Permit •
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Pe
COMMUNITY MEC2012 -00134
Date Issued: 03/14/2012
T [GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112CB11400
Jurisdiction: Tigard
Site address: 15314 SW 81ST AVE
Project: BELL Subdivision: ASHFORD OAKS NO.2 Lot: 128
Project Description: Furnace installation.
•
Contractor: OREGON HEATING & AIR CONDITIONING Owner: BELL, RICHARD H & DANIELLE G
PO BOX 241 15314 SW 81ST AVE
DUNDEE, OR 97115 TIGARD, OR 97224
PHONE: 503 - 691 -9699 PHONE:
•
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 03/14/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/14/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/14/2012 $43.25
Occupancy Grp:
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: Permittee Signature: A ar ` �
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 13:45 503-691-8556 OREGON HEATING PAGE 01/02
.
Mechanical Permit ApplicRECEIV ED PUK OFFICE USE ONI.Y •
City of Tigard 9727111AR 1 3 2012 Received
Deater ifrillnal=11MMEM I f
No 13125 SW Hall Blvd., Tigard, OR Plan Review
Phone: 503.39.4171 Fax: 503.598.1960
Datelity: Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGARD
T !GARD in Date Ready/By: runs: IRE see Page 2 for
temet: - wwwItgard-er.g" BUILDING DIVISION Notified/Method: - 7 .- -1, Supplemeotal Information
• • - : :. .. • • ' • • • • • -TYPE OF WORK •• ..• • . . . . • • .. i .. • ; • , 09141 4 043 1 -4 11( P Kin . OtECKCAST .
• -• • • ,
Mechanical permit fees* are based on the value of the work
0 New construction i:Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other • mechanical nutteriaLs - labor °verb • and - ofit,
7 .....:. -- .. .‘ .. !." C.tatdOity di icoNglittithiok value: $
stb.im 4;k.
ig"Atiiiitt*i. ',...,.,....
and 2-family dwelling El Commerciallinduial 0 Accessory building .,.
For special frtfannation use checklist
0 Multi-family 0 Master builder 0 Ocher Description I Qtirj L a. [ Total
' ';'• .!: :* • ' • ', •.:.% ;II ' Jot srrt tvrolii4A:xioiv .- 012. LOCATION :' , .',..... .. .. . ...!: . Read . ._ cool' • ..
conditioning
Ids site address: 1,5 SW Kilt ,4ve ••.... ate -Ina sh - ' . : . ',gement 46.75
City/State/ZIP: 7--
i • Or. oR 6 / 22 Fun .. 100 000 BTU dads/vets) MI 46.75
Furnace 100,000+ BTU (duets/vents) 5491
Suite/bldg./apt. no.; Project name: /2 73. 6)1)1 1 5 1. ....„. .... If
Hem pump 61.06
Cross street/diredions to job site: Duct work 23.32 --
- H,ydronic hot water system 2332
Residential boiler (radiator or
bydronic) 23.32
Unit heaters (fuel-type, not electric),
i n-wall. in • - • :•• • ,.. etc. .. 46.75
: —
Flue/vent for any of above 2332
.
Subdivision: :
. Lot no.:
. - (Riser 23.32
Tax map/parcel no.: Other fael a • • !lances
, ,5:; . • $'3';', '• , -. ; • .: : : : ,A . ' : ,:::•' : .0.. -- ; ; ; • 00020#6:0 •X:::4;•;iii:Siri:::::•;•••;;!,•:.:41 Water beater 23
--"" Gas fireplace
•IC•11% I I Furniac Flue vent for water heater or gas
.
fireplace 23.32
Lo 1 liy• (gas) 23,32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
23.32
• : ':' ' •• • • : : : " . ' 4- •g . ± 0##))***it:' ' ....'' ' • :'• • •: • • 7 4-i : 1**•$P- •••' f .: • .: o 23_32
• —
14833:g: g fa ef• DA / /4/4 .8_-_el.L,— Environmental exhaust and ventilation
Range hoodlother kitchen
Address: A73 ig sw gist Ave equipment 33.39
Cit og -22 q y/State/ZIP: r d ci 7
94r 33.39 Clothes dryer exhaust
Single-duct exhaust (bathrooms,
Phone; (5 ,5 K2 1g F ( ) toilet co • • artments util rooms 2332
: • ,7'.., .i, 32
.. •.::.. :,:,..::.!- ..01.dos .•?. ..:... ..: Atticianwhrtece fans 23.
. ' Othes: 2332 1
Business name: 0 re9.9 Heltimy 0- Alc
Contact name: R 14 ,.,--i 41 S14.15 for first fonr• 54.03 for eacb additional
Address:
/.c,7 /L1 SW 8-1,4ve. Fuma etc. .
Gas beat
City/State/ZIP: ry gni OR ell aci... Wall/ • • - ded/unit heater ., _
Water heater
Ph • (5 D jn g• • C )one. a - - BA,- F :-• laee
B-mail: R231:
:
1/.,:: : 1 '.., .,.: ,::'. :' ; .... , •.• ' :
111
Clothes
Business name:
- . Other
teg
Address: i •
— Same 61,5• iiaDoVe _ : :,:•:::': ;':''. ....I.litidtlig.ilge*r.i ' : '' : ' ; ::.:'•
City/State/ZIP: Subtotal U
i --
. .>
I
. Minimum permit fee S90,00) • a ■
Phone: ( ) Fmi: ( ) Plan review (3s% of . - .. Ar fen)
CCS lie.: i7a 19,4 State surcharge permit fee ) ro
, TOTAL PERMIT RE /r20., , .
, •• ' - This perratt application expires ifa perwtt Le not obtained within Ian
Au thorized signature: •
.,..., — ...mi.', - days after it has been accepted as complete.
,
—. • Fee taethodolov set by Tri-Cotagy Building industry Scrviaa Board