Permit CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: MEC2010 -00667
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/22/2010
Parcel: 2S110DA07800
Jurisdiction: Tigard
Site address: 10635 SW LADY MARION DR
Project: WATSON Subdivision: ERICKSON HEIGHTS Lot: 39
Project Description: Furnace installation.
Contractor: SPECIALTY HEATING & COOLING INC Owner: WATSON, ERIC R & DONNA L
7500 SW TECH CENTER DR #130 10635 SW LADY MARION DR
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/22/2010 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 12/22/2010 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/22/2010 $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 By: Permittee Signature:
tip_ ri
• 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.
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DE0/21/2010/TUE 09:28 AM FAX No, P. 002
Mechanical Permit Application ,,. . FOR OFFICE USE ONLY
City of Tigard •
25 SW Hall Blvd
131., Tigard, OR 97223 VF
III ECPI
r
... 14...bfeived .
f Dlte/By:
-om mPlan Review . . „ . . .
2--1 / , Permit No.: ....m G , r
I :. Phone: 503.639.4171 Fax: 503_598.1960 Other Permit:
T IbARD ,
Inspection Line: 503.639.4175 DEC Date/By
2 1 2010
Date Ready/By: MI g See Page 2 for
. Internet; www,tiganl Notified/Method: Supplemental Information
CITY OF T1GARn
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.
Mechanical permit fees* are based on the value of the work
0 New construction iP Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
ID Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
::',....,.: : ..:,... :,:. :,:,::•::::. P. 90f:-'040!)::. .:.:.'i: ...j....:,:',..:.::::::::: .::': ..,...:. ,:- .. :.: . ,... ...-,,, , - ,, • „.' , ., ',...,,,
.:,..g4PPi:OP:400,
VP1 and 2 dwelling 0 Commercial/industrial . 0 Accessory building
For special inlbroiation use checklist.
0 Multi D Master builder 0 Other; Description I Qty. I Ea, Total
4).#400:c: Heatiligie
Air conditioning
Job site address: 1 47 ( s --- ¶c.. t ora)iook. i0 , (re‘Piires site plait placement) 46.75
City/State/ZIP: Furnace 100,000 BTU' (duets/vents) I 46.75 F umac 100,0004 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
liydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel not electric),
in-wall, in 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
.::: !..:,'4.77 'i , . (7 177 75777 Water heater I 23.32 J
Gas fireplace 33.39
1 .) Q_#7.3 -- 0 ano-O_C . Flue vent for water heater Or gas
fireplace 23,32
.„ . Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23,32
,, . ,....,„ Chimney/liner/flue/vent 23,32
/:: x 16 VIS'Atil l, ' .4 ;: : ' ,:i < ' '±'L f .LI'L : ii'iiiiair li 7.7 1 ■.;:i'll'iiaIl'i,;i4 °dm: 23.32
Name: Environmental exhaust and ventilation
Watson, Eric R10582 Range hood/other kitchen
Address:
10635 SW Lady Marion Dr. equipment 33.39
City/State/ZIP; Tigard , OR 97224 Clotho:5 dryer exhaust 33.39
R.
Single-duct exhaust (bathrooms,
Phone: ( ) 503-860-3855 toilet compartments, utility rooms) 23.32
, -iZzi 1 trie/ctawlspace fan 23 32
s .
*57IOTi'...:.U3E-17:27a';4,V A
.PF Other:
23,32
Business name:
Fuel piping —
Contact name: $14.15 for first four; $4.03 for each additional
Runace, etc,
Address:
_ ,,........_____, Gas heat pump
City/State/ZIP; Wall/suspended/unit heater
Phone: ( ) _LFax: : ( ) Water heater
------- — — Fireplace
E-mail: , Range
''':''''''''' ''' '''''' ::•:.:''; :.''' ';':',''. ' ''.'•:. ;'",(.: :;:l ..:::. , ' , .:::::'',''':..J , ;',.;.:',.\l'' :::'.:: , :.:':'.,,I.! Barbecue
Clothes dryer (gas)
Business name: Specialty Heating and Cooling
Other:
Address; 7500 SW Tech Center Dr #130
City/State/ZIP: Tigard, Or. 97223 Subtotal
Minimum permit (cc ($90.00) 10, 0(...3
Phone: (503) 620 Fax: (503) 681
Plan review (25% of permit fee)
CCB lic.: 66578 State surcharge (12% of permit fee) to) , SI)
,i
.----
411. - .
411101" TOTAL PERMIT PEE
This permit application expires if a permit is not obtained within l80
Authorized signatur: — mar.._ .
days after it has been accepted as complete.
—..,—______,„...,_ _„.„,—.—..
Print name: Andre I I rip,. — 1 Date: / E cr . Fee methodology tel by Tri-County Building Industry Service Board
1:NauildeksTennitsWaEC 10/01/00 440-4617T (11/02/COWWEB)