Permit ` , CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT#: MEC2007-00591
TIQAR1 13125 SW Hall Blvd.,Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/11/2007
PARCEL: 2S 115AD-06600
i SITE ADDRESS: 10616 SW RIVER DR ZONING: R-4.5
SUBDIVISION: DOVER LANDING LOT: 049 JURISDICTION: TIG
PROJECT: THOMAS
Project Description: Replace 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: 50+ HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 0
> 10000 cfm:
Owner: FEES
EMMA THOMAS Description Date Amount
10616 SW RIVER DR
TIGARD, OR 97224 [MECH] Permit Fee 10/11/20C $72.50
[TAX] 8%State Surcha 10/11/20C $5.80
Total $78.30
Phone: 503-998-8786
Contractor:
PORTLAND METRO MECHANICAL INC.
2403 SE MONROE ST. STE. E
MIOLWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact#: PRI 503-659-2937
FAX 503-654-1931
Reg#: LIC 176959
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: 7 y CL42 Qe,A.- *N.—_
Call 503.639.4175 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.
-; 10 07 04: 31p Portland Metro Mechanic 503-654- 1931 p. 2
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..-Mechanical Permit Appei,c1.),a i..o„nA r
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City Permit NoMetetokov _„,goo 6-14
,N, ,,..: 13:25;S%:0;%101141;;Ii,Tirsoo3R599782/3 pi.itcv.
4 Inspection Line: 503.639.4175 - 4t1 1 n 2007 Dwally: Other Promo.
Mee Ready/By: .' Jur. Et Noe Page z tor
Internet; www.tigard-orgov .1-• Notified/method: Suppientestal Isafeystatiou
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ebt 10 1_,114G, V .1-4 i., I 02\L_____ COMMERCIAL FEE* SCHEDULE - USE CHECKIAST
0 Ncw construction Vredition/alteration/rcplaemnent Mechanical permit fees*are based on the value of the work
performed.Indicate the value(r(unded to the nearest dollar)of all
0 Demolition ID Other: - mechanical materials.equipment,tabor.overhead,and profit.
CATEGORY OF CONSTIRUCITIOTS r-- . Value:S
•
7.--
RESIDENTIAL EQUIPMENT r SYSTEMS FEES*
-and 2-tamily dwelling 0 Commercial/industrial 0 Accessory building, -
For special irli)rmaiitan ere checklig.
Multi family 0 Muster builder 0 Other:
Description .. 1 (yry._1 Fa. ..I Total
- __- ----I
-..—.
JOB STTE INFORM,A Or LOCATION IleatingiennIing , -__,_--
Job site addres " I ' i -Air conditioning or heat pump
_ITVA112itEPIlms.L .Elm_22=2.) 14.00
...___
C:ity/Stateit.IP: ie 7 2iztit F..i.,in...Kw(thIctvvenu) i_____
i 4.00 --■
*
Furnace 100,000+BTU:out-is/vents) 17.90
SuitelbIdgiapL no Project name: .-,---- ----
(ac heat pump 14.00
_ • „
..—1 _______y_,
Cross strwt/directions to job site: Duct work 14.00
"' ' Hydrunic hot water systern 14.00
Residential boiler(radiator or
. -
hydroniC) • 14-00
-.. • Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 10.00
Fludycnt fabove . 10.00
Subdivision: I I Art no.:
,_. .._ ,. - — --_ Other: _ . 10.00
_ _
Tax map/parcel . —_
ap/parcel no.: Other!net applia noes
--
- .
DESCRIPTION OF WORK Water heater I 0.00
Gas fireplace
•
,. i , Flue vent lot water heater or pas ivci 4/161 '• '91' Ri7it: -- „cp..
I og lighter 10.00
10 00
,,
1 _ _yyood/pellet stove 1 0.00 _.
Woodfireplaedinsert 10,00
i•. -
L...
TENANT Chimney/liner/flue/vent 10.00 .._
- _1
' NMI --
XXIX!! kJ '• -4.1111V-orit,....,--
WO/ (,:441P07 77/1 040_45
1:46.' ••••' Environmental exhaust and ventilation
' — Runge hood/other kitehen T ..-____,
Addre:.• ,
.— equipment 10.00 _
---- •
City/State/ZIP: Clothes dryer exhaust -- 10.00
,----•— •..-.-----,
_
-.. • • - Single-duct exhaust(bathrooms,
. • Phone:( . //I Fax:( )
.° ' P- gl 5--1 . mil.compaerropits,utility roomS) ..
0 A P LICANT 0 CONTACT PERSON Attic/crawl/aswe fans 10.00
■
_
Other:
Business ;Or P
r i:14- e 7 nea .. zi\
_ 10,00
Contact name: Dime_i_______Jezair- S5.40 for first fouri_SI.00 for each additiOns
Address:
_.2...q0___3___Sle__/21 Sk Furnace,etc.
,r• .- Oa.;heat pump _ ---
---‘
City/State/ZIP:H , LoA-1,th.e
_70
R. 22 z -z.. ...____, Wall/suspended/unit heater
Phunc:(450_3__Q_.5.6/ "3 6tg 5 L/ / 9 3 l Water beaux
Aireplaix: —..--..—
E-mail: _, Runic_
'- -
CONTRACTOR -•
Harbeetic ... _ —
-55- .. _ ...
Rosiness name: _.---
A. .• r/..—.. ck,thef,d7cr(gas) __ „.__ _,
----- - - -- Other: __... _ ...
Address: MECHANICAL PERMIT FEES'
City/State/ZIP: Subtotal
..—_- " .
Minimum permit tic(S72.50)
Phone:( ) 1.' —
ax:( )
Plan review(25%of permit fee)
• • • -•- .
CCH lie.: /g q 5 q r . ,. State surtharge(8%of permit fee)
— _a
TOTAL PERMIT FEE Q, '30.
Authorized signature:f2,,,,,,,......t. 0 .3,..._., 10110(07 Th,„„,..„.,,,,,,......„...,•permit is not°heal ,within Iftt)
days atter it ha*beam moved as manger&
r...,
.. .
Dante) Jean iri65-