Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00140
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/15/2012
Parcel: 2S102DC01400
Jurisdiction: Tigard
Site address: 8990 SW EDGEWOOD ST
Project: GERTZ CONSTRUCTION CO INC Subdivision: EDGEWOOD Lot: 11
Project Description: Gas furnace replacement with fuel piping.
Contractor: OREGON COMFORT HEATING INC Owner: GERTZ CONSTRUCTION CO INC
12209 NE FOUTH PLAIN RD SUITE Y 19200 SW 46TH AVE
VANCOUVER, WA 98682 TUALATIN, OR 97062
PHONE: 503 - 655 -0221 PHONE:
FAX: 360 - 891 -2666
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 03/15/2012 $46.75
Type of Use: COM Fuel Piping 03/15/2012 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 03/15/2012 $10.80 •
Occupancy Grp: Minimum Fee Adjustment - Mechanical 03/15/2012 $29.10
Stories:
Fuel
Fuel Types:
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: i Permittee Signature:
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.
•
03/13/2012 23:14 3608912666 +�,� COMFORT AIR HEATING PAGE 01/02
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Mechanical Permit A licatio `�1
,1,
n City of Tigard � `�' O i , ? , O C. I
Received 11i d 2a n nit w ° . :/3115 - 6-9 ,, -cr.)/
.111 C 13 )25 5W Hall Blvd., Tigard, OR �( \ � plan Renew '� to
Fhone: 503.718.2439 Fax: 503. 01 ( ~ A ,. Otbey permit:
T r ci A R 1P i lspection Line: 503.639.4175 7 5 �Q Q� Q\ Date R /By: ]uris: El See Page 2 for
I ltemet: www.tigard- or.gov Supplem i
�o`'G —
' Notified/Method: ^ T •l� �
•' .. Y r 4' \` ,.. ;CQMM1u CiA)E;:: ` I?EE* $ CE Di3l,E •1JSE C ECKfST
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, equi�nent, labor, overhead, and profit
, . .. .. Value: S
CATEGORY:; -OF GONS3 tVC)<'1ON •'', ..i.;;`. .. '= •':
;;:;.'.S1T11Et`1A1G l 1V )C. /.57CS"1EM5FEES» `..
,1 and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building For special iW ernraaton use checklt+t.
❑ Multi - family ❑ Master builder ❑ Other: Description . I Qty. I Ea. I Total
:..
.. ... .:. .. .::-:-.: "Air conditioning
Job site addrel S: 061 • 0 SW �C s
1 •1 (requires site plan showing placement) 46.75
City/State/ZIP: �js�(�,,� -Q� d � J (�;.�.'. Furnace 100,000 BTU (ducts/vents) 1 46.75
Furnace 100,000fi BTU (ducts/vents) 54.91
Suite/bldg. /apt, no,: Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street /directions to job site: Duct work 2.3.32
Hydronic hot water system 23.32
Residential boiler (radiator or
h dronic 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other. 23.32
Tax map /parcf I no.: E• Other fuel appliances:
-
• ' .DESC1f0N : °? is : Water heater 23.32
l r[}- Gas fireplace/insert 33.39
`l e �, e L 1 �.� l,.f � et �� l i�,�l. Y� Flue vent for water heater or gas
(_,.,, S 1(1'132. fireplace 23.32
`� Log liehrer ) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert _ 23.32
?',� =: '::.::....• himneyAiner /tluelvent
• ...1!ktOPiR7C!X` :' .:, . • '!r)~hi�]!t'1'! `l::' !. � _
23.32
Name: �,eM z_. Environmental exhaust and ventilation:
—
Address: tg2.O0 Si.....) 1 -1L041 , 1 1216t42.-, Range hood/other kitchen
equipment 33.39
City /State/ZIP -- tuotdia,tZYl i Dlie. al. Clothes dryer exhaust 33.39
Phone: (503 tic) 'X - °I )
utility 33
Single-duct uct
exhaust (bathrooms,
Fa x:
8
ro �,
toilet corn en
. .A1PI!i.:JC ANT. - ;• o 'i °::�: :
;! i Attic/crawlSp f ans
.. C,0
... _..,. .._.. .. :...���' °' :' . �; ��.':;;....,.. ac 2332
Business name ote c.oc �,� n/l � me': 23.32
, ./ Fuel m
Contact name: - Y t � . P- hr t ' 514.15 for Brat four, a4,03 for each addldopai
Address: L ( IP C'Wt•l 1 ,.. ' e ` � Furnace, etc. 14. t'
City /State/ZIPI L� - 49115G9 1510 Oar heat pump
V a'���'�'� 44 ��' Wall /s�nded/unitheater
Phone: (5C ss � 1 Fax:: ( 500) ( -- a 1p tQ Cy Water heater
—1 ;AA nf,J ,
jS , Fireplace
E -mail:
Range
A : ; Barbecue
Business name Or joy- y e Dl A,_ *.-t ti n.: Clothes dryer (gas) .
Address: ,' � e ( , k..
, Other. A' �l
City/State/ZIP: l fRpea_ Subtotal
Phone: (% 5— Cjagt.t Fax: () ,t- l4 ( r, - ' Minimum permit fee ($90.00) C>) /-•�
V plan review (25% of permit fee)
CCB Iic.: z42 z42.5 ( 'Q 1 / /p,/ State surcharge (12% of permit fee) 10 'IA./
TOTAL PERMIT FEE _ 1o. $Q
Authorized cign•i b This permit application expires if 4 permit not obtained within I90
$ . _ days after it has hears accepted as complete.
11:=111. V 11 W _ Date: 1 " ' _ ri , e • Fee methodology set by Ttn County Building Industry Service Board
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