Permit n CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: MEC2014-00064
T! AR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/18/2014
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Parcel: 2S 111 BC03100
Jurisdiction: Tigard
Site address: 14335 SW 103RD AVE
Project: Timmons Subdivision: DOUGLAS HEIGHTS Lot: 10
Project Description: Replace gas furnace with like kind
Contractor: COST PLUS HEATING&AIR Owner: TIMMINS, KELLY A& KATHLEEN M
7132 N FESSENDEN ST 14335 SW 103RD AVE
PORTLAND,OR 97203 TIGARD,OR 97224
PHONE: 503-286-2009 PHONE: 503-718-8894
FAX: 503-286-6552
FEES
Specifics: Description Date Amount
Furnaces< 100K BTU 02/18/2014 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 02/18/2014 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 02/18/2014 $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
issua , . • • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
ity Notification Ce -r. 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 OU g 503.232.1987 or 1.800.332.2344.
Issued By: �Q��' r ^' 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 Applica CEIVFI FY)lt O►, I(,. I SI.0\1,1
' Cl of Tigard Received Permit No.. NEC, / —A506
Dateiv y /1/21101111111
13125 SW Hall Blvd.,Tigard,OR 9722EB 18 2 ''
Plan Review
Phone: 503.718.2439 Fax: 503.598.196 Other Permit:
Inspection Line: 503.639.4175 Date/By:
T I G A It l) CITY OF fIGAHL Date Ready/By: Juris: HI See Page 2 for
Internet: www.tigard-or.gov CITY �A Notified/Method: Supplemental Information
UUILDINrr rtvocirr�
OF,WORK . > SSE- 41
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.
CA
Value:
lflf
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB-FIFF INFORMATION Al 0 TlON Heating/cooling:
Air conditioning 46.75
Job site address: 14335 S W 103 Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP:Tigard Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:1 Heat pump 61.06
1 K MOtJS , Duct work 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
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
DEsaurnow OF;' Gas fireplace/insert 33.39
Flue vent for water heater or gas
gas to gas furnace replacement fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER I 1:1 TENANT Other: 23.32
-- Environmental exhaust and ventilation:
Name: Kelly Timmons Range hood/other kitchen
equipment 33.39
Address: 14335 S W 103
Clothes dryer exhaust 33.39
City/State/ZIP:tigard or Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)718 8894 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT CYCONTAcT PERSON Other: 23.32
Business name:CostPlus Heating Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Steve n Sanderson Furnace,etc.
Address:7132 N Fessenden Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland Or.97203 Water heater
Phone:(503)286 2009 Fax: :(503)286 6552 Fireplace
Range _
E-mail:stevecostplus @aol.com Barbecue .
CONTRACTOR Clothes dryer(gas)
Business name:CostPlus Heating/Steve Sanderson Other:
MECHANICAL AL PERMIT FEW
Address: Subtotal 46.75
City/State/ZIP:
Minimum permit fee($90.00) 9. "°
Plan review(25%of permit fee) r
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /0•SAC)
CCB lie.:47978 51/4/ TOTAL PERMIT FEE f 00.SD
This permit application expires if a permit is not obtained within 180
1 itt, Act.4 r days after it has been accepted as complete.
Authorized si gn ature: Fee methodology set by Tri-County Building Industry Service Board
Print name:Steve Sanderson I Date:02/18/2014
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