Permit CITY OF TIGARD MECHANICAL PERMIT
:'' 11 " COMMUNITY DEVELOPMENT Permit #: MEC2011 -00545
T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2011
Parcel: 2S104BB01900
Jurisdiction: Tigard
Site address: 14294 SW WINDSONG CT
Project: Farr Subdivision: CASTLE HILL Lot: 48
Project Description: Replace gas furnace.
Contractor: OREGON AIRE INC Owner: FARR, KEVIN L
7715 NE 33RD DR STE A 14294 SW WINDSONG CT.
PORTLAND, OR 97211 BEAVERTON, OR 97007
PHONE: 360 -423 -1966 PHONE: 951- 847 -0965
FAX: 360- 423 -1978
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 11/30/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 11/30/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/30/2011 $43.25
Occupancy Grp:
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 b calling 503.232.1987 or 1.800.332.2344.
Issued By: /C1( Permittee Signature: 0 � j e - /O")
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. 29. 2011 12:59PM 72 degrees, Comfort Expert No, 9460 P. 2
Mechanical Permit Application FOR OFFICE.0 SE ONLY
City of Tigard RECEIVED
R, - Permit " "YEzr- . / a°5Y
•
Ili
13125 SW Hall Hlvd., Tigard, OR 97223 .
I Phone: 503.713.2439 Fax: 5(13.598.19 U Other permit
Inspection Line: 501.639.4175 0 V 2 9 2011 0 11
C r 0 n Internet: www.ti and -or. ov Date Ready/13y: See Pane for
g � NNotified/Method $upp[ementuI tnrarmoti0a
CITY OF TIGARD
5,40
i ' : �' '. ;- ' +C'i[kC111lrl �SG HEDlJl E 11E G FCL�C4f5"1`-- ; '
,. ,... TNP'F .. lht :FEE
- " 4 Mechanical permit fees' arc based on the value of the work
❑ New Construction El Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of ail
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGO1#.' OF ("01' 1 t2t1CTtON Value: $ $3 338.00
: :: .: - ■ � 5117AN �1� �i0E11rk, 11 '�.N.1'�r�`XS`1`Lt1kW1.F'hF�3F ..
El 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Fur special information usecheccklisL
❑ Multi- family ❑ Master builder ❑ Other Description I Qty. Ea. I Total
"_" - l Acating/cooling:
,,, , r,„ � i 1:',E; 'T'1ON A p ,Lo N !ri,., .:
..--_ it conditioning
Job site address: 14294 SW WINDSONG CT. (requires site pion showing pl,ivement _ - 46.75
Furnace 100,000 BTU (ducts/vents) I 46.75 46.75
City/State/ZIP: PORTLAND OR. 97223 Furnace 100,000+ BTU (ducts/vents ) 54.91
Suite/bldg. /apt. no.: Project name: FARR Heat pump T �
(requires site plate showing placement) 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),
in -wall, in -duel, suspended, etc. 46.75
Subdivision: Lot no.: Hlue/vent for any of above 23.32
Other: '23.32
Tax map /parcel no.: Other fuel appliances:
l;: , h ! t rue of wt .., .,. H ,,, ' t ! Water heater 23,32
Gas fireplace 33.39
REPLACE (:AS FURNACE
Flue vent fur water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove , 33.39
Wood fireplace/insert 23.32
ip ,.P34()ii.Li4'1'w () ER _IENA }'F1' +,r'it Chimney /liner /floc /vent 2332
Other: 23.32
Name: KEVIN FARR Environmental exhaust and ventilation:
4
Address: 14294 SW WTN7)SONC CT. Range hood/other kitchen
- -- eq uipm en t 33.39
City/State /ZIP: PORTLAND OR 97211 Clothes dryer exhaust 33.39
T TM -._.. -�.. " " Single -duct exhaust (bathrooms.
Phone; (951)847 - 0965 , .^Fax: (... '"" '"' ) toilet compartments, utility rooms) 23.32
APELLCriI}IT , d CONTACT PERSON " !I;I Attic/crawlspace fans 23.32
Business name: OREGON-A1RL INC. Other: 23,32
Fuel piping:
Contact name: RON S'T'RONG 514,15 fur first four- $4.03 fur each additional
Address: 7715 NE 33 DR. SUITE A Furnace, etc.
Gas heat pump
City /Sttlle/ZIP: PORTLAND OR. 97211 WalUsuspended/unit heater
Phone: (360) 423 -1966 Fax:: (360) 423 -1978 Water heater
Fireplace •
F -mail: rstrong(it oregon-aire.com Range_
C ONTRA(1'OR Barbecue —
Business name: OREGON- AIRE INC. Clothes drverjgas)
- Other.
Address: 7715 NE 33 DR. SUITE A , . , M HANK 'AL= ,PER.Mt-T:FtEs ';.`..` ? ..
City/ State /ZIP: PORTLAND OR 97211 Subtotal _46.75
Minimum permit fee ($90.00) 90.00
Ph e: (360) 423 -1966 /1 Fax: (360) 423 -1978 Plan review (25% of permit fee) ..
CCl3 lie.: 64235 / IN State surcharge (12% of permit fee) 10.80
r
TOTAL PERMIT FEE 100.80
° Authorized Slgrt` i This permit application expires If a permit is not obtained within I80
iaturc ,. ,.,......., :... ..._.._ .... __,_..... Hays after it has teen accepted as complete.
Print name: RON STRONG h ate: 11/29/11 •,.
I'cn methodology set by'1 ri -C ouNy uuildiD); Industry Service Timm! I.\Buildine\ ninile \M &' -iC ■ v IAppO44 00/00 /IO I 440- 46171(11/021COM /wea)