Permit CI TY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00112
DATE ISSUED: 3/4/2008
,TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AD-06500
SITE ADDRESS: 10602 SW WINDSOR PL ZONING: R -7
SUBDIVISION: WINDSOR PLACE LOT: 002 JURISDICTION: TIG
PROJECT: BROWN
Project Description: Installing furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
DEREK BROWN Description Date Amount
10602 SW WINDSOR PL
TIGARD, OR 97223 [MECH] Permit Fee 3/4/2008 $72.50
[TAX] 12% State Surch 3/4/2008 $8.70
Phone:
Total $81.20
Contractor:
MECHANICAL INC
PO BOX 19569
PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 244 -1730
FAX 503- 245 -7613
Reg #: LIC 124283
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: / Permittee Signature:
Call 503. 39.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,`. Mar. 4. 2008 11:31AM No. 8408 P. 2
7,4echanical Permit An 'as. ,[ ' E t i ED ' t t , i I.(IR I1
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h ' 1 City of Tigard -ermit No.: 7 •,
r N 13125 SW Hall Blvd., Tigard, OR 97��� Y • � � ? / ����
Phone: 503.639.4171 Fax: 503.598.198x\ F' - 4 2 0 0$ Other Permit
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Date/By:
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i Inspection o: 503.639.4175 Deers y /Byl lunn: El Soo Pager 2 for
#'_ { - .'°1 - i.:. Intranet: www.ngard- or.gov CITY OF TIGARD Notided/Method: �upplemental Wormoa
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❑ New construction ® Addition/alteration/replacement Mechanical permit toes• are based on the value of the work
❑ Demolition ❑ Other: p• Indicate the value (rounded to the nearest dollar) of all
mechanical materials. ecuipment, labor, overhead, and profit
III y {�g p� i l P.d1 n n cr, : 1 t Z � 1�'µrr X11 Value.
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® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special tnfi,mmrron UM checklist
❑ Multi - family ❑ Master builder ❑ Other
g��e{ t{1�� , � ��, 1 )���� j�rurry�4 ;s� . y ju a.�igat`Ifv1c� ' �' ,+T'.-� t� rR Description 1 Qty. � Ea. � Total
'�t;''^`Jt i i:YWu $f:IL",fl�dri I i,WNY kflbatJ:�1J''IY A Er li0'•DJ' 7 f1,a l 1 is r FI i Heat1 cnolin
>al�,a•1Ni xv wlmOanrUr. n is ,I. I���(�.��:[.�t.illi.� � R
Job site address: 10602 SW Windsor PI Air conditioning or he pump
(requires site plan Mowing !ln�aement) 14.00
City /State/ZIP: Tlgard,OR. 97223 Furnace 100,000 BTU (ducts/vents) 1 14,00 14.00
Suite/bldgJapt. no.: Project name: � � Furnace 100,000+
BTU (dueta/vmta) 17.90
Gas heat pump _ 14.00
Crass street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (ttel -type, not electric),
in -wall, in - duct, suspended, etc. 14.00
Subdivision: ]Lot no.: Flue/vent for any of above 6.80
Other. 10.00
Tax map /parcel no.: Other fuel avpvanees
etc ,1 ;g &' i I a ttT r T!� t.���� ^''s' + �` d ysua�r yrt� uc[>ns�� r , '' e iD r Yi1 st)2+ r y r ' Water heater S:
�; I �t ii..l �l ul''[;I- Itrlfil' illy'td�'iF` IIt IitTt+IDli I:jI :I�,t ,ii?�xi `.Ajl ,ri I�! 4127 1i�j1!I�t�filt.:17':121�il I i�tr'�i. E i'�Il1H`d1 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace I0.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
��}} y y Wood firepleae/insert 10.00
P �� � X77 k '!i Pau i1u {�' i l , m r a � 1 . n `i tnjos Chimnav/liner/fiuervent I0.00
;r,tu�„ 1 =�.: „n �� I, ;t 1, t il! LIk'u.'�,b ifigua u1 � a b�, P... 1 '
us,.a Other 10.00
Nate: Derek Brown Environmental exhaust and vendlatioa
Address: Range hood/ot kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments. utility rooms) 6.80
31 111 1 t11111�1 7 :' It t q(a?s'�t' ,s �:i i F jl il; Fly "r^ "c�l ; i -��w 1" u� `t rrn vzr:CI 1� 1 Attic/crawbpace fans 10.00
Si.., (fit i ,' . + d.1 ' 10131 . 'a, .tit . i • E-4?.l l > :A Outer I0.00
Business name: Schnauzer Construction Fuel piping
Contact name: Mechanical Inc: Randy Freeman 85.40 for that than 31.00 Mr each additiona
ace
Address: PO Box 19569 Fes, etc' - ,
Gas heat pump
City / State/ZIP: Portland,OR. 97280 Wall/suspended/unit heater
Phone: (503) 244-1730 Fax:: (503) 245-7613 Water heater
E Sharon @mechinc.biz Range
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��`y ;.. , ' .'�: �¢ tl(Il-l�Il' �r,��' �� i `� � , �„" - �4�'�r�h['!>llisl�.l�. � I�� � � � �`�E�I i �et�� r�''+ Barbecue
„ Clothes dryer (gas)
IN Of'
Other
City / State/ZIP: Subtotal
Minimum permit fee (372.50) 72.50
Phone: ( ) Fax ( ) Plan review (25% of permit te)
CCB 1ic.: /i d' , State surcharge (12% of permit fee) 8,70
TOTAL PERMIT FEE _ 81.20
Authorized signature: -�-� Tats permit application expires lr a permit Is not obtained wlthlo 180
_ ___. days after It has been accepted as complete
Print name: Randy Freeman Date; 3.¢08 • Fan methodology set by Trt.Coant y Building Industry Service Board
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