Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 00533
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/27/2010
Parcel: 2S1128802200
Jurisdiction: Tigard
Site address: 8300 SW COLONY CREEK CT
Subdivision: Lot: 0
Project: Klein
Project Description: Furnace installation.
Owner: FEES
KLEIN, KATHRINE M Description Date Amount
8300 SW COLONY CREEK CT
TIGARD, OR 97224 Furnaces < 100K BTU 10/27/2010 $46.75
12% State Surcharge - Mechanical 10/27/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 10/27/2010 $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 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 : ! =. 2. • 4.
•
Issued By: Permittee Signature:
Ca •.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.
OCT /25/2010/MON 12:58 PM FAX No, P,002
Mechanical Permit Application ff)IZ OFFICE USE ONLY City of Tigard R Received
III DatetBy: E r 17/ Permit No.: J L O s
a 13125 SW Hali Blvd.. Tigard, OR 97223 Plan Review
0 Phone: 503.639.4171 Fax: 503.598. Outer Pe. •t'
� 2 6 2010 Date/By:
T r GAKD Inspection Line: 503.639 Date Ready/By: Lp1 See Page z for
Internet: www.tigard- or.gov F�G'r Notified/Method: �� Supplementallnformatlon
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Mechanical permit fees" are based on the value of the work
❑ New construction q Addition /a[teratio0 /replacement perforrned. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
0 t IWSIIIU?1!I = r -.�.r w,P -.n..
jfl
1- and 2- family dwelling El Commercial/industrial ❑ Accessory building
: �SIb����. NZ;��YS'1`,�MS FEES° .'` �'
For special information use checklist.
Multi family ❑Master builder 0 Other: Description J Qty. 1 Ea. 1 Total
t = <!J0B''S � • ' `JO V'= .. P ` Heatin • /coolio •
Job site address: ¥ 3 00 S .1 C ! 0/ ,�, A !t 4-�, e &
1/° \ 1, � (requires site plan showing placement ) 46.75
City/State/ZIP: • Fumace 100,000 BTUSducts/vents) 1 46.75 11(0,15
Suite/bldg. /apt. no. Project name: Furnace 100,0004- BTU (ducts/vents) 54.91
Heat pump 61.06
Cross Street/directions to job site: Duct work 23.32
— Hydronic hot water system
Residential boiler (radiator or •
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46,75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.; • Other fuel appliances
,;�,;:;:r,;,,. •::• -, :1: ",;Vg ! : M atyr ; �:; �:tt lt: Water heater 23.32
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Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
L �. • . AL - —.raj—. . Log lighter (gas)
wr
Wood/pellet stove
Wood fireplace/insert
�;r....,.:.:, ........ �_.:: u_�..:.. o:- n.~ : ...,1 , ...,, Chimney/liner/flue/vent
. r�A!I::. d5xi�,';iti: yar :��;. x? �i:t' �: ii::t" C
a�.
- .. r _,.,.f : ! , :,. t .; Other,
Name; Klein, Katherine R10419 Environmental exhaust and ventilation .
—
Address: 8300 SW Colony Creek Ct. Range hood /other kitchen
equipment 33,39
City/State/Zlp: Tigard, Or. 97224 Clothes dryer exhaust 33.39
(503)598 - 8892 Single -duct exhaust (bathrooms,
Phone: ( ) toilet com .artmcnts, utility rooms 23.32
'l r ; ',' : ac t _ _ . ... ,,, , !Vt; , : , ;
��i �'�I�� -t; %!, • . :.�li � 5 .,.�, Attic/crawlspace fans
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Other:
Business name: _ Fuel piping
Contact name; 514.1a for first four; S4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: WalUsuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
II
Fireplace
E -mail: g
......:....... ;i1 ,, ;; -. ? Barbecue
IM
Business name: specialty heating & Cooling, Inc. Clothes dryer (gas)
• Other,
Address: 7500 SW Tech Center Drive #130
ity/Statc/ZIP; Tigard, Or. 97223 Subtotal
Minimum permit fcc ,c tt
Phone: (503) 620 -5643 Pax' (503) 681-0793 ( e pe fee) 0
Plan review 25 /o of permit fee
CCB lic.: 66578 State surcharge (12% of permit fee) p. r .
TOTAL PERMIT FEE nj /), , -
Authorized signature; ( v This permit application expires If a permit is not obtains within 1.6 o
0
0 ,i \- ---
r' 1 days aver it hos been accepted as complete.
Print name: Andrea Dripps J Date: lr V 11 1 _1 • Fee methodology set by Tri.County Building Industry Service 13oard
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