Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00623
', Date Issued: 11/24/2009
T : I G ARL? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S111CD03500
Jurisdiction: Tigard
Site address: 9605 SW BRENTWOOD PL
Subdivision: SUMMERFIELD NO.9 Lot: 524
Project: Hardy
Project Description: Replace gas furnace and venting.
Owner: FEES
HARDY, JEANNE L TRUST Description Date Amount
9605 SW BRENTWOOD PL Furnaces < 100K BTU 11/24/2009 $46.75
TIGARD, OR 97224
FlueNent For Any of Above 11/24/2009 $23.32
PHONE: 12% State Surcharge - Mechanical 11/24/2009 $10.80
Minimum Fee Adjustment - Mechanical 11/24/2009 $19.93
Contractor:
AAA HEATING & COOLING
5017 NE GRAND AVENUE
PORTLAND, OR 97211
PHONE: 503 - 284 -2173
FAX: 503- 284 -1552
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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 No • =- ': • enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dir t questions to . NC b .fling 503.246.6699 or 1.800.332.2344.
Issu =d By: (10 Permittee Sig `%/[/d3•11JE
Call 503.639.4175 by 7:00 a.m. for an inspection that busine - 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.
Frxm: 11/20/2009 13:12 #800 P.001/002
Mechanical Permit Auniica - r 1 iCE
FA
:,:'''''...• City of Tigard Received
I 3125 SW Hall Blvd., Tigard, OR 97223 r ■ I 1
li
U V 2 0 2009 Datemy: # Et /11)M Permit No.: iyed,a , _-
Plan Review
.•.' 2 : s Phone: 503.639.4171 Fax: 503.598.19 Datc/By: Other Permit:
' • ' '. Inspection Line: 503.639.4175
,TIGARD Date Ready/By: furls: a See Page 2 for
'• : .... . .. •
• Internet: www.tigard-or.gov CITY OF TIGARD) Notified/method: • l a Supplemental Information
BUILDING DIVISION
TYJE ' OF WORK COMMERcIAL FEE ' §cm*** •-vst etikt7cfAsT
Mechanical permit fees* are based on the value of the work
0 New construction Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
Value. $
CATEGORY CONSTRUCTION . ''":' ' . ' : :-.. :-. :17'; - 7 ''' .
and 2
- 2-family dwelling 0 Commercial/industrial 0 Accessory building
( 12'r "......- Yff
For special information use checklist.
0 Multi-family 0 Master builder 0 Other:
Description 1 Qty. 1 Ea. I Total
';:,'....•;: :'::-.' ''.• '.::'' .i
JOB SITE : AND LOCATION . ":.:=,:.::' '' ' '''-T':', ''' Heating/coollng
Job site address: 15
(1 1 Q r? .‘.,t.D , 4‹-..e.,...(A . -\- -- IADLcc,c 1 - Air c ming
(requires sue plan showing placement) 46.75 L _
City/State/ZIP: - 7( 5 0z... . c d fR c --( Z2_
.- Furnace 100,000 BTU (ducts/vents) t 46.75 -
Furnace 100,000+ BTU (duels/vents) 54.91
Suite/bldg./apt. no.: Project name: 4
Heat pump 61.06
Cross streetkhrections to job site: Duct work 23.32
Hydmnic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. -
Subdivision: Lot no.:
Flue/vent for any of above 1 23.32 Z.... :2...._
I
Other: 23.32
Tax map/parcel no.:
Other fuel appliances
;:Dirlici&ikiii.'43F403561 Water heater 23.32
Gas fireplace 33.39
(eue...e__ \as 1 kfN Flue vent for water heater or gas
\ACk. k l.0 C_/ °V'.-± \ V \ C-A IA- k \In fireplace 23.32 ,
Log lighter (gas) 23.32
V Q.AA-- t Wood/pellet stove 33.39
Wood fireplace/insert 23.32
' 23.32
:: •-• , , - ':".' a aTENANT. :,..
Other:
Name: c j .e c(1,(te 23.32 k*c
Environmental exhaust and ventilation
Address:
— Range hood/other ldtchen
4' ‘ Le P U..." B V j f - t1-1. , d P 1 equipment 33.39 .
,
City/State/ZT: --- cur ov....- 1-172.-L(i Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: og ) Fax: ( ) toilet compartments, utility rooms) 23.32
iiiiiit'efijObiflYriP., AttiekrawlsPaee fans 23.32
Other 23.32 ,
,
Business name: AAA HEATING & COOLING INC.
Fuel piping
Contact name:
514.15 for first four; 54.03 for each additional
_
Address: Furnace, etc.
Gas heat pump
City/State/DP:
_ Wall/suspended/unit beater
Phone: ( ) Fax: : ( ) Water heater
•
Fireplace
E-mail:
Range
,;: ,.....,•:-...::-.; . :..-..'.- . .' - ..,: ',..". '-. ..•CDpill*ACTOR " - ; ;-. .. ''... .";; - % ' 1 ':' ,.. :z--;.1: • . Barbecue
Business name: AAA HEATING & COOLING INC. Clothes dryer (gas)
Other:
Address: 5017 NE GRAND AVE .':-: - r . '.[ .111ECHANICALPERMIT FE*
City/State/ZIP: PORTLAND OR 97211 Subtotal 7 p . 0-7
CI
Phone: (503) 284-2173 Fax: (503) 284-1552 Minimum permit fee (590.00) 0. OD
Plan review (254, of permit fee)
CCB Iic.: 000222 State surcharge (12% of permit fee) ID - %I)
.
/ / TOTAL PERMIT FEE 1
Authorized si ature: Du , S1
This permit applIcadon expires If a permit b not obtained within 189
gn VOI
days after it has been accepted as complete.
Print name: VICTORIA ALLEN Date: t 1 20 0 1 * Fee methodology set by Tri-County Building Industry Service Board
1 *Building \ PermitsUMEO-PermilApp.doc 10/01/00 440-461 T (11/021 OM/WEB)