Permit v CITY OF TIGARD MECHANICAL PERMIT
111 a COMMUNITY DEVELOPMENT Permit #: MEC2013 00196
T E G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/11/2013
Parcel: 1 S125DCO2000
Jurisdiction: Tigard
Site address: 7045 SW VENTURA DR
Project: Peters Subdivision: WASHINGTON SQUARE ESTATES Lot: 10
Project Description: (1) gas furnace, (1) NC, (1) duct work and (2) gas piping for furnace and range; (1) vent, (3) exhaust fan for
laundry, clothes dryer and range
Placement of NC must comply with manufacturer's clearance requirements
Contractor: SERVICE NOW OF OREGON INC Owner: PETERS, MICHAEL DWAYNE
12042 SE SUNNYSIDE RD #359 7045 SW VENTURA DR
PORTLAND, OR 97214 TIGARD, OR 97223
PHONE: 503 -445 -2440 PHONE:
FAX: 503 -445 -2443
FEES
Specifics: Description Date Amount
Air Conditioning 04/11/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 04/11/2013 $46.75
Class of Work: ALT Type of Const: Duct Work 04/11/2013 $23.32
Occupancy Grp: FlueNent For Any of Above 04/11/2013 $23.32
Stories: Range Hood /Other Kitchen 04/11/2013 $33.39
Clothes Dryer Exhaust 04/11/2013 $33.39
Single Duct Exhaust (Bathrooms, Toilet, 04/11/2013 $23.32
Utility Rooms)
Fuel Piping 04/11/2013 $14.15
Fuel 12% State Surcharge - Mechanical 04/11/2013 $29.33
Fuel Types:
Gas Pressure:
Total $273.72
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: D APPU 4 Qk
_ALtiheti_AL&L____ Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Service Now 5039541885 p. 1
Mechanical Permit ApplicationRECEl VE t IOU 01: l RI: I ,I: l.t\ 1.1
City of Tigard 2 013 0 I'Inn xeview
I)fue/B r Permit No.: dUl It
• 13125 SW I lull Blvd.. Tigard, OR 97223
Phone: 5(1,1,71K,243') lase: 501.59$.1960 APR 1 oiler Permit:
v.
I U R 1? Inspection Lilts: 503.639A 175 OF 1 'IG , Y , turn fa See f ake 2 fur
Internet: www.tigurd- or.gov OF 11V ` � ' �J Supplemental Lfsnu
rtion
BUILDING DNISI II
TYPE OF WORK COMMERCIAL PEE. SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction 'Addition /ullcntlion /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: meehanit.al materials, equipment, Tabor, overhead, and profit.
Value: S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
431 I - and 2- family dwelling 0 Commercial /industrial ❑ Accessory building Fa, special rnjn,rnrrIon
—
El Multi -1 amity 0 Master builder El Other: Dewription Qty, Ea. Total
. JOB SITE INFORMATION AND LOCATION Heating/cooling:
_/ Air conditioning
lob site address: OqS 5A2 liejo4 A /.- , (requires site pinn ,showing placeniein) I 46,75
Fumacc 100,000 RTU (dr -t otv) 1_ 4615
City /State/ - ZIP: 7Cj4 ! p �/ � !`,� ' 1 72-3
J 1 Furnace I(KI,(1(NI+ 15 (ducls/vcnts� 54.91
Suite/bldg. /apL no.: Project name: �e y5 I lent pump
(requires site plan rhowrng pincen.ent) 61 .06
Cross street/directions to job site: Duct work I 2332
I lydronic hot water system 23.32
ke,,idcnlial boiler (radiator or
hvdrnnic) 23,32
-- Unit Maters (fuel —type, not electric).
in -wall, in -duct, suspended. etc 46.75
Subdivision: Lot nu.: FIudvcnt I'or any of above 1 23,32
Other 23.32
Tax map /pared) no.: Other Ene1 appliances:
DESCRIPTION OF WORK Water heater 23,32
Gas l ircplaocfinscn 33.39
I f CA.' , t ere' m - g 7 G / 4 1 r
/ / I' Iuu vent for wafts heater or gas
e -if / O/ic', 1191 6/I Ifet...) i 434.9‘7,47. hrcptacc 23.32
`! � � Log lighter (gas) 23.32
/.� , f4 �� if e h Sg :!;�r , vs' 1 D (- woodrpenet stove 33.39
L Rvkf r J X2 - ]' 41, / / ' 4 .7e..-- Q ( Fe ey" Wood fireplace/insert 23.32 ,
' PROPE' ' OWNER ❑ TENANT Chimney /liner /floc /vent 23.32
Other: 23,32
Name: / . le e't 5 Environmental exhaust and ventilation:
Addrt s: Runge hood/other kitchen
equipment 1 13.39
City /State/ZIP: Clothel er exhaust I 33.39
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms.
toilet compartments, utility rooms) 1 23.32
a APPLICANT ❑ CONTACT PERSON ARie /cruwlspuce fans 23.32
Business none: �P'e• e. . G _ Other 23.32
Contact name: 514.15 for lira( four; $4.01 farestcii addltkinil
Furnace, etc. I
Address: -
Gas heat pump
City/Stater/JP: Wall /suspended /unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E-mail: -- ._
Range I
CONTRACTOR l3urbectie
Business name: 5e` V/ c r / �� D � Clothes dryer (gas)
`Y (/here
Address: / i (�� 5 jnn ly l, ) d� 4/35 MEOIANICAL PERMIT FEES• - - -
Cily /Stote/LII': ait� /hA S i� , F�lS Subtotal
/� � Minimum permit fee (590.00)
Phone: (503 ) y � s - .2Y / O Fite' (5 99 " .7 C / 3 Plan review (25% of pemuit l —.
! 6/
CCI1 tic,; 5)9.R State surcharge (12Y of permit Ice)
/ 'I'OTALPERMIT FEE e' 3.7J—
/ Thtn penult application expire+ its permit . not ntrl■ined within laa
Authorized signature: - q/./0/7 days after it bur been Rumor"' an eor.ptere.
I ` ./ l'rint name: Date: .� ' fcc metho set by '1 roConniy finildrng industry Service Band
t I4, i.tiri∎ParmieiMI!C- Yen*App.dac 03/17/12 640.4h171'111/0:2/C014/01k0)
i
• A/C-HEAT PUMP -- -UNIT SITE PLAN
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FEET TO BACK OF PROPERTY LINE
•
FE T TO SIDE PROPERTY LINE • • c.
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•
FEET TO FRONT PROPERTY LINE
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