Permit i CITY OF TIGARD MECHANICAL PERMIT
-! 2: COMMUNITY DEVELOPMENT Permit #: MEC2011 00338
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011
Parcel: 2S112BC07900
Jurisdiction: Tigard
Site address: 8123 SW CAROLE CT
Project: Robsen Subdivision: Lot:
Project Description: Replace gas fireplace.
Contractor: SPECIALTY HEATING & COOLING INC Owner: ROBSON, SCOTT
7500 SW TECH CENTER DR #130 8123 SW CAROLE CT
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503- 620 -5643 PHONE: 503 - 430 -7547
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Gas Fireplace 07/15/2011 $33.39
Type of Use: SF 12% State Surcharge - Mechanical 07/15/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/15/2011 $56.61
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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: Permittee Signature: ow ' Q ' i t- ^7 /
, v
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.
. JUL /15/2011/FRI 10:25 AM FAX No, P, 001
Mechanical Permit ApplicPECNEIVE F Received n • FOR OFFICE USCONI,V .
it 11i=t City of Tigard Date/By: / / 3 "", . Permit No.: C O/ of 2.5.
I - " 13125 SW Hall Blvd., Tigard, OR 9722 L 15 2011 Plan Review •
Phone: 503.7182439 Fax: 503.598.19 • Date/By: Other Permit:
11U.A ins lino: 503.63 (N T�C f � pate Ready /By: Jana: g See Page 2 for
Internet: www.tigard- or.gov i �.3 t 1 Notified0vfethod: ft � Supplemental Information
DP D °NG D VIS ON
T. �
� 5 , , , . ., , .o, , ; a, � » .,.. +?, ^.
..,:.,�� :.> > nxr t , . �tG � .I,. ::..,,;��'C !}�
' ,� n, h � .,. a: . l ..,r,. �,. . .. .. .� t �,'. ai:' '': C�11yX14>fE , �, '� � Rak, ' n'�••IQ,Yt ..
. ^l: *°.:4, k..r.. Y a : ,,.r },, , ,• 11.° 1 u14 F .;rr'� ''''' , '!, i r' '''° 4.. P � , . r ^., >;'r',
- Mechanical permit fees` are based on the value of the work
['New construction ® Addition/alteration /replacement performed, Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
El Demolition ID Other
rc , y,, � ny� ,i, y y�^ ! �p p
'cult9g �i 16 r l6+.'i\'Pt (('tt e ' y ,,, ;r\l O' 9r' t ,, t`F a. r I�'� ?Iltl.:'•, 'r �k Y 1 'n ,
. w, a; ... .,.... = r... ,� �,� _ t a .: • v��r�• � , :. xr , 'r i 1 ,�,'S_ � AI,TQ� �7 S � , ��! e
® 1- and 2- family dwelling El Commercial /industrial ❑ Accessory building For special Information use checklist.
❑ Multi- family ❑ Master builder ❑ Other; Description I Qty. I Ea. I Total
'6 '' tl N -� [ x r ^'a;J1R'..�xe,.'�. "'q'. .,,rr,, p G { c� . ,v,ra,,.,..�y , ,9;' , , 9 .I ?S;s�� "•! " " l fleatinl*Jrnoling:
��� V��� /UQ� \��I'� }7!�������/ ^, /��� �NVJ :r N �i l•idY��,
Air conditioning
Job site address: 31w-r✓ s" - Caro ` e a (requires site plan showing placement) 46,75
City /State/ZiP: rn Furnace 100,000 BTU (ducts/vents) 46.75
`H Furnace 100.000+ BTU (ducts /vents) 54 -91
Suite/bldg. /apt. no.: Project name: rn Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydtonic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in- duct, suspended, etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other: 23.32
y' � Tax map/ / parcel no.; .�.,,g� Other fuel appliances;
°ft� ?'�'t 'S� �t; ; �� 'K a4 v '" ' 7P X O� �i' , A f h1e t. t 7''t1 ,5 �t
t ,,;. +� 3'r Water 2.
.r,,,t, F . , , t ] T, , �,I Q „ �A � d W '' > . � ' <ts Gas fireplace 1 33.39 �3
T � ` t ' Ni (1I kriC 9- Flue vent for water heater or gas
y_ fZo Fes• ���kkklll fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove . . 33.39 .,
•
. Wood fireplace/insert 23.32
m w,�......... M:�.«�.-.�.
040. ?w ,:,I " - +l , *� e � + , coney Der/ ueJvcnt 23 32
r Chi
' 2 '';' t'`� Stott Robsen 11196 ww ,. g atr' !' t. "•F Other: •
Name; 8123 SW Carole Ct Environmental exhaust and ventilation:
Address: Tigard, OR 97223 Range hood/other kitchen
5 - 430 -7547 equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33,39
Single -duct exhaust (bathrooms,
Phone: ( ) toilet rooms) 23 32
� toil compartments, r ms .'� 11 ` 4. "�Y M1 4 t
^t d,.7 ti, " "; ^v "� :�f �w`� �T'j Attic /crawlspace fans 23.32
r
{ ..... t; , , rl P r
Business name: Other: 23.32
Fuel piping;
.Contact name; $14.15 for first four; 54.03 for each additional
r" ""� :,a4inn 67 p/j•,,,,r ffne Furnace, etc.
Address: 1"'"'"____ J a `""�
75110 S Thcn l,:enter or. Gas heat pump
City /State /ZIP: S trt6 l Qo Wall/suspended/unit heater
Phone: ( ) Ti9ar OR : 9722 Water heater
WWw.ptlt• erettIfIg.COM Fireplace
E -mail; •
/� / � .l �� x } • • 0 . : •. Range . t� f r� t Ct N)f 4 Q 1 t , 6 t M1b ( 'd i', i T t 41 Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr 4l30 „ , , ;, ,
".'ti'... MECiYA'NICaCI'PE144IT;hEEI':; ;.: .;:,...
City /State/ZIP: Tigard, OR 97223 Subtotal �j% / - I
Phone: (503) 620 -5643 Pax: (503) 598.0718 Minimum permit fee (590,00) l'd 60
df.,/1 Plan review (25 /a of permit fee)
•
CCB lig,: 66578 State surcharge (12% of permit fee) • TOTAL PERMIT FEE , 1 Off} .
Authorized signature: z c ?r[ R a '/J This permit application expires it a permit is not t ee within 180
days after it has been accepted as complete.
Print name; Suzie James Date: ` --114 ,,.,,� i . Fee methodology set by Tri- County Building Industry Service Board
I:1 Building \Permits \MEC- PetmitApp.doc 49/09/10 440.4617T(11 /O2/COM/WE11)