Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT Elpl COMMUNITY DEVELOPMENT Permit #: MEC2009 -00262 13 125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/05/2009 TIGARD - .-. Parcel: 2S112BA01000 Jurisdiction: Tigard Site address: 7975 SW KROESE LP Subdivision: Lot: 0 Project: Bundy Project Description: Install furnace and heat pump. Owner: FEES • BUNDY, RALPH Description Date Amount 7975 KROESE LOOP Air Conditioning or Heat Pump 06/05/2009 $14.00 TIGARD, OR 97224 Furnaces < 100K BTU 06/05/2009 $14.00 PHONE: 503 - 620 -7551 12% State Surcharge - Mechanical 06/05/2009 $8.70 Minimum Fee Adjustment - Mechanical 06/05/2009 $44.50 Contractor: OHAC INC PO BOX 241 DUNDEE, OR 97115 PHONE: 503 - 538 -2953 FAX: 503 - 691 -8556 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 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: Pemiittee Signature: ®,V / 9 7 4 / 94, / 7770 /V 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. 0E/02/2009 09:17 563- 691 -8556 OREGON HEATING . PAGE 01/03 Mechanical Permit Application CE FOR OFFICE uy1 :ONLY ° phi . . 3 g .._ �E ��Dat s 0 ,,� �� 9 a� ©, 4 City o�Ti and /� Fetm;trr ,— • 13125 SW Hall Blvd,, Tigard, OR 97223 JUN 0 2 Ply' Review _ . " nom: 503.639.4171 'Fa 503.598.1960 2009 Dats /By: Other Permit: TIGAItil inspection Line: 503 pate ]ready /By: Imo: El See Page 2 for Interact: ,vvvr.tigara or, .ov CITY OF TIGARD Norlfled/Nlcihod: 76- S oppteraeattal Information Bill 1 ■ s w _ ! u_ Ii < < d ..p t .,�,. C° ' 'f .! r qR. ,'°,u ME I: r ," R ' E , I pp n `a'"i":nr .,,,, :.���., c ,t5.• u { 1 ' tai 111 . PPP?: It, , i !S 1 !! � � t Ellen � ! I i ' . y l : � , . ' V, d u 9'I: I i,, i li 4 . ' 1 P , i I 1;t li ' �P } .. : .� N „ . ' ' d ' .' S t • 9 3 U ' , W . w i ' . '� .s l �!` F i ' �, t �,c „'J, iPf IR ` '�II�' P' 3 L P11"YY y n 1 NG g t f 3 '�� q {ti � p ) f��� {' '� y 1���� J , m ll,7�S PP tl� fMIl�IRuii ¢�k1PS �F���E� ��.�P��7 � I R@¢'• a r .dl_ , �y .) �. ;A7il:lei°:n,.�f #, 1� f i d F ad j� 1 `h.�8� ^�r7 ry IPIAU1 n vJ^ I¢�14.' {V�PY �e'r r �„r-.v. of �L the value of the work Mechanical permit fees are b ' © New construction ® Addition/alteration/replacement based ota performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. w^ 1 1"F3 �, ,r^�' arse «,, f,•q r} • -lib - o t,:, „r.,,.•. "an, ,,,.;: °t'" r'e ■ d� n d 7'y ` td 1 �' i i {� � � r'. ,t ”' Ed I VaIuc: $ p Eil y, ti .i ! + tc i �llli� }k! �� P ° rN� � 0 y y 5 } , ! i� 0 .l,dP G d i drf I g 4i (..(( i ,„. i # , , 2 " ' ,r i1 , i9' � f ;',! • r :T): ,,� ;1x 4 ' 4 P' , ?' , Y �� �� i MBl r , t � u�,�, 1�:3 , ;3' 3 3. f Ad ., 7, ,. „ l [ILA 1I��i Id� fl "�lP i l� I�IIa d,.ln.+ ,...f o„r.l, h: , qln ., .m ef, , I.� d S' �q ,. ...'; fl^ ... d ! °. ,. 1 33 ' 1.3 333 j, ��. N3 1- and 2- family dwelling ❑ Conunercial /industrial ❑ Accessory building 1 Pjr?}� 33 &114UAld ' : , Iji ' Mj A:1" ' C '. , i d s�. ....i 1 , 1 tTi j �i" j For spzcral information use checkl#sc 0 Multi- family ❑ Master builder ❑ Other: - Description Qty. Ea. Total �6i Fi ,d P d` ( d 1 9k, ' ' � r.; `r ,,, P °i Pdf iiV�idn f + Fri,, ,1� -. ��._ d, . E4 i 'i l .