Permit a CITY OF TIGARD MECHANICAL PERMIT
' it COMMUNITY DEVELOPMENT Permit #: MEC2011 -00091
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/04/2011
Parcel: 2S111AD02000
Jurisdiction: Tigard
Site address: 14550 SW 88TH AVE
Project: Vogel Subdivision: PINEBROOK TERRACE Lot: 17
Project Description: Replace furnace
Contractor: SUNSET HEATING & COOLING Owner: VOGEL, PAUL
0607 SW IDAHO ST 14550 SW 88TH AVE
PORTLAND, OR 97239 TIGARD, OR 97224
PHONE: 503 - 234 -0611 PHONE: 503 - 805 -5139
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 03/04/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/04/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/04/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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 95 -': -090. You may obtain a copy of the rules
or direct stions to • . ► .. c..ng 503.232.1987 or 1.800.332.2344.
Iss d By: • / / Permittee Sign: ure: /. ((J
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.
Mechanical Permit Application FO{t oFFICL`. INK ONLY
Rrcoiv.d 2 y / Noon No.: �fd g / /.OG10 Q/
City of Tigard Datc/liy: d ,n
: N 13125 SW Hall Blvd,, Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Data /By: other Permit:
r l t A is t Inspection Lino: 503,639.4175 ,,,AR - 4 7011 Date Ready /By: }ur +,. 0 So Page 2 for
Internet: www.tigard Notified/Method: �CO• Supplemental ltifureuation
,. ;P !t,* S c t , ., , ,-- `Sly ' . ' ,' T •,
Mechanical permit fee* aro bused on the veins of the work
0 New construction g- Addition /alter at io nit cp1aCetm:nt performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition C] Other; mechanical materials, u ui anent labor overhead, acrd rofit,
Value $ _
DATE gI Y Ok CONSTRUCTION
1- and 2 -fend l dwelling C Q Accessor building '''''c' RES11q� IVY - /' • ' , Nt - ' : f(, , I ^i k
y Lf � � � pl irlJi)rmafaun arse. e6ltle
0 Multi - family ❑ Master builder 0 Other: Description Qty, 131.. 10
' ' ; ''r` ': ,1Q$',,SF4' 4y?6QR�1' '.IQN ANI? LOCATION Heatin l coolie- - -�•-- - —
Air conditioning
Job site address: I'y 650 'vJ ' g h• �� re- fans situ flan showin; latetncut 417.75 _ --
Furnace 100 000 BTU dueta/vemsl 46.75 ...
City /5tato/ZIP (� titi G�� �"1 Z _ —
, Furnace 100 000+ 13'1' d uct s/ vru te 54.91
Suite/bldg./apt. no.: Project name: V J /qet Heat pumN , , - G I ,t}li _ -
[IYdroni hoc wafers steu, 1 Y 2
Cross street/directions to job site: Duet work 3_ M_ - -- 32
�" 6.32
Residential boiler (radiator or
h shortie) 23,3:'
Unit heaters (furl - type, not clecu
in -wall, ht -duct, suspended, etc. /16,75
_ --' Flue/vent for any of above 13.33
Lot no.: 23.32
Subdivision: _ Other: .- _ . _.
Tax ntap /parcel no.: y (C pp y / � y r (� Other fuel appliaocee -,, _.._ „T.._..,. __... _ ----
L:•••'-,‘:":.;•::. ,; i ` .i, ; , I�VF,1',iCbrAh34(-+t'^ O'F ":':, A�^ ;,''' :•, C S j� ._..__ —.
I .1 , .OI,� i ',.
Wa ter L
al
Gas
fireplace
Likg. Le Flue vent for water heater or gas
fireplace . 2
Log lighter (;;as) 23.:12 --
wood/pellet stov 33..19
Wood tae Glace /insert 23.32
Chinuteylliner /floc /vuni __.. ,
23.32
, '' N ' tIl•Ihl(U PAT'Y1':OVV'Nl✓ni 1 . :''.. I I.;. T'N4 r ;: •,', Other: - -- - 23 i2 — -
Name: pall/ Q Environmental exhaust stand ven - - -.,,
tilation ---
'Range hood lather kitchen
i 1
Address: 4 L n i tluen :33.39 -, Clothes drYct exttau @t - . 33,39 ..-- _ -..."
City /State /ZIP: � �{ - 1 Single -duct exhaust (bathrooms, , �
Phone fax ( ) L awls a trot 1 y con 2'3.32
( ) toil compartments, uti it r ts) , .
A `r' !r Q CIN>�ArCn`' ” Attio/cr s
A1ir1PJi i SAN , 1 FRSQN r : .. -
te 2 3,32
Oh r _
Business name: _ 1i ucniug --
Contact name: _ $14.15 for first four; $4.03 fyr each addition I
. Furnace, etc.
Address; Gas heat pump .--..—
City /State /ZIP: Wall/sus , ended/unit heater ---
( ) Water heater _"
Phone: ( ) Fax: Fire . lace —.
E -mail: 17.1 .. ".—
nC(„! iTRACTQI 1 Liarbecue
Clothes dryer (gas) _
Business name: J L,LY1 SC's t• 1E. l.-Z
- 14 , 4; 4 ii i ti Other:
' , r i PP4.ANGA 18 RM1,: ief-I '+s.:
Address: MO l~+ 1 5 U�" � t:�l1.J�l L , "(TC`i.;'l � '� .
Subtotal t..�
City /State /ZIP: Dl lGS itb�- G1 1 31 -- Minimum permit fee ($90.00) aila"
Phone; (50) 23 Lil--DIv 01 Fax: (50'3 34 -o , Y: Plan review (25% of permit fee)
CCB lie.: a ( i Cl j State surcharge (l2% of permit fee) I.
I TOTAL PEE1v1IT FEE 1.00• 0 tilt
/ _, This permit application expires if a perua #t Itl net obtained tvlrhin 180
Authorized signature: '�(.- �V ditoy after it has boon accrptrd us cowplrtr,
Print r (I + Fcn methodology S
1. I et by Tri- County Building hrduahy Serviur hoard
1 rent name: ���,! �I f.t ��, �:�1 ?7�v'p$ lit , Date; 3 I - 'f r
r: 1Bullaingw ermiuudne- r4rmanpp. min 1/09 e4a- 4e17'f(11 /02/COMPS2131
ZO /Z0 30 d ONI1b3H 13SNf1S 6E17017EZEOS TT:ZT ITOZ /170/60