Permit •
CITY OF TIGARD MECHANICAL PERMIT
11
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00363
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/30/2012
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Parcel: 1S134DA00300
Jurisdiction: Tigard
Site address: 11180 SW 106TH AVE
Project: Venables Subdivision: NORTHERN PINE Lot: 13
Project Description: (1) ductless Heat Pump, Must be placed within 5' side yard setback and approved rear yard setback
Contractor: S & J HEATING & A/C INC Owner: VENABLES, JOHN
1004 NE 4TH AVE 7120 SW 60TH AVE
CANBY, OR 97013 PORTLAND, OR 97219
PHONE: 503 - 651 -2702 PHONE:
FAX: 503 - 266 -2452
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 07/30/2012 $46.75
Type of Use: SF Heat Pump 07/30/2012 $61.06
Class of Work: OTR Type of Const: 12% State Surcharge - Mechanical 07/30/2012 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $120.75
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 OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: /
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 ,plication RECE1 r( 01' 11(e 1—q• (, :, I.1
7 1 1.1 City of Tigard Per eZ< oIo b0
• 13125 SW Hall Blvd., Tigard, OR 97223 JUL 12 2 i ' � : Review ;
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit;
I , 1 , Inspection Line: 503.639.4175
art � I Ill+ ; �: t .. r see Page 2 for
Intenet: www.tigard- or.gov N h . S ® upplemenmlInformad°n
BUILDING DIY ` , ' 40162tegt '``s'Pi _, }. ' ': '1,:.`.'s" COI, t> BCIAI.' I+l` .. ,.. .' •
• Mechanical permit fay are based on the value of the work
❑ New construction ® Addition / alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition I] Other: mechanical materials, equipment, labor, overhead, and profit
Value:
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use d eohlu
❑ Multi - family (J Master builder ❑ Other: Description Qty. Ea_ I Total
w is� u :. .. 3 d coon
+a �` '° '�` Hea Air conditioning
Job site address: 11180 SW 106 AVENUE (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vent%) ... l 46.75
City /State/ZIP: TIGARD, OREGON 97223
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: l Project name; VENABLES Heat pump
(requires site plan showing placement) ( 61.06 /;:f �I ro
Cross street/directions to job site; N. Dakota Street Duct work 23.32
Hydronic 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: J Lot no.: Flue /vent for any of above 2.3.32
Other. 23.32
Tax map/parcel no.: Other fuel appliances:
'_ r . -t :�r r ,� ' F ;::;;.Z: 7 7 1 1 , 77: 4 ,7';:::''' • c;;,c„ • . • Water heater 23.32
• • •'���✓ ^ � . DUCTLESS HEAT PUMP Gas fireplace/insert 3.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove _ 33.39
Wood fireplace/insert 23.32
P .ia .,, ?.:.,� ;�4,n: ';, :r Chimney/liner/flue/vent 23.32
- -- ^: :... o.. .,.. x=J yH:,� uY..`x '�a4 EY�I4�iP Other. 2332
Name: JACK VENAULES Environmental exhaust and ventilation:
Address: 7120 SW 60 AVENUE — Range hood/other kitchen •
equipment 33.39
City/State/ZIP: PORTLAND, OR 97219 Clothes dryer exhaust 33.39
Single - duct exhaust (bathrooms.
Phone: (503)246 -7544 Fax: ( ) toilet compartments, utility rooms) 23.32
:r�.,�s "`=' :!M' . 'r ,'r.'; ; `; _ 1 `<.N ; , t 11FTCT Attidcrawlspace fans 23.32
Business name: S & J HEATING Other: 23.32
-- i ce' l Fuel piping:
Contact name: STEVE DAVIS $14.15 for first tour, $4.03 for each addltiooal
Address: 1004 NE 4 AVENUE • Furnace, etc.
Ciry/ State/ZIP: CANBY, OREGON 97013 Gas heat pumy
Wall /suspended/unit heater
Phone: (503) 263 - 7773 Fax:: (503 - ) 266 - 2452 Water heater
. - Fireplace
E -mail: ADMINSJHEATING@CANBY.COM Range _
n ' ' eg? ' '.`':;Su` . , :.4: , , ,,.. r t .,. Barbecue
Clothes dryer (gas)
Business name: S & J HEATING Other:
Address: 1004 NE 4 115 AVENUE • . . Mi •..
City/ State/ZIP: CANBY, OREGON 97013 Subtotal
Minimum permit fee ($90.00)
'hone: (503) 263 - 7773 _ Fax: (503 - 266 - 2452 Plan review (25% of permit fee)
CCB lie.: 96972 State surcharge (12% of permit fee)
. TOTAL PERMIT FEE 1,90.1s. • ,
T his permit application expires if a permit is not obtained within 180
Auth • : ed si : . . • ' '
b i , r days after It bas been accepted as complete.
r ' — • Fee methodology set by Tri -County Building Industry Service Board
Print nauw: STEVE •■ AVIS Date; 07/1 /12
1 :1Bw1dineermtlaMMEC•PermitApp .doe 03/07/12 44046177 (I I /071COMrWEB)
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