Permit 111 CITY OF TIGARD MECHANICAL PERMIT
a , COMMUNITY DEVELOPMENT Permit #: MEC2013 -00247
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/13/2013
Parcel: 2S112BB02500
Jurisdiction: Tigard
Site address: 8340 SW COLONY CREEK CT
Project: Erickson Subdivision: COLONY CREEK ESTATES Lot: 21
Project Description: (1) NC installation Placement of NC unit must comply with manufacturer's clearance requirements
Contractor: OREGON HEATING & AIR CONDITIONING Owner: ERICKSON, CHAD E
19300 SW 118TH AVE 8340 SW COLONY CREEK CT
TUALATIN, OR 97062 TIGARD, OR 97224
PHONE: 503 - 691 -9699 PHONE:
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Air Conditioning 05/13/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/13/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 05/13/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,. /}i '
Issued By: Permittee Signature: at A.- PPL /�-F'F" 1 (o/4
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
05/10/2013 13:01 503- 691 -8556 OREGON HEATING PAGE 01/03
go Mechanical Permit A:pplica FOR OFFICE USE ONLY
City of Tigard MAY 1 3 2013 Received
61 3 r 3 s; Permit No. :4 g,c, 3_00,iti.-7
s ' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
• Phone: 503.539.4171 Fax: 503.59!C1 Y OFTIGARD Date/By: OtherPernait
T t G A R L) Inspection Line: 503.639,4175 IV ISION Date Ready/By: . See Page z for
Internet: www.tigard- or.gov BUILDINGD Notified/Method: : Supplementalinrormattan
T1t OF' WVOTuC: : : ::. : : :, ; COMMERCIAL F EE* SCB(ZDtlll E ; = . USE CKECKLIST —
0 New construction �AdditiUB /alterationlreplaCement Mechanical permit fees'" are based on the value of the work
performed. Indicate the value (Pounded to the nearest dollar) of all
U Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
, ' CATEGORY; F C
OO r,i01,GfON •
Value
' : , RF VTI9J- EQUIPMENT / SYSTEM$ FEES -
N"1- and f amily dwelling ❑ Cornmercialindustr'ial ❑ Accessory building
For special information use
checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea_ 1 Total
. 30 .B $ rrTs" .INFORMATION; ;': '' Heating/cooling
Air conditioning
Job site address: "% 40 .
0 ,per ( l]� ` i V { `� � iM Cr �.' ■ . ♦ (requires site plea showing placement) � 46.75 '4 416
Furnace 100 BTU (duch/vtnts) 46.75
City /State/ZIP: 1 Furnace 100,000+ BTIJ (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project nartr : d I • U Heat pump 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
_,w. - Unit heaters (fuel -type, not electric),
in -wall, in-ducsuspended, etc. 46.75
Subdivision: xAt no.: Flue/vent for any of above 23 :32
. Other. _ I 23.32
Tax reap /parcel no.: Other fuel appliances
AFSCRIFTION OF ' Water heater 23.32
. � r ,� ^ . : + ('►�- ,c� , ,:a Gas fireplace 33.39
P1 1r• (1C'1 C ,A 1 n l l ( 6 T . Flue vent for water heater or gas
dace 23.32
Log lithtsr (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent Ot l' 23 23.32
PROPER • . ._-
N 'T"Y OWNER t .. =•.• CI TENAN..
� . T : O er 2 ._..__
eme l .A l C S ?tti/1 , Environmental exhaust and ventilation
�' ! t Range hood/other kitchen
Address: "Ntb" U if , cii , " . . r . , equipment 33.39
City /State/ZIP: i 'r 5\Z q- 2 Clothes dryer exhaust 3339 F
i Single -duct exhaust (bathrooms.
Phone: 26'14 Fax: ( ) toilet compartments, utility rooms) 23.32
/:... ` APPLICANT ri: CONi4GT.,,,PE001!t :: Attic/crawlspaca fans _ 2332
Other; 23.32 1
`
Business nautte: ® / ,
re = .. �e rn- Fuel piping _
Contact name: Z , 0 L on - $14.15 for first four; $4.03 for each additional
Flurnace, etc.
Address: 19V007 +ice //e 4rt Gas heat pump _ _
City /State/ZIP: 7T i „! OR , Ins Wall/suspended/unit heater
Phone: (S �3 ) 6I- 9GYq Fax:: ( ) Water heater
Fireplace
E -mail: Range
CONTRACJOR Barbecue
Clothes dry (gas)
Business name: Ore �P. Other:
Address: 19,�0o J J/$'a. jive - , .,. MECHANICAL fETth?t'I' FEE .,.. .. . .
City/State/ZIP: 7, ,,1pf,), , o t? s f Subtotal I L I ."� 5
"
Phone: (503 ) 9t�& Fax: ( ) Minimum permit fee ($90.00) q 0. 00
Plan review (25% of permit fee —
CCB lic.: 172 1 C State surcharge (12% of permit fee) j p AO
TOTAL PERMIT FEE . t no . C)
Authorized signature: This permit application expires if a permit is not obtained within 180
j + _ days after it has been accepted as complete
Print name :7 k iild v , t - Date: C5J IW i . Fee methodology set by Tri- County Building Industry Service Board
05/10/2013 13:01 503 - 691 -8556 OREGON HEATING PAGE 03/03
1 305 - 0006
Main Floor
First Floor
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Panel
1 Garage
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SW Colony Creek Ct
•
Job #: Oregon Heating & A/C Scale: 1�8" 1'0" Performed for: Page 1
Chad Erickson 19300 SW 118th Ave Right Suite Residential
8340 SW Colony Creek Ct Tualatin, OR 97062 6. 0.106 RSR39325
Tigard, OR 97224 Phone: 503 -691 -9899 Fax: 503 - 691 - 8556 2093 t 10:11:44
Project2.rrp 503 -949 -2543 Proect2.rrp