Permit 44 CITY OF TIGARD MECHANICAL PERMIT
1 1. It COM MUNITY DEVELOPMENT Pe rmit #: MEC2011 00363
TW.WARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/03/2011
Parcel: 1 S133AD04100
Jurisdiction: Tigard
Site address: 10840 SW SUMMER LAKE DR
Project: GILHAM Subdivision: Lot:
Project Description: Replacing gas furnace and A/C unit.
Contractor: OREGON AIRE INC Owner: GILHAM, LLOYD E & VALLIE J
7715 NE 33RD DR STE A 10840 SW SUMMER LAKE DR
PORTLAND, OR 97211 TIGARD, OR 97223
PHONE: 503 - 335 -2222 PHONE: 503 - 808 -6063
FAX: 503 - 335 -9977
FEES
Specifics: Description Date Amount
Air Conditioning 08/03/2011 $46.75
Type of Use: SF Furnaces < 100K BTU 08/03/2011 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 08/03/2011 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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 1.800.332.2344.
i
Issued By: �� _ ` Permittee Signature: / N t
i /
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.
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Mechanical Permit A t ca t ia.r � f FOR OFFICE USE O Ly
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tc Received
II City of Tigard Date/By: i
• 13125 SW I Blvd., Tigard, U1 8p33 2 2011 X n IM i�
• Phonc: 503.718.2439 Fax: 503:558.1960 Plan Review Other Permit:
Date/13y:
T 1 G A Rl?
Inspection Ling: 503.b39 4175 �/ � Tl�tA D Date Ready /By: kris: 4M Peke z for
I nternet: www.tigard•or -+ CI t 1 . , - Notified/Method: Supplemental information •
BUILDING DIVISION ...el
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Mechanical permit fees* arc based on the value of the work
❑ New construction ® Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition El Other; mechanical materials, equipment, labor, overhead, and profit.
�" Value $ $13,605.00
. - , -
y dwelling Q Commercial /industrial ❑ Aceesso building ,
CA`<'IMOOI�'�',C)l� G411iyS1'R'f�C1i('$`� 'l .,, "
; .,, 12E . Ai ,.. M .„ :„!VII ', /5 Y5S ,, " ,:.
® I- and 2 -famtl dwellin ry ilding Furspecial information frs d chcckllsf.
❑ Multi - family ❑ Master bUilder ❑ Other: Description I Qt Ea- Total
== ,,,,, ":4:,!$ lTI� ; :: 4't.tiRI'�A t)N: t' iiri:-thC�'9.'170k r ; �t�'"�, Iitatm /coiling:
.,,
Job site address; 10840 SW SUMMER LAKE DR (requires site plan thawing placement) 1 46.75 46.75
City /SLaleJ7,TP; PORTLAND OR 97223 - Furnace I00,000 BTU (dacts/vents) 1 46.75 _ 4 _
Furnace 100,0004- BTI) (duets/vents) 54.91
Suite/bldg, /apt, no,: Project name: GILNAM Heat pump
- - (requires site plan showing placement) 61.06
Cross stroeUdircctions to job site: Duct work 23.32
ydronic hot water sYstern 23.32
Residential boiler (radiator or
hydronic) 23.32
- ""- Unit heaters (htcl -type, not electric), mm,
in -wall, in -duct, suspended, ctc. 46.7.5
Subdivision: Lot no.: Flue /vent for any of above - 23.32
Other: 23,32
Tax map/parcel no.: Other fuel appliances:
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...... .::::....): ?�:::::::i:= :!rt,: 111....: ��:';::,:,,..:,:::•. � R 1Sk:;' �" 1�lY... fi3! T..... W O�RTC: m::::::,., t,,,,.::..........,_...........,,, lk„ 1, ::::: . ::: ._,�,....,�,::,,:::: -; Water heater 23,32
REPLACE GAS FURNACE AND A/C UNIT Coe fireplace 33,39
Flue vent for water heater or gas
fireplace 23.32
'-"- -• • • Log lighter (gas) 23.32
wood/pellet stove 33.39
Wood fircplace/insert 23.32
1--- .. 1 Oh'' r Y ti* ,, 1 + "-. i�,r � y, � 1, 14 Chimney /liner /flue /vent 23.32
'
11 I'' , �
. r' R .411'1' ,
- _ Other: _ 23.32
Name 1.I.OYD GIIf1AM Environmental exhaust and ventilation:
Address: 10840 SW SUMMER LAKE DR. Range hood/other kitchen
equipment 33.39
City /Statt/7,TP; PORTLAND OR 97223 _ Clothes dtyer exhaust 33.39
Phone: (503 )808 6063 Fax; ( ) - Single -duct exhaust (bathrooms,
03 ... ) - 60 :. Fax; .:.......:•:::::.....,
toilet comp lcn s utility rooms) 23.32
-,.,,, -- .,^,;es;" :. , ,,o I'll "T,TC2ki ;:,; , a q1, ,� C" 1oke 1xogo it Attic%rawlspace falls 23.32
Business name: OREGON -AIRE INC. Other; .- 23.32
Fuel piping:
Contact name: RON STRONG $14.15 for first four; $4.03 for each additional_
Address: 7715 NE 33 DR. SUITE A Furnace, etc.
- _ Gas heat pump
City /State/ZIP: PORTLAND OR 97211 Walt/suspended/unit
Phone; (360) 423 -1966 Fax :: (360 ) 423 -1978 water heater _
E -mail: rstrong(k)oregon- aire.com
Fireplace
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Business name; OREGON -AIRE INC Clothes dryer (gas) -
Address: 7715 NF. 33 DR. SU1I'E A - :,Ut -... .
Other:
MECHT!I4AA1� R1tMr1',lfkES"
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City/State/ZIP: PORTLAND OR 97211 Subtotal 0
Phone: (360) 423-1966 Fax; (360) 423 -1978
Minimum permit fee ($90.00)
Plan review (25% of permit fcc)
CCB lie.: 64235 State surchar (12% of permit fcc) 11.22_
TOTAL PERM IT FF.E. 104.72
Authorized signature:
Thia permit application eapirex if w permit is not obtained within 180
days after it has been accepted as complete.
Print name: RON STRONG Date: 8/2/11 1 ' Fcc methodology srt by In Building lndactry Service Hard
l,U3uitdin; ermi,zl .d n 'oN ;A;dx3 }lo ,[woo 's;;)2;P L. WH8l : l l l l0Z 'Z '211y
Aug. 2. 2011 11:190 72 degrees, Comfort Expert No. 8083 P. 3
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