Permit CITY OF TIGARD MECHANICAL PERMIT
- COMMUNITY DEVELOPMENT Permit #: MEC2011 -00075
•TIcARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/18!2011
Parcel: 1 S125DD04700
Jurisdiction: Tigard
Site address: 9775 SW VENTURA CT
Project: GATES Subdivision:✓ASHINGTON SQUARE ESTATES NO. Lot: 55
Project Description: Gas fireplace with fuel piping.
Contractor: SPECIALTY HEATING & COOLING INC Owner: GATES, CHARLES A/PATRICIA K
7500 SW TECH CENTER DR #130 9775 SW VENTURA CT
TIGARD, OR 97223 PORTLAND, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Gas Fireplace 02/18/2011 $33.39
Type of Use: SF Fuel Piping 02/18/2011 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/18/2011 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 02/18/2011 $42.46
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: -�- Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
FEB/17/2011/THU 03:23 PM FAX No, P. 001
. .
Mechanical Permit Application ritri, /I . FOR. OFFICE USE °NIX
. — 3 i
City of Tigard it,,...., ,p`' tf Ell'eceiveci . ,
IN 'Ilite ,r- 1 iiM
,- ., 13125 SW Hll a Blvd., Tigard, OR 97223 .
' . ,.- • Phone: 503.639.4171 Fax: 503.598.1960 FEB 11 7 2011 Plan I )"
1960 Date/By: Other Permit:
Inspection Line: 503.639.4175
TIGARD Date Ready/By: RI See Page 7 for
Internet: www.tigard-orgov CITY OF 'TIGARD Notified/Method: ENI Supplemental Information
, R1111 far nmczinN .. , .. „ ...,,,,-,. I ,, iii - . 71 -
•..l: .i.,..',..... '';::::,•1",., :.:'`:: .::',' ..''C '.; I; *:**.''..0':*0* O
:':-;.'•''P''.:::::'i',;,'''i'i;::' "••. ''.',': i:;:•' c
New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
ID
performed. Indicate the value (rounded to the nearest dollar) of all
D Demolition Other: mechanical materials, equipment, labor, overhead, and. profit.
:
...,.i .: ,;., . ''': !':' .'!;:,. ;..; , .; • .19"PPlin*?'.9.1ic1,14.1.K* Value $
,49.; :...' .C '::.,. :'.,'., .:',,.: ... ;.'.:',. L. w..., .A.. ,.., . . ,.,. --.
' 'n --'—' -' ' .,: ' • : .:....;;;4. ' .!.t.l01 1 :14;g.040*;(: ' ,0n*.*:.W. , :: .,,.:
g
• 1- and 2-family dwelling 111 Commercial/industrial 11 Accessory building
Multi-family El Master builder 1=I Other: Description For special information use checklist
Qty. I Ea. I Total
_
....,,iV.k■ ,;!', 4"; .1`. •,..
.i..;;`',.. ' '' :...; • ,: ,r, • ;!■.:: .1' 11 7VS17Plli,V , I:Mtc't 'l..,-rt .r2t,.,I,N.,"WI Heating/cooling
ATA;;;;, yi c ::,,;, , ;,..,
Job site address: ci sw \i m -en Ci- Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP: -,, ag„ ci--tag. Furnace 100,000 ETU (ductrilvent9 46.75
Furnace 100,000+ BTU (ducts/vents) 54,91
Suite/bldg./apt. Ito.: Project name:
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32 — I-Iydronic hot waterlystem 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46,75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other; 23.32
Tax map/parcel no.: Other fuel appliances
IN!':.,i,.:;:iitiOieiglitggi;4.iiiiikl.PAi!,1,M1 l Water heater 23,32
',.. zer..r 7.irr, N o.:,.,.
G fireplace
- r-t-t - Atriim 30.,-4e.p\acs1.-. Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
' ' " -'''. ' . '" ' .., r• ' ' ' - , ::, ,,.,. Chimney/liner/flue/vent 23,32
t ;,,U,,4.: .; " 7 . 1. -, 4 ,4 . ,: :.,,i, ' ,, , ' 7. ,‘•R,' , : , i'' ". t,.;' " '''aiitattiai•H ,... fq',.: '';.' orhet 23.32
Name: ' 4 I( kep) ,, 4-- 'Pak 4-atre_5 Environmental exhaust and ventilation _.
Address: 1 . ... A i Range hood/other ldtchcn
--
e 1.qii rprLe In 33.39
City/State/ZEP: f_ i l ar0 - - o
. . ceJ Clothes dryer exhaust 33,39
Single-duct exhaust (bathrooms,
PhoneF(1110 ) a 4 . y 9 2.---7 Fax: ( ) toilet compartments, utility rooms) 23.32
'' '.;,. '" , : i;i; , ;' 7 7.4!. :':Lt lt !'''.:,' ,':..:!. ' :., . ri vat) ' .. Attic/crawlspacc fans 23.32
7 ..../.. r,.:1-,ife.ff4,.,x4.., .1:.;:...,..,. , .F; .i :1;g '..:',;,.. , .,••.1s1 - . , ,4%.,:...t,,k,s.„1,..1, , .„mm,r, , I... , .: i ,!,;..;' i;.,:.1.
Other: r 23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; 54.03 for each additional
Furnace, etc.
Address: —,
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax; ; ( ) Water beater .. -
Fii7slace I
E-mail: Range
:::".:' •:`':':' .':.......'..1.•: ;:.:.:'.:,' ,.''',.:,.'.':,'•: )':'.:T'' 1'600,606W? ',.:: "'!:',..‘.';': ".A :1: Y:: •%..: :.... '':'!', '!'.'. '‘''....!; B ar b ecue
' .::;, i •a:„ .,;.;; ,'i '„1::.... ..4.T .,,, . ; ''',., -'4',;' .' '.'.."..','.; ..' ..';'r : ;; ■ —
Business name: Specialty Heating and Cooling Clothes dryer (gas)
. 0ther:
Address: '7500 SW Tech Center Dr 4130 ,,.,
q;'...;:i
City/State/ZIP: Tigard, Or. 97223 Subtotal
------
Phone: (503) 620-5643 Fax: (503) 681 Minimum permit te
Plan review (25% of permit fee)
CCB lie.: 66578 State surcharge (12% of permit fee) 10 ,W
,
TOTAL PERMIT FEE I 0() ,.(601
Authorized signature: SI.Al20 i 91-1/9--- This permit application expireS been Acepted ii$ complete_
Print name: AfiggeurEheiups S a I Il . Date: Q _11_4 , Fee methodology set by Tri-County Building Industry Service Board
IABuildingTermits\MEC-PerrnitAppdot I0/01/09 440 (11/02/C0/v1/W5E)