Permit CITY OF TIGARD MECHANICAL PERMIT
•
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00588
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/17/2010
TIGARD, g Parcel: 2 S 111 D B06000
• Jurisdiction: Tigard
Site address: 15200 SW ALDERBROOK CT
Project: Tammivaara Subdivision: SUMMERFIELD NO.7 Lot: 400
Project Description: Install furnace.
Contractor: SPECIALTY HEATING & COOLING INC Owner: TAMMIVAARA, JULIE
7500 SW TECH CENTER DR #130 15200 SW ALDERBROOK CT
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE: 503 - 670 -4725
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 11/17/2010 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 11/17/2010 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/17/2010 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: �Gi��� Permittee Signature: f/✓ if/ ('77 7, . "
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
NOY/15/2010/MON 02:09 PM FAX No. P. 002
Mechanical Permit Application 41 FOR OFFICE USE ONLY
City of Tigard
Received . .
0 Date/By: //00 027V Permit NoZ --ja SP •
5 al., Tigard, OR 972 \ 4 c„, i l.
N. 'e .' • " 1312SW Hl Blvd Plan P.eview
Phone: 503.639.4171 Fax; 503,598,1'60 ,k N- `-` V ate/By: Other Permit:
'110 A A II Inspection Line: 503.639.4175 ,e4
r.t
er v, Aate Ready/By: Axial 121 See Page 2 for
Internet: www.tigard-orgov (* \O" N otified/Method: .716.■ Supplemental Information
T*0.t O ,S\NS ' •: . . :: .;. ,:::'' ..' •': ':' 6 :9 1i O49*ftt S 4iV [ 47. 4 *'0. 4.0*
Mechanical pertnit fees° are based on the value of thc work
El New constructiOn Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
1:1 Demolition Other: mechanical matetials, equipment, labor, overhead, and profi t.
.•:..': ::: ' . ' :.:" : .".',.. -'' . '::: .':.,CATE0OIt ...::. 1: : -.' '; • ..:% :. '' '' -. - . ,„..,.. ,..:. :, 41. p
..;;.: . Va 1..13,...,c.; $ ,
triiviggegifitks:iihmi
cW- and 2-family dwelling ID Commercial/industrial 12 Accessory building
For special information use checklist
( D Multi-family Li Master builder E] Other: Description Qty. 1 Ea. Total
i: :;!..''' :• 3 :;:. ;: 4 'ii5#t'.5fit*04,12ii:010i ' ;H . Heating/eooling
Job sitc address: ,)--rOt 1-1„,,,t._,i) .•
to ' 0 't er,..1- Air conditioning
(requires s ite p Ian show iog placement) 46.75
- •
City/State/ZIP: /94i667Z6g-400k, e--7— Furnace 100,000 BUJ (ducts/vents) 1 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: j Project name:
Heat pump 61.06
---
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
— Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other 23.32
Tax map/parcel no.: Other fuel appliances —
' ';'',:'; 'i:` % Water halter 23.32
Gaafireplace 33.39
- filue vent for water heater or gas
JAV/7
Log lighter (Ras) 2'3.32
Wood/pellet stove 33.39
— .
Wood fireplace/insert 2332
Chimney/liner/flue/vent 23.32
'7 , ' ,1 .:' , ` 'i ' :•i:iii-ik;Iiiii 'iii'algai;V: '.K; ailtafiLLIL :.L .:.? 59‘'''" 0;%:!,:, ..,,;°; , .1:".„;.:.:, ,. .1:::...s
,:a. 4., ;*■ .01.77 ,L,":■r:P3 ; '." " — E, 47 :‘ Other: 23.32
Name: Environmental exhaust and ventilation
Tammivaa ra, Julie R10499
' Range hood/other kitchen
Address: 15200 SW Alderbrook Ct equipment 33.39
City/State/ZIP: Tigard, Or. 97224 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) (503)670-4725 . :
to.let compartments, utility rooms) 23.32
7:71777, 7.7a7,iii4j#4r 77p,:.'.7;77. Attic/osace fans 23.32
23.32
Business name:
Fuel piping .
—
Contact name: $14.1s for first four; $4.03 for each additional
Flunace, etc.
Address:
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
--_ --
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: Itarip,fe ,
V;13 i4r.t.. Barbecue
43usiness name: Specialty Heating and Cooli Clothes dryer (gas)
ng
_—
Other;
Address: 7500 SW Tech Center Dr # 130 ki
City/State/Z: Tigard, Or. 97223 Subtotal
Minimum permit fee (S90,00) .91) , CD •
Phone: (503) 620-5643 Fax: (503) 681-0793
Plan review (25% of permit fee)
,,_,..3
CCB lic.: 66578 State surcharge (12% of permit fee) / ,
0 ro
/A x r
TOTAL PERMIT FEE /00 , JD ,----
- it apphcetion expires if a permit is aot obtained wi
1: thin 180 ... 1 . - ' — .
Authorized signature: L ,-- ,51---- (11-----N- days after it has beea accepted as complete.
Print name: Andrea Dripps Date: t, t ( S7 A --..) ' Fee methodology set by Tri-County Building Induzrry service Board
1: \Building\ Permits \ tac-PerautAppdoe 10/01/04 440-4617T (11/07/COM(Wea)