Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2009 -00167
Date Issued: 04/20/2009
T I GA D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S1126A05900
Jurisdiction: Tigard
Site address: 14058 SW MILTON CT
Subdivision: Lot: 0
Project: Westcon
Project Description: TI - grilles and ductwork.
Owner: FEES
GOODHEAD, DAVID & JAN M Description Date Amount
9846 SW PEPPERTREE LN Permit Fee 04/20/2009 $93.20
TIGARD, OR 97224 12% State Surcharge 04/20/2009 $11.18
PHONE:
Contractor:
ACCURATE HEATING INC
27350 SW 95TH AVE SUITE 3010
WILSONVILLE, OR 97070
PHONE: 503 - 650 -1229
FAX: 503 - 650 -4845
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0-3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $104.38
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
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
issuan , it wo • ' suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules ado •ted by the Oregon
Util' Notification Cente . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtai a copy of the rules
I ued By: ��. � Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection tha • . siness 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.
Mechanical Permit Application FOR OFFICE USE ONLY
Received q, ' `
City of Tigard Date/By: d9 Dr Permit No.: )../ oar 9 -ill 7
111 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
TI G A R D Inspection Line: 503.639 Date Ready/By: �run See Page 2 for
Internet: www.tigard - or.gov Notified/Method: (� Supplemental Informa
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $2,885.00
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 -and 2-family g ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 14058 SW Milton Court Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Portland, Oregon 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Westcon Remodel Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system • 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.:
Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Relocate (1) supply air diffuser to center of area now served, Demo (2) supply Flue vent for water heater or gas
air diffusers and ductwork (cap at trunk line), demo (2) return air grilles and fireplace 10.00
Log lighter (gas) 10.00
ductwork (cap at trunk line), add (1) supply air diffuser and ductwork, Add (1) Wood/pellet stove 10.00
air grille & ductwork, relocate supplies and returns in office. Add 10" duct Wood fireplace /insert 10.00
❑ PROPERTY OWNER ® TENANT Chimney /liner /flue /vent 10.00
Other: 10.00 _
Name: Westcon Environmental exhaust and ventilation
Address: 14058 SW Milton Court Range hood/other kitchen
equipment 10.00
City /State /ZIP: Portland, Oregon 97224 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Accurate Heating, Inc. Fuel piping
Contact name: Kim Williams $5.40 for first four; $1.00 for each additional
Address: 27350 SW 95 Avenue, Suite 3010 Furnace, etc.
Gas heat pump
City /State /ZIP: Wilsonville, Oregon 97070 Wall /suspended/unit heater
Phone: (503) 650.1229 Fax: : (503) 650.4845 Water heater
Fireplace
E -mail: service2 @accurateheating.com Range
CONTRACTOR Barbecue
Business name: Accurate Heating, Inc.
Clothes dryer (gas)
Other:
Address: 27350 SW 95 Avenue, Suit e3010 MECHANICAL PERMIT FEES*
City /State /ZIP: Wilsonville, Oregon 97070 Subtotal
Phone: (503) 650.1229 Fax: (503) 650.4845 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB tic.: 88423 // State surcharge (12% of permit fee)
/ TOTA
L PERMIT FEE
Authorized signature: 4 ' _ / )Z j / �� � l/ This perm apylication expires if a pe it is not o Ptained within 180
�lj . , / days after it has been accepted as complete.
Print name: ��� 9 Date: y 2(f�� F ee methodology set by Tri County Building Industry Service Board
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