Permit CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit#: MEC2014-00144
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2014
Parcel: 25111 BC00700
Jurisdiction: Tigard
Site address: 10135 SW INEZ ST
Project: MCBRIDE Subdivision: TIGARDVILLE HEIGHTS Lot: PTS 18-
Project Description: Replacing gas furnace and installing gas line.
Contractor: WESTERN HEATING&COOLING INC Owner: MCBRIDE,GLEN W&
50618 COLUMBIA RIVER HWY JANET HALL
SCAPPOOSE, OR 97056 10135 SW INEZ
TIGARD, OR 97224
PHONE: 503-543-5599 PHONE:
FAX: 503-543-3693
FEES
Specifics: Description Date Amount
Furnaces< 100K BTU 03/31/2014 $46.75
Type of Use: SF Fuel Piping 03/31/2014 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 03/31/2014 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 03/31/2014 $29.10
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By:, •ermittee Signature:
— .i, raw, At
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Re eB�
1 3125 SW Hall Blvd.,Tigard,OR 97 y , :il� d i 11
g Fri ! Plan Review
Phone: 503.718.2439 Fax: 503.598. Other Permit:
Date/By:
TIGARD
Inspection nspection Line: 503.639.4175 M i,k 2 7 Date Ready/By: Juris Ef See Page 2 for
Internet: www.tigard-or.gov G Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration,rcplacemellt performed.indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 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 SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 10135 SW INEZ ST Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:MCBRIDE Heat pump 61.06
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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
REMOVE&REPLACE GAS FURNACE fireplace 23.32
INSTALL GAS LINE Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:GLEN&JAN MCBRIDE Range hood/other kitchen
equipment 33.39
Address: 10135 SW INEZ ST Clothes dryer exhaust 33.39
City/State/ZIP:TIGARD,OR 97056 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)603-1953 Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ® CONTACT PERSON Other: 23.32
Business name:WESTERN HEATING&COOLING Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:DARCY NELSON Furnace,etc.
Address:50618 COLUMBIA RIVER HWY Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:SCAPPOOSE,OR 97056 Water heater
Phone:(503)543-5599 Fax::(503)543-3693 Fireplace I 14.15 14.15
Range
E-mail:D.INEISON @WESTERNHEATINC.COM Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:WESTERN HEATING&COOLING Other:
MECHANICAL PERMIT FEES*
Address:50618 COLUMBIA RIVER HWY Subtotal 60.90
City/State/ZIP:SCAPPOOSE,OR 97056 Minimum permit fee($90.00) 90.00
Plan review(25%of permit fee) 0.00
Phone:(503)543-5599 Fax:(503)543-3693 State surcharge(12%of permit fee) 10.80
CCB lie.:76978 TOTAL PERMIT FEE 100.80
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name:DARCY R NELSON Date:3-26-2014
1:\Building\Permits'MEC_PermitApp_040113.doe 440-4617T(11/02/COM/WEB)