Permit • CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2009 -00518
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/02/2009
Parcel: 2S112CB13300
Jurisdiction: Tigard
Site address: 14896 SW KENTON DR
Subdivision: Lot: 0
Project: Ekberg
Project Description: Install furnace.
Owner: FEES
EKBERG, TIMOTHY L & LILLIAN M Description Date Amount
14896 SW KENTON DR
PORTLAND, OR 97224 Furnaces < 100K BTU 10/02/2009 $46.75
12% State Surcharge - Mechanical 10/02/2009 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 10/02/2009 $43.25
Contractor:
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR STE 120
TIGARD, OR 97223
PHONE: 503 - 620 -5643
FAX: 503- 681 -0793
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: d Q� t r s q n ( � Permittee Signature: ✓ r r(
P •
'
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.
- ' OC1 /O1/2009 /THU 11:06 AM FAX No, P. 002
Mechanical Permit Application RECEIVED F014 OFFICE USE ONLY
City eceived
of Tigard i
14
'; 131 S W Hall Blvd., Tigard, OR 97223 0 C T 01 2009 Phan Review '' • � r ••
! : • Phone: 503.639.4171 Fax: 503,598.1960 Date/By: Other Permit:
'T I G ARD Inspection Line; 503.639.4175 CITY OF TIGARD Date Rdy/By See Page 2 for
Internet: www.tigard- or.gov otif sa o4A etllod: Supplemental Information
• BUILDING DIVISIOk
•.{ :,Y',1 rY1:i'.'lrl.wt %{'S1.r, E! -;S. LY,W!'J: ^F. ,v Tr! ,.'i�' "'Il'. •! "!t t1W- :Pi�'x_ "a
..... 111- 1�-1...7r`.f T .;:�. tt i "'.'::? :L,11,31i111...,1 {- S.r.I. �''. (e l' ,., t,,: v�rl :('. .i rt t r',•. *. '.. :; -'. C i lid '? t' ✓�fl:kRlrf, An, ...Y,...I �,�� 1!. •. }',• r •.7
1 1 .. 7.1.,ti •., 11 {.: ?u / tt � .,. :. d , -irr. ., ( {,.((11t {i.. 1s ytt(rli: }: .pp,. l,i:i,. 1. f r,t� , .,.. 1 ... 1 j,t, l.;�f�f:. c. 9ntii t.
:1 ,�t��_itt, f } 1} i.. i 1,.., 1' ri ,, }ii..6:+•:�.1i.:!}�.4.,..,1 \ tray. 111th .,, {.j,: .. ii. . .i. 2i ..,... .,:, ......a , WY411 II .0 ifJ,.'14i11.,i1- '.�• PIIt Y�. i h' {."'; ....., c�.y,l .. 1.,
�1dE1,• il. l�t.: 4{ ff: lllk�r�i. i41; ���1G� #>l�t�itil;i�n3,�f�si�!�Ilr. i��illatta��l. iliil�I���� .fi #�{�k�iiLSI�,�:d��6�� lit }�:['���l,cl��1'��[c�l:� u�: urrr; u! rsa' �G:+ 1�ulilrr�. 11_ c.. cn, tnr# �Rsit?Ilclu.,; ai!;:, rw< r3sls�ait�t� ,��e,I,.�utx,kaw,)�t�tuP�l�
❑ New construction Addition/alteration /replacement Mechanical permit fees' are based the value of the work
Performed. Indicate the value (rounded d fo the neatest dollar) of all
❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
Dl t - „) 1 #tt `.; "4rj l:E;” }JI1'w /t rrm77 ^. a �:. a Eyi "a s,� r 77F, lIt n i { ? ,iFl t ! t 3i tl ^' 'Value: $
.. f Ci i . .. 1 .. di �. ,1f a . ,t ,: l"�fl.4 1M _ .91.. '� f:. .. i , i r t t- d � f; li lP. k ^ i . 1.. i 1. f / . l . r i ..,. �'� ,, ,.
k�(jr.,i,. {1 .. ::. k`: } : ` f %.? 9.� ''�iC{ t � �� p}, _.. 7 a.... { f,flr�f,.LJ # .,..� ;,n,... n r t' +* {1�•t:: r . t uL .
