Permit CITY OF TIGARD MECHANICAL PERMIT
71 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00203
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/11/2011
Parcel: 2S103CB03001
Jurisdiction: Tigard
Site address: 12285 SW MARION ST
Project: Mainlander Properties Subdivision: WILLAMETTE NO.2 Lot: 35
Project Description: Install air conditioner. Unit must meet minimum 3 foot rear & side yard setbacks.
Contractor: FIRST CALL INSTALLATION COMPANY Owner: MAINLANDER PROPERTIES
13150 S CLACKAMAS RIVER DR 12285 SW MARION ST
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503 - 231 -3311 PHONE: 503 - 635 -4477
FAX: 503 - 557 -0919
FEES
Specifics: Description Date Amount
Air Conditioning 05/11/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/11/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/11/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
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, _is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Cente . Those rules are set forth in OAR 952 - 001 -0010 through OAR 9 :i 0090. You may obtain a copy of the rules
or d" ect questions to OUNC :. . i g 3.232.1987 or 1.800.332.2344.
00 Iss ed By: .1 Permittee - 'nature:
L1 i y / ,,l'%
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.
RECEIVED
Mechanical Permit Application 1'0I4 01.1z 1( I t sl O\I \ -
MAY 10 2011 Received teB :
Da 5 HAM i PenultNo.: tleekf� ooao3
City of Tigard
13125 SW Hall Blvd., Tigard, OR 972 Plan Review
. Phone: 503.639.417.1 Fax: 503.590 1'r t' OF TIGARD Date/By: Other Permit:
I R./ my) i> Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By' runs' HI See Page 2 for
Internet: www.tigard Notificd/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
E:1 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
0 Demolition ❑ Other: mechanical materials, equipment; labor, overhead, and profit.
CATEGORY OF. CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
0 1- and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building '
For special information use checklist.
p Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 17285 e ' marl 0 I t et . Air conditioning 1 46.75
�i8 412 Furnace site plan showing (ducts/vents) City /State/ZIP: Fumae 100,,0000 T3T ducls/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump 6 1.46
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: Lot no,: Flue /vent for any of above 23.32
Other: '23:32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23:32
• Gas fireplace 33.39
Flue for water heater or gas
G�j n, (�/} fireplace 23.32
rte`^ ""'r `�' 0 Log lighter (gas) 23.32
Wood /pellet stove 33.39
-Wood ftreplece/insert 23.32
X PROPERTY OWNER ❑ TENANT
Chimney /liner /flue /vent 23.32
Mah n(a f e r r�1 f3 Ether: 23.32 ,
Name: Environmental exhaust and ventilation
Address: f Range hood/other kitchen
equipment 33.39
City /State /Z1P: Clothes dryer exhaust 33.39
Iw � Single -duct exhaust (bathrooms,
6�t3
Phone: ( ) til 44in Fax: ( ) toilet compartments, utility rooms) 23.32
tEl APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: Tri County Temp Control
Fuel piping
Contact name: Diane Masan $14.15 for first four; $4.03 for each_ additional
Address: 13150 S Clackamas River Drive Furnace, etc.
Gas heat pump
City/State/Z1P: Oregon City, OR 97045 Wall/suspended/unit heater
Phone: (503) 557.2220 fax: : (503) 557.0919 Water healer
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: First Call Installation
Clothes dryer (gas)
Other:
Address: 13150 S Clackamas River Drive MECIIANICAL-PERMIT iEES*
City /State /ZIP: Oregon City, OR 97045 Subtotal
Phone: (503) 557.0230 I Fare: (503) 557.0919 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 1 82714 State surcharge (12 % of permit fee) QJ
TOTAL PERMIT FEE O •W
Authorized signature:
472aAfetrif-" This permit application expires if a permit is nofohteined within 180
days after it bus been accepted as complete.
L Print ntune: Diane Mason Date: 5 ( i t * Fee meihodology set by'fri- County Building Industry Service Board
„°..n,u.,,aw... 4....,cr.n.,- ; «e. «" .t.,,. tn.'nlma 440- 46I71'1I1 /02 /COM/WEHI
I'd 096T8ESE1S :01 :W0aA d21:2T TIB2 -BT -» 114
MAY-10-2011 12:14P FROM: TO: 5035981960 P.2
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