Permit . CITY OF TIGARD MECHANICAL PERMIT
IN: COMMUNITY DEVELOPMENT Permit #: MEC2012 -00206
T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/26/2012
Parcel: 25111 DD08500
Jurisdiction: Tigard
Site address: 8721 SW AVON ST
Project: James Subdivision: CHESSMAN DOWNS Lot: 11
Project Description: Replace gas furnace.
Contractor: GREENTECH HEATING & COOLING Owner: .JAMES, SUSAN MARY
6403 SE 22ND AVE 8721 SW AVON ST
PORTALAND, OR 97202 TIGARD, OR 97224
PHONE: 503 - 235 -5895 PHONE: 503 - 880 -1168
FAX: 503 - 235 -5897
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 04/26/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 04/26/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04/26/2012 $43.25
Occupancy Grp: .
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 byy/11 calling 503.232.1987 or 1.800.332.2344.
Issued By: ` �y� �j�T���_ Permittee Signature: //t/ — �i /e[ 0"/
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.
RECEIVED AircAo/cz-00a°
07/23/2006 02:20 FAX al 002
67
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• e 1 ry of 77 64
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/ YE - c#19N/e4c, PEgivir . APR 2 3 2012 4155 ih?
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• values
- ;.,4 :;.:=:,v.v.c.4ii4r.,::=•Y: ''• : zt • ' • • • '' '' ' r• 00ii '....'- :'. 10.
g 4. : 0,;1 '•17 ,..oni M aitencti lY .
: .
drv . oN . Far species tomtagen u rtir eagen titOKV.V ,
New construction
Demolition el, er: Ifin Qty. I Ea. J lbtal
giaffig,qatiMiRt0400.00:14/K:•-....°,..'1'...;:•'..1..ittiRICI.;:t.i•V•;::::.•::••.'„:,& Eleathe/coollnin
Air oondltioning •
4.1- and 2-family du:a Contmercialrmdustrial .ACceSSory building . Onqahno Me plan showing plarawsot) 46.75
• • ; . Mil Master builder Wren Furnace 100.000 BTU (thwtsivcss) i 46.75 4L715 •
,
Furnace 100.00CH- BTU (ductslveats) 54.91
***40*l4ii0:lO Heat pump .
' a i address: 812..1 - 50 (pc\fr-w-t- :nteubss Me ohs showing plarement) 61.06
-, Duct wmt 23.32
. ity/Stete/ZIP: — rvc. m i:= cl v7 91 2 HY4/101110 hot weer system 23,32
name: --54k.,„,r, Residential boiler (radiator or
• ulte/bIdgJapt. no.:
. Wideman , 23.32
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. . • , , street/directions to job site: - Unit heaters (fitel-type, not electric),
• in-wall. in-duct; suspended, etc. 46.75
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_ Fluelvatt frir any of above 2332
' • ' Other: • 23.32
Other feel ennlieeten
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Water heater 23.32
ubdivision: jLot no.: Gas iheoltureiinsert . 33.39 •
ax map/parcel no.: . _ Flue vent So WM' heater or gas
fireplace 23.32
't:...'-';':.•:•Z''.Z'anI::::;•:!.6.4.EfirtiOil,iiWO1r.:.*Q**:..1,‘:..:•.•.''.....-;:-..:.•.::.:,:..:•.-y.......•:•:.:. :::•••.,:........,1.,-;
• Loa lirditer (Ras) 23.32
:'.).C■ ■• • .• 0 F7 ct t CC Y e_ Wood/pellet stove • 3339
Wood fireolacefimmt - 2332
. , 7 0, a, . " .1&" .i ■
- - Chimnevainadfiue/vent 23.32
Other: ____ _ 23.32
EnvIronmegtal ahem and ventlladon:
. • . . 0 ; '' '- ' :';12...i':'-i0ttii**-:::.::•••;'-:'',•.:...'•:- .. . •• ••• :
.:•. :; ..::. .... •
;:::::::;:• .:•'..•': : •' :. Range hood/otha kitchen equipme 33.39 I • nt' .
Clothes dryer exhaust 33.39
ante: < a .c.n.
J A Iry - 3 - ft - - • Single-duct cabman (bathrooms, • •
AA.. ■ s
, mritt eh h . Mild COnMartments, utility rooms) • • 23.32
•
- - • Attic/orawlsoace fwis 23.32
ity/State/ZIP: --- ()g. 4 =‘ — '1 •
. Other: 2332
: (.NP 4 61:10 i 1 in,7:0 Fox
.V;;;Mitgar.11#1040itg ' ::,.::::: . '.'• : :; 3 • : ).: ''. ?f10.:$*t '......';.::::.."'‘ • 114.1S for first for 54.03 fir each additional '
• Furnace. etc.
1: usiness name: -4r-, e4F 54 On:6,n Gas heat Nunn •
... ,,-. name: A V1/4‘,..",kv.,,, Wallisuloanded/unit hearer 1
. • • •ddress: 4 s-i..- . 772 up . the NKr beater
• 1
4/State/ZIP: e ,. /4 2a—C. , .. I c 4 17 ) 7 , 2_ Fireplace
Rano .
I ''' la: ( - ,:eayrr _ . . r ax: — • .T.,..... 1"i":4'il - • Barbecue
111 ugh, .
Clothes dryer NW
.t.sts171:3. 10 * Ada
a .gc 't<7li °'*.............. ,............. .. • .------,-----, ,..-,.......,,,.„.....„.,
,,.,...4.....:,.:....:-.
minus name: _ crP . sa . _ ....
• dcheas: Minimu nt the .190 00
lty/State/ZIP: • . ,
• Plan review (25% of pennit fee
State surcharge (12% Opera* fee) ir)
I ".''' : ( ) 'Fax: ( ) • -
TOTAL PERMIT FEZ %be I.a
.B Ho.: • ilik • 23 /3 This penult ipsilkattoa taplroo If. permit Is not obtained ... .. 180
dm, diem It boo been occepted ni compliate
11111k 0 . • Foe meneadegy set by Tri-County Building loaner &mice Boyd
Authorized : :- ." ' 1, ' -4 . .
—74r1111.0111M11111111=1"11M.110., •
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Mechanical peanut fees' are based on the value of the work
performed. Indicate the value (mended to the nearest dollar) of all
mechanical materials, equipment, labor. overhead, andIn'Ofit •
IABuildingTennitAMEC-PermitApp.doe 03/07/12 . 2
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07/23/2006 02:20 FAX 421001
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Mechanical Permit Application 1, r r I i i i I I 1.\11
City of Tigard
97223 ;"
• ' PPhona 503.7 8.24 9 Tigard, 503 S 198960
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Inspection LiflC: 503.639,4175
Internet wwwdprd -•gov _ ;.
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