Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00604
13125 SW H Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/19/2010
T WARD AR:D Parcel: 2S102CA00232
Jurisdiction: Tigard
Site address: 9560 SW FREWING CT
Project: SWANSON Subdivision: Lot: 0
Project Description: Gas fireplace insert with fuel piping.
Contractor: FIRST CALL INSTALLATION COMPANY Owner: SWANSON, PRISCILLA
13150 S CLACKAMAS RIVER DR 9560 SW FREWING CT
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503 - 231 -3311 PHONE:
FAX: 503 - 557 -0919
FEES
Specifics: Description Date Amount
Gas Fireplace 11/19/2010 $33.39
Type of Use: SF Fuel Piping 11/19/2010 $14.15
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/19/2010 $42.46
Occupancy Grp: 12% State Surcharge - Mechanical 11/19/2010 $10.80
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 1.800.3
Issued By: /' Permittee Signature: "
Call 503.639.4 rs b • :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 -19 -2010 10:24A FROM: RECEIVE ' T0:5035981960 P.1
• Mechanical Permit Application SvO\,1 9 2010 1 IGYIt c111 +I(1, i si rrN1,1
City of Tigard .�.� TIGARI) Received
Ili + O Date/By: if IN J Permit No.: � • I (} - JU '
13125 SW Hall Blvd., Tigard, OR 97223 C ID/ i IVISIO plan Review
Phone: 503. 639.4171 Fax:.503.598.19fb1 D Date/By: Other Permit:
' I t .4 R I) Inspection Line: 503.639 Date Ready/By: lel 91 See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
•
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ,
Mechanical permit fees* are based on the value of the work
❑ New construction 0 Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF _CONSTRUCTION Value: $
® 1- and 2- family dwelling ❑ CommerciaUindustrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
❑ Accessory building
❑ Multi- family ❑ Master builder 0 Other: For special information use checklist.
(DC) Description Qty. I Ea. I Total
/,�(, JOB SITE. INFORM AND LOCATION Heatinp/cooling
Job site address:
`��tt W l 1 Lt' I l l et . Air conditioning
(requires site plan showing placement) 46.75
City/ State/ZIP: 'aga d q.7l Furnace 100,000 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
1 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: 2332
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Witter heater 2332
I , (0 t D {/1 Gas fireplace 33.39
o
uY! l 1 I r FFlue for water heater or gas I fn � ` n om �,n _fireplace 23.32
l I l l f I(�,� I log lighter (gas) 23.32
Wood /pellet stove 33.39
-Wood fireplace/insert 23.32
Chimney /liner /flue /vent 23.32
1X
PROPERTY OWNER 0 TENANT Other: 23.32
Name: 777 Sri mil) t t 8ura .got Environmental exhaust and ventilation
l q ���� .,o � Range hood /other kitchen
Address: 81W ► .) equipment 33.39
City/State /ZIP: Clothes dryer exhaust 33.39
( r „ � 't ��� t
Single -duct exhaust (boot coo
Phone: ) (�"� Fax: ( ) toilet t compartments, utility rooms ) 23.32
® APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
- Other: 23.32
Business name: Tri County Temp Control
Fuel piping
Contact name: Diane Mason $14.15 for first four; 54.03 for each additional
Address: 13150 S Clackamas River Drive Furnace, etc.
Cas heat pump
City/State/ZIP: Oregon City, OR 97045 Wall /suspended/unit heater
Phone: (503) 557.2220 Fax: : (503) 557.0919 Water.heater
Fireplace
E - mail: Range
• CONTRACTOR Barbecue
Business name: First Call Installation Clothes dryer (gas)
Other:
Address: 13150 5 Clackamas River Drive , MECHANICAL.PERM1T. EES*
City/ State/ZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee (590.00)
. Phone: (503) 557.0230 Fax: (503) 557.0919
Plan review (25% of permit fee)
CCBlie.:182714 State surcharge (12% of permit fee) loton
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized Signature: II f days after it has been accepted as complete.
Print name: Diane Mason Date: 4 (. • Pee methodology set by Tri - County Building Industry Service Board
1 hail ,1..PerrnitslMEC- PennilAoa.doe 10/01/09 440.46177 (11/02/COM/WFB)