Permit CITY OF TIGARD MECHANICAL PERMIT
t
• COMMUNITY DEVELOPMENT Permit #: MEC2010 00586
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/17/2010
TIGARD Parcel: 2S110BB02100
Jurisdiction: Tigard
Site address: 14390 SW HAZELHILL DR
Project: Joel Subdivision: Lot: 0
Project Description: Install new furnace.
Contractor: SPECIALTY HEATING & COOLING INC Owner: JOEL, LESLIE B & LORI J
7500 SW TECH CENTER DR #130 14390 SW HAZELHILL DR
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE: 503 - 740 -0011
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 Permittee Signature: ex/ e if-77Q //
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.
•
NOV /13/2010/SAT 02:49 PM FAX No, P. 002
Mechanical Permit ApRECEIVED .,, ..
14 n [[w� t?Oli(1F7 +7Ge USli [) �t N /f LY A'
.. , • . �r 1 Of n 1v d ,� 814722 2U 10 Date /Bye / /7 /0 A Permit No.
' 1 CC OZO a "60-54)4
13125 SW Hall Blvd., Tigard 0 3 PLIn Review
.Phone;. 503,639,4171 .Fax;. 503.598.19 y Other Pennit:.
Ti.GAR Inspection Line: 503.639.417501TV O � TIGA.RD Date Ready /By: l g7d See Page 2 for
Internet; www.tigard- or DIVISION Notificd/Iviethod: Supplemental information
'" T §:t!' #01 ' ca ai .�l; '; k *' 1SF# i 1.4', : U E ; P CIS..UJST
❑ New construction Addition /alteration /replacement Mechanical pentrit feat* are based on the value of the work
performed, Pndicatc the value (founded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CAT,tGQR OFF CQNSTR tCT1Ol4
Value
®1 and 2 famil dwelling R 40 *47J L >att UXPh1'E*I' S S 40.') S
y g ❑ Commercial /industrial ❑ Accessory building
Far special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Qt Ea. 1 Total
m
�,�� � •, M Desc 1Yti 6ption
{ 7 S1 1 .. Y V ^
`.r +, f Y 1 Sli` r� ;I ' 7 .,: „�i can coolin If
... . . , :' , 1 �"2 ;Sf' .��• „ u . t�` � Fi'.�Cw 4 i . .:, r. .,, Si/ Job site address: /c�3 � T,,- -- = r�.,' r "MV r Air conditioning
`� J" '� . �o *���rr (requires site plan showinz placement) 46.75
City /State/ZIP: 1-1-3 2 el– i4- i L L. DP— Furnace I00,000 BTU (ducts /vents) / 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg./apt. no.: Project name; Heat pump 61.06
Cross street/directions to job site: Duct work _ - 23.32
Hydromic hot water system 23.32
__ Residential boiler (radiator or
hydronic) 23.32
Unit heaters (Rtel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
-- Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 1 23.32
Tax map /parcel no.: Other fuel appliances
l r' �' f �'� , ip t" . i w� �,TIG r�7 11 vI1 is ? Water heater 23.32
4 .,,.�s n ,, ,, :q ,o {,.,. d.l if 1.7 x.,., e..,�. ..s ,4, Yf, .,,,� n, .,1, }. ;.n� �,.���
`,( /- J / , ' _G4ra fireplace 33.39
Flue vent for water heater or gas
fireplace 23,32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 1. 23.32 • 1. ; : r d,;_ .i
. O ..
.w..• _.. ^g. i .', , .:o , r .�4m,�,�+ '�, �I .'. l1,q.,! Chimney /liner /flue /vent 23.32
3 ._21 1:,. W ...;iii1 a.,n 1,,,.t " Othcr; 23.32-.-.--__
Name: Joel, Les R10494 Environmental exhaust and ventilation
f- Range hood /other kitchen
Address: 14390 Sw u___' WQ4 ;mot 44 2 y l� equipment 33.39
City /State /ZIP Tigard, OR. 97224 Clothes dryer exhaust 33.39
503- 740 -0011 — Single -duct exhaust (bathrooms,
Phone: ( toilet compartments, utility rooms) 23.32
'' i :#:, 1{ ji r ' .f 9 ( 0,40 �' S>�Srl , � ' Attic /orawlspace fans ._, 23.32 �
„r'. .1 f i 1, : , / k� x} „ ,, p „ ; 'i Other: 23.32
Business name:
Fuel piping
Contact natnc; 314,15 for first four; 34.03 for each additional
Address: Pinnace, etc.
Gas heat pump
City/Statc/ZTP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E-mail: 'Range
r " : c :� iii r r- Barbecue .. Business name. S eciatt Re -~J
Clothes dryer (gas) •
P S ... atieg Elba Cdolieg
Other:
Address: 7500 SW Tech Center Dr /1130 , I,. MF1y. 1 It 4&L E .** 7F* �
City/State/21P: Tigard, O. 97223 " Subtotal 70, e V
Minimum permit fee ($90,00)
Phone: (503) 620 - 5643 Pax: (503) 681 - 0793 - _ : -- '-
Plan review (25% of permit fcc)
CCB lie,; 66578 FL-g4c State surcharge (12% of permit fee) / -
Authorised signature: 1
TOTAL PERMIT FEE fps tj J L.-
�. Thn permit application expire6 if a permit i9 not Obtained iWirhin 180
days atter a ha6 been auepted m complete.
Print name: Andrea s Date: /1.-- " Fee methodology set by T:i- Coonty Building Industry Service Board
i;\ auOding \Permite \M0C- PennitApp.doc 10/01/09 440 -4017T (; l /02 /C0M/W00)