Permit it
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009-00350
CARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 08/04/2009
T
Parcel: 25101 AB02000
Jurisdiction: Tigard
Site address: 7175 SW BEVELAND RD
Subdivision: BEVELAND Lot: 4
Project: Berman /Summers
Project Description: Replace existing rooftop unit.
Owner: FEES
BERMAN, JOHN M & Description Date Amount
SUMMERS, MICHAEL L, 7175 SW BEVELAND
Permit Fee 08/04/2009 $125.40
RD #210 Plan Review 08/04/2009 $31.35
PHONE. 12% State Surcharge - Mechanical 08/04/2009 $15.05
Contractor:
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS, OR 97015
PHONE: 503 -656 -1184
FAX: 503 - 656 -4650
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue: 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 $171.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopt:d by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You , ay obt4i a coo o t' - rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: �` /1 f� 11r �� Permittee Signature: j � —
l ' l Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FROM <MON)JUL 14 2008 11:22 /ST. 11 : 21 /No. 75000001Se P 2
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Mechanical Permit Applica>CI + D F OM OFFICE USE ONLY
•
City. of Tigard . R5 «ce . ..:-_ e - �. ,, . .
13125 SW Hall Blvd., Tigard, OR 97223 ! B' ^'tiJo:: !+
((�� ` Dat e lBy' i ! /L�.,irll�if erg ;.••- ��'• !r ' � •
JU L 1 ' U•• Plan Review ,�
Phone: '503.639.4171 Fax: 503.598.1960 ` 11 11111.74.! ..
Iri ection Line: 503.639.4175 - "'' Date�B y : •
Internet www- ciaigard.or.us CITY 0 ! • �. D a t e' e& vjet y: ;; .;t� Ste ent I tor;:= _ BllILDIN t>ed/etd: / =� � � r � upplemental lntoimation G DIVISION:: ..t ii': - ., ,,r. -
l � ? } : . i a . -L.� s. i•<' !1•`'�$ ' i °x. '�'�'-`''� ,,, . t,, �� ,, . , , L �., v , � � . r. l- :i 6 3 4: tl .%'
' : r _ ......x �'J. ^ea.. A r �.` �,9 a t - t f v 7 {o b R , 7- . . z'x - '3i •, :„ . �{" - ',. . a ,
ees areb
o' . - ition/alteralio . . , . • • Q New construction' �arestd r of all Mechanical�peiniiEt, ed on work':- '
Demolition ormed. Lidicate;thewaluc` rounded to thane olla - • f a
❑ er e )
mechanical matenals equiprrteni, labor- erl+ona 's�:t oilt;
r 'r y ,I)1rN SC'%, ; pgCt� lcr'!(' iF•4'. - T+ 7 } }� y � { s, ( E a V •
tea..- .:•:• J 3_t t. s 1.. . s :i l fI v ; `��* -Ci 04 ' 1 • disc. :rn L.'2' ' S `.'
r=1 1 - and 2- family dwelling" I! Commercial /industrial ❑ Accessory building ` * 5 e, ?'�7t ±. a r Y, rT EN�S •F E 5
[::] Muln fanvly ❑Master budder - - For special - information use checklist.
❑ Other
Description 1 Qty. Ea. I Total
r i t•;1si•' 9n 1 ,AJ -5∎T v7 Q' 1 ig P gid ∎ L..
a ! .• a t9 kt r : _ c ' tyj Heating/cooling � ...- es- 2_.:..._- �- ..._..i..�. a......._.:._ _ ....... .......... . .. � J.. +Sc�.. "Sy_77�.G:- fi�s.tl.l _'u s ar -.
J Air conditioning or pump
Job site address: 7 / 7 ) ., • C� � G� � f . (requires site plan showing placement) 14.00
City /State/ZIP: ,� C, Y J Furnace 100,000 BTU (ductstvents) w 14.00
Suitelbld /a t no.: ••••• � .• Furnace100,000±BTU (ducts/vents) 17.90 "
g• P Project name: �� ,, ,
..,.,, ,, „ .
