Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00617
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2010
Parcel: 2S102DD03100
Jurisdiction: Tigard
. Site address: 8345 SW DEEANN CT
Project: Emery Subdivision: FINLEY PARK Lot: 15
. Project Description: Gas furnace installation.
Contractor: ABLE HEATING & COOLING Owner: EMERY, JAMES R & KIMBERLEY A
8900 SW BURNHAM F -5 8345 SW DEEANN CT
TIGARD, OR 97223 PORTLAND, OR 97224
PHONE: 503 - 579 -2250 PHONE:
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Air Conditioning 11/30/2010 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 11/30/2010 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/30/2010 $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.
e .
Issued By: ', � 'ermittee Signature: +` .
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.
Mechanical Permit Application . OFFICE , USE ONLY
3
City of Tigard ' II Received • 44 13125 SW Ball Blvd, Tigard, OR 97223 �� ��[') Dnic ;By. 1� A
• _ : Phone: 503.i539.4.171 Fax: 503.598.1960 Plan B v :
Dnteiy Other Penult
T1GARl]. Inspection Line: 503.639.4175 NOV 3 0 2Qin Date Ready fBy
hrtemet. www.iigard- or.gov
t. FM H See Page 2 for
otiti ce'Method:
SupplemenfalInfarmation
CITY OF TIGA RD
TY Plfj DIVISION COMMERCL4L FEE• SCHEDULE -. USE CHECKLIST
Mechanical permit fees* are based on the value of the work
El New construction ® 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: $
® I- and 2- family dwelling ❑ Commercial /industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Accessory building
❑ Multi-family For special information use checklist
y ❑ Master builder ❑ Other: _ Descripdot:
Qty. Ea 1 Total
1 JOB SITE INFORMATION AND LOCATION Heating/cooling,
Job site address. SW Deeann Court Air conditioning
(requires site plan showing elacement) 46,75
City / State/ZIP: "Tigard, OR. 97224 Furnace 100,000 BTU (ductsfvcnts) 1 46.75 46.75
Suite /bldg. /apt. no.: Project name: Emery Furnace 100.000+ BTL (duets /vents) 54.91
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
IT ydronic hot water system 23.32
Residential boiler (radiator or
hydron ic) 23
Unit heaters (fuel -type, not electric),
in - wall. in - duct. suspended. etc 46 -75
Subdivision: Fluelv for any of above 23.32
Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Replace existing Gas Furnace Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Woodlpellet stove _ 33.39
Wood fireplace/insert 23,32
®PROPERTY OWNER
Chia n ey /liner /flueivent 23.32
❑ TENANT
Other: 23.32
Name: Jim and Kite Emery
.Environmental exhaust and ventilation
Address: 8343 SW Deeaan Court Range hood/other kitchen
equipment 33.39
City/ State/21P: Tigard, OR. 97224 ' Clothes dryer exhaust 33.39
Single - duct exhaust (bathrooms.
Phone: (503)333 - 5610 Fax: ( ) toilet compartments. utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Atticierawlspace fans 23.32
Business name: Other: 23.32
Fuel piping
Contact name: 514.15 for first four; S4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Harbecue
Business name: Able Heating & Cooling, LLC. Clothes dryer (gas)
Other.
Address: 8900 SW Burnham # F -
MECHANICAL PERMIT FEES*
City /State/ZIP: Tigard, OR 97223 Subtotal 46.75
Phone: (503) 579 -2250 Fax: (503) 620 -3980 Minimum permit fee (S90.00) 90.00
. Plan review (25% of permit fee)
CCB tic.: 184392 Slate surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
Authorized signantre ��J��l� This p ermit application expires if a permit is not obtained within 180
/ N V days after it has been accepted as complete.
Print name: Kelly Wit t[f' Date: 11 - - 2010 • Fee methodology set byTri -County Building Industry Service Board
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