Permit p CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit #: MEC2009 -00332
T t G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/08/2009
Parcel: 2S111AD20000
Jurisdiction: Tigard
Site address: 14856 SW 89TH CT
Subdivision: LADY APPLE Lot: 24
Project: Gee
Project Description: Install heat pump.
Owner: FEES
BEACON HOMES NW INC Description Date Amount
12703 SW 67TH AVE Air Conditioning or Heat Pump 07/08/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 07/08/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 07/08/2009 $58.50
Contractor:
GAGLES HEATING
2789 PRINGLE RD SE
SALEM, OR 97302
PHONE: 503 - 581 -2972
FAX: 503 - 581 -1376
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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
iss . ce, or if work is • •ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
ility Notification Center. •se rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. • - • obtain a copy of the rules
or direct questions to O • \ alli • • 03.246.6699 or 1.800.332.2344.
Issued By: " � L`/ � r Permit* Signature: VIP
Call 503.639.4175 by 7:00 a.m. for an inspection that busi i • s 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.
• • 07 %2/09 13:43 FAX R] 001
Mechanical Permit Applici EIVED F(1R ()FFI( E l SF. ONL1
City of Tigard Date/By: er DO 9 I '1 Permit No.: / let 1 7—e033
j ig V 13125 SW Hall Blvd., Tigard, 503 97223 o /009 Pian Review Other Permit:
= Phone: 503.639.4171 Fax: 503.598.1960 G Date/By:
T I G A a c� Inspection Line: 503.639 Data Ready/fly: ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method Supplemental Information
BUILDING DIVISION
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❑ New construction � Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
u F, t �ry.t rl +'. , ' , - 1 _ . . _ , V $
tom. _._ . . t? ''' l._ ' ' iu t ' , , ' .
Fa I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
,'' !C )y; i 3 Ip � , (; t I I _ L 1t, 11n Ilk tt )' Beating/cooling
,...,2. ,w,,.,:. . ,. _ . - - Air conditioning or heat pump oU
Job site address: (L{ sit S u C,C ` 0. , (requires site plan showing placement) I 14.00 I y ,
City /State/ZIP: — 't p a. ,r a j C -1 2` LI Furnace 100,000 BTU (ducts /vents) 14.00
J Furnace 100,000+ BTU (ducts/vents) _ 17.90
Suite/bldg. /apt. no.: I Project name: Gas heatpump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: I Lot no.: Other. 10.00
Tax map /parcel no.: Other fuel appliances
Water heater 10.00
4 - zi :..: • ..� _. ; - � �. , s1 i -- ; (� , '.... ; ' __ Gas fireplace 10.00
S 4 C U . � * R . 1 - ID t A. INX f> Flue vent for water heater or gas
1 fireplace 10.00
— See- 54&,e,-1-L4A._ fir• t y-,■}" t ncci 1 c-ry Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
_ Chimney/liner /flueJvent 10.00
....7.7".7,7437:,:,:::T;(72:,,-;:, . i , /5 t t . , .. z.... _ ... . .. . , ... ... Other: 10.00
Name: , 4 K r ,.; .Q.2 Environmental exhaust and ventilation _
Range hood/other kitchen
Address: S: . c. 0-100v,.Q -, equipment 10.00
City /StateJZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5 U3) (f)1 12.,.. Ca Fax ( ) toilet compartments, utility rooms) 6.80
Attic/crawlspace fans 10.00
Other: 10.00
Business name: p Q 5 C,p A j.L `C
_k ( i Fuel piping
Contact name: d _ t,� 55.40 for first four; 51.00 for each additional
h� Furnace, etc.
Address: Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Water heater
Phone: ( ) I Fax: : ( ) Fireplace
E -mail: Range
µ
4 ? _ °i 1 .. } , t f i E �k c t f r _llkl 1(t j l : _.._ ... . _.. . , _ Clothes dot Barbecue
. �... tea' ,.. _,�, � .. _ _ ,, � .,_m .__._�. . ■ . ,�....:.. _.. _ Clothes (gas)
Business name: Qp�- 1 r Other:
Address: 7) C j � 1p . ,..E t i
(K � 9 � 3c� - . Subtotal � t4, 00
City/State/ZIP: au '�
Minimum perm f ee ($72.50) 12. c✓
Phone: ( ) 3%i, i zci -72_, Fax: (503) 5 / 3' Le, Plan review (25% of permit fee)
CCB lic.: / " Q 7 R ; o' State surcharge (12% of permit fee) eg .10
Lc J�J / TOTAL PERMIT FEE IS i .2_0
This permit application expires if a permit is not obtained within 180
Authorized signature: -. / f � , - ' ' days after it has been accepted as complete. •
I Date: • z• ) ] • Fee methodology set by Tri- County Building Industry Service Board
I Print name: 0... L�` P _, ,
07-02/09 13:43 FAX U002
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