Permit •
CITY OF TIGARD MECHANICAL PERMIT
3 11 1 $ • CO MMUNITY DEVELOPMENT Perrnit: MEC2009 -00452
Date Issued: 08/26/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S 26/200 0600
Jurisdiction: Tigard
Site address: 8930 SW OMARA ST
Subdivision: Lot: 0
Project: Demmin
Project Description: Replace furnace, install duct work and (4) gas piping.
Owner: FEES
DEMMIN, DWAYNE Description Date Amount
8930 SW OMARA ST Furnaces < 100K BTU 08/26/2009 $14.00
TIGARD, OR 97223 Duct Work 08/26/2009 $10.00
PHONE: 503 - 347 -4864 Fuel Piping 08/26/2009 $5.40
12% State Surcharge - Mechanical 08/26/2009 $8.70
Contractor: Minimum Fee Adjustment - Mechanical 08/26/2009 $43.10
FIRST CALL INSTALLATION COMPANY
13150 S CLACKAMAS RIVER DR
OREGON CITY, OR 97045
PHONE: 503 - 557 -0230
FAX: 503 -557 -0919
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: Permittee Signature: v /We-, [ff -��0,■1
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.
AUG -25 -2009 09:27A FROM: TO:5035991960 P.1
Mechanical Permit Applicatio ECEIVED I t I l; ( t I I I( I I I O\ I 1
1,4 City of Tigard Blvd . R I r I Permit No.q 2007 --eV 3-',..... 3-',..... • 13125 SW Hall l Blvd., Tigard, OR 97223 AUG 2 5 2009 Plan Review
• Phone. 503.639.4171 Fax: 503.598.1960 B Other Permit
t , ,, , . , , Inspection Line: 503.639.4175 CITY OF TIGARD Dafe Ready1B): 0 See Page 2 for IMI Internet www.tigard-or.gov Notified/Method: Supplemental laformation
BUILDING DIVISION
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❑ New construction Addition /alteration/replacement Mechanical permit fees' are b a s ed on the value of the work
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, equipment, labor, overhead, and profit.
?f :.:'{.F�,.0 Ee', r ,'Jh %.` a K ?rnK • r,-i - e :: rn.. - .i....,. :'.. Value: $
1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building 1 *�' "t 0-# * f
El Multi ❑ Master builder ❑ Other. For special lydorynotlon we checklist
r . . _ , ..: ✓•- n • w. t o r, r Description I Qty. L) a. , Total
; i ?;`,y3-'.',' airr :.... - ,`i . 1 : j?044., Ok'4AN0 c�'•�. ":0 l ,v= . - Heating/cooling
lob site address: S V4 Ow Oman, ' m. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: - near( 41223 Furnace 100,000 BTU (ducelventa) I 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: Gat heat pump 14.00
Cross street/directions to job site: Duct work 1 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 1 6.80
Other. 10.00
Tax map/parcel no.: Other fuel appliances
1 .�' (i�1CWC Y4 ,��1 1. if '�6W l ^ { � 'q „ ! ' ° 4 „'.. L y _
(; G � ! „+^ .,,�f[, , ° , ,, Water heater 10.00
Kyy,2y{GM!{U(�M�l 1. � "M4,} :{(t {i'/M4� W. �"S. %:,e � �. }: i :'i " .+i �if.. , S ": , ';'J: k.:
Etas C4 )� cad-lens Gas w ent foe 10.00
t l.t� Jt.l
Flue vent
10.00
vent for water heater or gas
o
fireplace
,�, ` Log lighter (gas) 10.00
Oi IV Wood/pellet stove 10.00
Wood fireplace/insert 10.00
r {mr � '., ,:° _ ..r..•,,. -.,... dr -,, ChimneYAiner/flue/vent 10.00
( { -�7�+ {� �{ y�� �Vy!",��SA l; `` :l�r�i 1 igl ^.-g4' i- f ;; : •` /y�
iJl4A�A+'...T�+1�..;T � 4 irc.`'.,. :.t�.. �� ,. 2'1�.�4'i. ralj.. `M �M:Ixnii` .��'._'..`I.41i.��y�' /ifr?4k Other: 10.00
Name: 4.1 ne Demm i n Environmental exhaust and ventilation
Address: v�� Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (tin) 2 Fax: ( ) toilet compartments, utility rooms) 6.80
klikM11.-- �.,� ,F , ����� r; r, ^ :� Attic/CrE ace fang
r a i I E" - f''l N i r r 10.00 • Other: 10.00
Business name: Tri County Temp Control Fuel piping
Coritact name: Diane Mason 55.40 for first Ibur, 51.00 for each additional
ell
F A ddress: 13150 S. Clackamas River Drive Furnace, etc. ti
Gas heat pump
p"') City/State/ZIP: Oregon City, OR 97045 Wall/suspended/unit heater
. Phone: (503) 557 -2220 I Fax: : (503) 557 -0919 Water heater 1
Fireplace
E -mail: Range
,i� . L:' f {x� �,. yr . .. �.. '; .� ��reryV r .
�.�� }WF.;� Via+ ;: �� • :.�,4 :.�Mq�• »'� :yo-7�..i�.';. x � O ". .. . 1 .,.., ... . - B a rb ecue
Clothes dryer (gas) I
Business name: First Call Installation -
. Other:
Address: 13150 S. Clackaraaa River Drive '...-.F45:.; '" "`'
•
City/StateIZIP: Oregon City, OR 97045 Subtotal
Minimum permit fee ($72.50) 9,7, .50
Phone: (503) 557.0230 I Fax: (503) 557 -0919
Plan review (25% of permit fee)
CCB lie.: 182714 ✓ State surcharge (12% of permit fee)
TOTAL PERMIT FEE ( rte/
Authorized signature: Thb permit application expires If a permit Is not obtained within 180
days after It has been accepted as complete.
I Print name: Diane Mason I Date: 971251001 I • Fee methodology set by Tri - County Building Industry Service Board
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