Permit CITY OF TIGARD MECHANICAL PERMIT
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I COMMUNITY DEVELOPMENT Permit #: MEC2009 -00166
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/17/2009
Parcel: 25111 CA10700
Jurisdiction: Tigard
Site address: 15225 SW 98TH AVE
Subdivision: TAMI PARK Lot: 14
Project: Yackley
Project Description: Replace gas furnace, install heat pump.
Owner: FEES
YACKLEY, HAROLD G & JOAN I Description Date Amount
15225 SW 98TH AVE Air Conditioning or Heat Pump 04/17/2009 $14.00
TIGARD, OR 97223 Furnaces >= 100K BTU 04/17/2009 $17.90
PHONE: 12% State Surcharge - Mechanical 04/17/2009 $8.70
Minimum Fee Adjustment - Mechanical 04/17/2009 $40.60
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PORTLAND, OR 97210
PHONE: 503 - 471 -4365
FAX: 503- 222 -0186
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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
i
Issued By: ' Permittee Signature: ZCl2_____ k A tiV Q
Call 503.639.4175 by 7:00 a.m. for an inspection that business 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.
, - 041.1E-09 01:27PM FROM-Carson O i l Co 5032220186 T P.001/003 F
J......s..,....slcasm..as I G111111 1-ipli1llatillii FOR OFFICE USE ONLY
q 1312
1, Ciy SW Hall of Tigard lvd
: 5 B., Tigard, OR 97223
RECEIVED Received , , 1 or... el
Dat Le e/By: L4t. 1 ', c
P eview Permit No.: cy er2 . 001 6
, I Phone 503.639.4171 Fax: 503.598 APR 1 5 2009 Ditnitne/RBy: Other Permit.
Tl'OARD Inspection Line: 503 639.4175
Date Ready/By: kris: lli See Page 2 for
Internet: www.tigard-or.gov Notified/Method --ri n ... Supplemental InlirmatIon
CITY OF TIGARD
NG DIVISION ., ‘ . ,‘r ,: :.... , ., ,,
,.. .
. . COMMERCIAL' FEE* SCHEDULE -- USE CFIECICLIST
. .• .. ,: . . •
D New construction Addon/alteration/replacement
[E iti . Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit,
CiiTEGOIfiY ot-6cjikthitttiCiiiii4y" ,,'.:'.' . ., ,:-,,,,, r,.. - Value : s
. ,,, . .. .,,..., .• • ,, ,..
:
lel- and 2-family dwelling El Commercial/industrial Comercial/industrial 0 Accessory building . ' R4,srpor[4 EquirmENT/ SYSTEM8 FEtP::.:
For special information use checklist.
0 Multi-family [] Master builder 0 Other:
Description 1 Qty. Ea Total
/OB:.51TE . .A.1STD: Loce.TIoN ::, ,.:, . ',.,:,- . .:- .- ..; Heating/cooling
Job site address: . ..1' A/ Cl
' ni
--- AL/E- Air conditioning or heat pump
/5;2 „ co
(requires site plan showing placement) I 14.00 ri , . -
City/State/ZIP: 1 j(; AR D OR. 972.24 Furnace 100,000 BTU (ducts/vents) 14.00
t
kl Furnace 100,000-t. BTU (ducts/vents) I 17.90 ti.qp.
Suite/bldg./apt. no.: Project name: HIVRoz..n Meit_i Fy Gas heat pump 14.00
Cross strcet/directions to job site: Duct work 10.00
,
30 . c "h / ert ,T 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
Subdivision: Lot no.: Flue/vent for any of above 6.8o
Other: 10.00
Tax map/parcel no.: Other fuel appliances Water heater 10.00
1.:i`..;■ , ::: , :i.:•• ' , ;:•::!:-r , , , - , ; ,•
Gas fireplace 10.00
. 645 - 16 9 Q . -- 12/fla / XI e,E /1" 1)1_4 eZ .1 - f e Air Flue vent for water heater or gas
f?
fireplace 10,00
apikez' j/ c Iii i 14, trt zAA- -
1 Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
'"' ' ....'"-- ''. ID iiiiAlo: •' ':: ?' • Chimney/liner/flue/vent 10.00
10.00
Name: PI A Ri0/ il c k 6 Environmental exhaust and ventilation
Address: /522 6 L , / s_r.o. Ave Range hood/other kitchen
10.00
City/State/ZIP: -f a R 9 7,2..7 .,../ Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( 563 59 ?_ c?'7 76 Fax: ( ) toilet compartments, utility rooms) 6.80
'.•;:', , i4 , ,,'t . .':;; , !:;_';',. 4)t■kwr,r. . . , Z'f. Attic/crawlspace fans 10.00
Business name: xs0,, D,- 1 e,„,,., Aki y
Other: 10.00
y 5,41
Fuel piping
-
Contact name: ciL
A I , 'h 4 $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc,
/ R....A j i:jan 35 al A a r‘k a --1
. io i
r i j - 4 /2. Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Phone: (50) y ... ix 5 Fax: (.5 222 . o 1 s 6, Water heater .
, Fireplace
E-rnaii: i llit•fq/Zeilhl.,aufe2t, 4 40■-1 1 . _ Range
. ;Jec-i:T,ii44' ' :: ' , : .0iNT , 4 6. 0 1 R ', .1,,;7. 1:.;:::.;..; ,,,:... 1 Barbecue
Business
Clothes dryer (gas)
nart7? 6 -)
Clothes other: . -
Address:3 1 as AN 35 2 j&-‘ 1 :: -ME.410(644.'13EP-Mt",r-**,s*, !;
City/State/ZIP: p
0 rri-A ^ JO Di< 97.2.' 0 Subtotal 3 1 . 9 el
/ Minimum permit fee ($72.50) 7 ,,51
Phone: (o3) y- - _34,5 Fax: ( 5°3)777 --0/ 8 C. Plan review (25% of pennit fee)
CCB lie.: 88 State surcharge (12% of permit fee) _ 8 . 70
TOTAL PERMIT FEE
Authorized signature: • •
Thin permit application expires If a permit Is not obtainrd within 180
., _ _ ,,, ,
days after it has been accepted as complete.
Print name: PAu /A/4 11/4-7 Date: .916%0 j * Fee methodology set by Tri Building Industry Service Board
0
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IOVER10'1
We are replacing the current
A/C with a heat pump.
{ The A/C was put in this location
when the house was built. It
15225 SW 98th Ave. was inspected and approved.
Tigard, OR 97224 Customer was hoping the City
of Tigard would grandfather
the location.
Questions can be directed
our salesman, Pat Beckley @
503.969.8940
Thank you very much.
IOVER 10'
FRONT
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