Permit CITY OF TIGARD MECHANICAL PERMIT
"� COMMUNITY DEVELOPMENT MECHANICAL
MEC2011 -00135
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/30/2011
Parcel: 2S103DB07300
Jurisdiction: Tigard
Site address: 11155 SW EDEN CT
Project: Sweeney Subdivision: GENESIS NO. 3 Lot: 58
Project Description: Install furnace.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: SWEENY, MICHAEL
PO BOX 241 11155 SW EDEN CT
DUNDEE, OR 97115 TIGARD, OR 97223
PHONE: 503 - 691 -9699 PHONE: 503 - 330 -8417
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 03/30/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/30/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/30/2011 $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, • ■,* suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility 'otification Center. • • - rules are set forth in OAR 952 - 001 -0010 through OAR 952 -00 -1090. You may obtain a copy of the rules
or d• ect questions to OUN• •y calli g :1 .232.1987 or 1.800.332.2344.
Is -uedBy: r Permittee Si. mature: ' •
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.
03/28/2011 16:21 503 - 691 -8556 OREGON HEATING PAGE 01/02
Mechanical Permit Application
City of Tigard Daff aq � PermitNo.: /`jeC�i` l3�
13125 SW lull Blvd., Tigard. OR. 97223 Plan Review
' 4 Phone: 503.639 4171 Fax: 503.598-1960 Date/By: Other Permit:
T t GA R U Inspection Line; 503.639.4175 Deie Ready/By; ]w:s. - !a See Page Z for
Internet: www.tigard- or.gov Notified/bathed. Supplementallaformalion
!•YYE OF WO1ZIC COMMERCIAL ; FEE *, 5CT 5 DULE ;USE CKECJ LJ.ST '
New construction Addition /alteration /replaeemezlt Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: mechanical materials. •ui•men labor. overhead. and •rofit.
`. CATEGORYi o1? colvsTRUCT1O1v Value: $
' RES ENTiAL EQ MEN7,''/ SYS E,MS FEES'
EL1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist,
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. .F,Fi Total
J011 SITE INFORMATION AND LOCATION ,
Job site address: (/L]
City /State/ZIF: // t D' " 2-'2 Furnace 100,000 : .7J
V Furnace rr 000+ BTU duels/vents 54.91
Suite/bldg. /apt. Project name; Heat um • r, NMI
Cross street/directions to job site: Duct work 23.32
°' H dronic
il
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel - type, not t leotrie),
in -wall, in -duct, suspended, etc. 46.75
Rue/ventfor an of above 23.32
Subdivision: Lot no,:
Other: 23.32
Tax map /parcel no appliances
;> w Water e lace
Gas fire •ace vent for water heater or gas
fire lace 23.32
Lo: .
Wood/ .ellet 33.39 NININ
.. Wood fire •lace/insert _ IMIEI
Chirnncy/bner �
:�''1P7f O ZR OWNER )LE ANT
Name: Me/k4 k) pl@t Sa ( 3)v.te,m4 Environmental exhaust and ventilation
`/
Range hood /other kitchen
Address; I 1 [55 s -
City /State/ZIP: 0( OR 0 1 7 _ , i, merit
Clothes d r exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: () 8z, t 1 Fax: ( ) toilet compartments. utility rooms) 23.32
t . i'! 'APPLICANT Q CON'I'NG PERSON , ' Attic /crawlsPace fans
y ��
Other
Business name: or! / i/i $ OIL% ' / „,. Fuel piping
Contact name: a / l 514.15 for first four; $4.03 for each additional
Address: , r Furnace etc.
As .. Gas heat pump
City /State/ZIP: 9 `711,- Wall/sApend III
Pboue Fax:: ( ) ediunit heater .
(�) _ 9�� ,1 --e Water heater ■.
Fite lace
E-mail: .e .e.,
Business name: i iti p I g f Ai __-
Address: p0 di p1 241 r • • r
10
City/State/ZIP: . j !Is— • , ($90.0(9
.�
Phone: (w/ I llr� — / Fax: (,L/`,GI -G18 t..0 �■
CCS �7
Iic.: I L L 4 91� :A
TOTAL PERMIT FEE ► 'I , Z1
Authorized si ature: ' P This permit application expirm if a permit is not obtained within 180
dart's lifter it bas been accepted as complete.
'0«:.. +,,.,„,e• FIND .4 P I l Date: A /'7') / wl)I * Pee methodology setby pi-Cowley building Industry Service Board