Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009-00375
Date Issued: 07/24/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 25111 DD02500
Jurisdiction: Tigard
Site address: 8900 SW HAMLET ST
Subdivision: Lot: 0
Project: Steagall
Project Description: Gas line to barbeque
Owner: FEES
STEAGALL, JARED Description Date Amount
8900 SW HAMLET ST
TIGARD, OR 97223 Fuel Piping 07/24/2009 $5.40
12% State Surcharge - Mechanical 07/24/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 07/24/2009 $67.10
Contractor:
COLUMBIA HEATING & COOLING INC
PO BOX 230397
TIGARD, OR 97223
PHONE: 503 - 624 -2704
FAX: 503- 598 -0270
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Oyu /�,�,,
Issued By: 0 Permittee Signature: O/ " Q aL���= [ / 'C�
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
1 i, 1 r Ili A f h , 1� .
it �. 'iti, 5 `a x*d r $ ' �`1a t ° 3 , i$+'' l `� 'em ° t � �.!(zl Y Wit, ��`?�e" ,
p [ ' a` 1(IIZUhI IC[�,15,1 O�,I�7,�., 1... tn .p,' d,. • Mechanical Permit Application
City of Tigard
JUL 2 2 2009 Rh�8 PerniitN r , 0q_ oa3 7
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review ether Permit:
: . - Phone: 503,639.4171 Fax: 503.598.196 OF TIGARD pa Review
H See Page 2 for
Inspection Line: 503.639.4175 DI 1I ateea
) DI D R deeBY tuns
"7'IGARD e BUI SION la
No Supplemental Information
Internet: www.tigard- or.gov
1
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 1
i Mechanical permit fees" arc based on the value of the work
❑ New construction ❑ Ad dition/alterationfreplaeement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, eq pment, tabor, overhead, and ,profit.
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
0 L - and 2 - family dwellinc ❑ Commercial/industrial ❑ Accessory building For special rnjnrmacivn use check/tst.
❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. 4 Total
JOB SITE INFORALATION AND LOCATION Heating/cooling
�
i I / c ' Air conditioning or heat pump
d
Job site address: F 19 0 -§ l) A/1/3'f Lf•/f n „,...-4 '" l (requires site plan showing piacemcnt) 1 14.00
Furnace 100,000 BTU (duetsiveuts) 14.00
City/State/ZIP: Furnace 100,000+ BTU(ducti/vants) 17.90
Suite/bldg./apt. no.: [project name: Gas heat pump 14.00
Duct work 14.00
Cross street/directions to job site: Hydronic hot water system 14.00
Residential boiler (radiator or
hydoinic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.: Other: 10.01}
Tax map /parcel no.: Other fuel appliances
W Ater heater _ 10.00
DESCRIPTION OF WORK _Gas fireplace 10.00
Asro � —I ..• Flue vent for water heater or gas
� fireplace 10.00
Lop lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue/vont . 10.00
PROPERTY OWNER 0 TENANT O ther: 10.00
` Environmental exhaust and ventilation
Vame:� p� �T�/' _ �f�'f��''� Range hood/other kitchen
Address: equipment 10.00 •
Clothes dryer exhaust 10.00
�-
City/State/ZIP: Single -duct exhaust (bathrooms,
Phone: V� 3) 3 / el �.
`n toilet compartments, utility rooms) 6.80
Fax:( )
110.00
❑ APPLICANT ❑CONTACT Attickrawlspace fans PERSON 10.00
'
Other: t
Business name: Fuel _piping
7), t / y $5.441 for first tour; $1.0/1 for arch additiona4
Contact name. tj
Furnace, etc. .
Address: Gas heat pump _
City/State /'LIT': Wall/suspended/unit heater
Water heater
l G ,
Phone: 5 J G r p Fax: : } S r Fireplace
E-mail: 1 RarYge
CONTRACTOR Barbecue
/ Clothes dryer (gas)
Business name: ( 1 LLf' % h/ C.,..., I - / Yr (fir l /Vj r � � Other.
Address: q0 /3 0 X' - 3 0 3 9 l MECHANICAL PERMIT PEW
Subtotal U R I Z , PI Minimum permit fee ($72.50)
Phone: (.5 s b ✓ q l �%) 4Y Fax: ) — 0:1 Plan review (25% of permit fee)
State surcharge (12% of permit fee)
COB lie.: S I surcharge TOTAL PERMIT FEE
This permit application expires if a permit is nut obtained within l80 m
Authorized signature: J days after it has been arcuated as eoplete
�'� — { Fee me set by T: i•Cuuitty Budding lndus y Service Ao
Print name: ,A__.20 y Date: l D T I
r.■n.,, t1;Astanrm°tsU1EC- ?ermitAgatios 04,'05.'06 I 445.4517T (I t/C?iCOM,WE9)
'd OLZ0 bu!IooO/buileeH eigtunlo3 B60 0 L 60 ZZ inc