Permit CITY OF TIGARD MECHANICAL PERMIT
.11
a • COMMUNITY DEVELOPMENT Permit #: MEC2010 -00545
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/29/2010
Parcel: 1S134DCO2100
Jurisdiction: Tigard
Site address: 11690 SW 114TH PL
Subdivision: 114TH PLACE Lot: 14
Project: Norske
Project Description: Install new furnace.
Owner: FEES
NORSKE, D BRIAN Description Date Amount
11690 SW 114TH PLACE Furnaces < 100K BTU 10/29/2010 $46.75
TIGARD, OR 97223 12% State Surcharge - Mechanical 10/29/2010 $10.80
PHONE: 503 - 620 -5159 Minimum Fee Adjustment - Mechanical 10/29/2010 $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: Natural Gas
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 • • is susp - • - • for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N • "'cation Center. Those k = . re se orth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. • . . • ! btain a copy of the rules
or dir- t questions to OUNC by ' 503.246.6. •9 or 1.800.332.2344.
slued By: ft - X Perm ee Signature: /) _�, 1 //T
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.
OCT /29 /2010 /FRI 07:38 AM FAX No, P. 002
Mechanical Permit ApplicRECEIV Received Feltz OFFICE USE ONLY
City of Tigard Date/By: (V aQ t/ ..� Penult No.: dl0'!.�
It
" 13125 SW Nall Blvd., Tigard, OR 9722�cT 2 9 2010 Plan Review
3 Phone: 503.639.4171 Fax: 503.598.1 Date/By: Other Parfait:
TIGARD Inspection Line: 503.639.4175 C1� OF TIGARD Date Read 1%1111: ' Id See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
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❑ New construction ❑ 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_ _
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Vale -I.: $ ..,..,-- , •
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❑ 1- and Maundy dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family [3 Master builder ❑ Other: Description I Qty. I Ea. Total
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Heatin /coolie
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Job site address: /(<D 50 5� 1 (e f f I. Air conditioning
(requires site plan showing placement) 46.15
City/State/ZIP: Furnace 100,000 BTU (duets/vents) J 46.75
Furnace 100,000+ BTU (ducts/veats) 54.91
Suite/bldgJapt. no,: I Project name: Heat pump 61.06
Cross street/directions to job site: Duct work 23,32
Ilydronic hot waterystem 23.32
Residential boiler (radiator or
hydronic) _ 23.32 _
_ Unit heaters (fuel -type. not electric),
in - wall, in -duct. suspended, etc. 46.75
Subdivision: 1 Lot no.: Flue/vent for any of above 23.32
Other. 23.32 _
Tax map /pareel no.: Other fuel appliances
1; =1'. „::;•' - r: ;• " ;r' nice "`, - �.Cl J ?' Water heater 23.32
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• Gas fireplace
A r.:.... A. ego+) v ( _I .. , • Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fueplacelinscrt .. 23.32 -
�,..,.u• :1- ,_ _- .,,,: .. }t=x: Chimney/liner /flue/vent 23.32
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�• , ........ Other.
Name: Environmental exhaust and ventilation
Address: Norske Brian 810435 Range hood/other kitchen
equipment 33.39
11690 SW 110 Pi_.
City/State/' Clothes dryer exhaust 33.39
Tigard, OR. 97223 Single -duct exhaust (bathrooms,
Phone: ( 503 - 620 - 5159 _ toilet compartments, utility rooms) 23.32
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- '• , %`-��' Attic /crawlspace fans
Business name: Other. , 23.32
Fuel piping
Contact name: $14.15 for first four; $4,03 for each additional
Address: - Furnace, etc.
Gas heat pump
' City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax; : ( ) Water heater
Fireplace
E -mail: Range
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Business name: specialty heating & Cooling, Inc. Clothes dryer (gas) -
Other;
Address: 7500 SW Tech Center Drive #130 •: •. • ...'. :, , �.. ;M�ECii� ,hrICAL:� :.. :„ ._ ;...
City /State /ZIP: Tigard, Or. 97223 _ Subtotal
-
Minimum permit fee
Phone: (503) 620 -5643 Fax: (503) 681 -0793 ($90.00)
Plate review (25% of permit mit fee
fee)
CCB lic.: 66578 State surcharge (12% of permit fee) ,
TOTAL PERMIT FEE
Authorized Si ature; r This permit application expires if a permit is not obtained within 180
gfl , , /, l • days after it has been accepted as complete.
Print name: Andrea Dripps Date: /0'A 'U ' Fee methodology set by Tri- County Building Industry Service Board
I:\ Buddinel ?ermitAMEC.PermitApp.doc 10/01109 440.4017T (1 I 2/COM/VEB)