Permit ., CITY OF TIGARD MECHANICAL PERMIT
• _ COMMUNITY DEVELOPMENT Permit#: MEC2013-00487
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TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/21/2013
Parcel: 2S114AB12900
Jurisdiction: Tigard
Site address: 9460 SW MARTHA ST
Project: Mitchell Subdivision: KNEELAND ESTATES NO.2 Lot: 118
Project Description: Installation of gas furnace and A/C. Placement of A/C or heat pump units must comply with the manufacturer's
clearance requirements.
Contractor: ROSE HEATING CO Owner: MITCHELL, ELIZABETH F
9945 NE 6TH DR 9460 SW MARTHA ST
PORTLAND, OR 97211 TIGARD, OR 97224
PHONE: 503-283-5183 PHONE: 503-330-7591
FAX: 503-283-5070
FEES
Specifics: Description Date Amount
Air Conditioning 08/21/2013 $46.75
Type of Use: SF Furnaces<100K BTU 08/21/2013 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 08/21/2013 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions toOU�NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature: Q��/}-7°/°L/e.9-770,,I
lS� Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
08/20/2013 11:42 5032835070 ROSEHEATING #1324 P.001 /002
Mechanical Permit Applicati 1 VED - - - .F(,R O FF►(r t 1.0•∎i.,
City of Tigard Received y: f.2/ /3 4?-, Pelmic No:
13125 SW Hall Blvd..Tigard,OR 97223 A U G 2 ® 2 013 Phm lie '��'°�/3�D�/t7'l
• Phone: 503.718.2439 Fax: 503.598.1960gY Other Permit:
(;;hi)i) Inspection Line: 501639.4175 t7atr RndyBy. rwie Tth See Pape S for '
-------—. Internet www.ugard-of.gov CITY QFTIGARD »/Mew G' mental Information ,
BUILDING DIVISIOr°
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New construction �i Addition/alteration/replacement Mechanical permit fees•are based on the value of the work
performed_Indicate the value(rounded to the nearest dollar)of all
❑Demolition r Other mechanical materials,equipment,labor,overhead.and profit
t ,a,,�{Tt�, •�r rv',. .O , 'r+.'l-ri" .'"S '" 77 S' c• -51;r.. , „. Value:$
N 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special Information use checklist
■ ulti-fiunily ❑Master builder ❑Other: option I Qty. I Ea i Total
VtillAigaka. a '- Heat/Woofing:
Alt epadiripteirrg ` 1 L___ c31
Job site address: + . - 11.1 . •I. . 1 Furnace 100,000 BTU(ducts/vents) 1 46.75 fl,`4
City/StatetZIP: - c a C �!Q C1-17 Furnace 100,000+BTU(ducrslvci s) 54.91
Heat pump tAl 61.06
Suite/bldg./apt.no.: Project name: ON f 0\
Duct work 23.32
Cross street/directions to job site: 1 Hydronic hot water system 23.32
Residential boiler(radiator or
ydronic) 23.32
Unit heaters(fuel-type,not electric),
_ in-wall, Pended etc. 46.75
• Flue/vent for any of above 23.32
Subdivision: Lot no.: _ 2332
Other fuel appliances:
Tax map/pared no.: Water healer 23.32
ry a 0,'` 0 4..� "fc .17EE 'rt�j: 4t •' `aS11F, t6.4•'i'.-r:r 7 (lea fir:placelinsert 3339••c,' t :".+'..V.''..-'`T7 ,. '�*�U..uRioriv'r-.i�'�?'2t arc .w.ir'..+kc.d 5,M d Ll�-
'" •" '�`"�.°Wit' Flue vent for water heater or gas
_ r. M [r. .. «1ill I.1111 M fireplace 23.32
Log li2hterIgts) 2332
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chinmey/liae r/fluelvent 2332
���= 4 s f a : to ` Other: 2332
xs-',k=mow .;-?- • ::%-b S r` - ,; -,s
Environmental exhaust and ventilation:
Name: VI Range hood/other kitchen
Address: equipment 3339
l� rfl�aiiJ Clothes dryer exhaust. 33.39
City/Statc/ZItP: -f-r A 1 es c.._ 7�a Single-duct exhaust(bathrooms.
} toilet compartments,utility rooms) 2332
Phone:(SO3 . c Fax ( ) Atddcrawlspace fans 2332
� �f �n�
re",tr ' }1 f33t ��e'.4 ',. 4c. y ;r„-w -I•t �1:'''.v.:.1,(r�!�. a ,!.v M .tea,yr yfi A :17-,'‘ Chher. _ 23.32,
Fuel piping:
B1.sinec¢ $14.15 for first foam 54.03 for each additional
Contact name: Furnace,etc.
Address Gas heat pump
Wall/suspended/tmit heater
City/State/ZiP: Water heater
Phone:( ) Fax::( ) Fireplace —..••-
Range
E-mail: �•j��� _ ¢�� Barbecue
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Btttiness name: \ � i t Otbcc.
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Address: otci c` n e. 1 Subtotal t •27 '
City/State/ZIP: • ■ r Minimum permit fee($90.00)
(�±�� 'r ` i per`. � . Plan review(25%of percent fee) —
Phone:( Gti.'7 �C7 I _ Fax':(C .-���� Stare surcharge(Irk af permit fee) 1‘22 ,
CCB lie.: 0�1 =� /0f 2]/ TOTAL PERMIT[ j,,,,_,,.,,,,,,,--...E
't Ies permit application expires if a permit it not obtained within 180
i days after it has been accepted as complete
Authorized signature: • . e°../am j®� • Fee methodology set by T�omny titakling industry Service Board
Prnrtrt3ttle i.•ael k Ia t *II rA Date: �l . �
1.1.13uildeg1PermicAMIT PerntApp 040113.doe 444.4617r(11/02/COMPriF8)