Permit '
i
CITY OF TIGARD MECHANICAL PERMIT
.`! COMMUNITY DEVELOPMENT Permit #: MEC2009 -00245
T_IG 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/29/2009
Parcel: 2S109DA07900
Jurisdiction: Tigard
Site address: 14993 SW HAZELCREST TER
Subdivision: Lot: 0
Project: McGregor
Project Description: Install a /c.
Owner: FEES
MCGREGOR, JESSINA C & SCOTT D Description Date Amount
14993 SW HAZELCREST TER Air Conditioning or Heat Pump 05/29/2009 $14.00
TIGARD, OR 97224
12% State Surcharge - Mechanical 05/29/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 05/29/2009 $58.50
Contractor:
COLUMBIA NW HEATING
PO BOX 622
SCAPPOOSE, OR 97056
PHONE: 503 - 543 -3624
FAX: (503) 543 -6285
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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.
Issued By: Permittee Signature: I ,,'1 a Cif\
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.
Mechanical Permit Application CEIVED FOR OFFICE USE ONLY .
- City of Tigard REEiew id
Permit No.: Li 0 *Al , `* 2
lig _ ° 13125 STigard, OR 97223 MAY 2 6 2009 P
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
T I GA R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: liE Supplemental Information
BUILDING DIVISION
`. `. TYPE OFF`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.
' , ' .- -" o ' 4ati CATEGORY' OF''_CONSTRUCTION'_::.: . ' : , , '. Value: $
` . ' RESIDENTIAL;EQUIPMENTYSYSTEMS FEES *.;° ''„ , ,
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
Master builder For special information use checklist.
Multi -famil
❑ Multi-family ❑ ❑Ot her: Description Qty. Ea. Total
* . R JOB SI'T`E' INFORMATION AND ^OCATION_ •. : s ,,,,: Heating/cooling
Job site address: 14993 SW Hazelcrest Terr e p Air conditioning or heat pump
(requires site plan showing placement) 1 14.00 14.00
City/State /ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg. /apt. no.: Project name: McGregor Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.:
Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
.; 'DESCRIPTION`. OFF'WORIC _ 4 , . Water heater 10.00
Gas
Installation of Air Conditioner fireplace 10.00
Flue vent for r water heater or gas
fireplace 10.00
' Log lighter (gas) 10.00
Wood/pellet stove . 10.00
Wood fireplace /insert 10.00
' - r - Chimney /liner /flue /vent 10.00
"®,PROPE 'OWNER ., °'r w
9.,. Other: 10.00
Name: Scott McGregor Environmental exhaust and ventilation
Address: 14993 SW Hazelcrest Terr Range hood/other kitchen
equipment 10.00
City/State /ZIP: Tigard, OR 97224 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (971)221 -2263 Fax: ( ) toilet compartments, utility rooms) 6.80
'' , ®° APPLICANT; ' F .,,," , "' ' ❑ = CONTACT: PERSON'"'. • , ' Attic /crawlspace fans 10.00
Other: 10.00
Business name: Columbia NW Heating
Fuel piping
Contact name: Tricia Brittain $5.40 for first four; $1.00 for each additional
Address: PO Box 622 Furnace, etc.
Gas heat pump
City/State /ZIP: Scappoose, OR 97056 Wall /suspended/unit heater
Phone: (503) 543 -3624 Fax: : (503) 543-6285 Water heater
Fireplace
E -mail: accounting @columbianw.com Range
'' •. ``..?' .CONTRACTORS ' Barbecue
Business name: Columbia NW Heating Clothes dryer (gas)
Other:
Address: PO Box 622 ~`r MECHANICAL - PERMIT FEESt = - - •
City/State /ZIP: Scappoose, OR 97056 Subtotal 14.00
Phone: (503) 543 -3624 Fax: (503) 543 -6285 Minimum permit fee ($72.50) 72.50
Plan review (25% of permit fee)
✓CCBlie.:61947 State surcharge (12% of permit fee) 8.70
TOTAL PERMIT FEE 81.20
Authorized signature: 9 ,. �� This permit application expires if a permit is not obtained within 180
/„ f / days after it has been accepted as complete.
I n,..,.• e 0 mI I * Fre mpthndntnov set by Tri- Cnnnty nnitdino Inductry Servire Board
t ' '
JOB #09M157H
MCGREGOR, SCOTT
14993 SW HAZELCREST TERR
TIGARD, OR 97224
971 - 221 -2263
Installation Property Information
DIRECTION:
Property Line
FT. /
1
FT: FT:
FT:
I
Property Line
(F= FURNACE)
(X= OUTSIDE UNIT) STREET
Columbia NW Heating, Inc.