Permit CITY OF TIGARD MECHANICAL PERMIT
�'1 a • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00303
T L G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/05/2013
Parcel: 2S104DC08600
Jurisdiction: Tigard
Site address: 13267 SW WOODSHIRE LN
Project: VORWALLER Subdivision: MORNINGSTAR NO.2 Lot: 23
Project Description: Furnace installation.
Contractor: SPECIALTY HEATING & COOLING INC Owner: VORWALLER, DOUGLAS & KARYN
7500 SW TECH CENTER DR SUITE 130 13267 SW WOODSHIRE LN
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 06/05/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/05/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/05/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332 2344.
Issued By. - Permittee Signature:
. / r G �
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
From: i 06/04/2013 12:09 #675 P.001/002
Mechanical Permit Applicat lZt" E ' E� H OFFICE USE o I.�
' ' City of Tigard JUN 04 2013 Received ��
7
• 13125 SW W Hall Blvd., Tigard, OR 97223 Date'By , �� 2
13 Plan Review
Phone: 503 7182439 Fax: 503 598.1 OFTIGADi1 D a1G , B y: Other Permit:
T 1 C. A R D
Inspection Line: 503.639 BUILDING DI Date Ready /By: ® See Page 2 for
Internet: www.tigatd- or.gov SION Notified/Method: Supplemental Information
- TYPE OF WORK - _ COMMERCIAL FEE* SCHEDULE - USE CH$,CK-1iST
Mechanical permit fees* are based on the value of the work
❑ New construction []Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value. $
' -- CATEGORY OF CONSTRUCTION - - RESIDENTIAL ,_EQUIPMINT /SYSTEMSFEES!
E I- 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
. . JOB SITE - INFORMATION AND LOCATION - Heating/cooling:
Air conditioning 46.75
Job site address: Furnace 100,000 BTU (duets/vents) i 46.75 *i (.. , 75
City /State/ZIP: Vorwaller, Doug R13165 Furnace 100,000+ BTU (ducts/vents) 54.91
13267 SW lAWooda+de-Lane W Ow( Stn i Heat pump 61.06
Suite /bldg- /apt. r Duct work 23 32
Tigard, Or. 97223
Cross street/diret 503)524 -8154 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
Flue'vent for any of above 23.32
Subdivision:
Lot no.: Other: 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace insert 33.39
Flue vent for water heater or gas
fireplace 23.32
.- - -c ( L � Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood tireplace/insert 23.32
Chimney,liner /flueivent 23.32
y PROPERTY. OWNER, I - ❑ TENANT - Other. 23.32
Environmental exhaust and ventilation:
Name: S CA'--c 4. CCAjo t"C t ' Range hood.'other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33 39
City /State/ZIP: Single-duct exhaust (bathrooms.
toilet compartments, utility rooms) 23.32
Phone: ( ) Fax: ( ) Atttacrawlspace fans 23 32
-❑, APPLICANT - ' ' - - • ' . ❑ EERSON - -, . Other 23.32
Business name:
Fuel piping:
$14.15 for first four; $4.03 for each additional
Contact name: Furnace, etc.
- Address: Gas heat pump
Wall/suspendedi'unit heater
City /State/ZIP: Water heater
Phone: ( ) Fax. : ( ) Fireplace
E-mail: Range
Barbecue
- _ CONTRA(dTOR - " - Clothes dryer (gas) _
Business name: Specialty Heating & Cooling, Inc ,Other
• , 'MECHANICAL PERMIT -
Address: 7500 SW Tech Center Dr #130 Subtotal
City/State /ZIP: Tigard, Or. 97223 Minimum permit fee ($90.00) qp . GO
Plan review (25% of permit fee) -
Phone (503) 620-5643 Fax: (503) 598 -0718 State surcharge (12% of permit fee) /Q . td
CCB lie.: 66578 t J TOTAL PERMIT FEE /6o . ea
This permit application expires if a permit is not obtained within 180
1�/� days after it has been accepted as complete.
Authorized signature: /' • Fee methodology set by Trt- County Building Industry Service Board
Print name: Andrea Dripps I Date: T IVr / / ;
1 9uilduig 1 Permns.MEC PerrnnApp_040113 doe 440 -461TT (I I /O /COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13267 SW WOODSHIRE LN, TIGARD, OR,
97223
Residential - Mechanical
699 Mechanical final
06/20/2013 00:00
MEC2013-00303
PASS - No C of O
Minor label ELS368483
Violation Summary:
Inspector Contractor