Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2009 -00313
Date Issued: 06/29/2009 -
TIG.ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S103CA00204
Jurisdiction: Tigard
Site address: 11825 SW JAMES CT •
Subdivision: Lot: 0
Project: Swayne '
Project Description: Install heat pump, furnace, thermostat. Maintain 3' side and rear yard setbacks.
Owner: FEES
SWAYNE, DOUGLAS H & Description Date Amount
JULIEANNA R, 11825 SW JAMES CT Air Conditioning or Heat Pump 06/29/2009 $14.00
TIGARD, OR 97223
Furnaces < 100K BTU 06/29/2009 $14.00
PHONE: 12% State Surcharge - Mechanical 06/29/2009 $8.70 .
Minimum Fee Adjustment - Mechanical 06/29/2009 $44.50
Contractor:
OHAC INC
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 - 691 -9699
FAX: 503- 691 -8556
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: CJ J4j Permittee Signature: C 4- G &b_� Q1t� .Aktida('
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
06/27/2009 11:54 503- 691 -8556 OREGON HEATING PAGE 01/03
(tm' � � ..t, 'LEAVED
Mechanical Permit App1icatio FOR OF CE use ONLY
City of Tigard JUN 2 9 2009 Received y: Permit No.: 3Wq _Do 3$
_ " 13125 SW hall Blvd., Tigard, OR 97223 21ai1 Review
OF TIGARD y Other Permit: ' Ilk - - ' Alone: 503.639 -4171 Fax: 503.598.1y6(.t, 1 ) ste/l3
1' IGAF.D tnSpectdon Line: 503.639.417,5 l i 1ISION Dat Seedy /By kale: g See page 2 for
Internet: www,tigard-or.gov BUILDING D Notified Method Supplemental Ioformation
' i ? ' li,' ,+ rx Qk tt1' : '66IV1illFrli , W.; , ; Fix C0 ItE aAraid Etr)3
Mechanical permit fees` are based on the value of the work
❑ New el)n`+{Tuctior CK Addition /altet-ation/replacerrzent performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead., and profit
r 1 i t1)a' O $TRf7 a
' ∎
w »� ,y L c �J S .�r��y�/�Q
F
�' r 0 C ommer�cial/industrial 1 u Accessory , 1 ', , , , ,k r ! �� ' For special information Gse checklist. '.
,. 1 ( 1 .' ;�i + r l R S IDT N'fid4L. E UTPME A /a I+ it G { eiS FFi- a* '
: i" ...
1 - and 2 family dwelling building
[] Multi family ❑ Master builder ❑ Other: Description Qty. Es. Total
zV iJl .j.ei$ e)( tY'0INJ ?6A.1k'IA'ItxO1`1r 'hiNti iti ! 'i, , i1 Heating/cooling ..
Air conditioning or heat pump
Job site address: 11, . 5 . - C.3- - (re q uires site plea showin, .tacetnent) I 14 t Ad
City /Stale /ZIP: C I
Furnace 100",000 BTU (ducts/vent 14, 00
T ar Furnace 100.000+ BTU ducts /vents 17.90 -
Suite/bldg. /apt - no Project name: _Gas heat p ump 14.00
Cross street/directions to job site; Duct work 1000
- Ilydronic hot water systeo 14.00
. Residential boiler (radiator or
hydronic) 1 4.00
Unit heaters (fuelype, not electric),
in -wall, in -duct, sus •ended, etc. 14.00
Fluc/vemt for an of above M 6.80
•
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
' w, w 6 't 7 , , ,•:;, a r i �, 10.00
?t< . (, � k , r )k a � as ��� � llll ■C Watei' heater
;1111 ) , 'z „,,. , ..,. 4 l : d . ' e . : , , : 1 j M', 0 ,i , d d fkI ,1,A,
Gas fireplace 10.00
1 \ imp n cl� , op .. -f U j r ib ens Sk GI - Flue vent for water heater or gas
li . 22 2c 10.00
. - L lighter (gas 10.00
Wood/ ellet stove 10.00
Wood fireplace. /insect 10.00 .
