Permit CITY OF TIGARD MECHANICAL PERMIT
'°. COMMUNITY DEVELOPMENT Permit #: MEC2013 -00206
T GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/16/2013
Parcel: 2S110DA09400
Jurisdiction: Tigard
Site address: 10835 SW KABLE ST
Project: Devan Subdivision: ERICKSON HEIGHTS Lot: 55
Project Description: (1) gas furnace replacement
Contractor: SPECIALTY HEATING & COOLING INC Owner: DEVAN, ISAIAH M & KARA L
7500 SW TECH CENTER DR SUITE 130 10835 SW KABLE ST
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -5643 PHONE: 503 - 805 -0103
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 04/16/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 04 /16/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04 /16/2013 $43.25
Occupancy Grp:
Stories:
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: H
Permittee Signature: D�� 4 j �L(C /fin 0 41
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.
From: 04/15/2013 14:29 #537 P.002/002
Mechanical Permit Application , FOR OM( F USE ONLY
City of Tigard Lei L L 13 5.t OM( Permit No 01013 - Ob 13125 SW Hall Blvd., Tigard, OR 9 JI CEIVED Plan Review
s Phone: 503.718.2439 Fax: 503.598.1960A P R R 7 1 5 2013 Dat By: Other Permit:
T I G A R D Ins line: 503.639 Date Ready: By: A: ® See Page 2 for
Internet: www.tigard- or.gov NotifiedMethod: 1147 Supplemental Information
CITY OF TIGARD
4 40[?.. 2 ia... a ,,;-,} ...E >:, ..�...x ; ,,, , �..,... .o�`,sIOTAriE::lt *;r ,.,_.
Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
New construction
❑ performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
F t M i`: s ," �z , 6 a _ 1 a f � . y;; fi .. ' -'. „, ,,, 'y n�ro c
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
w � ` " _ " I 'A e Heating/cooling:
Job site address: Devan, Isaiah R13108 (requires site plan showing placement) 46.75
City/State /ZIP: 10835 SW Kable St Furnace 100,000 BTU (ducts vents) X 46.75 yip, 7,5
Tigard, OR 97224 Furnace 100,000+ BTU (ducts;vents) 54.91
Suite/bldg./apt. nc (503805 -0103 (require plan showing placement) 61.06
Cross street/direct Duct work 23.32
Hydronic 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
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
Water heater 2332
I , l Gas fireplace/insert 33.39
.0 ..W (' A/ LI .A_ tt, alt u ram) Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 3339
Wood fireplace/insert 23.32
� �pt tsar _ V t Chimney;7iner/fluelvent 2332
y eVa11, 15810111 Other. 23.32
Name: 10835 SW Kable St Environmental exhaust and ventilation:
Address: Tigard, OR 97224 Range hood/other kitchen
805 0103 equipment 33.39
5 03
City/State/Zl ) Clothes dryer exhaust 33.39
Phone: ( Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
`? ?rat .. s ' ° H Attic: crawlspace fans 2332
Business name:
4 n p Other: 23.32
r! y �N* & `o0LI»5 (4 / , ' Fuel piping:
Contact name: 7500 S.W. Tech Center Dr. SI4.15 for first four; $4.03 for each additional
Address: Suite 130 Furnace, etc.
Tigard, Oi 972 3 Gas heat pump
City/State/ZIP: www.speciaityheating.com Wall/suspended/unit heater
Phone: ( ) 62 ? ( ) Water heater
Fireplace
�� �-1
E-mail: �' 'P�� teii +. # f- , M ��' Range
-r'f7' re. l [ i ° ,sue, !�s {th £
,,�. A � i. ..,�_ - � .�vc3i�� __� � �� ..:,, x Batixcue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr #130 ; fi g ,-t k
City /State/ZIP: Tigard, Or. 97223 Subtotal 4b .75
Minimum permit fee ($90.00) D , 151)
Phone: (503) 620 -5643 Fax: (503) 598 -0718 Plan review (25% of permit fee)
CCB lic.: 66578 State surcharge (12% of permit fee) 10 . ?D
TOTAL PERMIT FEE j l» , ,1) i
JA 4_ ( 111,4_14.1.4.0 This permit application expires if a permit is not obtained within 1St)
Authorized signature: ((
/ days ya alter r it has been accepted as complete.
Print name: Andrea Dripps Date: / / . / j 3 * Fee methodology set by Tri- County Building Industry Service Board
I: 4Buildiag '.Permiu'MEC- PesmitApp.doc 03107.12 440- 4617T(I1i02 /COM'NEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10835 SW KABLE ST, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
05/01/2013 00:00
MEC2013-00206
PASS - No C of O
Violation Summary:
Inspector Contractor