Permit CITY OF TIGARD MECHANICAL PERMIT
1114
COMMUNITY DEVELOPMENT Permit#: MEC2012 -00151
T t G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/22/2012
Parcel: 2S101AB01800
Jurisdiction: Tigard
Site address: 7380 SW HERMOSO WAY
Project: BOEHM Subdivision: HERMOSO PARK Lot: 12
Project Description: Replacing oil furnace with a gas furnace and gas piping.
Contractor: BULL MOUNTAIN MECHANICAL Owner: BOEHM, GENE G BEATRICE G
13580 SW RHETT CT. 7380 SW HERMOSA WAY
TIGARD, OR 97224 TIGARD, OR 97223
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PHONE: 503 - 612 -6677 PHONE:
FAX: 503 - 692 -3084
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 03/22/2012 $46.75
Type of Use: SF Fuel Piping 03/22/2012 $14.15
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/22/2012 $29.10
Occupancy Grp: 12% State Surcharge - Mechanical 03/22/2012 $10.80
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
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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.
• ��
Issued rmittee Signature:
Call 503.6 • " .y 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.
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Approved plans are required on the job site at the time of each inspection.
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From: 03/22/2012 11:20 #586 P.002/002
Mechanical Permit A licli �� � �
City of Tigard __MAR 2 2 201a R Mir! . u - 3 / • 13125 SW Hail Blvd., Tigard, OR
`� 0 Phone: 503.718.2439 Fax: 503.598. E :1 tD Pia Review Other Permit:
r C n R p Inspection L ine: 50 3.639.4175 LE 1 Y 0� TIG � B y ®see Pogo 2 for
Internet: www.tigardo.gov BUILDING DIJiSION No emod WM Supplemental Information
❑ New construction ®Additiort/atlterati Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
m✓roP performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit
i, " �s% river t� 44 -CrA x2O w -'4":'`,V 7'tg': Value S r � Sati ucl<�IO oft? �; ,
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® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
+4:2 r 4'ac� Vi a
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r .. {a'' ia> :JOBpy.' _Ip, - i.w r .- . r 1 , 1 .WA�&'.Y,,'.c. F 4N7 irk.? BCauun0li
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Job site address: 7380 SW Hermor*Way (requires site plan showing placement) 46.75
City/State/EP: Tigard, OR 97223 Furnace 100,000 BTU (dnetslveom) 1 46.75 46.75
Furnace 100,000+ BTU (ducts/venta) 54.91
Suite/bldgJapt no.: I Project name: BOEHM -
me Heat pump .
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
SW 72 Avenue /k Hermosa Way Hydromc hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in -wall, in-duct, suspended, etc. 46.75
Subdivision: I LOt no.: Flue/vent for any of above 23.32
Other. 23.32 -
Tax map/parcel no.: Other fuel appliances:
C;V i�' �� ri � } r ' 1tX ll " '. mo d l.. 2-- 0 �,ti .+ fir: :, ..li'f � r 7.4 w^tf * W ater heater 2132
Replace Oil Furnace with Gas Furnace. New meter on site, new gee line ran from . Steplace/tnsatt 3339
Flue vent for water heater or gas
meter to gas furnace. fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
'f'ta 1 -7 "I { T F3 ti % ..1k --; ' V'l I , a `'*',?1,;01 ®,f_ "AI 4 'r i Chi
f ninin finer /thtdvent 2332
v p u , a -.5 er a� _ i f;- Other. 23.32
Name: Gene Boehm Environmental exhaust and ventilation:
Address: 7380 SW Hermosa Way Range hood/other kitchen
equipment 3339
City /State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
Phone: (503 395002 Fax: ( ) Single -duct exhaust (bathrooms,
_ toilet compartments, utility moms) 23.32
aR.W,: .7 ': 7( yi . ? ' i,,'' i; b 1 �_ ' : + L re ,E44- y Attic%rawispace fans 23.32
Business name:
Other: 23.32
- Fuel piping:
Contact name: S14.15 for first four; $4.03 for each additional
Address: Furnace, etc. 1 14.15 14.15
Gas heat pump
City/State/ZIP: Wall/suspendedhmit heater
Phone: ( ) I Fax:: ( ) Water heater
E -mail: p �� ,, �
Fireplace
y ic� X4 r s d r ay kY (r ^ 1 _ Bann
, Gx s (5 :'�:idF -. a 1'7'' : 3, `c ° - y t i _, SZ"n Srk 3Ar t :...
'� - Barbecue
Business name: Bull Mountain Heating Clothes dryer (Ras)
Address: 6520 Rosewood Street Other:
!
_City /State/ZIP: Lake Oswego, OR 97035 Subtotal 60.90
• Phone: (503) 6126677 I Fax: (503) 6923084 Minimum P ($90.00) , 90.00
Plan review (25% of permit fee)
CCB lic.: 157814 1/ , , / i State surcharge (12% of permit fee) 100.80
/ TOTAL PERMIT FEE 100.80
Authorized si _• This perm application expires U a permit Is not obtained within 180
der after It bar been accepted as complete. a•
Print name: Jack Ha , n I Date: 03/22/2012 I • Fee methodology set by Thu -County Building Industry Service Board
rloldingTermitAMEC - ,,., 03/07/12 . 4404617T(11RJ7/COM/WEB)