tdl ,, Y y .,r.. ;�y� ;,.� i , t p i , ; i�{y:m i ,� y �'1i F 'f r i i i fry ;,,.. s • 7 Chimney/lincr /flue/vent 10.00 W
; !� )i�1 100 r „,' r - ?. dfr'1 �51tdz l.: ; •,, r'a,J rrilit,dfi e� i ,., 0 alt a x .'4. ,* 10.00
Other°
Name; au i iS t.i..)Q Environmental tlltatuSt and ventilation
Range hood/other kitchen
Address: 1 i'i Q _ � _ �C1.YY_ ..uipmeot _ - 1090
city/State/ZIP : Clothes d er exJlaust 10
11 q O G t7 -- Single -duct exhaust (bathrooms,
Phone: (55) 5 ?Ll - ' 1 R Fax: ( ) toilet cots artrn.ents. utility rooms 6.80 E
„ e P r p) ,r d , ^'v p s' � q� t';' ° Attic /crawl ..ce fags 10.00
l,. T > � „(. I'; � , �` � �dt� ���' ",, "�o 1 , "i�r�� ��1�� � ,.,,
�'1th�k`� �'� l,a I,,, �,k 1 f 1,.1' „ f „;,il+
�f. ; .., �
Other 10.00
r.
r
Business name:
4101 f. oja ~ r, 1 • S £ ikC- F uel P
Contact name' rf: C15 � \\ � ,,,
$5 - 40 for first four; $1.00 for each additional
. ,, -.
Furnace, etc.
A
Address: �
` • Al oc L r _Gas heat pun). City /State /ZIP_ D Wall /suspended/unit heater MI
Phone: ( ) or Fa:: : ( 3) 1 - E . b 5 . • Water heater
�W (- S Fireplace
E -mail: Range
i){i ties; ,- ,,d ii iii j/ 11i l�'t ,��, /� ' :i .; ,'y4 r m � S yr' "i� „ fi i ' B
",I u�ccue MM
�l'I�} �!F �ht d Ida � � �1 {r � ',�', �VI �d� 4�� 3„ „1 7.
F
Clothes dryer (gas) name; n MI
• Business name a 1 n k L - Other �_
� y � , ,, �J I a, , j „el�� ! 'r '�Y $ ':„fl }f �gy„
Address: C" . ��c�_ i Ev ii.. f ' tvi 3r �7tA K4. i t� ci � +, ,� u � + ,> E ;.�„ r.;, f
Cit /State /ZIP: -0 Din cue e, I . i 5 _,_, Subtotal N: ,40
Minimum pemMt fee ($$72.50)
Phone: ( l 1 _ Gi " l Pax: 505 Qn i 5 ,� • _ Plan review (25% of peruse foe) _
CCB lic.: �'i i z - State surcharge (12% of permit fee) $, r
TOTAL PERMIT FEE NOM
This permit applicatloo expires it a permit is not obtained ',Titbits 71
ttbi80
Authorized signature: � • • _ daye es after it has be accepted as complete.
Pr name: Rash eo,, f c . . . • DE #e: D /fl * Fee methodology set by Trl-County Building Industry Service Board
-06/27/2009 11:54 503 - 691 -8556 OREGON HEATING PAGE 02/03
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Job #: Oregon Heating & Air Conditions... Scale: 1 : 90
Perronned for: Page 1
Doug and Julie Swayne PO Box 397 / 992 H 99W Right -5uife Residential
11825 SW James Ct Dundee, OR 97115 6.0.79 RSR28586
Tigard, OR 97223 Phone: 503 - 538 - 2953 Fax: 503 691 - 8556 2009 13:27:54
phone: 503 - 524 -8138 WWW,OREGONHEATING.COM Kirsten @orego... Projectl_rrp