Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00294
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/24/2011
Parcel: 2S103CA00306
Jurisdiction: Tigard
Site address: 11660 SW FONNER ST
Project: Fuhrman Subdivision: WOODCREST NO. 2 Lot: 21
Project Description: Install furnace.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: FUHRMAN, PETER & WINTERS, KARA
PO BOX 241 11660 SW FONNER ST
DUNDEE, OR 97115 TIGARD, OR 97223
PHONE: 503 - 691 -9699 PHONE:
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 06/24/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/24/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/24/2011 $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 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: A re Permittee Signature: aN /9-7 /e TTO /V
0 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.
06/24/201 1 10: 15 503-691-8556 OREGON HEATING PAGE 01/02
... 1 1 - u lti 4 :
MecllArjjniit Appli •
City of Tigard Received . f.,„ „
lip ,.. 13125 SW Hall Blvd., Tigard, OP. 97223 REcErvai Date/B C" / 4- Y U 4 .4...• .0*-v// v v 04/
Plan Review
- Phone: 503,639,4171 Fax: 503.598.1964 , Pate/By: Other Permit:
TIGARD Inspection Line; 503.639.4175 JUN 2 4 2011 Date Ready/By: - YlaS: /7 lifi See rage 2 for
Internet; ww Notified/Method: it V Supplemental Won:cation
In■ a I GARD ,
.... „ ..: . . . . . . „ . . . .
• '... ,..•., • ,. , .. . '.' . ...'.TYPE OF. w9: -; i DWI 11 , 1 ': •',: •:: :. • "0; OcTIEDO-E••
• • Mechanical permit fees* are based on the value of the work
0 New construction ;;;;I: - dclitionfalterationfreplaccment
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
' ''.:*.: • :•' ''''...'•••: : :•' ' '..,-:'• .•:''':. ..: 4 :6204grizu6i0ST . ''..;. • : ‘....,.:: '.:::•: i: . :i ,-,-.. , - Value
:: . . , .. . • ,, .. • • , . • • .
:•'.. ,..:,:;•:!•,':
ya and 2-family dwelling El cominerciavwdustriat f=1 Accessory building
, For special information use checklist,
0 Multi-family E Master builder 0 Other: Dcscriptior Qty. a. Total
....: ''l •,,•,..,-::::: .Y: • ,;•••:.: ":.:".•'•••••:' AOR."SITE :TNFOF*ATION AND :LOCATION : ' .. : .." : .:• ::•:: ' : Heating/cooling
Air conditioning
Job site address: • • \N -- III %-. P .: — (requires Eire pima showing placement) 46.75
City/State/ZIP: - k (4 , 12s, ah , 0
■ I. • "" \ Furnace 100,00013TO (dpctsivents) i _ 46.75
Furnace 100,000-t 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 2132:
Residential boiler (radiator or
hydronic) 23,32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Flue/vent n a ny of above 23.32
Subdivision: • Lot no.:
Other: 23,32
Tax map/parcel no.: Other fuel appliances Wler heater 23.32
F.. r.. :,'•• ' • '' " • i'! - •';'V''P.CW7 -11011 • tg ::••• - • -
• - Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Woodlpellet stove 33.39
Wood fireplace/insert 23,32
111Mii okkty ,6i, :.:::.::.,,,:,;•;,,,;.::.,;; ,•;,,,,,,:•,,•„•:,. ::! 7 Chininey/liner/flne/ve,nt 2332 I
_ 23,32 I
12211M ILIIII Environmental exhaust and ventilation
Range hood/other kitchen
Address: \ Lc, • 0 ._.....k. C ''' t• equipment 3339
City/State/Z1P: • (..,. slot ,... ..e- 4' — 1 '2_2 _C_IL,Lth,LE eXhaust 33,39
Single-duct exhaust (bathrooms,
Phone: (01 1) Fax: ( ) toilet compartments, utility rooms) 23.32
Mnflir: 40-ex.16 ..,,::',.:•' .• •:, •'...::: i':':::'; '•:,:•.:: : . :,:'• 0 CONTACT ::', PERSON ,•,..:.•::.i ,•,,, ;;.. Attic/crawlspace fans 23.32
Other: 23.32
Business name: OR e 0,1,,,A ,. / .i /' C-, Fuel piping
Contact name; \2Irl.,.._;\ v $14.15 for first four; S4.03 for each additional
Address: Ci wo 1)\i k • Furnace, etc.
G a . ,,,-, ______ •
City/State/Z r . 1.1p. \_ _IeN 0 d2_ • '0 _ Wasuspendsdhurlit beater
Phone: fsril iii 41: ' SC56 Le 1 •%. e . , Fax; : C (-g6) / Water heater
Fireplace
E -mail: k A • ' • I' ." , La le ' 0. .: • I. ' .44 LA • Rare
O rif RA. :` # ,li ' :.' '': ... : . ,: :: , , , , . ,' : :;. ,,: : ,. Barbecue
Business name: .(3 ,- 40 d /. .t a Clothes dryer (gas)
Other;
Address: . tO*CtP* .
Subtotal
Minimum permit fee (59 1 0
Phone: ( .:t c 4 1 I I Mill I=
Plan review (25V0 of • 't fee)
1 I CCB hc.: k 1 -2 -2, L • State surcharge (12% of permit fee) • . '5 # A....
TOTAL PERMIT FEE I op , 0 I
Authorized signature; :dP . This porn* application *lapin* if A penaft k. mot obtained withia 180
deys after if has been Accepted as cnwplet
..n - .. ---- - I.-' .. , ' . A A a ....--1 ,r) ,-.. a i c.e. /...- 4 i 7 i * Fee methodoloav act by Tri-Couatv Baildiaa Industry Service Board