Permit CITY OF TIGARD MECHANICAL PERMIT
_ tr. COMMUNITY DEVELOPMENT Permit #: MEC2011-00376
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/16/2011
. Parcel: 2S 114 BA08500
Jurisdiction: Tigard
Site address: 16400 SW WOODCREST AVE
Project: Mala Subdivision: COPPER CREEK STAGE 2 Lot: 25
Project Description: Install furnace, replace water heater, run gas line for water heater.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: MALA, DANIEL J & LAURIE MANGHELL
PO BOX 241 16400 SW WOODCREST AVE
DUNDEE, OR 97115 TIGARD, OR 97224
PHONE: 503 - 691 -9699 PHONE:
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 08/16/2011 $46.75
Type of Use: SF Water Heater 08/16/2011 $23.32
Class of Work: ALT Type of Const: Fuel Piping 08/16/2011 $14.15
Occupancy Grp: 12% State Surcharge - Mechanical 08/16/2011 $10.80
Stories: Minimum Fee Adjustment - Mechanical 08/16/2011 $5.78
Fuel
Fuel Types: Natural Gas
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
issuan work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Ut " Notification -nter. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
o direct questions to O► Cs -1 • 503.232.1987 or 1.800.332.2344. •
Is ued By: , Permittee Si .1 trL�
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Call 503.639.4175 by 7:00 a.m. for the next available inspec on 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.
08/12/2011 15:47 503 -691 -8556 OREGON HEATING PAGE 01/02
Mechanical Permit App1ica o g ? F j rest( o1'1 10E USE ()NIA'
City of Tigard cc i yd Permit lvo.: �e, -DO 3
v 13125 S W Hall Blvd., T i g ard, QR 97223 A U G 1 2 2011 Date
/By; Plan Review
Ph one: 503.718.2439 Fax: 503.598 "1960
pate/by: . Other l'ermut:
. 1_i C A p i, Inspection Line'. 503.639.4175 CITY OF T GA iD Dace ai.eady/fly: ,Tune: la See ;page 2 for
Internet: wwW.tigard- or.gov
PUP DING DIVISION Notified/Method: Supplemental Information
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® New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special infornrcatior use checiaist
❑ Multi - family [] Master builder ❑ Other: Description 1 Qty. 1 Ea. J Total
i is � • ;�; \ r .., • vt r. >;rr ? g';',717,137,,77..,, a'^ yea ti a'- : :,rt,:"';it< M R �:;:,
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`' ° ' ' ""'" Air cgnditioing
Job site address: 16400 SW Woodcrest Ave • (requires site plan showing placement) . 46.75
Furnace 100,000 BTU (ducts/vents) 1 46.75
City /State/ZIP: Tigard OR 97224 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt, no,: Project name: Heat pump
requires site .Tan ShOwin : .lacement 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
h dronic 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:
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�;> �aE � u e M H N l�,y.. •, rip ; at 1 23.32 23.32
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Install Furnace, replace water heater, run gas line for water heater Oa Ore i lam` 33.39
Flue vent for water heater or gas
fireplace 23.32
- -- Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fire .lace /insert 23.32
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t.,,..c$ ..r�crcanti::t.:.:. : \ t ,w JSl yrl' W other; 73,32
Name: Dan Muhl
Environmental exhaust and ventilation:
Address; 16400 SW Woodcrest Ave Range hood/other kitchen
equipment 33.39
City/State /ZIP: Tigard OR 97224 Clothes d er exhaust 33.39
Phone: (503)691 -9699 Fax: ( )
Single -duct exhaust (bathrooms,
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, ; v x t :� . t7 <'�o:, n ! 4 �'' '�+{ ,T" "�i, S "' r+t ; l :`. 23.32
tirait ` it Ag :.; • . ::4 a� .7,:,.x< a r! , i� �, kit e ... .: . )�" , -r k., r t,,, .:;z Attie /CraWlSpaCe fans
Business name: Oregon Heating & AC
Other: 23.32
Fuel •i•in•:
Contact name: Kristi Warren $14.15 for first four 84.03 for each additional
Address: .19300 SW 118 Ave Furnace, etc.
Gas heat pump
City/State/ZIP: Tualatin OR 97062 Wall/suspended/unit heater
Phone: (503) 691 -9699 I Pax: (503) 691.8556 Water heater
Fireplace
E -mail: permits1oregonheating.com
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Business name: same Clothes d er as
me as applicant Mil
Other: M
Address- ivd 'lei:iiilr {:c.ri.
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City/State/ZIP: • -.� rs7x.r
l�a�i�....„c vs.:k»a'in
ty Subtotal 84.22
Phone: ( ) Fax ( ) Minimum permit fee ($90.00) 90.00
_ Plan review (25% of permit. fee)
CCB lie.: 172126 • - State surcharge (12% of permit fee) 10.80 j
/ „M TOTAL PERMIT FEE 100.80
Authorized signature: / ,� • '/".1------- This permit application expires its permit is not obtained within 150
days alter it has been accepted As complete.
Print name: Kribti Warren Date; 08/12/11 • Fee methodology Bet by Tri- County Building Industry Service Hoard
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