Permit n CITY OF TIGARD MECHANICAL PERMIT
e
; E . F COMMUNITY DEVELOPMENT Permit #: MEC2013 -00160
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/25/2013
Parcel: 1 S 133DD05700
Jurisdiction: Tigard
Site address: 12695 SW WINTERLAKE DR
Project: Rasor Subdivision:'ILLAGE AT SUMMER LAKE PARK NO. Lot: 97
Project Description: (1) A/C replacement and (1) gas furnace replacement NC must maintain 5' side yard setback and approved rear
yard setback
Contractor: OREGON AIRE INC Owner: RASOR, CAROL
7715 NE 33RD DR STE A 12695 SW WINTER LAKE DR
PORTLAND, OR 97211 TIGARD, OR 97223
PHONE: 503 - 335 -2222 PHONE: 503 - 704 -0513
FAX: 360 -423 -1978
FEES
Specifics: Description Date Amount
Air Conditioning 03/25/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 03/25/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 03/25/2013 $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 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: /(c , L2. i7' Ll t t Permittee Signature: 00 A PPL /C /4 /U/
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.
Mar. 21. 2013 4:39PM 72 degrees, Comfort Expert No. 3384 P. 1
Mechanical Permit A Iicdti I.OR 01.1.1c:t: t si: Om.,
City of Tigard EIVED Received /
13125 SW Hall Blvd., Tigard, OR 97223 Date/Br 3 / �'
Phone: 503.718.2439 Fax: 503.598.196 QR i7ate�sy Other Permit:
2 5 2013
T t (, A P. n Inspection Line: 503.639.4175 Date Ready /By. rte: 21 See Page z for
Internet; wtirtiv.tigard-or. gov CITY OF TIG A D T Notitied/Method: 16 Supplemental Information
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Mechanical permit fees* are based on the value of the work
0 New construction ►�1 Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment. labor, overhead, and profrt.
Value: $
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r. tJ,7`7 -': - - . "�5a'll.b'L ni'I.UrN, I, }�l ilt'. I)L t 133 � 1.9 6}. . • Rf _ _ ._
..a .. , - �aa lit:,�1.1IN 1111{L5�E71'�' .. -. �, ' �r n ._. -c�:,r - -_.
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For .spedolInformarton ate checkliet:
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. l a. Total
t r ,p-9 , o. ❑ S I t r � qu nn n q,Q„ -rl„ ,ym¢n urn u�r: n 1 +i,nta 11 L� }rnn.y
. .:I: s tat t t' i Q 7 �1 '�tl ': r l �d 7 i t i f TV I r. a : .iS f, eat e00 itt2:
; „ , a. , !;4 ,rn it idu h viltier� araml�:=1 tem ..r atrchrf ' z ' r6' Air conditioning
Job site address: 12695 SW WINTER LAIC DR. (requires site plan showing placement) I 46.75 46.75
Furnace 100.000 BTU (ducts/vents) 1 46.75 46,75
City/Statc/ZIP: TIGARD OR. 97223 Fumacc 100.000+ BTU (ducts/vc ts) 54.91
Suitc/bldg. /apt. no.: Project name; RASOR Hent pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Ductwork 23.32
14 dronic hot water s . tern 23.32
Residential boiler (radiator or
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.: Other fuel appliances:
! r, ti � ,`- ` - -- =-= = ' - t: a -- > "?? y - . � , t 1 ! t, 1 ( t • i I • :' Wrier heater 2332
3 T; 3 ` � !. r = = -= - - - ----- - ��= ' - t. !� fvr. y�f4ltl,., i�,;�;,.�, ,,.1.
RFPLAC A/C UNIT AND GAS FURNACE
Flue vent for 33.39
Flue vent for water healer or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39 ,
Wood fireplace/insert 23.32
tlrsnat a� a! -... s r�� ChirnnOy /liner /Iluc/vent 23.32
t`' 1It�:- _...., t ilk_ f
1 'lLedt al aaffhl.:3U,tflSZtIIPalt3u;ltl,i u'' x. ,,i, = i ,.•, 1, t .. _s. ::.— Other: 23.32
Name; CAROL RASOR Environmental exhaust and ventilation:
Address: 12695 SW WINTER LAKE. DR Runge hood/other kitchen
equipment 33.39
City/Statc/ZIP: TIGARD OR. 97223 Clothes dryer exhaust 33.39
Phone: 503 704 -0513 Fax: Single -duct exhaust (bathrooms,
( ) ( ) toilet compartenenLs, utility rooms) , 2332
, is 1 ., I a n nm �. � j?} � 2
N� [ ' i { } � �i F t t i ts{��p .I'4, :at Attic/crawlspace 3
..,4 AiVi t l . rl di33L al :liE7 a 1 m 1 at }tl
.., r o;ta ir . _ , a-,it' A ••• •
Business name: OREGON -AE INC Other: 23.32 �-
OREGON-AIRE
Fuel piping: —
Contact Hume: RON SIRONG 514.15 for first font; 54.03 for each additional
Address: 7715 NE 33 DR. STE A Furnace. etc.
(Jas heat pump
City/State/7.1P: PORTLAND OR 97211 Wall/suspendcd/unit heater
Phone: (503) 335-1111 I Fax: : (360) 423 -1978 Water heater
Fireplace
E -mail: RSTRONG(�ORF.CON- AIRF..COM Range
MET; �t _ -� +n-- - = - - — Range
illikT ;04;1.1111% . f i t L iil>S `',, � ,, sib' - ,, - c, r , — - Lei..- ===- n_ .... g: _,n + LL : = � ` Barbecue
Business name: OREGON -AIRE INC Clothes dryer (gas)
O
Address: 7715 NE 33 DR STE A the n 7 MTZ , " f µ _ .. -=
City /State/ZIP: PORTLAND OR 97211 Subtotal 93,50
Phone: (503) 335 -1111 Fax: (360) 423 -1978 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
C:CR lic� 64235 / — / _ _ - State surcharge (12 %of permit fee) 11.22
TOTAL PERMIT FEE 104.72
/ /II 'fitly permit application expires it permit is not obtained within 160
Authorized Signature: - ....,._ days after it hws been accepted sa complete.
Print name: RON STRONG Datc: 3/21/13 l • Fee methodology set by TO-County Building lnduuxry Service Board
Mar. 21. 2013 4:40PM 72 degrees, Comfort Expert No, 3384 P. ' 3
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