Permit , , CITY OF TIGARD MECHANICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00382
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/26/2011
Parcel: 1 S125DC04200
Jurisdiction: Tigard
Site address: 7072 SW BARBARA LN
Project: Leonard Subdivision: RAZBERRY PATCH, THE Lot: 35
Project Description: Replace furnace and air /conditioner.
Contractor: FIRST CALL INSTALLATION COMPANY Owner: LEONARD, PATRICIA V
13150 S CLACKAMAS RIVER DR 7072 SW BARBARA LN
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503 - 231 -3311 PHONE: 503 - 452 -0652
FAX: 503 - 557 -0919
FEES
Specifics: Description Date Amount
Air Conditioning 08/26/2011 $46.75
Type of Use: SF Furnaces < 100K BTU 08/26/2011 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 08/26/2011 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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 ques ' s to •. k C by callin. 503.232.1987 or 1.800.332.2344.
Issued By: 0 / 64/ / / Permittee Signature e
CGF
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.
•
Mechanical Permit Application REC l OR t►11 •I(i i ,1. (,'\i
Received p ermit No.:
City of Tigard Date/By: a Ell MN g , ,,,,d--00
• 13125 SW Hall Blvd., Tigard, OR 97223 AUG 2 6 2 011 Plan Review
M_ Phone: 503.639.4171 Fax: 503.598.196 Date/By: Other Permit:
t 1G n it 1) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: fa See Page 2 for
Internet: www.tigard BUILDING Notified/Method: ® Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCJIEDULE .-. USE CHECKLIST
El New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
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*
® 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist,
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea, Total
JOB SITE INFORMATION AND tl g,
LOCATION Heating/cooiin
Job site address: 7612., SW box J�,t ill Air conditioning
(requires site plan showing placement) I 46.75
City /State/ZIP: IT c Furnace 100,000 BTU (duets/vents) I 46.75
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 LYU y/ �/
Unit heaters (fuel -type, not electric),
im duct, suspended; Etc. 46.75 1 r' U 1
Subdivision:
Lot no.:
Flue/vent for any of above 23.32 1
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23:32
tip Vikei � al r Mnci u ` 0 i t Gas fireplace 33.39
'� Flue for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 3339
Wood fireplace/insert 2332
g PROPERTY OWNER ❑ TENANT
Chimney/liner/flue/vent 23.32
Other. 2332
Name: Tat. l� -mo Environmental exhaust and ventilation
Address: e .J'r)ej Range hoodlather kitchen
equipment 33.39
City /State/ZIP: Clothes dryer exhaust 33.39
en) , 452.. az� Fax: ( ) j Single-duct exhaust (bathrooms,
Phone: toilet compartments, utility rooms) 23.32
®. APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other 23.32
Business name: Tri County Temp Control
Fuel piping
Contact name: Diane Mason $14.15 for first four; $4.03 for each additional
Address: 13150 S Clackamas River Drive Furnace etc.
Gas heat pump
City /Slate /ZIP: Oregon City, OR 97045 WalUsuspended/unit heater
Phone: (503) 557.2220 Fax:: (503) 557.0919 . Water.beater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: First Call Installation
Clothes dryer (gas)
Other:
Address: 13150 S Clackamas River Drive
tt4 ECHAN 1CAL-PERl►9l7' FEES *
. City/State/ZLP: Oregon City, OR 97045 Subtotal Y5,315
Phone: (503) 557.0230 Fax: (503) 557.0919 Minimum permit fee ($90.00)
Plan review (25% of permit fee) (/. 2-7.
CCBlie. : 182714 State surcharge (12% ofpermitfee) a -
TOTAL PERMIT FEE I 6
< � � t�' j/) This permit application expires if a permit is not'obtainedlfi 80 �a
Authorized signature: i i r days after It has been accepted as complete. r ( (/
Print name: Diane Mason Date: 412k1 1 . Fee methodology set by Tri- County Building Industry Service Board
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