�`�i�a d ld - s . , f) °'t ., r ' . iz , rt �i :,) y ::! , Ill I. , � 1. Iiea R tlo ing ?,jlla �, i1 �5�; �o'�FN�'' ° , ri: s. ,.f I 1r S,r.F� AtaN _,..,.,.,- } 7qb site address: �-7Q Air conditioning or heat pump I ` i C� K'r _ se _ LP (requires site plan show, lacement) 14.00 City/State /ZIP: '-\\ id, C{ aaLk Furnace 100,000 BTU (auota/vents) 14.00 l$ M U Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. Ito.: Project name: _ Gas heat pump ` 14.00 1N DO Cross street/directions to job site: Duct work 10.00 Hydmnic hot water system 14.00 Residential boiler (radiator or hydronio) 14.00 • - Unit heaters (fuel -type, not electric), in -wall, in-duct, susded, etc. 14.00 Subdivision: Lot no.: Flue/vent for any of above 6.80 _ _.w. _ Other. 10.00 Tax map /parcel no.: Other fuel appliances ° s s ,y., i t a cxlaeateA' 10,00 t 41 117€, l tip 40 oi , 'a'. r ' g �� B is Wt Gas fireplace _ 10.00 ir∎ - • 1 I . L i •. • i; ►i Flue vent for water heater Or gas fireplace 10 -00 ."-.. Log hgh (gas) w . 10.00 Wood/pellet stove 10.00 y _ • Wood Etreplace/inaert 10.00 t U eor mra TIRt dalatd, °Fd a r ii11 p I, Chimney /liner /flue /vent 1'0.00 :x. li a71 '.�l: ' ' s . , § j 1Atiit, a'•r lii t ... I!i ,.' �.. i Other. ] 0.00 Name: cRQ, pkr Environtnental exhaust and ventilation __ • Address: Range hood/other kitchen ��� ] ��.7 Of _ equipment - -_ 10.00 City /State /ZIP: - t S- .' Clothes dryer exhaust 10.00 (5 ) ` 15 toilet co te-duct exhaust (bathrooms, utility rooms) 6.80 $ Phone � Far ( ) railttzpartments. util;ty ro E ar ls ' y , d 11.114 i � } q, v! , g ;P:rls 136Pi1,.,.: ,s N niiif i ii el l 1 11 84 Ei1A , 4 4, i Attic /crawlspacefans 10.00 Other: 10.00 Business name: V\ _( (Y'`t( KC tel_y_t in gip. g Contact name; $5.40 for first four; $1.00 fat- each additiona Address: M E ix DA I p'umace etc. k Gas heat pump City /State/ZIP c/W ^ 'C 1pr ee n (Al ' 15 �Y! /� f� �3'al heater Phone: ( rQ ) �J r . l .. t 6 0 �7 Fa: ( 55655 ) 4 E L 1 - 5 5 5 Water heater Fireplace Es-mail: Range !p t I r ^ r. . U; , • y r" a` 11,D d l 3 w ,' , 4 of hU , ° '' ` - - _,. ,E,b r I +7i' ; Y i P I ' i 1 li ;! iliE l.. ° I i!. i � �1� �,� ii 31(ftl 91 �1 ,�� , � i; .. W , ' ,.° 1t7 . . a t ! ,. ils °, - .t � ��i, F Nit4W 1 , f . P 33 • T $hue 13usirsess name: /� n µ Clothes dryer (gas ' .J��ia:i.�'l .j l ri . : 0 / / lam Otl., p Addres 3: _ �.... dl? l �, f if li �d .��� ', nAIIA fl • N,F ,, 1 ,'N t 1,01 , i� � • City /State /ZIP: k )n A (7.,/ C fl 1 l 5 M Subtotal �] Minimum permit fee ($72.50) Phone: ( ( 0 1 Fax; 50 i i -- 5 VN ^ Plan review (25% of permit fee) (r — t/ / _ - - - rCCBIic. - : - -k--7 I - a -(� - -- - - - - - - -- -- — -- -- -- - -- -- Staturd skzaige (12% - cif permiAfee) Fc a - -- ..-_ • TOTAL PERMIT FEE -"CL,....0_,,I,19..c. t , ia Authorized signature: This permit apptiwf on espirm if a permit is not obtained within 18 (. s..,,--. `.._ diva after it baa been accepted as eOmplete. I Print name: �j O ��1 Q���' b Date: (? � ` • Fee methodology set by Tai - County Building bidusuy Service Board —_.:. . — CE , P.� �1 t /COI Vki d 1 m m A/C ._ HEAT PUMP - UNIT SITE, PLAI4- DIRECTION �, CONTRACTOR_ I A) 2 a 0 -4--- N- I i I 14? y _,,, ,.. It- z z I w o-- l I CO CL I 1 mi CUSTOMER rNra4MATSON l' ''' 191 NAME: 1r7S S u.5 K m ADDRESS : 1 0i\-' 172- 2 (f 1 PLEASE FAX A P PLICAT I: WITH SITE PLAN N m • l.C$ m 1