Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00445
`TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439
Date Issued: 10/12/2011
Parcel: 1 S 134DA01904
Jurisdiction: Tigard
Site address: 11105 SW 108TH AVE
Project: Worrell Subdivision: NORTHERN PINE Lot: 6
Project Description: Replace gas furnace, heat pump and return vent. Placement of heat pump unit must meet 5' side and rear yard
setbacks.
Contractor: OREGON AIRE INC Owner: WORRELL, STUART
7715 NE 33RD DR STE A 11105 SW 108TH AVE
PORTLAND, OR 97211 TIGARD, OR 97223
PHONE 360- 423 -1966 PHONE 503 - 430 -8977
FAX 360- 423 -1978
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 10/12/2011 $46.75
Type of Use: SF Heat Pump 10/12/2011 $61 06
Class of Work: ALT Type of Const: Duct Work 10/12/2011 $23 32
Occupancy Grp: 12% State Surcharge - Mechanical 10/12/2011 $15 74
Stories:
Fuel
Fuel Types Natural Gas
Gas Pressure
Total $146.87
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 questio NC by calling 503 232.1987 or 1.800.332 2344.
Issued By: k ( G �� ` L i Permittee Signet !'. /! 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.
Oct. 7. 2011 8:32PM 72 degrees, Comfort Expert No. 8892 P. 1
Mechanical Permit Application FOR. OFFICE USE ON1,V
. ..,
City of Tigard
, g 13125 SW Hall Blvd., Tigard, OR 97223
11111 RECEIVE VZ: i 1 ,,, h ,....._"'" perrillt N n , r it - - - i t e . t kg, . . 06 V% 5 . ' * - . . - -
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" 1 Phone: 503 718 2439 l-x: 503.59:SA960 ther Nu n
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Inspection 1,ine 503,639 4175 0 cI 1 0 o
.2011 D
TIGAR:13 Date Itrady/Hy )"I &I Sec Page 2 for
Internet. www.hgard-or.gov
CITY OF TIGAIIDNGt1'kth.<1- . Supplemental Information
. ,' '.,: , ; , : , i': ',';. , , ,-,.. :, :•,, ,, ,- -,ryps oF: qi .. I .:
, , Oofef ROAL TE.V:SCHED LE,"."-;.i1S : . R.LiSi -
Mechanical permit fccs are based on the value of the work
1:::1 New construction IN Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition El Other: mechanical materials, equipment, labor, overhead, and profit.
Value $ $17,200.00
. •"; -,.1:..': ,(jA* .o ' :.::- , - 4 --
,.,• ,,,..,LL. ...10.ENTat.-.,1QuIra,?
ISI 1- and 2-family dwelling El Commercial/industrial 0 Accessory building For Special inform/Won use checklist.
0 Multi-family 1:1 Master builder 0 Other: Description Qty. NM Total
• -4 ' -'-'-'-'•••'...•=, . : .':‘ SOD Isir4. iNvitl*iji *:X14iii:.i,oicAttor■t
— , , „,..,..;-,,,•—•,-, .- . ; :::'"'‘ - Air conumorung
Job site address: [1105 SW 108 AVE (requires site plan showing nidoemeni) 46 75
— Furnace 100,000 EtT13 (duets/vents) 1 46 75 46 75
City/State/ZIP: TIGARD OR. 97223
Furnace 100,000+ ATU (duets/vents) 54.91
...........--
Suite/bldg/apt. no Project name: WORItELL heat pump
— .. (requires . s■iv . plan showing placement) 1 61.06 61.06
Cross street/directions to job site: Duct work 1 23 32 23 32
Ilydronic hot water system 23,32
Residential boiler (radiator or
hydronic) 23.32
....
— - Unit heaters (fuel-type, not electric),
in in-duct, suspended, etc. 46 75
----
Flue/vent for any of above 23.32
Subdivision: Lot no.:
' Other. ' 2332 --
Tax map/parcel no.: Other fuel appliances: ---
:.':', -.4.g..4 ., • '. ... q .• .,,,,,,,,,, . .,. , ..„.. - ........ *...“..;,,;,,,, . . -. .... w ver heater 23 32
V Y'r:!:7,.v-r! -:.• - .,. - ,'.n7;:..;;'": .., ., ' -
REPLACE 3T UPFLOW VARIABLE SPEED 80% GF WITH 3T UP FLOW 16 SEER (Jas fireplace 33 39
DP AND COIL. Flue vent for water heater or gas
• -- fireplace 23 32
REPLACE RETURN \TNT.
. Log lighter (gas) 23,32
_l_Artz2LIR/ . ellet stove 33.39
Wood firsplace/insert 23,32
Chimney/liner/flue/vent 23.32
; 1410161403,4 . : -- '-: ,. :7:7 ‘ .:' 1i4 ; , ;% ii:a 'MANI' ...':-P;' '
,.. ..„ ....:... ir;:'"'; ; Other 23.32
Name: SPARE VVORRELL Environmcntal exhaust and ventilation:
--- Range hood/other kitchen ,
Address: 111115 SW 108 AVE equipment 33.39
City/State/Z1P: TIGARD OR 97223 Clothes dryer exhaust 33 39
Single-duct exhaust (bathrooms,
,, toilet compartments, utility rooms)
Phone: (503)430-8977 Fax; ( ) 23 32
'P N ' ,:. , Attic/crawlspace fans 23.32
_
:19 , :.: , ' : . .„ .. ',LISONTACT -''-
— . . ..
' ' - Other: 23.32
Business mune; ORECON-AIRE INC. Furl piping:
... —,
Contact name: RON STRONG $14.15 for first four; S4.03 fur each addftioual
Furnace, etc.
Address; 7715 NE 33 DR. SUITE A
Gas heat pump
City/State/ZIP; PORTLAND OR 97211 Wall/suspended/unit heater
-
Phone: (360) 423-1966 Fax: : (360) 423-1978 Water healer
Fireplace
E-mail: rstrung@oregon-airc.com Range
,! -":•:. :. ::',' 1, , ,, , ' ,‘,, ,:,, coNTRA6*
Clothes dryer (gas)
Business name: OREGON AIRF. INC.
Other
Address; 7715 NE 33" DR. SUFIE A . , . 011, . • . „ ,. ‘ ‘
, , - ^ 'II ..W!■TIT, ..
Subtotal 131 13
Cily/Slatc/ZIP: PORTLAND OR. 97211
Minimum permit fee ($90 00)
_ _.
Phone; (360) 423-1966 Fax: (360) 423-1978 Plan review (25% of permit fee)
A ....,„_ ,
state surcharge (12% of permit fee)
15.73
CCB lig.: 64235 4/ _most _....___._
TOTAL PERMIT FEE 146.87
y This permit application expires if a permit Is not obtained within 18 ))1 49
Authorised signature: Mrr4111111., d ays after it huri been accepted .t, complete.
" Fee mcibecioiegy set by 1n-county bothling Industry !wvi‘e T5(7,177i
Print name: RON SIRONG I Date: 10/7/11
O'.' (lOIflOfIA /1./111.4/0 7 I r I 1 ii,/, r Inn/Writ,
Oct. 7. 2011 8:31PM 72 degrees, Comfort Expert No. 8891 P. 2
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