Permit r
CITY OF TIGARD MECHANICAL PERMIT
IL
I COMMUNITY DEVELOPMENT Permit #: MEC2009 -00549
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/20/2009
T 1 G ARD; Parcel: 2S 111 BA03800
Jurisdiction: Tigard
Site address: 14140 SW 98TH CT
Subdivision: MCDONALD ACRES Lot: 13
Project: Doerr
Project Description: Install furnace and heat pump.
Owner: FEES
DOERR, BRUCE Description Date Amount
14140 SW 98TH CT Furnaces < 100K BTU 10/20/2009 $46.75
TIGARD, OR 97224 Heat Pump 10/20/2009 $61.06
PHONE: 12% State Surcharge - Mechanical 10/20/2009 $12.94
Contractor:
SKY HEATING & AIR CONDITIONING, INC
1637 SE NEHALEM ST
PORTLAND, OR 97202
PHONE: 503 - 235 -9083
FAX: 503- 235 -0454
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue.
Total $120.75
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. •
Issued By: td K4T Permittee Signature: M,a
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 AnplicatioRECEIVED ' ' , . • )I( Wh11(I .111: I ll
u i City' of Tigard tReeceivv I • . .
il d 13125 SW Hall Blvd„ Tigard, OR 97223 0 C T 16 20 =� - �- ��
I Phone: 503.639.4)71 Fax: 503.596.1060 Porn Rev Ocher Permit:
pnc.. �ai�l3y: I
:1 Inspection Li: 50)6394175
CITY OF TIGARD Date Ready /8y: tuns. el Sec Yugo 2 for 1
Internet: www.tigunl- ur.guv
BUILDING DIVISION N oritied/Method: -(- t i1
Supple rn4J 1++(V r4IL tiYa
TYPE OF'.WORK ..COMMUCL4L I,IrE•.SCHEDULE USE CHECKLIST
❑ New construction tEl Addition/alte.ration/rcplacement Mechanical permit Pecs`' are based on the value of the work
performed. indicate the value (rounded to the nearest dullur) of ulI
❑ Demolition ❑ Cher: mechanical materials, equipment, labor, overhead, end profit.
• • CATEGORY . 08. CONSTRU. TION . • value: $
RESIDENTLAL EQUIPMENT/ SYSTEMS FEES*
2 I - and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building -
❑ Multi - family ❑ Muster builder ❑ Other: For special information use checklist.
Description ! Qty. 1 E. l Total -
:f06 SITE INFORMATION AN1D, :LOCATION. . . • • • Heating/coot'rig
Air conditioning or heat pump 4 15
Job site address: (t.{ O 1 A % A 1 (requires site phut showiniplueemcm) ` . 0
City /StatelZIP: - r) li Gil 7.-7---q Furnace 100,000 BTU (duets/vents) ' W _ 0 to
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg./apt. no.: • Project name, V
, r Gas hear putnp 14.00
Cress street/directions to job site: , Duct work 1 0.00
' Hydronic but wutcr system 14.00
Residential boiler (radiator or
hydronic) 14.A1
Unit heaters (fuel - type, not electric).
in -wall, in -duct, suspendd, etc. _ 14.00 • Subdivision: Lot ❑o.: Flue/vent roc any of above 6.80
Other: 1 0.00 T7
,
'fax map /parcel no.: Otbrr flirt appliances _- - •_ (—_i
DESCRIPTION OF WORK • • Water heater — 10.00 I
- Gus fireplace 1 0.00
A. i 1 e'1 - c s4e... + 4.._ I. • a. A Flue: vent fur writer healet or gas
fireplace 10.00 ,..
Log lighter (gin) - _ 10.00
Wood/pellet stove 10.00 J
-
__ ._ Wood ruezlace/insen . 10.00
Chimney /liner /iluc/vcnt 10,00
El PROPERTY OWNER . 1. ❑ TENS Other: 10.00
1\41111C: 16 y U�� 0
IQ ^ Environmental exhaust scud veutitattoil -
^�—
�/ V Range hood/orher kitchen
Address: 41 equipment 10.00
City/Stair/LIP: ' V v�--{�
Clothes drywcxhuust IU.OU
- _ + Single -duct exhaust (b uhruuma,
I >lra>e: ( ) Fax: ( ) toilet cumparbnents. utility rooms) 6.140 ,
❑ APPLICANT . r • 0. CONTACT PERSON. Articicrawlspacc fans 10,00 _
Other 10.100 ��
Business name: SEE BELOW
Fact PiPiMI ..
Comet n:unie: $5.40 for first four, 51.00 for eacb additir>uu1
Address: Furnace. etc.
Gas Pea pump ......
City/Stow/ZIP: t WoJllsus 1Le nded/unit heater _
Water heater
Fax: '
Phone: ( ) _ ( ) Fireplace
E-mail: Rune ,...
' '' Barbecue •
Business name: SKY Hk ATING& Alit CONDITIONING Clothes dryer (p ts)
Other
Address: 1635 SE NEIir1L] M S7' l' aCHANICAL PEAMLT FEES* .
Subtotal
City /St;te/L1P: PORTLAND OK 97202
Minimum permit fee ($72,50) _
Phone: (503) 235.9083 Fax: (503) 235 -0434 Plan review (25 %u1'permit feel
('(.13 lie.: 50244 State surcharge (12% of permit lee) � ' ( AL
TOTAL PERMIT FEE CO,
__ •fbia permit application expire. if a peratit is not abtuiae within 181)
Authorized signature: _ ....C.-4.-- days after it true been az:aptwt AS complete. i 2 0. -7 I.
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Cr) 17r) 7r1- J r14-4 MOH C1AIT I 1.47L1 A\IC hhChACC7CtaC CC :1.T RAA7 /CT /AT
HOME LAYOUT/SITE PLAN A/
60/E0 30Vd
) b--c 4 - )-
. . •
STREET
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