Permit •
CITY OF TIGARD MECHANICAL PERMIT
g • COMMUNITY DEVELOPMENT Permit #: MEC2009 -00217
Date Issued: 05/20/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639 4171 Parcel: 1 S125DD06400
Jurisdiction: Tigard
Site address: 6605 SW VENTURA DR
Subdivision: Lot: 0
Project: McGowan
Project Description: Install furnace and a /c.
Owner: FEES
INGALLS, BRIAN J & Description Date Amount
MCGOWAN, THOMAS J, 6605 SW VENTURA Air Conditioning or Heat Pump 05/20/2009 $14.00
DR
Furnaces < 100K BTU 05/20/2009 $14.00
PHONE: 12% State Surcharge - Mechanical 05/20/2009 $8 70
Minimum Fee Adjustment - Mechanical 05/20/2009 $44 50
Contractor:
ADVANCED HEATING & AIR CONDITIONING
6918 SE 48TH
PORTLAND, OR 97206
PHONE: 503 - 774 -0161
FAX: 503- 774 -4391
Type of Use:
Class of Work: Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
cAerj,6is. jirolt_0201.96
Issued By: Permittee Signature: O
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.4 .
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Mechanical Permit Application
11111 ;� � : �-- I t)I: OF1 1l 1: Hsi.: t11N1.1 City of Tigard fo f r - ,' , ' Received
E 3125 SWHallHhd., Tigard, GR 97223p i:- ;' D ' Y S - 0 • Permit
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review l 1 _ _�
�ic; r _, ItlspectionLine: 503.639.4175 MAY 5 2009 Other Pemlit:
interne!: www.tigard- or.gov 2 for
Notified/Method. Rey ®$ee rage Notified/Method. G 000000017001AaA00orm
❑ New construction -... •_,-.,.. ,:s ;;;ti . 48,0 - T fi y .ip r .. •
s
® Ad dition/alteration/replacement Mechanical permit foes' are based on the value afore work
❑ Demolition Other: performed. Indicate the value (rounded to the nearest dollar) of all
- t._. _ n'` _, ` } 1, mechanical materials, equipment, labor, overhead, and profit.
r rst., ;1, t-'`;- is T:
'� Value: S
5,1- and 2- family dwelling ❑ Commercial /industrial + :.
0 building
For (":+4 ` ` ,..:'.:.'.`.:' , _?'"--ftt . -
0 Multi - family ❑ Master builder ,z' - =: ;'$
❑ Other:
information use check(I,tr
Description
JOE i7 " t._ ,.:a Qty. i Ea Total
= "+"'ir�•u' •_�. r �,y, ?V�' He9dnCOOtInR
Job site address 40 zap t Air conditioning or heat pump '
City /$tate/I,ip: Y D R, ('squires site plan showingpiatemaa) ! 14.00
7'rzed . t)it 7� Furnace Fuace 100,000 BTU (dacts/vents) : 1 ° 14.00 '
Suite/61dg.IapLno.: Project name:
Furnace 100,000+ BTU (duetslvants) : 17.90
Cross street/directions to job site: Gas heat p _ _ 14,00
Duct work 10.00
Hydrunic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (Alai -type, not electric),
in -wall, in -duct, suspended, etc. _ 14.00
Subdivision:
1 Lot no.: Flue/vent for any of above
6.80
Tax map/parcel no. :er 10.00
�•
Other ther
��
fue appliances
' �•` ": '
� ( sg ;ity : t A',�.° ^;NN,:' Warerhea r
y.m {': o,:•._ 3,a..n - 10.00
11 rqrow Gas fireplace 10.00
Flue vent for water heater or gas
.T+.ixr.o ->,/ /'¢�f� fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
'Plllllitltl till**
,. :*,: • F mney/Ii/fl/
neruevent 10.00
,�'.:�',. � ..� '�i4�� ..?w:r, �`�'i:i. -''�- ';,' T,r v �r�x= i• C hi
: ��' - :.9.; .:yJt:' ,�, ; � • _-:�
_. ,,. e� t =F =.; Other.
Marne: »9 MCI /� � I O 00
Na
(,� Environmental exhaust and ventilation
Address: 4 G DS / _ T - o Range hoodlolherkitchen
Y �I�/,Cl. i
equpment
r' � 10.00
City /State/Zip;
t' ? g,,z- Clothes dryer ethaust 10.00
Phone. (sod) 954 _ 49 , Fax ( ) Single-duct exhaust (bathrooms,
Y ■ ��y, - . j�yCc toilet compartments, utility rooms) 6.80
wl....;::1r 0�. j �t� Y ,f� x ; Atticicrawlspaccfans 10.00
Business tame: , 10.00
Other. _
Contact name: Fuel PiPieA
55.40 for first four; $1.00 for each addidolal
Address: Furnace, etc. J 942
City/State/ZIP: Gas heat pump
Phone: ( ) WalUsuspendedhtnitheater
Fax: ( ) Water heater
E-mail; Fireplace
-:... age
,
Business . • 4 _ ,;.•:, �':�i:��•:,:, Barbecue
name: ..,,;,.,,,,t,..0. ..,,;,.,,,,t,..0. 0,, .. °
' ' , / , r Clothes dryer (gas)
Address: �� 1 r Other,
City /State/Z1P: P2 zf.pi4,t C l , ?7 , 2 , 4 ,
Phone: (4 193) 771 eti / / Fax: toy!) 77y_ i/5 / Minimum permit fee Subtotal 7 ) 33• � �
CCB lic.: 9 f �c (O J Plan review (25%ofpermit fee)
Ll J State surcharge (12%ofpermit fee) 7a
Authorized signature /l. /��� _ / TOTALPERMI7'FEE :/
irfCsJ�if i�,�L� This permit application !spleen If a permit la not obtained within 180
Print name: �jn,, i / days after it has been accepted as complete.
- 24 /.e ! I Da e f ,1 ry • Fee methodology set by Tri- County Building Industty Service Board
1 vier agTerm�tsumE.C•PermiWPpd out 9/07 /
4404617! (1 I /021COMIWEB)
T • d ` 16EbbL.LEO I 1d3H Q30NdAGU Wd6 T t T i 6002 ST ReW
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Ol
A/C -HEAT PUMP-- -U?NIT SITE PLAN FN
0
FEET TO BACK OF PROPERTY LINE 4 L ED
1 $ ,
FEET TO SIDE PROPERTY LIFE ri
Ul
O
FEET TO FRONT PROPERTY LINE
T n WAS +v�4�a , -
: S ki �✓' 9 /9i'd. On ! ?72z 3
PLEASE REFAX APPLICATION WITH SITE PLAN
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