Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2013 -00302
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 06/05/2013
Parcel: 1 S 134AB03000
Jurisdiction: Tigard
Site address: 11305 SW IRONWOOD LP
Project: WOODELL Subdivision: ENGLEWOOD Lot: 87
Project Description: Gas furnace and NC replacement. Placement of NC unit mus comply with manufacturer's clearance requirements
Contractor: AMERICAN CONTRACTING Owner: WOODELL, SARAH K & AARON G
7855 SW OLESON RD 11305 SW IRONWOOD LOOP
PORTLAND, OR 97223 TIGARD, OR 97223
PHONE 503 -407 -8538 PHONE
FAX: 503 - 244 -9556
FEES
Specifics: Description Date Amount
Air Conditioning 06/05/2013 $46 75
Type of Use: SF Furnaces < 100K BTU 06/05/2013 $46 75
Class of Work: OTR Type of Const: 12% State Surcharge - Mechanical 06/05/2013 $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 ittee Signature:
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.
06/03/2013 19:26 American Contracting 5032449556 NO.057 #002
• EIVED
= MM
Mechanical Permit Anplica81 FOR OFFICE 1.;SE ON1.1'
City of Tigard JUN 04 2013 Received ,
thituiliy: ko 1,7APIMINI1111M
11111 . ,- . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I Phone: 503.7182439 Fax: 503 .."'ETYY OF TIGARD Date/By: Other Punk
K 1 Insp 0 DL ection !Inc: 503.9.4175 Inds. 0 Men l'age 2 for
II GA - - j Int et, www.ligord or.gOv BUILDING DIVISION Not, reReady/By: Li.„ d Ivict / p Soul:Amin:Ord tofortUnliOn
''.',.:::., .:l .: ,;;;;I:,..::::,: : ,r;t1',, • ::,:!::; .J., 6i N..7, -: .
.
•,..: " .,,- :::: ..-:::::;‘ ..........:1 : :::•,EcommERciALI - E - 150!. - iiCIII , IfillifE - :•• - ;. 115_R cirKgfcLISr • 7 :
' - "" •:.'"':''':."------ - '--- • • • - ' ''' ''' ' ' ' • . - '' " ":" "..- ''" MwItanieul permit fees* are based on the value of thc work
E New construction CE Addition/altatition/replacement porlemied. Indicate the value (rounded to the nearest dollar) ot all
El Demolition 0 Other met:hank:A materials. equipment, Iahnr, overhead, and profit.
. Value. S
,, ; . ',. ,'. „,•.; '„ . ,.... , -.-.....i.;"!..eATEC;(./IIX7pp,...c01■1AFRUCTIOWz.:-.--_,.:'.,:,:-. :
RESIDECellAt V dini FlEk.:
IN 1- and 2-Iiimily dwelling Ej Commcrcial/industrial 0 Acovoury building For vedal Informarinn use checklist.
-
0 Multi-family 0 Master buil 1:1 Other: Description Qty. I Ea. I Total
• • : ..... ,,, ,., ' ,. ---- . - 7 - -‘ • - ` • ' ' -` ' '' - - ' -'' 1. - - • . . - • .. • • Ileating/C00 ling:
• : ' ' . '''' -. , :. ,,, •:: .„...zr,•„:,• 40:11 SUL-INFORMATION .. .AND. LOCA1 ION ., ,.. ;-, : ?:3...........-.:. ,. ; , , :
- - - ' ' " - "-‘. '' c.: Ai " Air conditioning I 46,75 46.75
Job site address: f/ge,‘SW ironwood loop Furnace 100,000 BTU (ducts/rents) 1 46.75 4(1.15
City/StatcfL1P: Tigard, OR 97223 Puniace 100,000 BTU (thicts/venh) 54.91
Hcat pump 61.06
Suite/bldg./apt. no.: I Project name: Woodell
Duet v.ork 23.32
Cross Str to job site: Ilydronic hot water system 23.32
Roiduitial boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, cto, 46.75
Flue/vent for man' above 23.32
...__..
Other 23.32
Subdivision:
IF;).
- Other fuel appliances:
Tax inttrlipareal 110 : IS :1 -:,3 E) d c ) Water healer 23.32
-
.- L ;, '. '':•:.; ''-‘: : - ;- 7 ••; : ' :',':'''''••:"" Cias fit °place/insert -- 33.39
-, - ' " - - • - - - - ' •- • " - • •"''''" :••• - -- ---•-- rim, rt,nt for water heater or gas
Replacement of gas furnace and AC fireplace 23.32
Log lighter (gas) 23.32
-. - . Wood/pellet stove 33.39
Wood lireplace/Msed 23.32
Chimney/liner/flue/vent 2132
1 3.32
:: : : "..H..„....:.":1=1::1!IttlPEltl!„V:OV1 .: : ; •-- 7 I ,:, P
Envirunmenthl exhaust and ventilation:
Name: Aaron Wooden Range hoed/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/Statc/LIP: ' Single-duct exhaust (bathrooms,
luilct COMEXHIMOittS. utility moms) 2132
Phone: ( ) Fax: ( ) Attie/erawlspoce finis 23.32
23.3
P.. 4 - ,i.,- ,...-0. i' '' ,, .... • CONTACT PER 8 -ON.' z ; ,.-."..::-: °the' _
Fuel piping:
Business name: American C.ontracting, Ine.
514,15 for Brit four; $4.03 for each additional
Contact name: I•urnuce. eh.. ...
Addre
. ..
(las heat pump
ss:
Wall/suspended/unit heater
City/State/7TP: water heater
Phone: ( ) Fax: : ( ) Fireplace
Ranee
.b-mail: Barhczue
..i... ...T. -. .,. • 1 ‘ ' • '...:_'. '''''..;- :::. .: i5FIT
i. :::,::: dryer (gas)
t • _ -
Other:
Business name: American Contracting, Inc. --':'iiittirki'
Addici5: 7855 SW Oleson Rd Subtotal 93.50
City/State/ZIP: Portland, OR 9223 Minimum permit lee ($941.00)
PLai leview (25% of pv mit fee)
Phone: (503) 4078538 I Fax (503) 2449556 State surcharge (12% of permit feel 11.22 „.........../
CC P' lie.: 152797 V\ ..)," / 6 qe
Cdl9L 1 TOTAL PERMIT FEE 10
Thls prrrnh nppliention rnpirrs i r u permit II not obtained ulthIn ISO
days offer it hers hero nrirpteal as complete.
Authorized signature: t-A7frt•I • Ere rnethedolosy Net by 'l In rowdy Building Tactually Service Board
print name: Kayla Krueger I Date: 6/3/13
1 Parr6 044)1 I UM: 110 16 ITT (11/02/COMAVRIt)