Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00252
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/07/2011
?ICrARD Parcel: 2S 111 AA05400
Jurisdiction: Tigard
Site address: 8817 SW GREENSWARD LN
Project: Mouzakis Subdivision: GREENSWARD PARK NO. 2 Lot: 40
Project Description: Replace furnace and install A/C. Unit must meet 3' minimum rear and side yard setbacks.
Contractor: FIRST CALL INSTALLATION COMPANY Owner: MOUZAKIS, TIMOTHY
13150 S CLACKAMAS RIVER DR 8817 SW GREENSWARD LN
OREGON CITY, OR 97045 TIGARD, OR 97224
PHONE: 503 - 231 -3311 PHONE: 503 - 968 -8115
FAX: 503 - 557 -0919
FEES
Specifics: Description Date Amount
Air Conditioning 06/07/2011 $46.75
Type of Use: SF Furnaces < 100K BTU 06/07/2011 $46.75
Class of Work: ALT Type of Const: FlueNent For Any of Above 06/07/2011 $23.32
Occupancy Grp: 12% State Surcharge - Mechanical 06/07/2011 $14.02
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $130.84
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.
1
Issued By: ` Permittee Signature: 4747 G f6'5
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.
JUN -6 -2011 07:02A FROM: TO : 5035981960 P.1
- Mechanical Permit A licati EcE‘IE ft ill t l l ll( t I ,1 t N' .1
City of Tigard �� C� / : . - Permit Ne y +�
i • 13125 S W Hall Blvd., Tigard, OR 972
. r / i/I ' / C Co[ �� d'
Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.19 I I I h I 6 2 011 Date/By:
i' t t.i 4 ,17: Inspection Line: 503.639.4175 JUN 1 V Date Ready /By: +a - ® See Page 2 for
- - Internet: www.tigard Notified/Method: Supplemental Information
CIT OF TIIGA
TYPE OF W ` - '1411 mi., ®iV SION. • COMMERCIAL FEE* SCHEDULE:- USE-CHECKLIST.
New construction Mechanical permit fees* are based on the value of the work
❑ ® Addition /alterationlreplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
.CATEGORY OF. CONSTRUCTION Value; $ -
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® I- and 2- family dwelling ❑ Commerciallindustriai ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE.INFORMATION AND LOCATION HeatIog/cooling
Job site address: J �� Air conditioning
$ I C Y'@°Y�6WUtd LJJ (requires site plan showing placement) I 46.75
City / State/ZIP: Tigard ((_ aIZZ4- Furnace 100,000137'U (ducts/vents) i 46.75
LJ Furnace 100,000+ BTU ( ducts/vents) 54.91
• Suite/bldg. /apt. no.: Project name: Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
. Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -typo, not electric),
in- wall,'in- -duct, suspended, etc. 46.75
Subdivision: Lot no.:
Flue /vent for any of above 1 23.32
Other: 2132
Tax map /parcel no.: Other fuel appliances _
DESCRIPTION OF WORK Water heater 23:32
a k n � `( ��, rl ��� „ Gas fireplace
for water heater or gas
ace 23.32 ce 33.39
IULb ! t P ( (I �) Flue v
• 01'7140 WY //h I fireplace
l l lA I FJ ` • Log lighter (gas) 23.32
Wood /pellet stove 33.39
- Wood fireplace/insert 23.32
X PROPERTY OWNER I ❑ TENANT
• Chimney /liner /flue /vent 23.32
YIrn MoU7. 19 Other 23.32
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 33.39 _
City/ State/ZIP: Clothes dryer exhaust 33.39
� Ur� , ^ Single -duct exhaust (bathrooms,
Phone: (Mb ) i' Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attie/crawlspace fans 23.32
Other: 23.32
Business name: Tri County Temp Control !'
Fuel piping
Contact name: Diane Mason 514.15 for first four; 54.03 for each additional
Address: 13150 S Clackamas River Drive • Furnace, ate.
Gas heat pump
City /State/ZIP: Oregon City, OR 97045 Wall /suspended/unit heater
•
Phone: (503) 557.2220 Fax: : (503) 557.0919 Watenceater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: First Call Installation Clothes dryer (gas)
Other:
Address: 13150 S Clackamas River Drive MECHANICAL PERMIT•F'EES* Q
City/State/ZIP: Oregon City, OR 97045 Subtotal / tti , UZ.
Minimum permit fee ($90.00)
Phone: (503) 557.0230 Fax: (503) 557.0919 Plan review (25% of permit fee) CCB lie.: 182714 S tale surcharge (12% of permit fee) /
TOTAL PERMIT FEE �,
This permit application expires if a permit is not obtained within 550
Authorized signature: 7 /�' - • days after it has been accepted as complete.
Print name: Diane Mason Date: ��(� ((' ` Fee methodology set by In-County Building Industry Service Board
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