Permit CITY OF TIGARD MECHANICAL PERMIT
1111 2 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00451
Date Issued: 10/13/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 2S102CA00202
Jurisdiction: Tigard
Site address: 9745 SW FREWING ST
Project: ROUNDS Subdivision: NORTH TIGARDVILLE ADDITION Lot: 35
Project Description: Replacing hot water boiler and installing gas piping for fireplace.
Contractor: LARRY & CHUCKS HEATING INC Owner: ROUNDS, KATRINA
2026 SE 11TH ROUNDS, ERIC LEONARD ESTATE OF
PORTLAND, OR 97214 9745 SW FREWING ST
TIGARD, OR 97223
PHONE 503 - 232 -5747 PHONE.
FAX 503 - 232 -8922
FEES
Specifics: Description Date Amount
Residential Boiler (Radiator or Hydronic) 10/13/2011 $23 32
Type of Use: SF Fuel Piping 10/13/2011 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 10/13/2011 $10 80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 10/13/2011 $52 53
Stories:
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
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 503.232.19: : e.- 344.
Issued By: i - ermittee 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.
10/ 12/ 11 2:50 PM
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IV -1 1a --. Meal Pel.1 111i. it Application
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Perma Nu Ad 1.„... ,, , ii — AI
:.. City ot"figard
I llii .--- PI 13125 SW Hir11131vd_sl igard, OR 90
0 Plan leevic w
: ; ■ . phon 503.718.2.439 Fax 503 59 941 / Wc/Fly (m Permit
r , Inspection Line. 503,6394175
T I t7; ARD , ' 1:k c) ‘ 1),rie Ready/By. Nnv 0 Sec rage 2 for
- I nternet www ' tigard-or.gov \ \ c3\.)
"' ..rstItattl.i/Nrcihod .---___ Supplemental information
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--.-, -- - - e COMMERCIAL FEE" SCHEDULE - US
'YPE O E CHECKLIST
F WORK \cf-0 _
._.. .._... . __ . , . _.. Mechanical permit icos* are based on (he value of the walk
El New construction El Add ,Ii on/alit:tali o n/rOgtment performed Indic:vie (lie value (rountla to the nearest dollar) of all
El Demolition Ij Other- . mechanical materials equipment, labor, overhead, and profit.
- _ ---- .._ _ - Value: $
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cATEC OF ORY CONSTRut HON _. ....___ .
RESIDYATIAL EQUSIMENT / SYS ['EMS FELS'
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Z 1- and 2-family dwelling 0 Commercial/industrial El Accessory building Fur 4.welal infbartatioh me checklist-
lIl Mutti-faruily 0 Master builder 0 Other; Diner iprion I Qty. I " I
I OW
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JOB SITE INFORMATION AND I ,OCATION . ileating/rouling:
. _ ___ ---- , - All' cl>11ditt011111g
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Joh site address: 9745 SW Frewing St .c cd %howian pl.”.nioni) ,.
- ,-• Furnace 100,000 BTU tdootevcnrs) 46 75
- - — • — ---- - . .. 10 75
City/State/ZIP: Cigar:J/012/97223 — Furnace 100,0001 WI'l( (ductevcnt-.) 51 91
Suite/bldg/apt. no.: i Project name: Rutinds Boiler Replacement Heat pump
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_ . - (senircs , - ..ite Ala Dowitar _ 61.06
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Cross streei/direetions in job site: SW Vrewing, S. of Ilwy 99 Duet work 23 32
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HA ( hot water system 23,.32
._ ... - . Residential homier (radiator or
hydrorii) 1 23.32 23 32
1.(nit heaters (fuel-type, not electric),
in-wall, in-duel, suspended, ell . 46 75 _
__ Flue/vent (or any of uhovc 1 2.3..32 23.32
Subdivision: I An no.: - .
_ —.. . . . — -- . - ..— - - (((her . 2332
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Tax map/parcel no,: . Other fuel appliances:
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DESCRIPTION OE WORK Vvraer !ream 23 :12
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" -- — Gas fireplace _ _ 33 39
Replace existing gas fired but water boiler with a new gas fired hot water blr. Flue Ycn1 for water heater or gss
Add thermostat and one valve for havement, extend as pipe to future gas log. _rr3-±iti . 1,e . 23.32
_. . __. . 1,0g lightei (gas) 23 12
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Wood/pellet stove 33 39
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Wood fireplace/insert 23 12
__ „ _ ... Chinincy/Imer/flue/vent 23.32
0 PROPERTY OWNER 2_ ..... ri TENAN I'
. -- - - Other: 2332
Nam: Katrina Rounds Environmental exhaust and ventilation
Runge hood/other kit-Chen
Address: 9745 SW Frewing St _. equipment . 3430
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City/State/ZIP: "ligard, OR 97223 Chillies dryer exhined. .13.39
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Single exhaust (bathrooms,
Phone: (503)740 Fax: ( ) haler compartmenls. utility moon') 23.32
utility
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APPLICANT 0 CONTAC I PERSON Attitigawlspac fans 23.32
_. .. _ . Other
rtoci nem mom: Lorry & Choi-leg 'I-leafing Inc_
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COO rhil natitty. Timothy Hodgson Si4.is tor that tour; $4,.03 for each additional
Address 20M SE 11 Ave Furnace, C. -- -
,- - - , - -- - - -- ((as heal pump
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('ity/StrAte/ZIP: Portland, OR 97214 Walksi.jsperided/rnia heater
Phone: (503) 232-5747 1 rax: : (503) 232-8922 Water heater
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_... -- --- - Fireplace_ 1 14 15 14.15
P-mail: la rryandehttelts(alintegradIel
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CONTRACTOR Barbecue __.. -- .
Business name; Larry AK. C'huck's heating Inc. Clothes dryer (gas) .
- Other.
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Achiress: 202() SF 11 Ave. NE( HANICAL PERMIT FEES'
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Cr ly/Slate/ZIP , Portland, OR 97214 Subttat 60 79
Phone; (503) 232-5747 I Fax: (503) 232-8922 _. minimum permit (cc ($90 00)
Plan review (25% of permit fee) 90,00
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CCR lii...: 37566 State surcharge (12% ofnerMil Ice)
10
TOTAL PLIim IT PEE
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Au ilk permit aptilientioamires it a ocrositi. lint obtained within MO
Authorized Nignature : '',,.,,,,:jl,ke 1( -' if tr -----..---- ---
( days after it bus been accepted as Bailiwick.
Pot name; Timothy 1) Hodgson
Maw: 10/12/11 1 l' Ike methurtulos it by In -Comity 11.11clintz, industry Sri vn.x.: Braid