Permit q CITY OF TIGARD MECHANICAL PERMIT
2 • COMMUNITY DEVELOPMENT Permit #: MEC2010 -00699
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/30/2010
Parcel: 1 S125DC00202
Jurisdiction: Tigard
Site address: 7190 SW BARBARA LN
Project: FLANAGAN Subdivision: BOULEVARD HEIGHTS Lot: 26
Project Description: Heat pump and furnace installation.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: FLANAGAN, JOHN C
PO BOX 241 818 NW 17TH AVE STE 7
DUNDEE, OR 97115 PORTLAND, OR 97209
PHONE: 503 - 691 -9699 PHONE:
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/30/2010 $46.75
Type of Use: SF Heat Pump 12/30/2010 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 12/30/2010 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $120.75
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 503.232.198 . . 3 .
Issued By: " 0 0 01......"'
Permittee Signature:
- 1111 /r
Call 503.63 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.
12/30/2010 09:49 503-691-8556 OREGON HEATING PAGE 01/03
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Mechanical Permit Application R E c ,c i \ si P FOR 0 ".C., liSr. ONLY
. ..- Rective r 4 . ' e 0 4. Permit No.:
, , - C n i n tY 5 s Tigard, OR 97223 DEC 3 0 2010 p l i4 ""; iic ,,„,
. ; 2 Phone: 503.639.4171 RIX: 503.598.1960
II I DatelEy: Other Permit:
nspetion Line: 5036394175
.. tom: El ee og
TIGARD I c CITY OF TIGARD thde R`adY1BY: SPo 2 tor
Internet: www.tigard-or-gov ligkificcumethod: ... Supplemental loformation
BUILDING DIVIS10::
•••• :. - : ; -. • , ' . .. . .• . -...: TYPE OF WORK . :. : ' : ;:. . ,.. ,..c 463144*. - USIIECKLIST '
' - Me' chani cal permit fees are based on the ;valti work
0 New construction ps, Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: . mec h an ical materials, equipraeat, labor, overhead, and profit,
:, .`:':'::,.• ;. :,.:::;:.!:.;::...,. ,: :::' ' OF 'CONb Val
": $
6:04 '!: 0 05i ; $::: :•
1_ and 2-family dwelling 0 Commercial/industrial 0 Accessory building
Par special information use checklist
0 Multi-family 0 Master builder 0 Other. Description I Qty. I Ea. _I Total
' :'::::.::...:': ' '.:•: ,':::'-:.',.;.::::,,.: - JO :srrONFoinvitioN AND LOtATIoN : ::.- :,. .. .-:, :,::,.' Heating/cooling
Air conditioning
Job site address: ‘ Ci • ‘A 1 ;,.• • 4 . (requires rile Plan showing nlaentnent) • 46 . 75
City/State/Z[1: 'cno r. np._ °t 1. -7.1____-_____ Purina 100,000 BTU (ducts/vents) ( 46.75
) ''''' Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name:
- H PI'S' ( 61.06
Cross street/directions to job site: Duct work 23.32
- " HNdronic hot vgater system 23.32
Residential boiler (radiator or
hydronic) 2332
Unit heatem (fuel-typc, not electric),
in-Wall, in suspended, etc. 46.75
Flue/vent for any of above 2332
Subdivision: • Lot no_:
- Other. 23.32
Tax map/parcel no.: Other fuel appliances
Ngi',:'•?;:il:..!:.-;:r•I,;.',,;,!:,‘.0***?,**.O..,-':.*(*ik-'g :.::::. 1j,::'. i%..'..,;,:0%$'''''::''',::Z::::';',.::*:g Water beater 32 23.
Gas fa eklace 33.39
t vv.544,11 1 W'il i poiftp , Flue vent for water heater or gas ._
fireplace 23,32
i Air Hrbici I-er / Furngee-t- Log liphter (gas) 23.32
Wood', ellet stove 33.39
Wood fireplace/insert 23.32
O 23.32
- 1 .• ::: ''';'. '':7'.•■'::,:$'i.iikiiiir.;+ArAiii?,''",. :';i.ii::::..;I'' . ::,:,;:::. :
,..,..: ':'.. :. eumm-57ni"eeflue'vent
... Other: 23.32
Name: j 0 lety ffia,11,12, v.)
- Environmental exhaust and ventilation
-
Address: 401 D 6 IN bora Lin Ran hood/other kitchen
33.39
City/State/ZIP: Tj 4)a , Or2-: 9 '7 22, 3 Clothes duet exhaust 33.39
• Single exhaust (bathrooms,
Phone: ( ) Fax ( ) toilet compartments, utility rooms) , 23.32
:: *r.r • -• . I . :!.'.-, ' .: . ' Q ' :I.E0OS: :::„: : ;.•':.'..:: AthderawisP.ce fans 23.32
. . Other: 1 23.32
Business name: =or) 4eat-pw 4t, 4( ecroutut4 Fuel
Contact name: I _ar A i fin $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: I 64 / / 5 1-
Gas heat purnp, ,
City/State/ZTY: nu j C: 7_1§i f 0 . 2_. - WaWsuspendedAmit heater
Phone: (1 5 (d1 l - P I UM Fax: : ()3) ay:// - S5Sto Water heater
Fireplac.e ____,
E Range. ...
CQNIB.4CFOR Barbecue
Business name: OrgeA a 1.1.8qh Vi . c orl a incyull aothes dry (gas)
Other:
Address: '" OD 4t I j; "1 : 1 ' ...' , : . ; . :: : ' :• -:':•....: " . : ' , :Y,
0 Tr ja,t ),7 0/2, 9 70.4 z., inimum Subtotal 107 .fi
M permit fee ($90.(30)
' Phcrae: 4 52)9 (0 / '. 1( I, FIK ( I S ) 1 -- .85 Plan teview (" of permit fee)
CCB lic.: _ State surcharge (12% of permit fee) j iL, . of
TOTAL PERMIT FEE / Z.0175
A u t h o r i z e d s i g n a t u r e : U U i E ° t 1 . ) / i s t ? ' - . - 7 1 1 e permit applic2ton expires if a perroit is not obtained within 180
, 1 ..• 1 ---- I , ,, • a- days after if bas been accepted on complete.
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Job # Scale: 1/8" = 1'0"
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Performed by Craig Roggers for: 1
1 '..ohn - Right-Suite® Unlvarsa) - -
7190 SW Barbara L:n , 7.1.25 RSU1 2736,
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Phone:'503-473-3413
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