Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2013-00454
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2013
Parcel: 2S 111 AD07000
Jurisdiction: Tigard
Site address: 8855 SW SCHECKLA DR
Project: Willey Subdivision: SCHECKLA PARK ESTATES Lot: 20
Project Description: Replace A/C. Placement of A/C or heat pump units must comply with the manufacturer's clearance requirements.
Contractor: TRI COUNTY TEMP CONTROL INC Owner: WILLEY, GARY MERLIN&DIANE ADAI
13150 S CLACKAMAS RIVER DR REVOCABLE LIVING TRUST
OREGON CITY, OR 97045 8855 SW SCHECKLA DR
TIGARD, OR 97224
PHONE: 503-557-2220 PHONE:
FAX: 503-557-0919
FEES
Specifics: Description Date Amount
Air Conditioning 08/06/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 08/06/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment-Mechanical 08/06/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: •
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4, Permittee Signature: D'/ j�G./e--770r (/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
•
AUG-2-2013 09:35A FROM: TO:5035921960 P.1
Mechanical Permit A I I tic ,0,- l'012 ul.t c.l. t'SE ONI:N
City of Tigard . ,.J A V eceive I/�f Permit No
W0260 telBy d �0 . Sao 3 ao ys
III
13125 SW Hell Blvd.,Tigard,OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.194U r 5 2013 Date/Ry. Other Permit:
l Inspection Line: 503.639.4175
!GAR!)k u Date Ready/By: RI See Page 2 for
- Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: IRS Supplemental Information
TYPE OF �1�r `f Ur DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
®Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
❑New construction performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equpment,labor,overhead,and_profit.
CATEGORY OF CONSTRUCTION Value:$
® I-and 2-famil dwelling RESIDENT'IALEQUIPMENT/SYSTEMSFEES*
2-family g ❑Commercial/industrial ❑Accessory building
For special informalion use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total _
.10B SITE INFORMATION SAND LOCATION Heating/cooling
Job site address: ggsb Sw gc. tls..k1L br yo Air conditioning I -
46.75
City/State/ZIP: TITW u x7229' Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt,no.: Project name: 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
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Subdivision: Lot n0.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater _ 23 32
Gas fireplace 33.39
Flue vent for water heater or gas
40 tokp ai r i{O f IIr fireplace ' 23.32
,
Log lighter(gas) , 23.32_
Wood/pellet stove 33.39
Woad fireplace/insert 23.32
PROPERTY OWNER ❑ TENANT
Other: yllincr/Oue/vent 23.32
Other: 23.32
Name: &UN WI 4 Environmental exhaust and ventilation leg
Address: ; e) Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust ,�/�Q 33.39
Single-duct exhaust(bathrooms,
Phone:(SP�j)L.O 4-�tl t- Fax:( ) toilet compartments,utility rooms) 23.32 _
® APPLICANT ❑ CON'T'ACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name:Same as contractor
Fuel piping
Contact name:Diane Mason $14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Water heater �
Phone:( ) Fax::( ) _Fireplace
E-mail: Range
CONTRACTOR Barbecue
Business name:Tri County Temp Control Clothes dryer(gas)
Other:
Address: 13150 S Clackamas River Drive MECHANICAL PERMIT FEES*
City/State/ZIP:Oregon City,OR 97045 Subtotal
Minimum permit fee($90.00) __
Phone:(503)557.2220 I Fax:(503)557.0919 Plan review(25%of permit fee)
CCB lic.:72623 State surcharge(12%of permit fee) I� U�
-��y � f�G TOTAL PERMIT FEE
Authorized signature: G /// This permit application expires it a permit is not obtained within 180
e m ��} • days after it has been accepted as complete.
Print nae: D(�e moon Date: ! l� • Fee methodology set by Tri-County Building industry Service Board
I\B110(11 a\Pn miss\MEC-PermitApp doe 10/01/09 440.4617T(11ro2/COM/WEOI