Permit n CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2009 -00376
Date Issued: 07/24/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S 103 DC04800
Jurisdiction: Tigard
Site address: 13875 SW 114TH AVE
Subdivision: VIEWMOUNT Lot: 36
Project: Babcock
Project Description: Install furnace
Owner: FEES
BABCOCK, RONALD D & Description Date Amount
VOOSEN, LONNIE L, 13875 SW 114TH AVE Furnaces < 100K BTU 07/24/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 07/24/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 07/24/2009 $58.50
Contractor:
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR STE 120
TIGARD, OR 97223
PHONE: 503 - 620 -5643
FAX: 503 -681 -0793
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: `�
G Permittee rpt_ ite
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
r JUi /22 /2009 /WED 06:36 PM FAX No, P. 002
Me Permit Applica • CE VED }OR OFFICE USE 011.1
City of 't`igard a Permit Ng et g — 00 374
IN • 13125 SW l4all Blvd., Tigard, OR 97223 JUL 2 2 2009 Play Review
-
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Oduv Permit:
I' I G nRD Inspection Line: 503.639.4175 Date lteady/By t„r;= Sec Pace 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
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c Mechanical permit fees” are based on the value of the work
❑ New construction riodition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
i„, p 'ii 7 r rtiflW t i:i , „ t t�:TT'r u f L ay i ii: ,.i i a+ I'10i J�{ . ..I, Value $
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�1- an d2 -famil dwelling ' ,:. , , .,,,,� 1..,,1,,... , rt„ »tu[, ill,
2-family g ❑ Commcrcial/industrial ❑A ccessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description .I f Qty.1 La. I Total
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Heat' /cooli
1� Air conditioning or heat pump
Job site address: 46 4 I `t 1- (requires siteplan showing placement) 14.00
City /State/ZIP: Furnace 100,000 BTU (ducts/venu) j 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90 _
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
liydronic hot water system 14.00_
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in -wall, in-du , suspended, etc. _ 14.00
• Flue /vent for any of above 6,80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no _ Other fuel alpliances
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. 1 ' t' fi f I ! 11 I f l t rill ".'(1 t I LJ W ater heater 10.00
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G.�,.l tt G.UII�,It.. lrl4i.. Lt(t lu,..uZ., ... 11}, .n,flfll«„ , ,d „«iw.t., „t , , .r, lce 1000 e t or water heater or gas o A i f iti' f t i i t. t i CIV u. ,t u:,1. , o , � : s ,.,.,..�'� ,...s Other:
Lf,a..11ill,6� i.lf.,- ..,I,., . ,.i.,l.. f, _ 10.00
Name: Babcock, Lonnie Environmental exhaust and ventilation
13 875 SW 114 Ave. Range hood /other kitchen
Address: equipment 10.00 _
City/State/ZIP: Tigard, Or. 97223 Clothes I +cr exhaust 10.00
(503)997 -6465 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 6.80
{ S+��ilal` 111 ! r g a : + t o rt 'i ∎ ” ., 1 r "k l i rtr 1 r li i raw Y ��-' 1 ' , ', I I ' f tf :' Atticicrawls . ace fans 10,00
u T :itl, l iiiii i,iii 1Iiti II{ til;,iii,l 4w `' 1 iii. - .1.41).1; , f'11I,I VAiii
iii<iu!,,,1 , L ildar. , i f ±.,i'L, f de 1 t.uli..11 r, , ,i. ,4tl c,.r a i I L! .f(il
a ,.1iJ Other: 10.00
Business name: Fuel . i i in
Contact name: 5540 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City / State/ZIP: • Wall /suspended /unit heater
Water heater
Fax:
Phone: ( ) ( ) Fireplace
E -mail: r! Range .�
ir lil1q'multiTj'11 ±ih,iali{i 0 1;; 'ft ttillii l ?;11 , 1 , E1 A ill i i . i i il f ll a' l 1' ffirl, �a 1 ' 1 t 1 i i � : 1 + :: l,,i!i i 1 l � l � l1{
i !f l i I I� .,l,,1 f ; r4.a tr 13 „ 1'G t t,f #I }k I I. };I Barbecue
Business name: Specialty Heating & Cooling, Inc. Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Drive #130 J 1jf i rl .1,, `tt ' `' , t' ° t ' , + t i iy''( .-14411/111
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City /State/ZIP: Tigard, Or. 97223 Subtotal
Minimum permit fee ($72,50)
Phone: (503) 620 -5643 Fax: (503) 681 -0793 Plan review (25% of permit fee)
CCB lic.: 66578 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
1 This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: Andrea Drippy Dat / 4 9 ' • Fee met set by Tri- County Building Industry Service Board
I: 4Bsilding■Permits \MEC-PtrrolIApp.doc 01/19/07 440 -4617T (I1/02 /COM /WaB)