Permit CITY OF TIGARD MECHANICAL PERMIT
_ U
11 , COMMUNITY DEVELOPMENT Permit# MEC2014-00021
Date Issued: 01/21/2014
TIGARD 13125 SW Hall Blvd_ Tigard OR 97223 503.718.2439 Parcel: 2S110D010500
Jurisdiction: Tigard
Site address: 10960 SW HIGHLAND DR
Project: Kuhnhausen Subdivision: SUMMERFIELD NO 6 Lot: 321
Project Description: Replace(2)bath fans
Contractor: DANNYS HEATING AND COOLING IN Owner: MURRAY-KUHNHAUSEN, PAT A REVOCAB
16303 NE 36TH ST LIVING TRUST
VANCOUVER,WA 98682 10960 SW HIGHLAND DR
TIGARD. OR 97224
PHONE: 503-914-8058 PHONE
FAX
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 01/21/2014 $46 64
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/21/2014 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 01/21/2014 $43.36
Stories:
Fuel
Fuel Types
Gas Pressure.
Total 5100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes arid 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 b the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a,/ of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
Issued y: 11n1/,n , �- Permittee Signature:
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.
Mechanical Permit Applicat CEIVED I (pll t,l f It 1 1 ,l i.l ,
City of Tigard may, / // /V /9 Permit No.:t/teat/ -- oA/
: 13125 SW Hall Blvd.,Tigard,OR 972231. N 21 2014 Plan Review
I Phone: 503.718.2439 Fax: 503.598.1g�� Other Permit:
Inspection Line: 503.639.4175 Date/By:Ready/By:\ " P� go CITY OF TIGARD Date Re dy/B : uuri, S See Page 2 for
Internet: www.ti -0r. v
Notified/Method Supplemental Information
BUILDING DIVISION ___ .
TYPE OF WORK COPOIERCIAL 1FEIr' SCHEDULE— USE CST
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
CA1 Zi>ORY OF consntucnoN RESIDENTIAL EQUIPMENT)SYSTEMS FEES*
—43 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For spedal information use chec*llst.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: N lk s1..,/ � (G►..t, oil-. Air conditioning 46.75
�'' Vi Furnace 100,000 BTU(ductsrvettts) 46.75
City/State/ZIP: 4 r� ZZ S Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt no.: Project name: t K Duct work 23.32
Cross street/directions to job site: ;�ri„py_6 c"f.f(,4 pr 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
Flue/vent for any of above _ 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/pareel no.: Water heater 23.32
DESCRIPTION OP wok Gas fireplace/insert 33.39
Flue vent for water heater or gas
40.,if )(2-- f-L. f -j'. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
10 1 O TENANT Other: 23.32
lEavironmeatal exhaust and vendlatiw:
Name: (2 ku 4 h ^r�s G r Range hood/other kitchen
equipment ., 33.39
Ate: Oq D V 5 L✓ 1r Jis1 a►^A
0r. Clothes dryer exhaust 33.39
City/State/ZIPr , a„� oK 7711t_1 Single-duct exhaust(bathrooms, �7
f`3 , toilet compartments,utility rooms) L— - EXT
Phone:( ) Fax:( ) Attic/crawispace fans - - 23.32
0 APPLICANT ig COltfl'Acr PERSON Other: - - 23.32 _
Fuel piping:
T
Business name: / Re),1.73...4C 514.15 for first four,S4.03 for each additional
Contact name: 'T „) Furnace,etc.11 j►l. �`ULfri S S”
-
Gas heat pump FO 605, Ill.( Wall/suspended/unit heater
City/State/ZIP: A,. t 04, C7035 Water heater ,
Phone:( ) Fax::( ) Fireplace
Range
E-mail: '
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Other:
QAhvviA, Necri-i J cc.).tlt, MLCHANICALPERM!TFEES*
Address: 1 no3 NE Si, Subtotal
City/State/ZIP: V q i B Z Minimum permit fee(590.00)
Vino-,r°K Vc( Plan review(25%of permit fee) ��
Phone:(se2j) q14{ 0 0.51 Fax:( ) State surcharge(12%of permit fee) (U.&c
CCB lic.: / -t/ 7/A 7/,q TOTAL PERMIT FEE /Oe). go
This permit application expires if a permit is not obtained within ISO
days alter it has been accepted as complete.
Authorized signature: '' ' Fee methodology set by Tri-County Building Industry Service Board
Print name: Dch n.1'/ Z L E'lot ►'vo L/ l Date: //zo/I 4 —
I 1Building1PernouVAEC_Pe mitApp_04o1I3.doc 4e0-4617r(11/02/COMAVE8)