Permit prp CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00405
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/09/2011
Parcel: 1 S125DD04500
Jurisdiction: Tigard
Site address: 9795 SW VENTURA CT
Project: Bahar Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 53
Project Description: Replace furnace
Contractor: FIRST CALL INSTALLATION COMPANY Owner: BAHAR, KOJDEN
13150 S CLACKAMAS RIVER DR 9795 SW VENTURA CT
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503 - 231 -3311 PHONE: 503 - 703 -8015
FAX: 503 - 557 -0919
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 09/09/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 09/09/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 09/09/2011 $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 1.800.332.2344.
Issued By: /< Permittee Signature: 6 /7 e/C \/
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.
SEP -9 -21311 01:28P FROM: TO:5035981960 P.1
Mechanical Permit Applicatiari F 3 it r(►lt 011 Ir r 1 i1,r ( 1Nl 1
II City of Tigard r fi v t 4 ' i Received ` Perm No. �t t�OC� /� Ou 0
• 13125 SW Hall Blvd., Tigard, OR 97223 llate/By: 9 � (f /
Phone: 503.639.41,71 Fax: 503.598.1960 S E P 9 2011 Plan Review Date/By: Other Permit:
1 It, A.I It I) Inspection Line: 501639.4175 Date Ready /By: 6d Sec Page 2 for
Internet: www.tigard - or.gov CITY OF TI3A RD Notified/Method: Supplemental Information
I2/1 III rtibit2 f115fitlit -11\! Mil
TYPE OF WORK -- _ COMMERCIAL FEE *. SCHEDULE USE CHECKLIST
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
❑ 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
rrtil For special information use checklist.
❑ Mu lti- fa
y ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE- INFORMATION AND LOCATION Heating/cooling
A' ! 7 Q t, r `) t t e /1 nt t t Air conditioning
Job site address: `_t` 11 j1 vv V .lM V�. lJw 1 (requires site plan showing placement) 46.75
City/State /ZIP: '� ci � � l-7 Furnace 100,000 BTU (duce /vents) 46.75
Suite/bldg./apt. no.: Project name: Furnace 100,000+ BTU (duets/vents) 54.91
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronie hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
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
'fax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23:32
--- Gas fireplace 33.39
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
X PROPERTY OWNER ❑TENANT
Chimney/liner/flue/vent 23.32
r Other: 23.32
Name: %cl.I l Environmental exhaust and ventilation
Address: ,,�p Range hood /other kitchen
�Qd1 «) equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
n � Single -duct exhaust (bathrooms,
Phone: (> 0 ) �( J ) 0 Fax: ( ) 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 /State /ZIP: Oregon City, OR 97045 Wall /suspended/unit heater
Phone: (503) 557.2220 Fax: : (503) 557.0919 Water heate
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: First Call Installation Clothes dryer (gas)
Other:
Address: 13150 S Clackamas River Drive • -MECHANICAL- PERMIT -FEES*
City/State /ZIP: Oregon City, OR 97045 Subtotal
Phone: (503) 557.0230 Fax: (503) 557.0919
Minimum permit fee r mit fee
Plan review (25% of permit fee)
CCB lie.: 182714 State surcharge (12% of permit fee) i dQ c-
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: Diane Mason Date: 44I + i • Fee methodology set by Tri- County Building industry Service Boat d
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