Permit CITY OF TIGARD MECHANICAL PERMIT
• 7
• %. COMMUNITY DEVELOPMENT Permit # MEC2011 -00482
Date Issued 10/2812011
T f CshRD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 2S112BC10000
Jurisdiction Tigard
Site address 8012 SW VIOLA ST
Project HASTINGS Subdivision RAZE MEADOWS Lot 23
Project Description Furnace installation
Contractor OREGON HEATING & AIR CONDITIONING Owner HASTINGS, CHARLES K & MICHELE M
PO BOX 241 8012 SW VIOLA ST
DUNDEE, OR 97115 TIGARD, OR 97224
PHONE 503- 691 -9699 PHONE
FAX 503 -691 -8556
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 10/28/2011 $46 75
Type of Use SF 12% State Surcharge - Mechanical 10/28/2011 $10 80
Class of Work ALT Type of Const Minimum Fee Adjustment - Mechanical 10)28/2011 543 25
Occupancy Grp
Stories
Fuel
Fuel Types
Gas Pressure
Total $100 80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other
applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090 You may obtain a copy of the rules
or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
�� - Issued By Permittee Signature
Call 503 639 4175 by 7 00 a m for the next available inspection date
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection
10/26/2011 14:39 503 - 691 -8556 OREGON HEATING PAGE 01/02
Mechanical Permit A PPUCaI EIVED
Gi D FOR OFFICE USF'ONI:}
City of Tigard Received
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13125 SW Hall Blvd, Tigard, OR 972 ( ' D'Y / 7 ' r1?� ,(j—VU I-1 ��
9 6 9 Plan Renter
503 718 2439 Fax 503 598 1 6 [ Omer Reiner
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TIGA
Inspection Line' 503 CITY Dam Ready lens a See Page 2 for
Internet' wvw ti br gov OF TIGARD Notified/Method S e
BUILDING DIVE 1 PPi mrntgl Information e
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[] New construction Addition/alteration/replacement lacement Mechanical permit fees= are based on the value of the work
F performed Indicate the value (rounded to the nearest dollar) of all
1 ❑ Demolition ❑ Other mechanical materials equipment, labor overhead, and profit,
n% ga .ii`hfl�9'�e$* %,. . u `, i C'''s`w "'.a''� .y F e wv Vue' $
oG �.,� . .WT. L . a�.ysay al ,ar•
�uti�Hri� s�7f. -d+nha - .:sy;1 �i G`L�3aa��1�+s;W. .. r! , '�' 'k' k...t� �,1,
N 1 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For Special Information use checklist,
❑ Multi - family ❑ Master builder ❑ Othei' Description
Qty I Ea Total
lkgat Ca: ui r e w y am' q a R CZ ":.'I `"� ,.;p BA tin$/lig
v.- �.cr.!rt�i � :��. :�4i£ Ni,�_ AtT C01drt1 $
Job site address. 8012 SW Viola Street (requires site plan show 46 75 I
City /State /ZIP Tip rd, OR 97224 Fumacel00,00DH7U(daotshents) 1 4675 4675
_ Furnace 100 000+ BTU (ducts/mots) 54 91
I I
Suite/bldg. /apt no : Project name- Hastings Heat pump
(requires site plan showing placement) 61 06
Cross street/directions to job site Duct work 23 32 I
Hvdronic hot water system 23 32
Residential boiler (radiator of -
hydronic) 23 32
Unit heaters (fuel -type, not electric),
in - wall, m - duct, suspended, etc. 46.75
Subdivision Lot no.. Flue/vem for any of above 23 32
Tax map/parcel no - _Other _23.32
Other fuel appliances:
`rt ii n - 'x a i i r -^•aero 'r"•"i' s; sii r ~' ;°' a',: ", " ';t *tom?. Water heater 1 23 32
> �
- . . ...... o':a "�..,. .„`„c,. aa._ Slosh= :lm+3��tsY%s�J+Sf)t ^;ai�gX`�':r^:, -
Install Furnace 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 _
�6 :a' Y'.�',v" ;p R " t�^i. ' as s.'o''ga'i'`'orpsw CFumnel' /liner /flue vent
„ 23 32
Sfilx �- r` ` s1. its. i trsw,�s in k.:.+.^Lwm vc ; a.'a;.a' i IIIA Oth _
23 32
Name Chuck & Michelle Hastings Environmental exhaust and ventilation:
Address 8012 SW Viola Street Range hood /ocher kitchen
equipment 33 39
City /State/ZIP. Tigard, OR 97224 Clothes dryer exhaust
33 39
Phone (503)702 -1103 F ( ) Single -duct exhaust (bathrooms,
x toilet compartments, utility rooms) 23 32
�. �k kk .,y. 'n . e .. 'R'RO.4 __ e " Attic /orawlspaee fans 23 32
Business name Oregon Heating and Air Conditioning Other 23 32
Fuel piping:
Contact name; Zack Gallinger 514,15 for first four; $d 03 for each additional
Address. 19300 SW 118 Ave Furnace, etc.
Gas heat pump
' City /State/ZPl " Tualatin, OR 97062 Wall/suspended/taut heater
Phone (503) 691 -9699 1 Fax : ( ) Water heater
E -mail.
Fireplace
s.�iL' <'.✓,'s�,an' tar .p ,y^a w. aY.om
Range
^
v ^ i4a9C36aF '3K�.3a,''?Sawatye,'a'1 �t4",�'_v�' irT.ls i 'i2"r "c+���;.yam.,. ¢ i '"Rb s �'�'.. i'!�•tr, Barbecue
Business name. Oregon Beating and Air Conditioning Clothes dryer (gas)
Address 19300 SW 118 Ave '11:1{4qux"5(7N11∎ i.; :ry. _ ,,'y''
_� ,xt,'iX:'s Y:'9' a «C`i1." � ,Hn4� 'srfi
City /State/ZIP: Tualatin, OR 97062 _ Subtotal 46 75
Phone (503) 691.9699 F ( ) - Minimum permit fee ($90 00) I 90 00
:• Plan review (25% of permit fee)
CCB lic.: 172126 State surcharge (12% of permit fee) 10 8
TOTAL PERMIT FEE 100.80
a This permit application expiras if a permit is not obtained wi+firn MO Authorized signature
days after it has been accepted as complete.
Pnnt name Zack Gall in_ erLone . . . . . 1 0 . . . e " . ' Date: 10/26 /2011 • Fee memodulogy set by TreCounty Budding Industry Servi Board
rear.ndm mermittimar- roonion„a.,' 00 monn r ................2