Permit r
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00410
TIGAAR 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 08/10/2009
Parcel: 1S135DB05800
Jurisdiction: Tigard
Site address: 11445 SW 94TH AVE
Subdivision: MILLER Lot: 7
Project: LaBeaux
Project Description: Install air conditioner. Must maintain a minimum 3' side & rear yard setback.
Owner: FEES
LABEAUX, DAMIAN & YUKI Description Date Amount
11445 SW 94TH AVE Air Conditioning or Heat Pump 08/10/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 08/10/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 08/10/2009 $58.50
Contractor:
FIRST CALL INSTALLATION COMPANY •
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045
PHONE: 503- 231 -3311
FAX: 503 - 557 -0919
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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
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
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Issued By: '�►J Permittee Signature: �Yl�
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shalt 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.
RUG-7-2009 11 : 07A FROM: TO: 5035981960 P . 1
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Mechanical Permit Applicatia[RECEIVED . .:.),, 0, I I( 1 I SI ()"t.\
City of Tigard Received
Date/By: --1 11:11
.k • 13125 SW Hafi Blvd.. Tigard, OR 97223 MNIM
AUG 0 2009 Plan Review -
" 1 / II Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Date/By:
I I t . \ RI - , Inspection Line: 503.639.4175
CITY OF TIGARD Date Ready/By.
Internet www.tigard-orgov
Notified/Method: Julie: See Page 2 for
Supplemental Information
BUILDING DIVISION
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0 New construction A 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
0 Demolition El Other: mechanical materials, equipment, labor, overhead, and profit
, . . , . . ' , k i t - i i i l i z Value: S
4*AP
14 I - and 2-family dwelling 12 Commercial/industrial 0 Accessory building
For special information use checklist,
0 Multi-family 0 Master builder D Other: , Description 1 Qty. I Ea. I Total
RI. .... '::: ::-': , : ':- -:;: ". ' ':: Heating/cooling
Job site address: I 1445 5W ctit-iti mout.) Air conditioning or heat pump
frequires site plan showinkplacement) 1 14.00
City/State/ZIP: M ant q-72.2_3 , Furnace 100,000 BTU (ducts/vents) 14.00
s Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bIdgJapt. no.: I Project name:
Gas heat pump 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 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
l i " c41114 ' ' ' ; " 431 ' ' 'VEP I ' l i ( 4' : ---'-';' • tl; ;' l'IMVATOTiP4 7, t.:t='..1.tr,' Water heater .
1 000
1..r.i 4 ■S i , t,s Y..tt.I.R. „. .1. . .,-k ,,,. .1. • -;.,. ;-,r ,. .i.-- , 4';'.. ■0014 ..:' , ;.,- , v 4 .,r,r , .. , i,..' , -,,' ..4'.....-' `,,, '
7 , Gas fireplace
10.00
i irta.a.tt air co nct ttiOvitv F Inc vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10,00
Wood/pellet stove 10.00
' Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
10.00
Name: j)0011 0 n LabMil V Environmental exhaust and ventilation
Range hood/other kitchen
Address: eant) equipment 10.00
City/State/ZIP: Clothes dryer exhaust _ 10.00
Single exhaust (bathrooms,
Phone: 0,6s) 6i 0-7(Q Fax: ( ) toilet compartments, utility rooms) 6.80
* :1 illtr 4 . 0 'lr'' 6 ,,,. e 44 ‘;' 1 447 Attic/crawlspace fans 10.00
'',,,...-....:,..,...:-....:17., ' , ," ' • ":1 ' AtvA a.:Lvoir. .. A ., ' M'0 ii■..' 1. I
Other: 10.00
Business name: Tri County Temp Control
Fuel piping
Contact name: Diane Mason $5.40 for first four; $1.00 for each additional
CO Furnace, etc.
r Address: 13150 S. Clackamas River Drive
Gas heat pump
j City/State/ZIP: Oregon City, OR 97045 Wall/suspended/unit heater
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Phone: (503) 557-2220
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E-mail: I Fax: : (503) 557-0919 Water heater
Fireplace
Range
J
';g . ‘...-' '.'''...',:' :;'::',' .':;''.::-,'': :1' .",' '...'": Barbecue
,:,,-.: ,..,,.„:.: .:.
Clothes dryer (gas)
Business name: First Call Installation
Other:
Address: 13150 S. Clackamas River Drive "
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City/State/ZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 557-0230 Fax: (503) 557-0919 Plan review (25% of permit fee)
CCB lic.: 182714 1
11111\t° State surcharge (12% of permit fee)
TOTAL PERMIT FEE 1 lb I
Authorized signature: va/Aa■ et,CIZZD This permit application expires if a permit Ls not obtained within 180
days after it has been accepted as complete.
Print name: Diane Mason Date: sIllog . Fee methodology set by Tri-County Building Industry Service Board
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CUSTOMER INFORMATION ORMn'! !OI I
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ADDRESS ” vv / N4444(..._ . _ _
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-7 64/ 0 ? Z2_ PLEASE RI✓rnX APPLICATION WITH SITE PLAN.
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