�I?. ii;,, sl�t) I.• F4 !>:ifL4,..itl!7[f14.1(! ^1:1�! ;;iltl�Iguw;:ilia_EY1fii? 4t.,.ail,.wt, �n,1:!Ntkad ' 4'•' 1 f :r [)1 { -f. 141., {.li{[iIFfll -.:�a r 1 {�{ '} CE . k } ` i r� y {,/ i , , r• t.« - 110 ,t'tl,. fi,. ,.6 64i ii 4 pi
ii i SitiU: 1 7.. b ,is l '011i1oitlii., U k ll tt �frNi.:41;l 7.:. �
in 1- and 2 - family dwelling 0 Commercial/industrial ❑ A ccessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Qty. Ea. Total
i' 1 ° fi' t�l i 1 Sri 11rA1 i ,� tin 2 r 1W'4y1i -i, t- h' "1 -i I3tt ifi'�all nl d{ f. f 1 })Art i 4( i rf
Air conditioning or heat pump
Yob site address; 1 4 (,a S W ' / to ■ f,-) 11
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ $T(7 (ducts /vents) 17,90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
1ydronic hot water system 14.00
Residential boiler (radiator or
hydronic 14.00
Unit heaters (tuel not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above • t
Other. 10.00
Tax map /parcel no.: 'Other fuel appliances
14 t i 1 ) ^, 1' i l { P , +;i' ^ tt l ltili s Id + 3 ta 1 1yt nl: {{ 11 u ' I i ? it 1 liS tl.ii 1 l' 1 ? , ! Water heater 10.00
I ►, li ? 1' 1
1 11 1 , 1 1 1+ }11 ' 11 ' �� ip �11t�,i i tit i 1 li fi ;1�1� I, i r t i f ig i,�l c.
G as fi rep l ace 10.00
Flue vent for water heater or gas
fireplace 10.00
Lo; III ter :as 10.00
Wood/pellet stove � 10.00
Wood fslace /insert 1
I i ll Fj I tI,ii14 { y W s� ; dtiJil . r { rl s r1r R .1'• a� tin l t' , €1,1 J l 1 ':1){ r r ; { >• ul4,l ) 4; ` t � T , t i�, { f k a 1 , Chimne /liner /flue /vent 10.00
iicll$ it1.9l�r�llulr J 4 1... 1. i ►,,iiri nl {�1f111f��illllf11`i Othor; y 10.00
Name: Ekberg, Tim R09296 Environmental exhaust and ventilation
14896 SW' Ke Drive Range hood /other kitchen
Address: equipment I0,00
City /State /ZIP'
Tigard, Or. 97224 Clothes d er exhaust ME 10.00
(503)684-5097 Single-duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) • 1
�f,.." �rl�c1lrl { , tf li 7,ri i i .t1ix , t, '' t i if1S` _,�i- 1+ { 1 ,p �{ p {',r� ? ° l f� Y �t 1`;1f r1 P Attic /crawIspace fans 10.00
AktattaM f1 E� +� l i��'• } E1! i i fil i iii iii L �ull e Slid [1:111,1 : `ti ti f1 �3. I., : , �l�a I C 1/ 41 l xtl it 1�.3 t1;Zi.il.tk i �l:l. ;,i.11 { i7 r r.;: i
it a- i._il+A1i�, t + i '
Other: 10,00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat ,um.
City /State/ZIP: - ended/unit heater
Water heater
Phone: ( ) Fax::( )
Fire lace .
E -mail:
, {y ,. { 1} tl i 1 ' i ! 1 i R r�` IiY'# i 1r or 1i rt I d �, it Il't' ' 1'11! } ° 1 1 ,{ J t f
�1�1.NNE ►:1. > ,1�4�� {► viii (i (I11�. F F I PR #1j11 i t4- i i EI �;IiI! ri111r 111 ! `i Barbecue
Business name: Specialty Heating & Cooling, Inc.
Other Clothes d et ( as)
MI
W Tech Center Drive #130 1,B + 1Ai- 1 , « c4ti, , t yi i r� �a , 1 su f� sl u '
' ,��,� °If(�1 111{ lzu,` �:. g. ii �li3r4, it��r.�,�init;,�1.��l� MI
Address: 7500 S ������l�i ��i
City /State /ZIP; Tigard, Or. 97223
' Minimum pennit fee-($72.50) g0.do
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Plan review (25% of permit fee)
CCB lie.: 66578 1 0 •
07 TOTAL PERMIT FEE ira
Authorized signature: This permit application expires if a permit is hot obtained wi in 180
/ days after it has been accepted as complete.
Print name: Andrea Drippy Date; • ' Foe methodology set by Tri- County Building Industry Service Board
1: VauiidingTemlili'v C - Ptmdtwpp,doe 01/19/07 t.J 540-46177.0,V.62/COW all)