Permit CITY OF TIGARD MECHANICAL PERMIT
! COMMUNITY DEVELOPMENT Permit#: MEC2013 00489
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2013
Parcel: 1 S134CB00207
Jurisdiction: Tigard
Site address: 12535 SW SUMMER CREST DR
Project: WILLIAMS Subdivision: FEHRENBACHER NO.2 Lot: D
Project Description: Replacing gas furnace with duct changes.
Contractor: ADVANTAGE HEATING&AIR CONDITIONING LLC Owner: WILLIAMS, PAUL M&LINDA L
2355 HYACINTH ST SE 12535 SW SUMMER CREST DR
SALEM,OR 97301 TIGARD,OR 97223
PHONE: 503-393-5315 PHONE:
FAX: 503-393-2253
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 08/22/2013 $46.75
Type of Use: SF Duct Work 08/22/2013 $23.32
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 08/22/2013 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 08/22/2013 $19.93
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: /
- ice. - `-
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 21 2013 01:24PM HP FaxAdvatage Heatin 5033 page 1
Mechanical Permit Anpl><ca
t10II i i.01'F1['u t"ti F.(a NI_.\
City of Tigard AUG 2 1 2013 Received _
g Data•By: , i7 Permit No.:L — • �`
13125 SW Hall Blvd.,Tigard,OR 97223 �y Plan Review
Phone: 503.718.2439 Fax: 503.598.196t�1'�®FTIGA�D Date/By: Other Permit:
1 I c;. i U Inspection Line: 503.639.4175 Date ReadylBy: 13 See Page 2 for
Internet: www.tigani-or.gov DUILDlPl DIUISIC�1`` Notifieij iethod: Supplemental Information
''TYPE OB WORK ) OlImita m,_FEE.IKEIED1JI:E--i)3 i 5t'1 i
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:S
C j TEGORY.OE.C'ONSTRUCIXIN
-. . .. . , :., s REIEWNTIAI;LQU,1P3100T I;�b^!t**' q�':J`:~';
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. Total
;`4oi.0.0 ISIFFDRMAnoN i,NID LOCATION • Heating/cooling:
Air conditioning 46.75
Job site address.:12535 SW Summer Crest Dr Furnace 100,000 BTU(doers/vents) 1 46.75 46.75
-
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ductstvents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Paul Williams Duct work 1 23.32 23.32
Cross street'directions to job site: 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
Flueivent for any of above 23.32
,1- Subdivision: Lot no.:
Other: 23.32 ,
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
pESCR>�I40N OF WORK, Gas fireplace/insert 33.39
Flue vent for water heater or gas
replace gas furnace with minor duct changes fireplace 23.32
J Log lighter(gas) 23.32
Wood/pellet stove 33.39
A d v&„-1-C kV f 0.,Coe-GeiS-i-,,k)-c-F Woad fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
c,;,,; , Other. _ 23.32
• '.:: .'lr ,;,-**. 6'4'1VER. . 0 TENANT. -
Environmental exhaust and ventilation:
S Name: Range hood/other kitchen
equipment 33.39
"-Address:
� Clothes dryer exhaust 33.39
4 City/State/Z1P: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23,32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
t i.. `.. `' ', [T-A,1R[3CANE : ', ❑ CONS'Acr.PESSON Other: 23.32
Business name: Fuel piping:
514.15 for first four;54.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit beater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
' .. .-CON'1RAiC ' , . Clothes dryer(gas)
Business name:Advantage Heating&Air LLC Other:
Address:2355 Hyacinth NE Subtotal 70.07
•mi
Minimum permit fee($90.00) Sl l
City/State/Z1P:Salem,OR 97301 Plan review(25%of permit fee) '90/red
Phone:(503)393-5315 I Fa :(503)393-2253 State surcharge(12%of permit fee) 14. JO k0
CCB lic.:174260 01//1/5-- TOTAL PERMIT FEE i •t0
nib permit application expires If a permit is not obtains thin 180 G
/ days after It has been accepted as complete lOel ,o 0
Authorized signatu : 1-..-/Lzi • Fee methodology set by Tri-County Building Industry Service hoard . /
Print name:Connie Toney I Date:0SI21113 /) ?eft) 40�%'r
taBuilding\Femits\MEC PeImmiIApp 040i13.coc 440.4t1fl(1I'02.COM-VJEB) [ Q/�, t_ --(tZ-}�, h,,r�•,",'�'.( 4�14