Permit •
CITY OF TIGARD MECHANICAL PERMIT
• 1. '' COMMUNITY DEVELOPMENT Permit #: MEC2012 00610
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/05/2012
Parcel: 2S109ACO2400
Jurisdiction: Tigard
Site address: 13125 SW BULL MOUNTAIN RD
Project: Knudeson Subdivision: 2000 -086 PARTITION PLAT Lot: 1
Project Description: Install new underground heating oil tank
Contractor: ECOTECH INC Owner: KNUDESON, KIM &
2435 N LOMBARD ST 13125 SW BULL MOUNTAIN RD
PORTLAND, OR 97217 TIGARD, OR 97224
PHONE: 503 - 493 -1040 PHONE: 503 - 639 -2234 -
FAX: 503 - 493 -1042
FEES
Specifics: Description Date Amount
Other, Fuel Appliances 12/05/2012 $23.32
Type of Use: SF 12% State Surcharge - Mechanical 12/05/2012 $10.62
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 12/05/2012 $65.18
Occupancy Grp: R -3 Plan Review 12/05/2012 $22.13
Stories: Info Process /Archiving - Sm $0.50 (up to 12/05/2012 $1.50
11x17)
Fuel
Fuel Types: Oil
Gas Pressure:
. Total $122.75
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 • - - • 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 rect questions t• OUNC by calling 503.232.1987 or 1.800.332.2344.
I ued By: = / � �/ ,/ Permittee Signature: At (A 1 ( g E g d Y /S �
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.
11/26/2012 2:28 PM }AX 503493104 r •a CH Z1 0002/0003
Mechanical Permit Application E
FOR attic E. USE ONLY
City of Tigard Received I( a "711 y % Permit Nogg of a _0042 tr)
13125 SW Mall Blvd., Tigard. OR 97223
NOV 2 6 2012
g P11a7 Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: t\ 2`t (i Other Permit:
il
T I G A R D inspection Line: 503 - 639 CI j� I Date Ready/By: ( / ��� / Ij 21 Sec Pate 2 fur
Internet: www.tigard- or.gov BUILDING D VI onf" /7M efiod: S/ Supplemenmt leformation
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Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition /alteration/replacement performed, Indicate the value (rounded to the nearest dollar) of all
El Demolition ® Other: Install UST mechanical materials, equipment. labor, overhead. and profit.
F ^ ¢l2i" . 1 :" ..r -- " 1.7 4 � , .r- , r Value $43
j P� 4 ..1. ,-e G l 11F .•r,,n sl J- .th{ ' I � v ; H S1t'?r " '',.��1�', y ,.} , 6 ' .',k r"..4 - -'`v �:, -bc - •
, gasi r .. - •ga-,,_c' -. J =°.- -1 "r _ ,r'r,:. .' 1.- .F1::.. -' r ",y" 7 i ri al t o L" l t I ' 7 i. t 7 1 t 1 r I • y �fi, .'y�1 , y9
� [ ;!!i � _- -: .,.. ''/ r �l�. t-I �' tt�tS4iL
El I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
[] Multi- famil) ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
' r i . �- )WPT -- '1. i 7.B d , '&1 Heath- cooling:
,, :i „ " ce :i - ..,:4 ." v . t - .2.1s.,: t r r r - `: -, X14 .. - ...u:'•`:;x.-.n...r": .ir:
... - � Air conditioning
Job site address :13125 SW Bull Mountain Rd (requires site plop showing Placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City /State/ZIP: Tigard OR 97224 Furnace 100,000 - STU ( ducts/vents) , 54.91
Suite bldg /apt. no.: Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/dircctions to job site: SW 132" Ter Duct work 23.32
Property is located 1/8 block North of the intersection of SW 132"d Ter and Hydranic hot water system 23.32
-_ Residential boiler (radiator or
SW Bull Mountain Ter on the East side of SW Bull Mountain Rd. hydronic) 23.32 ,
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended. etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other. _23.32
Tax map /parcel no.: 2S109ACO2400 Other fuel appliances:
i, L ` 0 }. P1t. •9. 5-,:1 t,r , 1•'- a ;�, ..,-tr_ . 74 :T: N� l w ' r y ITT n c i 7 i . t 1 r� rV Water heater I I 23.32 I
vti - rt ».v.4?, elp.. d FiF4.ti.:t - "J., C } .1 F1?il :4?4ti • ,n- kr. .-- Irois:;L. .. . . ::; :A..4.r t:e,•.
Gas
Install a new underground heating oil tank ve f for 33.39
- - Flue vent water afer heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
• Wood.fueplace/iinsett 23.32
t tin a, `Fi• t } �i ' r r t�U A } tr s rr1 , t A ?F t r , P { `l f i�« �I '�,1 . '- 1 "a.. T Chimne /liner /flue/vent 23.32
.. - .r_ 1 ,y - "} �..i�.' t � rI Gr{ [ 7 ;! 2 ae �� -�
- Other: 23.32
Name: Kim Knudeson Environmental exhaust and ventilation:
Address: 13125 SW Bull Mountain Rd Range hood/other kitchen
. equipment 33.39
City /State/ZIP: Tigard OR 97224 Clothes dryer exhaust _ 33.39
I Phone: (503)639-2234 Fax: Single -duct exhaust (bathrooms,
( ( ) toilet compartments, utility rooms) 23.32
5 a i'l $ ; ti } u } '�`G / "L�H ( :�'a ; p f �7, 1 I: :'9 } r< u i� r: , - ° Zp '. k ,mr Attie/crawispace fans 23.32
Business name: EcoTcch LLC Other. 23.32
. Fuel piping:
Contact name: Christina Hester SI4.15 for first four, $4.03 for each add itional
Address: 2435 N Lombard St Furnace, etc.
Gas heat r um.
City /State/ZIP: Portland OR 97217 ., Wall/suspended/unit heater
I
Phone: (503) 493 -1040 Fax: : (503) 493 -1042 Water heater
Fireplace
E -mail: info®ecotechllc.com . Range
. .,- �� - .
r•!� r'a J'i j ' 2 II 9 1- ? .71 k : : 1,'4 .5 S t ry 3.�rp.^, t '� < 1 ^, J-1 BarbCCUC
.��:� .i..s...- 4 z.. .::'. .:a�, :2::e:+.•a: _ ... °x;:.a:c,.M - ,;Sc.i�.,.•;c^
Business name: Same as above Clothes • er _aS •
- Other IIIIII
Address: .. c * xr - ea rs c r c x C E -�.`
S,v � _ ru �:'i- c ti 7 1 4 x71 3-=
+-•_M : d=;t !:.u.. 4.11- 3 s,4,... .4.4_ - `. �. I I �v� 2 - .. .._
City /State./ZTP: Subtotal'
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) I
Plan review (25% of permit fee) i
CCB lic.: 0R 155q 15 State surcharge (12% of permit fee) I
a TOTAL PERMIT FEE ? • 1
I I ( 1 This permit application expires if a permit is not obtained within 180
Authorized signature: t, r ■ ` ,�� �� : /: a ri - e �� ( / j days after It has been accepted as complete.
1
Print Here: Christina Hester � • • �; . k/ 0.4,, i i I t+ate: 1 /12 • Fee methodology set by Tri County Building Industry Service Board
l:teaiIdiogWsem n\MEc- PcrznihApp.duo 03ro7/12 44046177 (1 vo2/COMnWee)