Permit " CITY OF TIGARD MECHANICAL PERMIT
1111
. COMMUNITY DEVELOPMENT Permit #: MEC2010 -00665
TIGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/22/2010
Parcel: 2S112CB05100
Jurisdiction: Tigard
Site address: 15389 SW 82ND PL
Project: CONTRERAS Subdivision: ASHFORD OAKS NO. 2 Lot: 65
Project Description: Furnace replacement.
Contractor: AMERICAN CONTRACTING Owner: CONTRERAS, FRED J & DIANE L
7855 SW OLESON RD 15389 SW 82ND PL
PORTLAND, OR 97223 TIGARD, OR 97224
PHONE: 503 - 407 -8538 PHONE:
FAX: 503 - 244 -9556
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 1.80 344.
Issued By: = Permittee 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.
Dec 20 10 04:55p 503-244-9556 p.2
Mechanical Permit AuLea.tinn FOR ,owricr, USE ONLY
City of Tigard RECE IVES : ,...i,.,,,,t ,.
Pernik No • iltir
1)itItii3y: f J.I /0 .. •"" ' ari ) 10 - '(.)ria&S --
i ..... . 13125 SW r fall rilvd., Tigard, R 223
W tevi
! II Phonic; .619,4171 Nix; 5013.50.10 in R e w
4 DEC DEc 2 1 2010 Date/Ily: . Other Permit
inspecl in 1,inc: 51)1639.4175
T.1 GA R:12) 1):Itr Really/11r ihiii GI tire Pup 2 for
intellICI! Www.tigarti-or.gov oiltedfm,20106; 1 Supplentental infiirmariun
CITY OF TIG Nt •
BUILDING DIVISION .
y•pg OF .WORK COMMERCIA.0 FEE" SCHEDULE USR cw.clo..i:or
• Mechanical permit fees* arc Itasca on the value OFthe work
0 New construction 1E1 Addition/alteration/rept:WM(1nd
perairmcd. Indicate the value (rounded to the ncurcst dollar) ot till
71
Demolition III Other: mechanical materials, equipment, labor, overhead, and profit.
. . ..
'CATEGORY OF toNsravcrroN • Value: $
.
RESWETSTIAL EQUIPMENT /siesTEms FEES*
Z I- and 2-family dwelling 171 Commereiallindustrial 0 Acce;1;ory huililinp, , . . . . - . , .., . .
h•or weird Mfilrmation ,.en rfierklat,
CI Muni-family 1=1 Master builder E Other: Description 1 Qty. I Lit. Total
•
'30g SITE INFORMATION. AND IOCATION Halting/cording
An conditioning
Job site address: 15389 SW 152 fl PI
(riNuircs ilk. plan !flowing plaimilent) 46.75
._,.
Cily/StatufiTP: Tigard 1 t.../ if qiy Furnace 100,000 BTU (thiels/vents1 I 46.75 4(1.75
.., 1 100,000 BTU (ducO/venIN! 54.91
Su ite/bitig./apl, nu,: Project name: 2111 Contreras
' Heat pump 61.06 ,
Cross streeUdireetions to job site. Duct work 23.:42
Hyclronichoi water system 23.12
hull blvd to sw ashrord to 82nd pl,
Residential boiler (radiator or
• klYdPur9e.) 23.32 _.
Unit healers (Ilicktypc, not ciceitio,
in-wall, in-auet, suspended, etc. 46.75
Fluctvcnt For any ,,r above 23.32
Subdivision: I for no.:
Othur: 23.32
Tax map/parcel no.: 2S112C11051041 ()per fine, mplinitees
DESC'Rtrl'ION OF WORK Water heater . , ..... ..... _743..142 ____ ..
..- ( ias fireplace 33.3)
Furnace replacement Flue vent 1kw water healer tw gas
fireplace 23.32
Log lighter (gas) 23,32
—
Wood/pellet stove 3339 1
Wand fireplactilinsat 2132 1
--...• Chimney/litter/nue/vent 23.32
0 PROSE `. :,•• • . • 0 TENANT
... ... . _. . - .....___ other; - 2132
Name: Environmental elchaust and ventilation
- - - Range hood/ether kitchen
Address.: oquipment 33.39
(111y/Slato/1,11); ClciMus dr er cxhatlq 33.19
...... Sititiv-dot t:xlmi,d (halhroimi,
Phone: ( ) Fax: ( I toilet commitments, id ilitypoins) ...
— — •
. ' ,.'": 0 CONTACT PERSON Arriekrawlspnee farts 2132
--
' Other 23,32
—
' Ru.L;iness name: American Contracting, Inc.
1.. act pipin
Contact name; Randy Krueger S14.15 for first four; $4,03 for ea rh additional
----,
— ' Furnace, vie.
Addrcss; 7855 SW (Meson Rd
Cos heat pump
Ci lyiSla te/ZIP: Portland, 0R9'722,3 Wzi ll/stispcnr1cdfun it heater
Phone: (503) 407 -8506 Fax: : (503) 244-9556 Water healer
- - Fireplace
- —
• r 'T .':: 7:: ; .. it41::j ' i::: : .. 6C■740Z)47011.2 • Ilarhecuc_ . ,
Clothes dryer (p,4s)
Business name: American Contracting, Inc.
— — Other
Adrirci-iii: "Th1.55 SW Olesou Rd. - ERN MECHANICAL PitIT PEES.
. ..
.tltotat 0.75
. _
C 4/St:Ito/ZIP: Portland. Olt 97223
__. . Minimum permit liv. (S90.00) ix), MI
Plionc: (503).107-8538 Fax: (5113) 244-9556
— Plan review (25% M permit fee)
- — ---
CCI1 lie,: 152797 6 1 I State surcbargc (1 2% of permil fee)
— . TOTAL PERMIT FEE 1 A 100 t Fri)
.. ‘Z.i7, ‘,./.,./"----------- This is.,rallt aniaietitill.11 expires if a permit is not obtained Oilhin 181.1
Aulllotoa signature: . L v ,26 d /Ira Flfter it liNs bCCn ACcrpierl u, oomph
_...., /
Print name: Kayla Krueger I Date: 12/20/2010 • Pee teethedoloyy tel by TO-County Pudding Industry Service Hoard
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