Permit e CITY OF TIGARD MECHANICAL PERMIT
1 __ it ` COMMUNITY DEVELOPMENT Permit #: MEC2009 -00230
TI
GA 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/26/2009
Parcel: 2S 102DD03500
Jurisdiction: Tigard
Site address: 13984 SW FANNO CREEK DR
Subdivision: Lot: 0
Project: Paoletti
Project Description: Replace gas furnace with like kind.
Owner: FEES
PAOLETTI, JAMES E & AMY J Description Date Amount
13984 SW FANNO CREEK DR Furnaces < 100K BTU 05/26/2009 $14.00
TIGARD, OR 97224
12% State Surcharge - Mechanical 05/26/2009 $8.70
PHONE. Minimum Fee Adjustment - Mechanical 05/26/2009 $58.50
Contractor:
THE HEATING SPECIALIST INC
9300 NE HALSEY ST
PORTLAND, OR 97220
PHONE: 503 - 257 -7000
FAX: 503 - 257 -7702
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $81.20
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 Notifi - - enter. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dirt c questions to 4 NC bycalUng 503.246.6699 or 1.800.332.2344.
l \
Is ued By: 0,, /(� f , Permittee Signatu e: �e ,t 4) �1����
t �
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
From:The Heating Specialist 503 257 7702 05/20/2009 12:09 11552 P.001/001
rPVER
.,:::..... Mechanical Permit Application .» -,9 • I OR OFFIC US O. \l i ,.:
City of Tigard 2 0 2009 Received 5 o�C O PetmitN
MAY ? 19 ) Aev e ,,,,7 6 5,,
° 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 �! OF p t� 1� Plan Review Other Permit:
Inspection Line: 503.639.4175 CITY 1 OF i !UMflD D ate / By:
TIG t. D ate d/Me By: In S See Page 2for
Internet: www•tigard- or.gov BUILDING DIVISIO I Notified/Method:
upplemeatallnformation
. ., TYPE OF- WORK' :;
COMMERCIAL` FEE +:SC ;USE GHEGKLLS i
ID New construction n Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
.,. .- . . -. :. 'i` _ , .., .. I :..- .- Value: $
... GTION ....,.: ,
CA`CEGORY AF CO>rSTItU -
RESIDENT IALEQUIPMENT. /SYSTEMSFEES*
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
: ' . ' `JOB�'SITE: INFOR .'AND' LO I ....,..
Description Qty. I Ea, I Total .
��� - Heating/cooling
Job site address: 13984 SW FANNO CREEK DR Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: TIGARD, OR 97224 Furnace 100,000 BTU (ducts /vents) I 14.00 14
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: PAOLETTI Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DES'GROTIOOF .W.,O1ii : Water heater 10.00
PUSH PULL GAS FURNACE Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
y mar /flue /vent
; Et: PROPERTY; OWNER . _ , , ❑. TENANT .: 10 00
Imne 1 00
Other
Name: JIM PAOLETTI Environmental exhaust and ventilation
Address: 13984 SW FANNO CREEK DR Range hood/other kitchen
equipment 10.00
City/State /ZIP: TIGARD OR 97224 • Clothes dryer exhaust 10.00
Phone: (832)Z65 8682 Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
APPLI CANT` 's: _' :�r: : : : :. : :.•. :., >:.'.::,..• :. CO ,,. ;CT -.,.
�- ® „ , .- � .CONTACT.- PER50N . + : ' crawlspace fans 10.00
1
. Business name: THE HEATING SPECIALIST Other. 10.00
Fuel piping
Contact name: MARY B $5.40 for first four; $1.00 for each additional
Address: 9300 NE HALSEY ST Furnace, etc.
Gas heat pump
City/State /ZIP: PORTLAND OR 97220 Wall /suspended/unit heater
Phone: (503) 257 -7000 Fax: : (503) 257 -7702 Water heater .
Fireplace
E -mail: MARY @THEIIEATINGSPECIALIST.COM Range
:... .
:.- , :.. ,1QNTRAC7;OR ):. ' . �,. - :: .... Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FELS „. :... :i: .
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) 72.50
Plan review (25% of permit fee)
CCB lie.: 56628 7 118 / j ( . State surcharge (12% of permit fee) 8.7
. °_ TOTAL PERMIT FEE 81.20
Authorized signature: This permit application expires if a permit is not obtained within 190
sr ■ • days after it has been accepted as complete.
Print name: MARY B Date: 5/16/09 • . * Fee methodology set by Tri -County Building Industry Service Board
C\ Building \ Permits \MEC- PermttApp.dee 01/19/07 440 -4617T (11 /02/COM/WL13)