Permit CITY OF TIGARD MECHANICAL PERMIT
g 2 COMMUNITY DEVELOPMENT Permit #: MEC2010 00638
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/08/2010
Parcel: 2S111CAl2000
Jurisdiction: Tigard
Site address: 9741 SW OAKS LN
Project: VONWASMUTH Subdivision: SATTLER PARK Lot: 5
Project Description: Furnace replacement.
Contractor: SPECIALTY HEATING & COOLING INC Owner: VONWASMUTH, KURT R & LISA K
7500 SW TECH CENTER DR #130 9741 SW OAKS LN
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/08/2010 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 12/08/2010 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/08/2010 $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. 4.
Issued By: Permittee Signature:
Call 50 .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.
■
DEC/07/2010/TUE 04:51 PM FAX No, P, 002
, .
Mechanical Permit Application, r , . ' ,...' 't.04 , . , .., FOR:OFFICE:1_1SE ONLY
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, 41 13 125 SW Hall Blvd., Tigard Pennit No yy0 ... 6
, OR 97223 e . 1 eL\l‘
''. • ' : .' - Phone: 503.639.4171 Fax: 503,598,1960 \.,
Other Permit:
.. ‘ Pligi
- --: ' Inspection Line: 503.639.4175 cf‘'
'i((l'A RD . o c, ‘•-•.-.. , \ • Date Ready/By; luris: lii See het 2 for
Internet www,tigard ■ (,,IW Notified/Method: --- - 6, Supplemental Information
CO I. ,04Ci \j‘
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Mechanic :al peimit fees* are based on the value of the work
El New construction Addition/al terati on/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
111 Demolition 0 Other: mechanical materials, equipment, labor, ovethead, and profit.
coi Value: $
, -- , .."-•- 0 ^ ,,,, f-......- , v..-- ,
" ::.40ibltii:N.
1 and 2-family dwelling D CommerCial/induStrial III Accessory building
For special information rise checklist.
I=1 Multi-family 12 M aster builder 0 Other: _____
Description Qty. I Ea. Total
;: riiiV ,li .'' .;;:: , ':,, :! HeatinWcooling
. .,.
Job sitc address; q(2 cif 5 4 3 O 11 _, s 0 t o c.„ Air conditioning
(requines site plan showing placement) 46.75
City/State/Z1P: Furnace 100,000 BTU (duct/vents) , 46.75
Furnace 100 000+ BTU (ducts/vents
Suite/bldg./apt, no.; ---T Project name: eLOS 7 , ) 1
Heat pUrrip 54.91
61.06
Cross street/directions to job site: Duct work 23.32
— —
1L.Ndronic hot water system 23.32
Residential boiler (radiator or
hydronio) 23.32
Unit heaters (fuel-type, not elecuic),
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
Gas fireplace 33.39
it_i 4 2C-4,) i( ) PACO- e-- i-* , Flue vent for water heater or gas
fireplace 23.32
lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert
Chimney/liner/flue/vent 23.32
:ttlwogo:277 other: 23.32
Name: Von Wasmuth, Lisa R10547 Environmental exhaust and ventItation
Range hood/other kitchen
Address: 9741 SW Oaks Lane equipment 33.39
— - — ----
City/State/ZEP: Tigard , OR. 97224 Clothes dryer exhaust 33.39
503 Single-duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 23.32
23.32
,,,r 9 tH.t; :r$ J.; ' : .f ;!. 1 '. , , ;i.',2;r( 7: :,. 0 ::,..; t%1 ' i0::f ,':'. • ,:,':! '::,', Attic/crawisPa fans
Other: , 23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; 54.03 for each additional
Furnace etc.
Address: '-
Gas heat pump
._..
City/Statc/ZrP: Wall/suspended/unit heater
Phone: Water heater
e: ( ) Fax: : ( ) - ,
— Fireplace
E-mail: Range
:.:."... 1 ' .',•::: . .7: 'I :.•!'% ' ...:';::' :: . •::.'' i" :,•:'::. X '.: ;• ', `. B ar b muc
.!,:' • :',::,., „ , - ::., ', .....,,,:4,.;,i'.', .:,.' 7, '„,•'•? ., „ . , • .:....:.: .; ,.•.. • • •,,,,.:
Clothes dryer (gas)
Business name: Specialty Heating and Cooling
Other ... . .. . ... . .. . .., .,:. . . .., .. , .,
Address: 7500 SW Tech Center Dr #130 2 .:' : :!::. ; f. . : 4 ',04440 1 44.**00,,i ? *.0i: : ' ‘ ,....:::' . •:. ..:. '
City/State/ZIP: Tigard, Or. 97223 Subtotal
Minimum permit fee ($90.00)_
Phone: (503) 620-5643 Fax; (503) 681-0793
_ Plan review (25% of pennit fee)
COB lic.: 66578 State surcharge (12% of pennit fee)
TOTAL PERMIT FEE
Authorized signature: 4 ,,"''''`-i- Tbls permit application expires If a permit la not obtained %Satin 180
days after It has been accepted as complete.
Print name: Andrea Dripp: Date: /) H (.) " Fee methodology set by In-County ldog Industry service Board
I: \ Esuildiaigerrairs 1 AS2C-PearaitApp.doe 10/01/09 440-40177 (1 I/02/COM/WEB)