Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00380
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/23/2011
Parcel: 2S111AD02300
Jurisdiction: Tigard
Site address: 14605 SW 88TH AVE
Project: TIMMONS Subdivision: PINEBROOK TERRACE Lot: 20
Project Description: Gas furnace replacement.
Contractor: BULL MOUNTAIN MECHANICAL Owner: TIMMONS, STEVE D
13580 SW RHETT CT. METTEAUER, CHRISTY L
TIGARD, OR 97224 14605 SW 88TH AVE
TIGARD, OR 97224
PHONE: 503 -612 -6677 PHONE:
FAX: 503 - 692 -3084
FEES
•
Specifies: Description Date Amount
Furnaces < 100K BTU 08/23/2011 $46.75
Type of Use: COM 12% State Surcharge - Mechanical 08/23/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 08/23/2011 $43.25
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 1.81e 2.2344.
Issued By: Perm ifYee
•
Call 503.6 9.4175 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.
From: Q 08/ 22/2011 07:08 11347 P. 001/002
;z 'it
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• Mechanical Permit Application - AUG 2 2 2011 1.'COR on ic-r us .I ON1.1
City Of Tigard CITY n Received peimnitNo.: ji
i• 13125 SW Hall Blvd., Tigard, OR 97223 CI TY l dF T�GA n Da By: / � � 6 S' V ^ - "� y
Plan Review
Phone: 503.718.2439 Fax: 503.598.19 I n=
b° 3UILD1iVG D1U1��0P Date/By: Other Penn&
T I c; A I u Inspection Line: 503.639 Date Ready /By: ® See Page 2 for
Internet: www.tigard or.gov " Notified/Method: VA Supplemental In[ormstion
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❑New construction echanica permit ees* are based on the value of the work
® Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: _mechanical materials, equipment, labor, overhead, andiprofit.
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i er ., 5 Value $
*4.�' .�� � t.0 UQCION
' x r.�.. �- � CATEGORX 0 �� r s � '� ., oaf 3"Er �. ,K .rt - .... ,. ; . � �;
® 1 - and 2- family dwelling ❑ Commercialindustrial ❑ Accessory building For special information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. Total e . ? i ' ' OH 1T
9E `1 ov:wfATION ' '�'�° <� 1Q �rl Heatin c
-`.n .35fa.L'. 9X.dJE.. ..- w.,+ �. .,<,......,�c.:�� dad' ..r.L'a�` '4•��,'�. J,. ;aS,v3
"`" Air cond °21
awning
Job site address: 14605 SW 88 Avenue . (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
City /State/ZIP: Tigard, OR 97224 {
Furnace 100,000+ BTU (ducts/venta) 54.91
Suite/bldg. /apt. no.: Project name: Timmons, #000973 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) 2332 i
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other. 23.32
Tax map /parcel no.: • - Other fuel appliances:
-
fir :4 -�,.r,nr _ - TorowowisaK ` c wan Water heater - 23.32
Gas fireplace 33.39
Replace Gas Furnace Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
{
® s ,,OW1tIER 1 i „„ �'a ', 5;
Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Timmons, Christy • Environmental exhaust and ventilation:
Address: 14605 SW 88 Avenue Range hood /other kitchen
equipment 33.39
City/State/ZIP: Tigard, OR 97224 Clothes dryer exhaust 33.39 _
Single-duct exhaust (bathrooms,
Phone: (503)709 -8520 • Fax: ( • ) • toilet compartments, utility rooms) _ 23.32
# 44 " ;e r a o CAPPt . < 0 ,, ' m " ` :h' Attic /crawlspace fans 23.32
O
Business name: Bull Mountain Heating AC & Insulation ter 23.32
Fuel piping:
Contact name: Jack Hansen $14.15 for first four; $4.03 for each additional
Address: 6520 Rosewood Street _ Furnace, etc.
Gas heat pump
City/State/ZIP: Lake Oswego, OR 97035 Wall/suspended/unit heater
Phone: (503) 612 -6677 l Fax:: (503) 692 -3084 Water heater .
Fireplace
E- mail: rnfo@bullmountainmechcom e Barbecue
Business name: *Same as Above. Clothes dryer (Ras)
Address: Other:
City / State/ZIP: Subtotal 46.75
Minimum permit fee ($90.00) 90.00
. - Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB tic.: 157814 , r '' - '. ' . ' State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
Author s1 � This permit application expires If a permit V not obtained within 180
days after It has been accepted as complete. -
Print name: Jac nsen J Date: 08 - - 2011 7 • Fee methodology set by Tri- County Building Industry Service Board
l:\Bui, ding\ Permus \MEC- PermftApp.dsc 09/09/10 440- 4 6 1 7T(11 /O2/COIWWED) • -