The URL can be used to link to this page

Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2011 -00495 T.IGA1 D 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Date Issued: 11/03/2011 Parcel: 2S 104AC09800 Jurisdiction: Tigard Site address: 13088 SW BOUNEFF ST Project: Bledsoe Subdivision: MORNING HILL NO.9 Lot: 241 Project Description: Replace furnace Contractor: TRI COUNTY TEMP CONTROL INC Owner: BLEDSOE, LAURA ELIZABETH 13150 S CLACKAMAS RIVER DR 13088 SW BOUNEFF ST OREGON CITY, OR 97045 TIGARD, OR 97223 PHONE. 503 - 557 -2220 PHONE. 503 - 590 -0626 FAX: 503 - 557 -0919 FEES Specifics: Description Date Amount Furnaces < 100K BTU 11/03/2011 $46.75 Type of Use: SF FlueNent For Any of Above 11/03/2011 $23.32 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/03/2011 $10 80 Occupancy Grp: Minimum Fee Adjustment - Mechanical 11/03/2011 $19 93 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 s ion OUNC b calling 503 232.1987 or 1 800 332.2344 Issu d B Permittee Si•nature: Afivravz 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. NOV -2 -2011 09:108 FROM: TO:5035981960 P.1 Mechanical Permit Application h011t)�tl(j.lSI t11I,1 Cl of Tigard * Received III g � O�` DRate/By: �� O PermitNo.: f_A „lee , al-' 13125 SW Ball Blvd., Tiga OR 97223 Plan Review �� ® Phone: 503.639.4171 Fax: 503.598.14 %94 � e e t Date/By. Other Permit: Inspection Line: 503.639.4175 i 1G :b l: I4 . C Internet: www.tigard or.gov � \ P T otificd/Method: Supplemental Informa tion o ' Ready/By: AIM. lit See Page 2 for v,.,, l Information • , .,' • UF- •,vWQI�I( ;, � 43' ,, , - - -,- co R �; ".,,.� „',.` „'•, °` .�� , , - * . 'FEE , ^SCtiIE.DUlfLR, -USG' #I*CiCI.I,ST ❑ New construction Ad dition /alteration/repl N tent Mechanical permit fees* are based on the value of the work performcd.Indicate the value (rounded tattle nearest doller).of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. , : • - CATEGORY OF CONSTRUCTION ' Value: $ ® 1- and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building RFSIDI NTIa►L k QUiPMN N f /'SYSTEM,S FE1 S* ❑ Multi- family 0 Master builder ❑ Other: For special tnfor7natfon use checklist. Description I Qty. I Ea, I Total - • JOB ,SITE INFORMATION - AND' Beating/coeling Job site address: 130 %$ e r V bp Uf Z l Air conditioning (requires site plan showing placement) 46 :75 City/State/ZIP: 1 CiJ d (1/22.b Furnace 100,000 BTU ( ducts/vents) 1 46.75 v m e: Furnace 100,000+ BTU (ducts/vents) 54,91 Suite/bldg. /apt. no.: I Project name: 1leatpump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), inwall, in- - duct, suspended, etc. 46.75 Subdivision: I Lot no.: Flue/vent fot any of above 1 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances ' DESCRITTIQN'• OF WORK Water heater '23.32 ' Gas fireplace 33.39 Flue vent for water heater or gas RCP lA/\ fireplace 23.32 t `� ! [(,� Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner /flue/vent 23.32 PROPERTY QWNER I , , - ❑ '`TENANT • fi C/ Other: 23.32 Name: Environmental exhaust and ventilation Address: /1 n „�� Range hood /other kitchen ©� (a f JLJ equipment 33.39 • City /State/ZIP: - Clothes dryer exhaust 33,39 -- Single - duct exhaust (bathrooms, Phone: (603) 646 Fax: ( ) toilet compartments, utility rooms) 23.32 Ei APPLICANT „• CONTA4'T' tSONN Attic/crawlspace fans 23.32 ' Business name: Same as contractor Other: 23.32 _ Fuel piping Contact name: Diane Mason $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City/State/ZIP: Wall /suspended/unit heater Phone: ( ) I Fax: : ( ) Water heater Fireplace E-mail: Range _ I . CONTRACTOR- ' Barbecue _ Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 S Clackamas River Drive MECIFIANICA is PERMIT FEES* City /State/ZIP: Oregon City, OR 97045 Subtotal Phone: (503) 557.2220 Fax: (503) 557.0919 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lie.: 72623 , State surcharge (12% of permit fee) �.J 491 -7/L TOTAL PERMIT FEE I w t c6 () Authorized signature: J(jt /�K This permit application expires it a permit is not obtained within 180 days after it has been accepted as complete. Print name: Zit y� 1 Mr 1V /112.1.1 Moon I Date: • Fee methodology set by Tri -County Building Industry Service Board 1 .\suitdina\Permil.\MBC- PeimitApp doe 10/01/09 440-46171' (11/02/COM/WItB)