Permit 111 MECHANICAL OF TIGARD MECHANICAL PERMIT
` °l COMMUNITY DEVELOPMENT Permit #: MEC2011 -00384
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/06/2011
Parcel: 1 S133AC12700
Jurisdiction: Tigard
Site address: 10920 SW HUNTINGTON AVE
Project: DEFOURI Subdivision: HAWK'S BEARD TOWNHOMES Lot: 45
Project Description: NC installation.
Contractor: OREGON AIRE INC Owner: DEFOURI, RACHEL
7715 NE 33RD DR STE A 10920 SW HUNTINGTON AVE
PORTLAND, OR 97211 TIGARD, OR 97223
PHONE: 503 - 335 -2222 PHONE:
FAX: 503 - 335 -9977
FEES
Specifics: Description Date Amount
Air Conditioning 09/06/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 09/06/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 09/06/2011 $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, 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.
Issued By • - Permittee Signature: -
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.
Mechanical Permit Application 1'w� 1. FOR OFFICE USE ONLY -
City of Tigard � C V ,k ' Receive. - ; Permit No.:
13125 SW Hall Blvd., Tigard, OR 97p2 Plan V, " _[ ,/ - n Review A
I N
Phone: 503.718.2439 Fax: 503.598.1960 G 11 Other Permit:
f 1GARD; Inspection Line: 503.639 4175 S ` Date/By:
-,n Date Ready /By: 63 See Page 2 for
_-r,.. Internet: www.tigard-or.gov �� ''1
g a (� t Notified/Method: Supplemental Information
r na \ $`) En
::::_..,..; 4 - : : : : -- - °._..... :. ......... . . .. r . t..__.... ..�,..._ _ s:;ilt .. : kILRCi G . �F2 E's`SCHE -- - : - - ; :..- ..:, � : ....
"' - u „, performed. Indicate the value (rounded to the nearest dollar) of all
_ Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alteration /re lacement -"
Addition/alteration/replacement �1 fo� 7"
❑Demolition ❑O ther: L \0'011''''i +��.pp�� mechanical materials equipme bor, overhead, and profit.
:::_::::<•.::.:litio _- ..- .... _.....:. .............: O :,- . f�.. . ;v ......_ .. $3,200.00
... _..... - ::; ,. :.;.. .:- ::::•:,:::•-:=:�,: - :• . •. = . - -� �• �� . l Value: $
CxI'EYOR Y-.:.Ot i g9NS'EINMI : ...... . ;1 . 44 : :.:..:.. : : ::. : ::.., - ,: . :..,_.....,..-.-:•:•:.,-:: ::•..,.,-.,:-:::_ ::
:,�..:....._
W .., _._ �.:::::::a::.; : .:.::.:::::::::::::...._ .__.::.: :.:::,::.::.::::..::::::. �.-::. ::::::�.:.:.,._:::.:.::::::;.:_ _.: >t::::a:: .. = =:�: �,._:::: r;� =; €11ESJIII+�NT>s�..f} a�tti.''€. 'T•.SYS'FEIFIS;k'EhS*_•;;r.:xi �i � � -•i
0 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. Total
........:.:s- .... O _ ON :..:::.:...:_. ; ..._......-_.._._.__.: �, -:. :,- .-- .-- c ::--- ::- z - .:;:as ing/cooling:
s
' =s � :. _. - ., :•,_,:: - .,•...f0$:: - .
... )F=(3RaYIA:..�OI�F` II?K;1I O X:T'IQ:T€ =: � ::
> = € ' st _" ... eat .
" " •' - - ' . " Alr condttomng
Job site address: 10920 SW HUNTINGTON AVE (requires site plan showing placement) 1 46.75 46.75
Furnace 100,000 BTU (ducts /vents) 46.75
City/State /ZIP: PORTLAND OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldgiapt. no.: I Project name: DEFOURI Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
• Other: 23.32
Tax map /parcel no.: Other fuel appliances:
....._.,•_ - . - : _._..:...;,:::: . -.,� : a -�: [ RIt , ,, , , , � :IPI 7 -- aR Water heater 23.32
ADD AN AIR CONDITIONER TO HOME Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32 23.32
,., :,,::,..,::•::_ - -: :::::::: -: -; :_ _ _:__ :_;,'`_ a:: ::.. -._, ,._ _ ;:.::...._.
..; .._ ............._ J?It: OPTsR`PT-_E7:T,�NE$ :::::..::_ -: -: Wit: ::: � -:::: �- ,::, -::::: •,r...
tmney
......�:..._ >....., ....._ - ,..- .:.,::..::::..,__:,_.._. - ......_.__... -_v. ; Other: 23.32
Name: RACHEAL DEFOURI Environmental exhaust and ventilation:
Address: 10920 SW HUNTINGTON AVE Range hood/other kitchen
equipment 33.39
City/State /ZIP: PORTLAND OR. 97223 Clothes dryer exhaust 33.39
Phone: (503)329 Fax: Single -duct exhaust (bathrooms,
( ) _ ( ) toilet compartments, utility rooms) 23.32
:: ;;:.. ''' =_��'_ ::::- Attidcrawls ace fans 23.32
::: �1» ���; �=` s's:Q•`t�L'• »_ €;_ �: €� ^_"::�:'.E �: �: ��QAiI��.�$$p.N:;:::c:� =� P
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 Wall /suspended/unit heater
Phone: (360) 423 -1966 Fax: : (360) 423 -1978 Water heater
Fireplace
E -mail: rstrong @oregon- aire.com
............... ...... •. C Iti! 1' C 'O'CISLYi:::`c:::::::_.._;::s =; �_�a:s _e::;:::;:�:::e .a;. _sii ��:i Barbecue
Business name: OREGON -AIRE INC. Clothes dryer (gas)
Other:
Address: 7715 NE 33 DR. SUITE A gi; i 11 Cl ASICAL PERMIT F`JIES*(is' " '1ss i €';i, ;." ;`
City /State/ZIP: PORTLAND OR 97211 Subtotal 46.75
Phone: (360) 423 -1966 Fax: (360) 423 -1978 Minimum permit fee ($90.00) 90.00
Plan review (25% of permit fee)
CCB lie.: 64235 / ,.....---...__ State surcharge (12% of permit fee) 10,80
/ 4P2i/ TOTAL PERMIT FEE 100.80
Authorized signature: T his permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: RON STRONG Date: 8/29/11 * Fee methodology set by Tri-County Building Industry Service Board
t:\ BuildinglPermits \MEC- PermitApp.doc 09/09110 440.4617T (11 /02/COM/WEB)
k
I
1 J )(111/
C 9