Permit CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00336
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/28/2012
Parcel: 2S110BCO3700
Jurisdiction: Tigard
Site address: 12345 SW WINTERVIEW DR
Project: Ma Subdivision: THORNWOOD Lot: 8
Project Description: (1) gas furnace - replace
Contractor: OREGON AIRE INC Owner: MA, DIANA
7715 NE 33RD DR STE A WANG, ZHAOYU
PORTLAND, OR 97211 12345 SW WINTER VIEW DR
TIGARD, OR 97224
PHONE: 503 - 335 -2222 PHONE: 503- 352 -5041
FAX: 503 - 335 -9977
FEES
Specifics: Description Date Amount
Furnaces >= 100K BTU 06/28/2012 $54.91
Type of Use: SF 12% State Surcharge - Mechanical 06/28/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/28/2012 $35.09
Occupancy Grp: •
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUN/CI by calling 503.232.1987 or 1.800.332.2344. /�[� A . /
Issued By: p I, U . C . , It► , d Permittee Signature: 04 T - PP/464m d N.
irn WW ll..t{ � INYY ll..((..// /�
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR orrlt r. I F. ONI.1
City Of Tigard ti Rece Permit No.: (.2 - 003 .
ta Date/By: ' 24 - w 3
13125 SW Hall Blvd.. Tigard, OR 97223 JUN
L 7 2012 Plan
I Phone: 503.718.2439 Fax Date/By: 503.598,1960 Other Permit
a
1 1 c; ,\ F: t : ) inspection Line: 503.639.4175 t^ r ' ' r , t-• . . • a Rctd rr uis: B See Page 2 for
Internet: www.tigard -or,gov / / . J. /f 45 + r :, ',, :
, , r s D Naa$ed/Methud; .( J, Supplemental Information
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T _+ t;, . f. , 4hkstfca : rr, R m3». 1u } ! + b M,.,, qtr, ; - Mechanical permit Ices' arc based on the value of the work
❑ Ncw construction Ca Addition/alteration/replacement performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment,_ labor, overhead, and profit
(: tip: np-'p:++r iS °'it!(, (lli'•" i:(I::P{I!i!' •.'cr ;, ,,s .,�Sa'P6fS; :,�� ?;•u:J:i`e ,.,if,_ Value :$
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® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For spedal infornm(ion use rheddW,
❑ Multi - family ❑ Master builder 0 Other: Description l Qty j Ea- l 'total
1,' s:a ,..; lRTJf, €lii z r �1 f -,e.? tv L r 1 , rszr, u L c , , I v 71 Ileadng/coo
in ling
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v, di1, `�`'i , ,• vl!1,1a1, fir• ;;it f -r ( , !,_a�Sc, .ari,t:dsi �u.. +.u,;.,; I f ,,... Air conditioning
Job site address: 17345 SW WINTERVIEW DR. (squires site plan showing placement) 46.75 I
Furnace 100,000 1411.1 1411.1 Wiens/vents) 46.75
City/State/ZIP: PORTLAND OR. 97224 v
- Furnace 10%0011+ 1.111.1 (ilo ivent :) I 54.91 54,91
Suite/bldg./apt. no.: Project name: MA Heat pump
. (requires site plan showma placement/ 61.06
Cross street/directions to job site: Duet work 23.32
Hydronic hot wafer system 23.32
Residential boiler (radiator or
hydronic) 23.32
. -- Unit heaters (fuel -type, not electric),
in -wall, induct, suspended. etc. 1 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 1 23.32
Tux map /parcel no.: Other fuel appliances:
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I f I, .!Gi i;!t < 4! . , ;. iii i ! •; ) t� � r.� �� +li
!f Iti + ,: . Wilier heater 2332
, _
�= � - -- "' r, .��t,.r_,1� r s..;� f:I::iiGli ;.., ,..... ., is i.t:n f,d .0 L.,r,,,u,,1.,LAfi,.. r : � ' 1 W 33.39
REPLACE GAS FURNACE
Gas fireplace/men tfor water vent for water heater or gas
fireplace 23.32
Log tighter (gas) 23.32
Wood/pcllet stove 33.39
Wood fireplace/insert 23.32
-4; t-rerti--- ;afore mi r, ; t , i wif!v,;r. - ,Ilei,t 5,,,da! °m!t , Chimney /liner/flue/vent 23.32
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1 Uthcc 23.32
Name: DiANNA MA Environmental exhaust and ventilation:
Address: 12345 SW WINTERVIEW DR. Ra a hood/other kitchen
equipment 33.39
City/State./ZIP: PORTLAND OR. 97224 Clothes dryer exhaust 33.39
Fax: ) Single -duct exhaust (baihmoms,
Phone:
(503)352-5041 ( toilet compartments, utility moms) 23.32
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> d f i i , f a3'Z` s, 1 i y r i l l ',t t ; t 1 1 3� ? T j i s 1 >'F ;I ( - 1 E? ;t 1: ; j Atbc /c rawltipace fans 23.32
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Business name: OREGON -AIRE INC:. Other: 23.32 -
Fuel piping:
Contact name RON STRONG 514.15 for first four; $4.03 for each additional
)I
Address: 7 715 NE 33 i n STE A Pumice, etc, I I
Gas heat , ern ,
City /State/ZIP: PORTLAND OR 97211 Wallisus did/unit healer IIIII
Phone: (360) 423 -1966 Fax: : (360) 423 -1978 Water heater
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Fire 'lace
E -mail: fatten �_-
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_ .i I(,,, 1 1 , � t�x;,.a , : ,� .: ). ..ai.�i.I `'nle,r`.`� nU1 tiF� r , ' ! ; Barbecue
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Business name: OREGON -AIRE INC - C • . cs - -. (.:its-
- - - -
-
Address: 7715 NE 33 DR STE A - Other: A= °' "' O
City/State/ZiP: PORTLAND OR. 97211 Subtotal 54.91
Phone: (360) 423 -1966 - Minimum permit fee ($90.00) 90.00
Fax: (360) 423 -1978
( ) Plan review (25% of permit fee)
)CD lie.: 64235 - State surcharge (12% of permit fee) 10.80
....This TOTAL PERMIT FEE 100.80
Ariellill r permit appr.caiion eiry'ra ill permit is not obtained within Lao
Authorized signature: d ays after it has been accepted 1 eompkle_
Print name: RON STRONG J Date: 6/27/12 • Fee methodology set by Tai- County Building IndrWry Service Board
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