Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00087
T,IGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/15/2012
Parcel: 2S110AD01800
Jurisdiction: Tigard
Site address: 14630 SW 106TH AVE
Project: BROWN Subdivision: LANG HILL Lot: (15
Project Description: Replacing gas furnace and NC unit. A/C unit must meet minimum 5 ft. rear and side yard setbacks.
Contractor: OREGON AIRE INC Owner: BROWN, SCOTT C
7715 NE 33RD DR STE A 14630 SW 106TH AVE
PORTLAND, OR 97211 TIGARD, OR 97224
PHONE: 360- 423 -1966 PHONE:
FAX: 360- 423 -1978
•
FEES
Specifics: Description Date Amount
Air Conditioning 02/15/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 02/15/2012 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/15/2012 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $104.72
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 by calling 503.232.1987 or 1.800.332.2344.
I MMO
Issued By: ; / . Permittee Signature: f /
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.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
III . �� Date/By a 5� 7
• 13125 SW Hall Blvd.. Tigard, OR 97223 r , \ r� Plan Review
�/' —
Phone: 503,718,2439 Fax: 503.598. •96(l (\\ Datc/By:
TIG ARD Inspection Zinc: 503,1139,4175 a � q \ DateReady /By ® See Page2 for
Internet: Www.ligard ur.gov � \ � J � Pa ,; Notified/Met od: Supplemental Information
if dill z1- . 3 ✓awY ,� \
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' `,� ` Mechanical permit lees* are based on the value of the work
❑ New congt.ruCtiUn ® Addition /altcration/rc acetrtent performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: Y. mechanical materials, equipment, labor, overhead. and profit__
CATVGO ,V:'OF f Value; . $1l;isa ou
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use cheek&
❑ Multi - family ❑ Master builder ❑ Other; Oascription I Qty. Ca. I Total
. JOTt, SITE INNFORMAATII N ANLl L �X 4�14O1 I lleating/caotln
. . A d .. . -
,.,,,•,..., ... item conditioning
Job site address: 14630 SW 106 AVE (requires site plan showing plaeemenl) 1 46.75 46.75
Furnace 100,000 BTU (ducts/vents) I 46. 46.
City /Statc/ZIP: PORTLAND OR. 97221
__ Furnace Furnace (00,000 +BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name; BROWN limit pump -
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duet work 23.32
Hydronic hot wake system 23.32
' .-- •.. • Residential boiler (radiator or
hydronie) 23.32
-' ° Unit healers (fuel -type, not electric),
in -wall. in -duct, susp ded, etc. 46.75
Subdivision; ~ ^ - Lot no.; Flue/vent for any of above 23.32
_ -_ Other: 23,32
Tax neap /parcel no.: Other fuel appliances:
�'.,, ' SatI1Irl"lO$i OE W(1I
,, „�, . I R':. Water heate r 23,32
Cris fireplace 33.39
REPLACING GAS FURNACE AND AIR CONDITIONER - -
- Flue vent for water heater or gas
• Fireplace 23.32
_Log lighter (gas) 23.32
-- -.. Woodlpellet stove 33.39
Wood fireplace /insert 23.32
' . �.:;; 0 1 '1 X C1l�'1` }f1,13, ' ' ,... ❑ It ES1k4,T
t y mgr /[lue/ve t
Ch mne / n 23 32
Other: 23.32
Name; S COTT' BROWN _ Environmental exhaust and ventilation:
Address; 14630 SW 10(i AVE _ M Range hood/other kitchen
, equipment _ 33.39 _
City /State /ZIP; PORTLAND OR. 97224 Clothes dryer exhaust _ 3139 _
Single -duct exhaust (bathrooms,
Phone: (503)624 Fax: ( ) toilet compartments, uti lily rooms) 23,32
AI'rC�;tCAI T -.. d:. +GOfit1.AC L "kSR ,GN l , Attic /crawlspace fans 23.32 •
Business name: ORISCON -AIRF TNC, Other: _ 23,32
Fuel pipin
:•,....
Contact name: RON STRONG ,1,4.15, for first for S403 for each additional
Address: 7715 NE 33 DR. STF. A Furnace, etc. •
Gas heat pump
City /State /ZIP: PORTLAND OR, 97211 Wa I/ uspendedJunit heater
Phone: (360) 423 -1966 Fox :: (360) 423 -1978 Water heater `
_ ,..._..._,_
In lace
E -mail: rstrnng(ix)oregon- airc_com — Range
`; .. . 0:J. tACIY?R r, .,,' Barbecue
Business name; OREGON INC. Clothes dryer (��as)
-. Oilier_
Address: 7715 NF 33" DR. ST E A
City /Stale /ZTP: PORTLAND OR. 97211 Subtotal 93,50
t Minimum permit fee (590 00)
Phone! (360) 423
Fax; (360) 423 - 1978 Plan review (25% - - -- - -- - - - - - - - --
CUB lie.: 64235 Stathar a of emit
. / . ��- __ State surcharge ( �n 12/o p !1 fee) .2_
2
//' _ TOTAL PER�irr : 10 11 472
Authorized si�+nalurr: This permit application expires if a permit is not obtained within Ito)
_- days aver it hes !teen accepted as complete.
Print name: RON STRONG Dole; 2/15/12 * fee mei bodolon ..gel by Tn- County building Industry Service Board
I. Building rnzirs l • J nni1,��,I6 Z l 0 .0 N 1,1;1:1)(3 ) Q 3 ' S a a,i 2' a p Z ( Wy E S: O l Z 1.06 ' 11,J
Feb.15. 2012 10:53AM 72 degrees, Comfort Expert No.0129 P. 3
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