Permit - CITY OF TIGARD MECHANICAL PERMIT
IN
a ,.: COMMUNITY DEVELOPMENT Permit #: MEC2013 00032
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/17/2013
Parcel: 2S112BD02500
Jurisdiction: Tigard
Site address: 14875 SW 79TH AVE
Project: Barnett Subdivision: DURHAM ACRES Lot: 49
Project Description: Replace gas furnace and install air conditioner.
Contractor: SKY HEATING & AIR CONDITIONING, INC Owner: BARNETT, MARY E
1637 SE NEHALEM ST 14875 SW 79TH AVE
PORTLAND, OR 97202 TIGARD, OR 97224
PHONE: 503 - 235 -9083 PHONE: 503 - 620 -2168
FAX: 503 - 235 -0454
FEES
Specifics: Description Date Amount
Air Conditioning 01/17/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 01/17/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 01/17/2013 $11.22
Occupancy Grp:
Stories:
•
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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 ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ification C- • er. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or di ct questions to OU • , callin. 503.232.1987 or 1.800.332.2344. —
Isued By: / I / / //' i Permittee Sig ature: , ���1��
/ Call 503.639.4175 by 7:00 a.m. for the next available ins • -ction 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.
From:5032350454 01/15/2013 12:09 #342 P.002/003
Mechanical Permit APPIIRECTIVED FOR OFFICE USE ONLY
City of Tigard Received
P • •
Datemy: Permit No.: Hg • 45-4003
A. -...:
I •I 13125 SW Hall Blvd., Tigard, OR 97,2n1 1 5 2013
Plan Review
• 2 Phone: 503.718.2439 Fax: 503.59 1960 Datelty: Other Permit:
6 A 1, I) Inspection Line: 503.639.4175
Date ReadyfEly: iwi,: ei See Page 2 for
Internet: www.tigard CITY OF TIG G DIVISION Notified:Method: Supplemental Information
x 1
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.,„--- ...c -W -7 = -a a .-•:•-• a a ' '' - ' ---'4 ' "''''' " '°'''''''' - ''' ''' - ' ' - ' . ' ' '''' Mechanical permit fees* are based on the value of the work
0 New construction (a Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
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O 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal Information use checklist.
Ej Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
A ll i e r a c t iWi n dri,: n ling g :
Job site address: 14875 SW 79 AVENUE (requires sitc plan showing placement) 1 46.75 46.75
Furnace 100,000 BTU (ducts,vents) 1 46.75 46.75
City/State/ZIP: TIGARD, OR 97224-7803
Furnace 100,000+ BTU (ducts:vents) 54.91
Suite/bldg./apt. no.: I Project name: BARNETT Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hyclronic 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
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
•'4.; = 4 - :_:'_'4:t --4. iYi - WS= - Z- -- rr'Ai*s - r'ieitjijRi - eiiiAVhitk..V.'riy.q'C_-D - -rWa f ;" , tq.V.?:Ri:i Water heater 2332
: . ,,,-; ,.... _ :. :-. -?,,- -,-,,,.. ,-..- -.........-k,-
Gas fireplace 33.39
REPLACE GAS FURNACE, INSTALL 3 TON AIR CONDITIONER, RECONNECT
Flue vent for water heater or gas
TO EXISTING DUCTWORK AND GAS LINE. fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/fluevent 23.32
:. :.: . - 4 -; . \-K: 1 4, - , - ., - .... t. ,,,, ..„.vrAm- , r.. f, .3:.=,..*,-... -e-‘'.4 -..-- - ,5 ,--q-kv, o t h er:
23.32
Name: MARY BARNETT Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 14875 SW 79 AVE.
equipment . 33.39
City/State/ZIP: TIGARD, OR 97224-7803 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (503)620-2168 Fax: ( ) toilet compartments, utility rooms) 23.32
.,::.,..45?i:f;:ilttri11.,;:..„1,--,57, - 100 , Attic/crawlspace fans 23.32
Business name: SKY HEATING & AC, INC. Other: 23.32
Fuel piping:
Contact name: TAMI HAGEMAN $14.15 for first four; $4.03 for each additional
Address: 1635 SE NEHALEM ST Furnace, etc.
Gas heat pump
City/State/ZIP: PORTLAND, OR 97202 Wallisuspended/unit heater
Phone: (503) 235-9083 I Fax: : (503) 235-0454 Water heater
Fireplace
E-mail: TAMI@SKYHEATING.COM
Range
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ioC--1: % , , 1::::':' s Barbecue
;,:gr-iii ...!.. _ A.- - ; - 1. 4
Business name: SKY HEATING & AC, INC. • Clothes dryer (gas)
Other
Address: 1635 SE NEHALEM ST :*..:in-'10027:,!*:,170:.*.!'
City/State/ZIP: PORTLAND, OR 97202 Subtotal 93.50
Minimum permit fee ($90.00)
Phone: (503) 235-9083 Fax: (503) 235-0454
Plan review (25% of permit fee)
CCB lic.: 50244 State surcharge (12% of permit fee) 11.22
, TOTAL PERMIT FEE 104.72
This permit application expires If a permit Is not obtained within 180
Authorized signatureCga
days after it has been accepted as complete.
Print name: TAMI HAGEMAN Date: 1/15/2013 • Fee methodology set by Tri-County Building Industry Service Board
I:=Building \ Pennits MEC-Perm il App doc 09/09:10 440-461 ri ( I 1/02/COM WEB)
FroM:5032350454 01/15/2013 12:10 #342 P.003/003
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