Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00147
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/07/2011
Parcel: 2S112BA05900
Jurisdiction: Tigard
Site address: 14058 SW MILTON CT
Project: Transcat Subdivision: Lot: 0
Project Description: Move existing duct and demo existing duct.
Contractor: GOHMAN MECHANICAL Owner: GOODHEAD, DAVID & JAN M
14505 SE HWY 212 9846 SW PEPPERTREE LN
CLACKAMAS, OR 97015 TIGARD, OR 97224
PHONE: 503 - 658 -1892 PHONE:
FAX: 503 - 658 -6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/07/2011 $204.14
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 04 /07/2011 $24.50
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $4,900.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $228.64
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 2
Fire /Smoke Dampers:
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 Noti ion Ce -r. 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 uestions to OU • i • 03.232.1987 or 1.800.332.2344.
Issue By: /i tjrAjdzi Permittee ) 4011 �
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.
04/06/2011 14:21 5036586925 GOHMAN MECHANICAL PAGE 02/04
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Mechanical Permit Application ( : I� FOR OFFICE. USE ONLY
C1 of Tigard 1312 SW Hal Blvd Tigard OR 97229> � d.1 ,. `. ; : Received Permit No.: �^/
11
., , - �� �/ / -
i," Date/By: ilt / 'e6( /
:Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 \ � G �� l� ` 13ate(By: Other
T t G A R D insPcction Line, 503,639,A•175 � `�� `� Date Ready!By: ) ,fit: 1a See Page 2 for
Internet; www,tigard- or,gov � l ' C ' Notified/Method: Supplemental Tnrnrmntinn
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Mechanical permit fees* are based on the value of the work
❑ New construction ddition /alteration /replacement performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other; mechanical materials, equipment, labor, overhead, ar_iftl
G` ddit ' 'bF il's*5ttt11 h'Ltl N _
Value: $ 54,900 00
❑ I- and 2- family dwelling ►pj Commercial /indu5trip.l ❑ Accessory building pInformation use checklist.
Cars ecinll of
❑ Multi- family ❑ Master builder ❑ Other: Description _ Qty. Ea. Total
it L1!JE 4!t d t : t ''A'nON ,r II[ cating/cooli
°. � Air conditioning ng:
Job site address: 14058 SW Milton Ct. (requires site plan ahowingplaccmcnt) 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducta/venta) 46.75
Furnace 100,000+ BTU (ducts /vents) 54,91
Suitc/bldg, /apt. no.: I Project name; Transcot TT 2011 Neat pump
(requires site plan showing placement) 61,06
Cross street/directions to job site: Duct work 23,32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23,32
Unit heaters (fuel -type, not electric),
In -wall, in -duct, suspended, etc. 46.75
Subdivision: 1 Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: yyyyyy �((.y. ��.,�Yf, �jy�, Other Mel appliances:
.'::,"! I ITI nloittA1 i11`�tll WC'. � R � ' �
:: � ° ` Water beater 23.32
Move Existing Duet, and Demo Exiaitng Duct Gas fireplace 33,39
Flue vent for water heater or gas
fireplace _ 23,32
- Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32 -
Tr l tip' It W RIfItl i �' „u�, 1, „ a t` i ' l
s,k /il 1,,:, t I ,
Chimney/liner/flue/vent 23.32
Other:
23.32
Name: Environmental exhaust and ventllatIon:
Address Range hood /other kitchen
. equipment 33.39
City /Statc/7.,TP: Clothes drycr exhaust 33,39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
l.
.., .ki* I,tc+,*.i ; f : :” C I!v7'.il';v7'' P' 1RgbN ' Attic /erawlapece fans _ 23,32
Business name;
Other: 23.32
Fu el prieing4
Contact name: $14.15 for first four; $4.03 for each additional
Address Furnace, etc,
Gas heat pump
City/State/ZIP: Wall/suspended /unit heater
Phone: ( ) F ax; : ( ) Water heater -
E-mail: Fireplace
�,�.y, ,�y�qµ Range
, �;i�i rl'I I I , I S r " eiti I1,�T:VrI'l 1 ft i f q! ._ ._
I i r ^ , � �I � r Barbecue
Business name: Gohman Mechanical, Inc. Clothes dryer (gas)
Other
Address: 14505 SE Hwy 212
y (ralluli� i 11"l'i' 04)4; tl�iratI tt 4 , ,
City /State /ZIP: Clackamas, OR 97015 Subtotal ] /I
Phone: (503) 658 -1892 Fax: (503) 658 -6925 Minimum permit fee ($90.00) ��
Plan review (25% of permit feee )
CCB lie.: 119952 State surcharge (12% of permit fee) 50
TOTAL PERMIT FEE AS' •
y This permit applieati expires if ti permit is not obtained within ISO
Authorized signature: �" „ - days after it has been accepted as complete.
Print name: Drew Gohman Date: 04/06 /2011 I ' Fee methodology set by Tri- Cnuniy nuildiin Industry Service Board
t' l8tiilding \PcrmitAMPC•PermitApp,dnc n9/n0 /10 44n -4617T (I1 /02 /COM/WE3)