Permit a CITY OF TIGARD MECHANICAL PERMIT
II
COMMUNITY DEVELOPMENT Permit #: MEC2013 00135
T L G ARD; 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 03/11/2013
Parcel: 2S102DB07400
Jurisdiction: Tigard
Site address: 9223 SW HILL ST
Project: McClure Subdivision: CHELSEA HILL NO 2 Lot: 51
Project Description: (1) gas furnace replace existing
Contractor: COMFORT SOLUTIONS HEATING & COOLING Owner: MCCLURE, MICHAEL D
PO BOX 1233 9223 SW HILL ST
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 503 - 698 -2665 PHONE
FAX 503 - 658 -4011
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 03/11/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/11/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/11/2013 $43 25
Occupancy Grp:
Stories: ii
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: "/ 11/- Permittee Signature: %j gl- PLI (.,ia r/Pd
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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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 Applica 01:()I 1 1. ( F (:) N. 1. l
l
mi(ENIED Received
City of Tigard Date/By: . I ( 13 Sir Pe ntita4w t -oi 3 -p 3
• hone: 8,2439 Fax: 503 OR 97 598.1 ' i R 1 Il 2013 p y: Other ?mutt
I ( l.. ) Inspection Line: 503.639.4175 Date Ready/By. hair la See Page 2 for
Internet: www.tigard- or.gov CITY OFTIG f! I)) Noti&ed/Methad- ( Supplemental information
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Mechanical permit , * are � based on the value of the work - ~
❑ New construction IE Addition/alteration/replacement performed. Indicate the value (rotmded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead Ed profit
M
Value: S
1E1 1- and 2 - 1lunily dwelling ❑ Commercial/industrial ❑ Accessory building For medal luftu aatlos use checklist.
0 Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total
Heating/cooling:
. ... Air conditioning
Job site address: 9223 SW Hill St. (ccYiuiros bee pled ahowiag placement) 46.75
Furnace 100,000 BTU (du-le/vents) 1 46.75
City/State/ZIP: Tigard, OR 97223 Pomace 100,000+ BTU (ducb/veete) 54.91
Suite/bldgJapt. no.: I Project name: .11668-1 Heat pump
(requires site plan showing placement) _ 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
io -wall, in -duct, suspended, etc. 46.75
—
Subdivision I Lot no.: Flue/vent for any of above 2332
_-. _ Other. 23.32
Tax map /parcel no.: Other fuel appliances:
'.`` r vt v . Y; Water heater 2332
Replace mastitis gas furnace Gas £u eplacerw 33.39
Flue vent for water heater or gas
fireplace 23.32
— Log lighter (gas) 2332
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chiimney/lirner /tiueJveat 23.32
Other: 23.32
Name: Eavironmentnl exhaust and ventilation:
Range hood/other kitchen
Ate: equipment 33.39
City/StateIZIP: Clothes dryer exbmtst 33.39
Single-duct exhaust (bathrooms.
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
[ w x x , ''''''.4t
Atticicrawispacefans _ 23.32
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Business name : .. . Other: _ 23.32
Fuel piping: -
Contact name: $14.15 for fine four, $4.03 ror ddlttoual
—
Address: Furnace, eta -
each a
– Gas heat pump
City/State/ZIP: Wall/suspended/unit beater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E-mail: Range
- ,;..` ....,ti:.,ti
e. � l Barbecue :
Business name: Comfort Solutions Clothes dryer (gas)
Other:
Address: P.O. Bea 1233 .,1:"'“
City/State/ZIP: Clackamas, OR 97015 Subtotal
Phone: (503) 698-2665 I Fax: (503) 6584011 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 146471 State surcharge (12% of permit foe)
/ / / TOTAL PERMIT FEE «" .
This permit application expires if a permit isnot obtained within 180
Authorized Signature: % � days after it has been accepted as complete.
I Print name: Susan Stanley I Date: « - ..,. -. 3� j 1e, Fee taetho4ologr set by Tri�eaaty Building Industry Service Huard
C1Buldica1PermitAMEGPermitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)