Permit ,i CITY OF TIGARD MECHANICAL PERMIT
1 4 It COMMUNITY DEVELOPMENT Permit #: MEC2011 00452
Date Issued: 10/13/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Parcel: 2S103DB10900
Jurisdiction: Tigard
Site address: 13245 SW GENESIS LP
Project: Marling Subdivision: GENESIS NO 3 Lot: 67
Project Description: Furnace replacement
Contractor: SPECIALTY HEATING & COOLING INC Owner: MARLING, ROBERT & BOBBI LEE
7500 SW TECH CENTER DR #130 13245 SW GENESIS LOOP
TIGARD, OR 97223 TIGARD, OR 97223
PHONE' 503 - 620 -5643 PHONE.
FAX. 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 10/13/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 10/13/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 10/13/2011 $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: ,
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Call 503.• • .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 /12/2011/WED 02:22 PM FAX No, P. 001 /002
Mechanical Permit Applica A-O r)R V ric USE ONLY
• Received �
City of Tigard 0 l co Date /By. U Permit No : V s _
II 0 � 5--1._ ■ 13125 SW Hall Blvd., Tigard, Olt 97223 r , T '� Plan Review
• Ph 503 7182439 Fax 503.598.1960 C ` n ( % Date/By: Other Permit;
Inspection Line 503 639 4175
TICARD - r GP1tiv DateReady /By: 1E1 See Pepe 2 for
Internet: www.trgatd or.gov GO CJF E ,�tS\O onfied /Method: L Supplemental Information
' TYPE OF WOR ' COMMERCIAL FEE" SCHEDULE — USE CLIECC.[ST
Mechanical pentut fees* are based on the value of the work
❑ New construction V, Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION • RESIDFNTTAL EQUIPMENT / SYSTEMS PEES*
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Forspeeial ittformntion use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty Ea. Total
JOB SITE INFORMATION AND L' OCATION Heating/cooling:
Air conditioning
Job site address 3 3 a y 5 G.G(g I s Loop (requires site plan showing placement) _ 46.75
Furnace 100,000 BTU (ducts /vents) _ ( 46.75 hit
Ciry /State /Z1P' 1
,- 1 _ q 1 Furnace 100 BTU (ducts /vents) 54,91
Suite/bldg. /apt. no.: name: Heat pump
(requires site plan showing placement) . 61 06 —
Cross street/directions to job site: Duct work 23 32
Hydromc hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electnc),
in -wall, in -duct, suspended, etc. 46 75
Subdivision: Lot no.' Flue/vent foi any of above _ 23 32
Other: 23.32
Tax map /parcel no.: Other fuel a p lances:
' ' , DESCRIPTION QP WORK Water heater 23.32
Gas fireplace 33.39
Raiall Ci n cod, 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
Chimney/liner/flue/vent 23 32
❑ PROAF13O15' MAW] 1 M a iii flg ltTI'[g. 4N I Other- 23.32
Name: 13245 SW Genesis Lp Environmental exhaust and ventilation:
Address. Tigard, OR 97223 Range hood/other kitchen
503 - 620 -3890 equipment 33 39
City /StateJZIP: Clothes dryer exhaust 33 39
Single -duct exhaust (bathrooms,
Phone: ( ) _ toilet compartments, utility rooms) 23.32
❑ APPLICANT 0 CONTACT PERSON Attic/crawls ace fans 23.32
.. Other: 23 32
Business name:
Fuel piping:
Contact name' $14.15 for first tour; $4.03 for each additional
Address: Furnace, etc.
— Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
-
Range
E -mail:
. ...._ .
CONTRACTOR Barbecue
Business name: Specialty Heating & Cooling Inc Clothes dryer (gas)
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Other' _
Address: 7500 SW Tech Center Dr Suite #130 MECIIANICAL PERMIT FEES*
Ciry /State /ZIP: Tigard, OR 97223 Subtotal 4(, 1 5
Minimum permit fcc (590 00) qa _O 0
Phone: (503) 620 -5643 Fax (503) 598-0718
Plan. review (25% of permit fee)
GCB Ire.: 66578 State surcharge (12% of permit fee) I 0 , go
TOTAL PERMIT FEE 1 0 0 MO
V - y — �(�X� 'This permit application expires if a permit is not obtained within 180
Al1t110I1Zed signature; al � 1 t� '' days aftet it has been accepted as complete.
Print name' ..... .I ` t II . Date' • _ ...-I,‘ ' The methodology set by Trl.-County Building Industry Service Board
I \BmldiegTraluesWMEC PerminApp doc 09/09/10 440 -4617T (11 /02 /COP.NWEB)