££OO _Taw/ 5 t . Aiq conditioning plan
Yob site address (requires site plan showing placement) 46,75
City /State/ZIP: T oict , ro c, ' 7c2..7 3 Furnace 100,000 BTU (ducts/vents) ( 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt ao.. P name. Heat 61.06
Cross street/directions to job site: Duct work 23
23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in walk in -duct suspended. etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Tilt no.:
Oth 2.1.1
Tax map/parcel no.; a anees ,
Other fuel vvli
.'! Water heater 2332
. .::.;
:.::.a 3:; `r:..:.� :'n� SCRff- '1'LOdV'
,,.. ,.. .. .. , ,.. _ 3339
t Gas fireplace
Flue veal for water heater or gas
fireplace 23.:2
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert _ 2332
:':;•.:;..,,. T Y urer /flue/vent . -
.._•{j �' :7 - . - . .. , . other e 32
Nam: ilit fr' ,,, Envlronmeutal exhaust and ventilation
AP r w` / • Range hood/other kitchen 3339
Address: . / t '� _ equipment
Ci /State ' Clothes dryer exhaust 33.39
ty /2�P: 71 ; • ,. f i 7 Single-duct exhaust (batltrooms,
Phone{543) u7 FAX: ( ) toilet wmparnnents, utility rooms) 23.32
,�r
:.': UG r wl p
s ' s- . . - d; ...; ",. ts.�Yp A1V i'' 0: CON P )ZS ON At _
9/� J � .. . ,v c a s ace o
Other: 23.32
Business name: "mil .... /1/.Y lv Fuel piping
Contact name: !' _ 514.15 for first four; 54.03 for each additional
A m
I t O J ( ail / * Furnace, etc.
Address: Gas hcat_pump
City/State/ZIP: A Uri 0 • • 0 7` . wanisuspended/unit heater
—
Phone: ( eq( 7 Q9 Fax 'o-' per► 0 &ft � Water h ter
E -mail: Range _ .
Clothes dryer (gas)
Business name: i � � r - • / t- /CI Other.
' o ! 4 K t2� 1► cHAr 1C4L ? RM>� .: i 8 •
Address: . .
City/State/MP: // Subtotal 61 . 1 _. - ( Minimum permit fee (590.00) 4 0 .
Ph, 0: ( Ir �l� t� Fax: / ."7 ) / 8� to Plan review (25% of permit fee)
FCC13 lie.: + Lta. . r r / . surcharge e_
�
• l - TOTAL PERMIT FEE dap . ,7a ✓
This perms application mot ' a permit is not obndned within 180
Authorized sigira / / days after it has been accepted as complete-
,1
Prier Creme: I / �.( .' methodology • Fee methodolo set by Tri- County Braiding Industry Service Board
r / /' Date: ! .
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