Permit l " CITY OF TIGARD MECHANICAL PERMIT
•
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00512
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/30/2009
•LiGttKD Parcel: 2S112DC01600
Jurisdiction: Tigard
Site address: 15575 SW 74TH AVE
Subdivision: FANNO CREEK ACRE TRACTS Lot: 7
Project: Bowles
Project Description: Install gas furnace.
Owner: FEES
BOWLES, JOHN Description Date Amount
8986 SW ARAPAHO RD
TUALATIN, OR 97062 Furnaces < 100K BTU 09/30/2009 $14.00
Fuel Piping 09/30/2009 $5.40
PHONE: 503- 692 -3641 12% State Surcharge - Mechanical 09/30/2009 $8.70
Minimum Fee Adjustment - Mechanical 09/30/2009 $53.10
Contractor:
THERMAL FLO INC
7236 SW DURHAM RD 100
PORTLAND, OR 97224
PHONE: 503 - 670 -8343
FAX: 503- 598 -6746
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $81.20
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.
r
Issued By: • IL , = 10_, L . Permittee Signature:
A--np
Call 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.
09/28/2009 09:07 5035986746 THERMALFLO #1248 P 002 /002
•
Mechanical Permit Application . FOR OFFICE. USE °NIA' . .
' • City of Tigard RECEIV: io': icr:-ii-dy:
gm , Permit No.: fy\f2 Aoq, 0°
.'.: • ',,,,,, 13125 SW Hall Blvd., Tigard, OR 97223
Illi
Plan Review - sj
• '' ' •.. Phone: 503.639.4171 Fax: 503598. 1960 - Pit-
er ermt:
S E O
P h 8 200'i "Y:
Inspection Une 503 639 4175
TIPARp . 1 " • Date Ready/By: IN E See Page 2 for
. . Internet: www.tigard-or.gov
Noed/Method; Supplemental taronintion
CITY OF TIGA a • .
ti46iiii
El New construction !A Addition/alteration/replacement . Mechanical permit fees* arc based on the value of the work
performed. Indicate thc value (rounded to the nearest dollar) of all
0 Demolition 0 Other mechanical materials, equipment, labor, onrhead and profit.
';'■ ,:tv. wst ,..sfdi,a,;-.„T,,,,:,4.,..;:4,,'.:.:..iia4Vif * , Value: $
;,--..-).'..,.,_,LA.,'?"..... ......',:;' c.; ' ' ^ .'' ' ..' ' , '''' ''"'"'''0"'''' ''''",'''''' '''''`:^"'''''''''' '''. W);::",1:;::"V,:i - . if4g -4. '.■..),%,"!"
'
1- and 2-family dwelling 0 Commercial/industrial El Accessory building
For special information use clicelaisl.
0 Multi-family Ili Master builder 0 Other: — — 1
Description I Qty- [ I Total
i•O1lXtVigdRZE':*hb*g* *aggeigifigt70 Heart , coolin:
Job site address: /6 '../ 14 ' av'e, Air conditioning or heat pump
(requires site plan showing Oacement) 14.00
City/State/ZIP:
Furnace 100,000 BTU (ducts/vents) a 14.00 r .
.:9 ace.L. 0 4) (Ply -
, -- - Pomace 100,000+ BTU (ducts/vents NM 17.90 MEN
Suite/bIdgJapt no.! I Project name: 4/ 2,1 07
_ Gas heat . urn • 14.00
Cross strect/directions to job site: Duct work 1000
-
- Hydronic hot water system 14.00
Residential boiler (radiator or
-rho 9f _ ,ta,re___ La 00 - I hydronie)
Unit heaters (fucl-type, not electric). 14,00
in-wall, in-duct. suspended, etc, 14.00
Rue/vent for any of above 6.80
Subdivision: I Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
. tri ""— * 6 0iatt%:',,SZ',.:Fa . ';:i#4* . tg2 Water heater 10.00
10.00 _
Flue vent for water heater or gas
47 C/d0 rif-C/ia ee-- fire. lace 10.00
... Lo; 14, ter :4: • IMI 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
z,-,sk,44 1 Onmnevilineritlnvcnt 10.00
e
pa
' '.; , ;3-'7#* 4 35:: ;Ma: "1"04P.'.4 '."./..": IMPk'l w! 10.00
Name: 4 7 e h n b4W/€0 Environmental exhaust and ventilation ,.
Address: ,e9g3 se a reL p a j t0 Au, Range hood/other kitchen
equipment 10.00
City/Staie/ZTP; Tit - ) ? 5/ 0 6 f------ Clothes dryer exhaust
- 10.00
Singto-duct exhaust (bathrooms,
Phone:60S)) eel 2—: Fax: ( ) toilet compartments, utility rooms) 6.80
XilgFeg-Y,M4ii,±,;41;P;,'4' W Attickravelsnace fans 10.00
13usiness name: Triertn.„,/ F7 z
Fue piping 10.00
Contact name: €7re„ Coo le l 55,40 for first four; $1.00 for each additionai
Address: 1, $
2.ff, 40 , / ,,,
,‘„, iii, AK/00 Furnacc etc.
Gas hcat i um 9 =II
iiMMIIMI
City/State/Z1' : / i eject. 0 re 9 214- Wall/suspended/unit heater
nonce/ 4 I ; * ,,..; 4...? F;; ,ijr / . e 5 e ; - 1074-9 W ater hunter
Fire lace II
E-Tnail: . ' CO riierMaiPiairle.._,CO , Range
'''''''WY ....... 0 ti;‘ :t.:,•;).e.::,:z;.4;4. ,t! Barbecue
IN
Clothes dryer (gas)
Business name: _
/ ,
Other:
r A
Address: i t • #I9 e_.- it
City/State/ZIP: Subtotal / '
Minimum permit fee ($72.50) 7 2 ' 0
Phone: ( ) Fa.x: ( )
Plan review (25% of permit fee)
■ ,
CCB lin.: 1 1 1 / State surcharge (12°/0 of permit fee) ... t
TOTAL PERMIT FEE 4 ..; / € 2. •■
/ • This permit agpnottion expires if a penult is not obtained within 130
Authorized Sign.. .r. 4 ...... 1• L:4 ,r 4. ,...,........ iiiri
days after it has been accented as compkte.
, 4
Print name: 1. .„ ag nrsi e Date: 4 /-- I L f f3 * • Fec methodology set by Tri-County Building induRtry Serviec Board
I AAllACI
A Ca.