Permit •
CITY OF TIGARD MECHANICAL PERMIT
a . • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00312
• t GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/10/2013
- f
Parcel: 1S 125C D08100
Jurisdiction: Tigard
Site address: 9839 SW LANDAU PL
Project: MCGREW Subdivision: TIGARD WOODS Lot: 7
Project Description: NC installation. Placement of NC unit must comply with manufacturer's clearance requirements.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: MCGREW, GREGORY & BARBARA
19300 SW 118TH AVE 9839 SW LANDAU PL
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503 - 691 -9699 PHONE: 503 - 244 -4302
FAX: 503 - 691 -8556
•
FEES
Specifics: Description Date Amount
Air Conditioning 06/10/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/10/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/10/2013 $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: II
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.
•
06/06/2013 11:24 503- 691 -8556 OREGON HEATING PAGE 01/02
RECEIVED
Mechanical Permit Application FOR OFFICE USE ()SLY
City of Tigard JUN 06 2013 Received G AN=111 Permit No.: 44.-).-7-0„ ,_• ( -a• A
y 13125 SW Hall Blvd, Tigard, OR 972 Plan Review
' r I Phone: 503.718.2439 Fax: 503.59 &1trry0FTIGARD Date/By. Other Permit
TT( . : •1. ' f) Inspection Line: 503.639.4175 Rj nj DING DIVI t N Dane Rear�By �+s B! Sec Page 2 for
Internet www.tigard 7 J �" = "� M Notifed/Metbod: 1 �C 9 Supplemental information
TYPE OF`:lt!ORK ' S - ' .USL:CI EG7Q.131" .. •
Mechan perm fees* arc based onthe va of the work
New construction g Addition/alterationJreplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition D Other: mechanical materials, equipment, labor, overhead, and profit
:CATEGID • 'OF: CONS' tUC1O
.. •. :. ^'�. F,����.�� 'i� Y.t FEES' T
.. � i `� � .� :ox tip: '�� ..�.: .... �.
-. . ;'' ' ,, >;1�IAIrEQiJIPl�1�' I §E1
1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Forspedal tnformm'ian uSe checklist.
❑ Multi- family 0 Master builder ❑ Other Description I Qty. 1 Ea. 1 Total
.7033: 'Y' 1 TF6'R11 A'k 11V Ail'1 ii ` i =.'' , Heatlnp/coottnR: ._
»/ Air cond ( I 46.75 , i/G- 7s
Job site address: 9 s'lel s ' j .. 4 dN. J P Furnace 100,000 BTU (ducte/vents) 46.75
City/State /Zip: A ,,11a no� oR 1 7 ,7� ? Furnace 100,000+ BTU (dams/vents) 54.91
D
Suite/bldg./apt. no.: I Project name: Duu ct ct w woo k 61.06
23.32 •
Cross street/directions to job site: Hydronic hot water system f 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: of no -: Other: - 23.32
I
Other fuel appliances:
Tax reap /parcel no.: Water heater 23.32
I PTIOPF OF WORE Gas fireplace/insert 33.39
DESCR
.'' "°v.'°:" • . _ Flue vent fbr water heater or gas
ti 34 11 4r r - Cvna1 ,o,iesr fireplace 23.32
Log lighter (gas) 2132
Wood/pellet stove 33.39 •
Wood fireplace/msert 23.32
Chimney/liner/flue/vent 2332
- Other: 23.32
fir PROPERTY OSVN1EXR 0%T�TIOT .` Environmental exhaust and ventilation:
Name: p MC,- �`, y , , Range hood/other kitchen
�� d- Uar `�� - equipment _ 33.39
Address: 13 9 sj La a PI Clothes dryer exhaust 33,39
City /State/ZIP: Per. fa„o/ O oz 27 to i l ete o
Single-duct rtments (bathrooms,
toilet conn�rhtnents, utility rooms) 23.32
Phone: (� --,/ 2 - N3a2 Fax.: ( ) Attic/crawlspace fans 23.32
® APPLICANT.: _ , it ' CONTACT' N Other: 23.32 ,
Fuel piping:
Business name:
D PI on Htt.a+ $14.15 for first four; S4.03 for each addidonal
Contact name: ac f - Furnace, etc.
•
Gas heat pump
/ X00 Ave • Wall/suspe ded/unit heater
Address: /
City/Stare/ZIP: / iR(aFnn, oR i 7 062 Water heater
Phone: (cog ) q (_ / - 9'6 t7 Fax:: ( ) Fireplace Range •
B -mail: Barbecue ...
. (iONTKi(iC 'OR • -. _ . ' Clothes dryer (gas)
Business name: O .ti l c 4f . Other: - - .
��` IMfECHANicALnir irr nx.s"
Address: 1930 O Sly /l$'ts At. e Subtotal , 7,5
City /State/ZI: , f p' y 1 p� • Minimum permit fee ($90.00) �� -
i Plan review (25% of permit fee)
Phone: (Sig ) C ` l / 7 c ' ' I Fax: ( ) State surcharge (12% of permit fee) JO • 8 • /
CCB lie.: /'I 2 c TOTAL PERMIT FEE / 00, 8 0 V
This permit application expire if a permit is not obtained within 180
days alter It has been accepted w complete.
Authorized signature: f,.• . Fee methodology set by Th- County Building Industry Service Board
I Print name: ,' ( 7.-,„ i i.i -.. teary I Date; 4747;/.2' o,