Permit a CITY OF TIGARD MECHANICAL PERMIT
II 13 . COMMUNITY DEVELOPMENT Permit #: MEC2010 -00556
T [ G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/03/2010
Parcel: 1S133CD04100
Jurisdiction: Tigard
Site address: 11716 SW SWENDON LP
Subdivision: Lot: 0
Project: Corrigan
Project Description: furnace replacement.
Owner: FEES
CORRIGAN, DAVID & LANA Description Date Amount
11716 SW SWENDON LP
TIGARD, OR 97223 Furnaces < 100K BTU 11/03/2010 $46.75
12% State Surcharge - Mechanical 11/03/2010 $10.80
PHONE: 503 - 261 -3336 Minimum Fee Adjustment - Mechanical 11/03/2010 $43.25
Contractor:
MECHANICAL INC
PO BOX 19569
PORTLAND, OR 97280
PHONE: 503 - 244 -1730
FAX: 503 - 245 -7613
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. IIPP
Issued B j/I- _ Permittee Signature: i � r 4 7
/ / / f
a 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.
Nov. 2. 2010 1:23PM EVED No. 3721 P. 2
Mccuatutent rermtt i.vpiiiitrac
I I z OH I( I.; IF ( ).N1 y
Received
City of Tigard
,,,IALN 2 2010 Date/By, LAIII Pen2t14°i 1.01-fl d- • .S. -
fflifir • .
.7 - I I 13125 SW Hall Blvd., Tigard, OR Y nnoo
' I ' Phone: 503,639.4171 Fax: 503.598.1960
LIBEINIIIIIIIIII Other Penone
I HI; 7,, , , Inspection Line: 503.639.4171 ori OF TIGARD ON Dem Ready/By: RI. See Page 2 for
inteMet. wvAv,tigard-or.gov
BUILDING DIVISI Notified/method, i Supplemental Information
'1'1:
0 New construction 12 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
CI Demolition 0 Other: mechanical materials, equipmeq labor, overhead, and profit.
Value' S
1 1 1 :W. 1, 1 , L'41011US ;1 . i „.F : 1 1 0 ;: ' l '4,,Ilki i ll ',IZE "it 1 ), • ,,, mni miler e mot .' e,
, iiiiialtivIZEZW;METEM1711,:01'"
a 1 - and 2-family dwelling 0 Commercial/industrial q Accessory building
For special mformatlon use c.hecklin
0 Multi 0 Master builder 0 Other:
Description [ qty. J Ea. - Total
13:1PlaIR r 1110 Tii ''. C 1111) INIM 12 Heating/cooling
Air conditioning
Job site address: i -) 1 ( 4 9 t.j ..... " cto-r■ 1.._c= • Qemliees site ohm snowing placement)
City/StateJZIP: * 4. • CR._ 9'1 S 46.75
Furnar,e 100,000 BTUiducisiveras) t 46.75
., Furnace 100,00N- BTU (ducts/vents) 54.91
Suite/bIdgJapt. no.: Project name: di r r - AtN) Heat pump 61.06
Nit
Cross street/directions to job site: Duct work - 23.32
Hydronic hot water system 2332
Residential boiler (radiator or
hydronio) 23.32
Unit heaters (fuel-type, not electric),
in-wall, ln.duct, suspended, ctc. 46.75
_
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other; 23.32
Tax map/parcel no.:
Other fuelappllances
Maki ' 1 ' ;
•
,, i..YaiM ts l et 1 1 : .,64 . 4i A: ii'l I.1911 W" beater 23.32
Oas fireplace 3339
Flue vent for water heater or gas -
fireplace 23.32
Ml. 'lle.111.11 Log lighter (gas) 23.32
Wood/pellet stove 3339 ,
Wood fireplace/insert 23.32
thW I Ng.f‘ 2. .. ** 1 ': ;, '. .1rtl i al ta r x II. :' ',.ast :i t wil,iil GEE „chinincY,. /liner/flue/van 23.32
23.32
. • __A e. ilMINE1111. Environmental exhaust and ventilation
Address:
Range hood/other kitchen
i 0 IL si..3 Lo
S L.J.ci.notatv, op e.ui•ment 33,39
City/State/ZIP: -1--, ,.. Q q --L-L3 Clothes dryer atheist 3339
Single-duct exhaust (bathrooms.
Phone: fga ) 2.(0( - 3(4.1) Fax: ( ) toilet compartments, utility rootns) 23.32
ItriMi . PP I,111113,4 .7...=;1=21111 Attic/crawlspace fans 2332
Other: 23.32
Business name: f■-\.,e_cANct.t :\. c.A. k "z c .
I Fuel pit's(
Contact name:
.... ,,,.• pi 514,15 for first four; 34.03 for each additional
Furnace, etc. '
Address: 50 Cy., I • ." de 11. _
Srus heat pump
City/State/Z1P: ik' o r - k- - l ocy-N.k . Cc" ci a Wall/suspended/unit heater -
/
Phone; (SS) 144 ---1 al 3 0 I Fax: ; (3 ) ,a44 s-- -).,1 Water heater
_Fireplace
E-mail: 3 ' V 1 Lg.- c- A tr\C . 1;2;■ - Range
RAS4 AN.R111.:MININVIV_11'.'j.:.;:.iliif.iii. LtrIE ittil ''' l',Ik" Id Iliii; Barbecue
Clothes dryer (gas)
Business name: SpeN p pir 5
1111
Other:
Address: Pive 1 , crre.t. j rgii*1777.7777t....,ilif#0.1A111141;2L.
City/State/Z1P:
Subtotal
Minimum permit fee (390.00) '-jer . el?
Phone: ( ) j Fax: ( ) --
Plan review (23% of permit fee)
CCB lic.: 1 Z 25s 3
- State surcharge (12% of permit fee) / O.&0
PER
e-L,A0-c TOTAL MIT FEE / 00 .0
This permit application expires If a penult is not obtained within 180
Authorized signature: • • LAI.
days after it has been accepted as complete.
Print name: ... ,.) • iA P (,) Date: t I _ 1 0 • Fa methodolosy set by Trir.dounty Building Industry Service Board
Lusonanteentitocc-earoliApesioc i to la 4404617T (itiovcoMPIEM
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