Permit CITY OF TIGARD MECHANICAL PERMIT
. a COMMUNITY DEVELOPMENT Permit #: MEC2012 -00487
TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/25/2012
. Parcel: 2S111AD08200
Jurisdiction: Tigard •
Site address: 8905 SW REILING ST
Project: Steiner Subdivision: SCHECKLA PARK ESTATES Lot: 9
Project Description: (1) NC installation Must maintain 5' side yard setback and approved rear yard setback
Contractor: BRUTON COMFORT CONTROL INC Owner: STEINER, JOHN
12855 SW 22ND ST 8905 SW REILING
BEAVERTON, OR 97008 -5152 TIGARD, OR 97224
PHONE: 503 - 626 -7477 PHONE: 503 - 639 -1788
FAX: 503 - 646 -0126
FEES
Specifics: Description Date Amount
Air Conditioning 09/25/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 09/25/2012 $10.80 -
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 09/25/2012 $43.25
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 OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: Oki �7 /� PQ fi
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. r� r `'r'r
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 I.QR OFFICE lSF: ONLY
Received dam . No.:
City of Tigard j� Date/By: q a-S /lam si P«mlta,o.: �6C4.b(J-Do��
N......
13125 SW I1all Blvd., Tigard, O 9 / l plan Review
Phone: 503.7182439 Fax: 503 98. 0 • a s T Date/13y: Other Permit:
T i G A R ll
inspection Line: 503.639.4175 S E P 2 4 2012 Dam : In 611 p Supplemental f
I Information
nternet! recto www.ttgard or.gov 4
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❑ New construction ® Addition/alteratioNreplaeement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical matcri , e • ui • ment, labor overhead, and • rofit.
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F;t 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
❑ Multi- family 0 Master builder ❑Other: DescriptMn Qty.
mai iii fiil xr ` li ,q „ {Il,„ l F itDili!I ! � °J ∎9 „m IrtiT i ii�,tfi nti /oft air, lig! , ?'fl { ! i u I f ' _ •
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Job site address: 8905 SW Reding Street (requires site plan showing placement) It 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City /State/ZIP: Tigard, OR 97224 Furnace 100,000+ PITT 1(ducts/vents 54.91
Suite/bldgJapt. no.: Project name: Heat pump
(requires site plan Molina ina placement) 61.06
Cross street/directions to job site: Duct work 23.32
lie hot water system ■ ®
Tteside al boiler r (radiator or
• hydronio)
Unit heaters (fuel -type, not electric),
• in -wal in -duct suspende• etc. 46.75
Flue/vent for erg of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map /parcel no 1 Other fire] appliances:
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1.•itf' i(la i 1b,111d1!)}t13�.tZ:rlrillitilir l lifi ttili.iffill glifuullitilih;nllt offal ltd :loallthi!t,l,t.l..11ii.L 1g nit .tlfi,l.r :li•.ffit!IEI$InlIllf': 33.39
Gas fire'lace/inscrt
install 3 ton AC system Flue vent for water heater or gas
fire.lace 23.32
Lo II':hter •,s _ISMS
Wnod/ Ilet stove 33.39
Wood fireplace/insert 2332 II M
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Name: John Steiner Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 8905 SW Reding STreet .uj.ment
City /State /ZXP: Tigard, OR 97224 Clothes dryer exhaust �
Single -duct exhaust (bathrooms,
Phone: (503)639 -1788 Fax ( ) toilet com . artments. utili rooms
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Other: 23.32
Business name: Bruton Comfort Control .. _ Friel , i i _:
Contact name: Matt Bruton Si4.15 for first four 54.03
Furnace. etc.
Address: 12720 SW Allen Blvd
Gas heat pum
City /State /ZIP: Beaverton, OR 97005 Wall/sus ended/unit heater
Phone: (503) 626 -7477 Fax: : (503) 646 -0126 Water heater
E -mail: servicea,,brutoneomfortcontroLcom Range
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Business name: Bruton Comfort Control Clothes dryer (gas)
- . Other:
Address: 12720 SW Allen Blvd 1 r .! t R ai nr l,u , •,u , 11 OFr ,r rr>< ,u uw,!'
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City /State/ZIP: Beaverton, OR 97005 Subtotal
Minimum permit fee ($90.00) 90.00
Phone: (503) 626 -7477 Fax: (503) 646 -0126 Plan review (25% of permit fee)
CCB lie.: 65296 • , . State surcharge (12% of permit fee) 10.80
II TOTAL PERMI'1 VEE 100.80
T his permit ap plication expires if a permit is not obtained within 180
Authorized signature. days after it has been accepted as complete
Print name: Karen Normandin Date: 9/24/2012 • Fee methodology sot by Tn - County Building Industry Service Rnnrd
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