Permit CITY OF TIGARD MECHANICAL PERMIT
3 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00389
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/01/2011
Parcel: 1 S134DC10300
Jurisdiction: Tigard
Site address: 11496 SW CORNELL PL
Project: BOWKER Subdivision: TIGARD PARK Lot: 19
Project Description: Furnace installation.
Contractor: SPECIALTY HEATING & COOLING INC Owner: BOWKER, LEANNE MARIE
7500 SW TECH CENTER DR #130 11496 SW CORNELL PL
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 -681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 09/01/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 09/01/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 09/01/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r= " - 11111110 P_ermittee Signature: Fe .e.2 ;,,6" 7 1
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
AUG /31/2011/WED 11:56 AM FAX No, P. 001
� I i, 4 D
M echanical Permit Application' '' � '1 -_ FOR OFFICE USE ONLY
al Tigard Reeai Be.
City �)�����
> AUG 3 1 2 011 Date/By: 0 Bri a r,
- 1� T 'I 13125 S W hall Blvd Tigard, OR 97223
i bate/By: phone: 503,71$,2439 Pax: 503.598:1960 PIanRovlew other Permit:
r
Inspection 503.639.4175 1411 Y "..h '''-'4.-1' A r,. t�
TIGARD P e � qq {� ['�, a - r Date Ready/By' l3 See age2
Internet; www.tigard- or.gov B s9A Mi C DIVISION Notified/Method: d/Method: At Supplemental Information
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Mechanical permit fees* are based on tl2e value ofthe work
❑ New construction ^/ Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, e. i •mint, labor, overhead, and profit.
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® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ pp Multi-family L 1=1 Master builder ❑ Other: { Description Qty . - Total
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Job site address: 11496 SW Cornell PI re. litres site 'lanahow
City/Scale /ZIP: Tigard, OR 97223 Furnace 100,000 BTU ducts/venta 1 46.75 46.75
Furnace 100 000t BTU duots/vonts 54 ^91
Suite/bldg. /apt. no-: J Project name: Heat pump _
re uires site tloa showin; •lacemeat 61,06
Cross street/directions to job site: Duct work 23,32
H dronic hot waters stem _ EMI
Residential boiler (radiator or _
11 dronic Ill
Unit heaters (fuel -type, not electric),
in -wall in -duct sus • ended etc. 46.75
Subdivision: I Lot no.: Flue/vent for an of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel a • • furless:
t1 +�( ' i r I 1��[ 1 i� }r f1�GpR� i>;i ci.cl`i)� , 1 at h r n t-�le -j } ter rltth 4yir 1" ,f 11i s 11[ ] `r},t°;1 Fr(t E 1 1 i t } a 41I ft i Ii , i S i t '!l i�iy [ [ i } E1I{it 1} Water heater 2332
1 ti {I: E M> '$ 8 t u + f, 8 r, ' , Mt7'�71 ltVlla 11 l " {li }t 171 � �hl #��1d1i6b •Uit!Srtlil f
Install gas furnace Gas fuc•lace 33,39
Flue vent for water heater or gas
fire "lace 23.32
Lo:li: ter as 23.32
Wood /.ellet stove 33.39
�}y1 �{ { i ICI {� i 1 �f k { ` { '( f �r �t�( �g ti�g} } �f r Wood fire.lace /insert _ nal
�tn� l���B9f t illik w uau s w� �A�I,S, iP. lad l .?l�` dit�f` J tiaail # Illa��a� f ' nigist;UH i t {giit� is i[l lk Othcrne /liner /flue/vent 2 c
Name: Leanne Bowker Environmental exhaust and ventilation:
Address: 11496 SW Cornell Place Range hood /other kitchen
equipment 33.39
City /State /ZIP: Tigard, OR 97223 Clothes d er exhaust 33.39
- "� Single-duct exhaust (bathrooms,
Phone: (503)624 - 0939 Pax: ( ) toilet comp, merits utili rooms 23.32
1'' : 1 • f t Ili i I't i'� } i , . j � 1�j �1�i A I a1 1] :utr @ t{sx e . iza{ t : yt •tlu' . { •. e , 1i
,. )I A ii :ll�lduw�} {,, >1}.1∎. •. .. R 4 #lilf I. �iil , 711th iitiit�icy i{.) 4 Fr t,i; ,., ; Attic/crawls • ace fans 23.32
Business name: Other: 23.32
Fuel • i • in'
Contact name: 514.15 for first four; 54.03 for each additional
Address: Furnace, etc. =�
Oas heat .um •
City /State/ZIP:
Wall/sus • ended/unit heater
Phone: ( ) I Fax:: ( ) Water heater
E-mail;
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Business name: Specialty Heating & Cooling, Inc Clothes d er .as
Other kk�i�{If� 'If 'tr 4 6
Address: 7500 SW Tech Center Dr #130 # ` �{
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City /State /ZIP: Tigard, OR 97223 Subtotal
Minimum permit fee ($90.00) 90.00
Phone; (503) 620 - 5643 Fax: (503) 598 -0718 Plan review (25% of permit fee)
CCB tic.: 66578 State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
•
Authorized si nature: \ 1 . This permit application expira ir a permit is not obtained within ISO
g `. • A i , , , ` , / day after it has been accepted as complete.
'.. * Pee methodology set by Tri -Coun Building Industry name; Suzie James 1 D ate: 08/31/11 �' y �' a tty Service Board
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