Gas heat pump 14.00
Cross street/directions to job site: Q}''/+ -) t jJ-Jf ; : . Duct w o r k -•y 14.00 .
Hydronic.hot water system 14.00 .
-- _- - Residential boiler(radiator.or.. ... .- -- 1 - -- • -
hydrdni ''.r:'ti i ill,., f < 14.00' ' fr '•
• Unit heaters (fuel -type; not electric), .
: in- wall, in- ductpsuspcndcd; etc. ' 10.00 '
Fluelvent for any of above •
Subdivision: 10.00
1 Lot no.:
Other: 10.00
=.Tax map /parcel no.: a , ei/A6Q o Other fuel appliances
Water h eater ' ' 10.00 t-
4 .' < +7 ::-.l fila 1 .2 : � r91 's U tl W � +� T ' trt s' t o- "r� :
_.a..c�: .: ,:..�- . ' . 1 .L
.1 :�,- ,e•_.,.w:x._ X n a�.: Gas fireplace ' ... 10.00
! I i.Y'R . �� ` ' I O p' C� AJ 1 Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) ' 10.00 •
Wood/pellet stove 10.00
?.,'tt Wood fireplace/insert 10.00
r __ It_ a i `i r t� t.4 ,- ..a,a.ii 1 f . s.t: z s r , � f. k �' of imney/liner /tlue / vent 10.00
Other: 1000
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Faxt Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) . 6.80
'; :S n '' ' =; s 3 Q►p,, -''• ijIa`A4z: Attic /crawlspacefans 10.00
�.. c, r.. ... - -.. ._. - .... :
Business name: 1 { „ -1 l ( Other: 10 -00
�l Fuel piping
Contact name: r � \ ` 1�`�� ' S-
_ \ z2 $5.40 for first four; S1.00 for each additional
Address: Furnace, etc.
1 - � - � PL 7=1.x" ,z Gas heat pump
City/State/ZIP:
yLU Lq.k 5 Wall/suspended /unit heater
Phone: ( ) �.5� // 8 �/ Fax:: (t.,"' &- e. J L, Water heater
E 1 / Fireplace
mail.
1, Range
t } :: . i ^!� S - F . 'f ✓ `. , e' 2',. . ;x a $' � •'; :iw , .i' 7 Barbecue
Business name: - " ��� l� Clothes dryer (gas)
Other; J
Address: / _ f5 n ` :; _-
,City/State/Z 4C..kkc1 vyz - i - ° Subtotal
. Phone: ( ) i/ G Fax: ( ) / .--� -76.' SO Minime 25 %it fee r mit fee l
P lan review (25% of permit fee)" .
CCB lie.: ,E-/(/ J- State surcharge (8°/ of permit fee) I
• - - - TOTAL PERMIT FEE
/ +rte i 01 ' Authorized sigtat / t •
� I This pernuC appli t pires tf a permit ft not spie .(:thin "t80 -
_ days atter Ibhas accepted as comple - .,
:P name: •y! t D j " Feeee methodology set by Tri• County Building Industry Servic -Board .-s
0$uikir*Pem+irslt.t C- PennitrWPP doe 12/03 4s5.36I ST t, t /o2/CO V ^.tSfj - .
CITY OF TIGARD FEE AND PAYMENT HISTORY
n
1 ffi 13125 SW Hall Blvd., Tigard OR 97223
' 503.639.4171
TI G.t RD
MEC2009 -00350 - 7175 SW BEVELAND RD, TIGARD, OR 97223
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due
Permit Fee 2300000 -43102 $125.40 $125.40 $125.40
Plan Review 2300000 -43111 $31.35 $31.35 $31.35
12% State Surcharge - Mechanical 1003100 -24001 $15.05 $15.05 $15.05
Totals for Fees $171.80 $171.80 $0.00
Receipt # Payment Method Check # Payor: Receipt Date Receipt Amount
Total Payments: $0.00
Balance Due: $171.80