Permit y u CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00384
Date Issued: 07/11/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S134C602500
Jurisdiction: Tigard
Site address: 12120 SW SUMMER CREST DR
Project: Cooke Subdivision: SUMMER HILLS PARK Lot: 23
Project Description: Replace gas furnace
Contractor: TEMP A CURE INC Owner: BUENO, LUIS MIGUEL
15028 S CURTIS CT COOKE, SHEILA
OREGON CITY, OR 97045 12120 SW SUMMER CREST DR
TIGARD, OR 97223
PHONE: 503 - 655 -8009 PHONE: 503 - 914 -8848
FAX: 503 - 723 -4466
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 07/11/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/11/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/11/2013 $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 q > • •• • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued : • � Si, • Permittee Signature: 4111111W ,
o i
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.
Temp -A -Cure, Inc. 503 - 723 -4466 p.2
Mechanical Permit A • • 11 ji.e, EIV Ef FOR OFFICE USE ONLY
IN . city of Tigard Received �
1 3 125 SW Hal] Blvd, 'fiord, OR 972N ���� Datc/By: 7 l/ / 3 I Petmtl ND.: l C n / 38
a Phone: 503.718,2439 Fax: 503.598.1466— 1 1 2013 Plan Revie C
Other Permit
T I G A R D Inspection Line: 503.639.4175
DatelBy:
Internet: www_tigard - ocgov CITY OF TIGARD Date ley /By' iuris: 0 See Page 2 for
Notified/Method: Supplemental Inrormatioo
BOOMING DJVISIo@
TYPE OF WORK I COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction f Mechanical permit fees* are based on the value of the work
® Addition /alterationlreplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $1,000
•
RES WENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi- family ❑ Master builder
❑ Other: Description I Qty- I Ea. 1 Total
JOB SITE LYFORMATION AND LOCATION Hearing/cooling:
Sob site address: 12120 SW SUMMER CREST DRIVE Air conditioning 46.75
Furnace 100,000 BTU (duets/v=10 I 46.75 46.75
City /StateJZIP: TIGARD, OR 97223 Furnace 100,000+ BTU (duds/vents) 54.91
Suite/bldg. /apt. no.: Project name: SHIELE COOK Heat pump 61.06
Duct work 23.32
Cross street /directions to job site: Hy hot wate system 23.32
Residential boiler (radiator or —
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended, etc. _ 46
Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other 1 23.32
Other fuel appliances:
Tax map/parcel no.: Pp
Water heater 23.32
DESCRIPTION OF WORK Gas fireplace /insert 33.39
REPLACE GAS FURNACE — Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimneyliner /tluJvent . 23.32
E PROPERTY OWNER I 0 TENANT Other: 2332
Environmental exhaust and ventilation:
•
Name: SHIELE COOKS Range hood/other kitchen
Address: 12120 SW SUMMER CREST DR equipment 33.39
Clothes dryer exhaust 33.39
City /State/ZIP: TIGARD, OR 97223 Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: (503)914 -8848 Fax: ( ) Atticicrawlspace fans 23.32
E APPLICANT ® CONTACT PERSON Other: 23.32
Business name: TEMP -A -CURE Fuel piping:
514.15 for first four, 54.03 for cacti additional
Contact name: ALLEN HECKER Furnace. etc.
Address: 15928 S. CURTIS CT Gas heat pump
Wall /suspended/unit heater
• City/State/ZIP: OREGON CITY, OR 97045 Water heater
•
Phone: (503) 655 -8009 Fax: : ( ) Fireplace
Range
E-mail: AHECKER @TEMPACURE.COM11
Barbecue
CONTRACTOR ' Clothes dryer (gas)
I
Business name: TEMP -A -CURE Other:
Address: 15028 S. CURTIS CT MECHANICAL PERMIT FEES*
Subtotal
City /StaterZ[P: OREGON CITY, OR 97045 Minimum permit fee ($90.00) 90.00
Phone: (503) 655 8009 Plan review (25% of permit fee)
:
( ) Fax: (503) 723 -4466 State surcharge (12% of permit fee)
CCB lie.: 97533 TOTAL PERMIT FEE 40. Stn
/,�� te �-�_ 7 • Fe methodology
This permit application expire if a permit is not obtained wil6io 180
!� /� / - days after it has been accepted as complete.
Authorized signature: L dology set by Tri -County Building industry Service Board
-
Print name: LEANNE MEARS I Date: 7/10/2013
1: 1Hwldias\Pennitn\ C PermitApp 04G: 13 ,doc 440 - 16171'(11 /02/CO%1/WEB)