Permit 1 ',',.:q CITY OF TIGARD MECHANICAL PERMIT
'. ; ii..,;. COMMUNITY DEVELOPMENT Permit #: MEC2009 -00651
T l GAR Ta 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/08/2009
Parcel: 1 S 133DC 11700
Jurisdiction: Tigard
Site address: 13489 SW LAURMONT CT
Subdivision: ARI GREEN Lot: 8
Project: Dunn
Project Description: Replace furnace.
Owner: FEES
DUNN, STEPHEN W Description Date Amount
29572 AVANTE
LAGUNA NIGUEL, CA 92677 Furnaces < 100K BTU 12/08/2009 $46.75
12% State Surcharge - Mechanical 12/08/2009 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 12/08/2009 $43.25
Contractor:
ROSE CITY REFRIGERATION HTG & AIR
PO BOX 19207
PORTLAND, OR 97280
PHONE: 503 - 636 -5371
FAX: 503 - 655 -4669
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
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 -0100. You may obtain a copy of the rules
or direct questions to ln i 1 AtleA,L) OU ^ by calling 503.246.6699 or 1.800.332.2344.
4 Issued By: / Permittee Signature: (, llll` a
Call 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.
.Dec 08 09 09 :04p Rose City Heating and Air 503 -655 -4669 p.2
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17ch nica! Permit Application 4 > °h 4 R(OEFICEUSE ONm.,..7 ` R ' "
fir City of 'Tigard �,1� RCCCI`JCd , ���/a� / + �/'� )Jatc 13, Prtm t No.:l'lll .\ C.l'%1 1 . V (oS ( 13125 S W Ilall Blvd., Tigard, OR 97223 . ' '\y Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
o R Other Permit:
�T' "j�A' F`D Inspection Line, : 503.639.4175 DEC O 2009 D:nc Re�d 1
Internet: www.tigard- or,gov Sc _ I'm-
Nutitied(Method: S
� upplemeenic ntt al Information
•
S
_ TYPE OF W
G ILDING DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ® Addition /alteration /replacement >`'lceltantc al permit fees= me bawd on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, tabor. overhead, and prolit.
CATEGORY OF CONSTRUCTION Value: 5
Z 1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building RESIllENT1AL EQUIPMENT / SYSTEMS FEES*
❑ Multi- fartil ' For :peciai information USE: checklist
0 builder 0
Description p I Qty. f Ba. I Total
JOB srrE INFORMATION AND LOCATION llcating /cooling
lob site address: 13489 SW Laurmont Street tie conditioning
-- _ (reunites site plan showing placement) 46.75
City /State'Z.IP: Tigard_ OR 97223 Furnace 100.000 BTU(ducts %vents) 1 46.75 46.75
Suit�'bldeJspt. no.: Project name:
Furnace 100,000 - BTU (ducts.vents; 54.91
heat pump 61.06
Cross strectidirections to job site: Dug work I 23 32
Hvdronic hot water system : 23.32
Rcsid ntial boiler (radiator or
hydronic) 23.32
- IJnit heaters (fuel -type, not electric),
in- wall, in -duct, suspended, etc. 466
Subdivision: Iluevent for any of above . 23.32
Lot no.:
Other: 23 32
fax tnal 'parcel no.: Other fuel appliances
-
DESCRIPTION OF WORK Water heater 23.32
Ga.: fireplace 73
Replace 80% furnace with like Flue vent for water heater or gas
i -
-t fnlacc 23.72
Log Iiphter (gas) 23.32
Woodipellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER I ❑ TENANT _C!timneydliner'11ttwvent 23.32
Other: 23.32
Name: Carefree Property Management Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 33.39
City'Slate./ZIP: Clothes dryer exhaust 37.39
Singlc-duct exhaust (bathrooms.
Phone: (503)297 -8111 Fax: ( 1 toiler compartments, utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Anic.:crawlspace fans 23.32
Other: 23.32
Business name: Rose City Heating & Air ,
Fuel piping
Contact name: Jeff Panghorn 514.15 for first four; S4.03 f or each additional
Address: _ F•umaee, eta
Gas heat pump
Cilr:'Stale 7_IP - 1A'alllsuspendedunit heater
Phone: (503) 636 -5371 Fax: : ( ) Water heater
Fireplace
1-:-mail: jeffig?rosecitvheating.com
Range
CONTRACTOR Barbecue
Business name: Rose City Heating & Air Clothes dryer (gas)
Other: L____, .
Address: PO Box 19207
MECHANICAL. PERMIT FEES*
City /State /ZIP: Portland, OR 97280 Subtotal 46.75
Phone: (503) 655 -1669 I Fax_ (503) 655 -4669 Minimum permit tee (590.00) 90.00
Plan review (255 of permit lee)
CCB tic.: 161325 I State surcharge (12% of permit fee) 1 10.3
C
TOTAL PFR191'f FEE 100.80
Vl
Authorized slenalu This permit application expires if a permit is not obtained wiuun 150
days after It ha.. heel. accepted as complete.
I n..•_• , •. n nn I " Fcc methodoluav sct be Tri- County Buildino Industry Scr :.cc Board
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