Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00210
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/17/2011
Parcel: 2S 111 AA04500
Jurisdiction: Tigard
Site address: 8580 SW INEZ ST
Project: NEISH Subdivision: GREENSWARD PARK Lot: 29
Project Description: Heat pump replacement. Unit must meet 3 ft. minimum rear and side yard setbacks.
Contractor: AMERICAN CONTRACTING Owner: NEISH, MATTHEW D & LAURA L
7855 SW OLESON RD 8580 SW INEZ ST
PORTLAND, OR 97223 TIGARD, OR 97224
PHONE: 503 - 407 -8538 PHONE:
FAX: 503 - 244 -9556
FEES
Specifics: Description Date Amount
Heat Pump 05/17/2011 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 05/17/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/17/2011 $28.94
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, 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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or :s• .. • 4.
Issued By: r ,■ Permittee Signature:
Call 503.6 .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.
May 16 11 02:55p 503- 244 -9556 p.2
'Mechanical Permit Application .
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„ llpard, OR 97223 �V Dtic /liy Perrtdl xo
IN
a _. Cj PlanRewcw � , /,_,.... 0
"' 13125 SW Hull Slvd
Pluto ; 503.; IK243r1 I Fax: SQ3.S�K,rt?6 \ � J r: \\
ns , Or' r r� f re/By.
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Inspection Line: 503.639.4175
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t �' �tctified /Mcthud,
�E \ �\ � ��C} � � Crrlrtrtcmenty[ Inform Mien
( P71: /l,t WORN ob.. V3 \$ COMMERCIAL It�1r" SCHEDULE - USE C CI�1 6T
❑ New construction - :i AddiQOnlalterarion/i� r Mechanical permit fees` are based on the value nr' thl work
T.
performed, Indicate the value (rounded to the noire-at doItar) of nil
❑
0 Demolition Other: rocch,utical materbd ■ , a u i merit, Inhnr, overhead, nnd_proItt
CAT OOR'It OF, CONS? R'(ICTION Value: $
— R E S I D E N T I A L EQUIPMENT/ SYi EI 3 S* •
. - and 2- family dwelling El Commercial /industrial ❑ Accessory building
For .t/ uRe rhrcrWrsl.
❑ Multi - family ❑ Muffler builder ❑ UCMcr: Description
)' Oty. Fa, Total
JQIf'&IIE L\r; OItNIA. ION AND LOCATION ['r�nlinr cnrtliitg' —
Job siu; atltlresti: Su) �I-t' ie. - flit cunduioinnt;
(rr(1 site Plan showieulnoement) 46.75
City/State/ZIP: � (,LY �i 4 Furnace 100,000)3TU((hung/venl ) 46.75
_
G v • � d Furnace t 00.0 D+ BTi l (dews/ i 54.91
Suite /bldg. /apt. no.; Project name: ' (Sr.- l scat pump
Cross strecL'dircctinrls to job site:
.: Duct res sire plan shnw,a pgtccniaeu).. 61.0h f .�,
•
Duet work
23.32
��•_, - (',� , ,, (, 1 I n _ f {atlrnnich
U1� =-L-w 23`32
,� Residential bolter (r�tliutoror -
h�2_ i_t'}`e - hydroiine
2132
—
Unit heaters (tool- type, not electric),
in-wall, in -duet. bus nded- etc. _ 46.75
� '
Subdivision: Lot no.: _ Flue/vent tint any of above_ 2132
Other:
Tax map/parcol nit.: r 5 i 1 DC-t,_.0 Q j 23.32
Uther fuel a il innec. :
•
•
l '!l:''.!:':. LII"9 RXC7"rON WORK _T Watery ?lower � M 2132 _ •
_. I t Q L-1 e ,� '1 t� Gas liroplacc 31..19
" Flue vent fur wt to heater or gas
_, �replace 23.32
_1.0e, lighter (Pay) 23,32 `_
1ArnndipCll 1 stove _ 33.39
•
- ' 0' N'Elt ' . -1 • 0 TF'IVAN'f - -- _Cl % mcrltl Lie/ ycrn 23.32
fireplace/insert
_ rbp
Ntu Other: 7,33
1 C " [ nvirmmrcnlal exhaust and vat rflation:
Address: Range hoot! /other kitchen
Cl[y /StiUCIZII': ctoi n tcnr 33.39
Clothes dryer exhaust 33.39
Phone:( ) tux:( )
Single -du exhaust (bathroom.,
.API!( f�pl�:r Ioilct compartments, util� y room~) 23,32
Q CONTACT PERSON nitie /c iwlspaee fans 23.72
Business name: f; Other; 23.32
Contact name: / Fuel pipit,
r � I �n_c__ fUI11tIGl, CfC, Sl4.IS for lirx4 four; $4.03 foreara addlltnrtiil
Address; /1 g'C' J5 S 7 V 1
:Itef/I P: v [� .� d 3— WaI bent pump
City /St
y —� - �� - h Wall /suspcndcd/anitheater
Phonic: (,5: ' ) J-t E & 7 . .' Fax; ; ( ) Water hcturr
L- tnuil; FirepllCC
•
E(I ,. Range, _ fiurhCClly •
ltaingss name: -I cL n , � ',a ` ' 4 I y d r y e r r .
Address: Other;_
■
" , -e iS\lt MECHANICAL PERMIT FEILg"
City /Slut4! %rP;' v'v' • ` s )y '�'
l/ Q G I Subtotal 67 `, U ,
Phone; t ", ) E _I 7 3-• . • Fax: 5) J _ Mini/DUO! ermi ,
— (SC y � } G' P t Ito fY 1,M,00) .. c C t L 1
Plan review (25 "0 of permit fee)
C! li IIc.; .��131 �} f� J
State surcharge (12 % ofpertnit Ii:c) 1G /cif)
To'I'nr, PERMIT FEE i 0
AtflJtnl'IYcCI tilgitidurC; - :, L T hu, permit appllcetion expires if a permit is not oiTt inert while's (1
dirt Aflrr it has Ir.r•n nrcCpted ma Complete.
Print name: �. -CIJ .e
A l OaIc: j j ., I/ 7 ' Fee uicUodr
t,ioip' set by 'I'd-co atit[din Indusu'y Service Iioe,d
i. to d n r P
PP a U r'09 /lit 440- 1617r(t1(02 ;(70WWCa)
M 503-244-9556 p.3
May 16 11 02:55p
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