Permit CITY OF TIGARD MECHANICAL PERMIT
t w . #: MEC2013-00475
COMMUNITY DEVELOPMENT
Date Issued: 08/19/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S102BB02800
Jurisdiction: Tigard
Site address: 10140 SW MOLLY CT
Project: Harrington Subdivision: MOORE'S MEADOW Lot: 9
Project Description: Installation of furnace and A/C. Placement of NC or heat pump units must comply with the manufacturers
clearance requirements.
Contractor: OREGON HEATING&AIR CONDITIONING Owner: HARRINGTON, DAMIAN&JENNIFER
19300 SW 118TH AVE 10140 SW MOLLY CT
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503-691-9699
PHONE: 503-784-8035
FAX: 503-691-8556
FEES
Specifics:, Description Date Amount
Air Conditioning 08/19/2013 $46.75
Type of Use: SF Furnaces<100K BTU 08/19/2013 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 08/19/2013 $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: Permittee Signature: l,'t,/ 69-77,
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. 14. 2013 4: 35PM No. 0501 P. 1
Mechanical Permit Appli`' LNED FOR OFFICE USE ONLY
City of Tigard Received Bee/By: FA Permit loo pJ1-Ca0/3-60 73.
.13125 SW Hall Blvd.,Tigard,OR 9761.1G 1 4 2013 Plan Review
Phone: 503.7182439 Pax: 503.598.1960 Dale/By. OlherPermu:
T[c;,�R Inspection Line: 503.639,4195 CITY OF TIGARD Dale Ready/ny: in El See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental information•. .. TYPE clIt WORK: • .. . CO RCIAI.FEE! SCHEDU14R -u E
SE CC,�tLIST,' •
Mechanical permit fees*arc based onthe value of the work
❑New construction -Addition/a1teration/replaeernent performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit,
;Y •,, Value:
CAE ORY;UF■ .... . ,.. ..N;:, 'I• ;
Jai-and 2-family dwelling ❑Commercial/industrial ❑Accessory building Poe special infbrrrinrlon use checkllsr•
rq Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
�'�°�- �� �� .; . Heating/cooling:
.!..s. ,,a.'; , t, JOB,'S IIT Ei,Ir.00,A'TION.;AND'LQGA'll`XOISi'i,,". ;1: , 1
Air coudi[ioning I 1 46.75 l{r�J
Job site address; /01-f 0 `('W /PAu C4- pumice 100,000 BTU(ducts/vents) ' 1 _ 46.75 6. 7J
City/State/ZIP: aid 02 9 223 Furnace 100,0004 BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt no.: J / Project name: 84 pp,•„s ru h Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronio) 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: Lot no.: Other; 23.32
Other fuel appliances; _ _
Tax map/parcel no.; Water heater 23.32
DLS... OIV OF ...
'''''"'' Gas fireplece/insert 33.39
�7- ' •` • - ' ' ' ' Flue vent for water heater or gas
- ANA / I fireplace 23.32
�/ �L(Fh4C4 Oh./ i✓• �vhdifiehPY
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 1 23.32
Chimney/liner/flue/vent — 23.32
.PROPEY OW 01,:: 0-TAT:;;
Other: 23.32 •
-
Environmental exhaust and ventilation;
y1 j• hood/other kitchen DQ f 17:47?nai e- {ictrerJ-for, equipm ent
3339
Address: /p/go S Iv /11,// Cr Clothes dryer exhaust 33.39
IP: Single-duct exhaust(bathrooms,
City/State/Z
44)4 UR 11222 toilet compartments,utility rooms) 23.32
Phone:(coJ) isqf_ Elf= Fax;( ) Attic/crawlspaco fans 23.32
T' '"' Other: 23.32
®.'APPLICANT;tt �`>� ❑:OONxAC`�?iPEIi:30)Y
/
Fuel piping;
Business Haute: Qh�on r7tfil�d _ $14.15 for first four;S4.03 for each additional
Contact name: .Y /, GA 1/, e✓r Furnace,etc. . L
� Gas heat pump
Address: /?300 -pw esi Ave Wall/suspended/unit heater
City/State/ZIP: 7c7/4461F,-,,/ oR I 7 04 Water heater
Fireplace
Phone:(So3 )G9/- ,96 N9 Fax::( ) Range
E-mail: Barbecue
.r;,w .`I'.:C NT' Q1;tA, Clothes dryer(gas)
Other:
Business name:
0
• „;.;': '1►EC41iANTCAL0 MITBEE0'
Address: /TJQ d s-w ii, - ilve Subtotal
..S.7,5-40
H Cit /State/ZIP: a f t " �� �(� Minimum permit fcc $90.00)
i
Plan review(25%of pennit fee)
hone;6-03)CV—?of Fax:( ) State surcharge(12%of permit fee) //. 2_
CCB lie.: _ TOTAL PERMIT FEE /oq 7,2,;/-
7his permit Appliconoa expires if a permit Is not obtained within 1 0
days after it has been accepted as complete.
Authorized signature: • Feo methodology set by Tri•Ceunty Building Industry Service Board
Print name: ��� _i�bmp_ _�_,, Date: _Z_Zx o/f