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Permit
CITY OF TIGARD MECHANICAL PERMIT .1111 ° COMMUNITY DEVELOPMENT Perm it ti: MEC2006 00654 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12!27/2006 Parcel: 2S109AA00200 Jurisdiction: TIG Site address: 14035 SW 125TH AVE Project: REINHART Subdivision: Lot: Project Description: Gas furnace & heat pump. 7/11/12, REINSTATE PERMIT FOR FINAL INSPECTION Contractor: JACOBS HEATING + NC Owner: STEVE REINHART 4474 SE MILWAUKIE AVE 14035 SW 125TH AVE PORTLAND, OR 97202 TIGARD, OR 97223 PHONE: 503 - 234 -7331 PHONE: 503 - 780 -8057 FAX: 503 - 808 -9108 FEES Specifics: Description Date Amount [MECH] Permit Fee 12/27/2006 $72.50 Type of Use: SF [TAX] 8% State Surcharge 12/27/2006 $5.80 Class of Work: OTR Type of Const: Occupancy Grp: • R3 Stories: Fuel Fuel Types: NAT Gas Pressure: Total $78.30 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 N. '1 - • 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 d -ct questions to • • C by -fling 503.232.1987 or 1.800.332.2344. Is ed By: / //i Permittee Signatur 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. 0! CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00654 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/27/2006 PARCEL: 2S 109AA -00200 SITE ADDRESS: 14035 SW 125TH AVE ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Gas furnace & heat pump. CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: - VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES STEVE REINHART Description Date Amount 14035 SW 125TH AVE TIGARD, OR 97223 [MECH] Permit Fee 12/27/20( $72.50 [TAX] 8% State Surcha 12/27/20C $5.80 Total $78.30 Phone: 503- 780 -8057 Contractor: JACOBS HEATING + NC 4474 SE MILWAUKIE AVE PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact #: FRI 503- 234 -7331 FAX 503- 808 -9108 Reg #: LIC 1441 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: � /� %�� Permittee Signature: e� Call 503.639.4175 by 7:00 a.m. for inspections 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.Applicati . u 'i� ‘, ,; ,: ' F012 OFFICE USE ONLY • '• `�l �`= E� - .. Rece City of Tigard _ 7 G Permit No.) III n 13125 SW Hall Blvd., Tigard, OR 97223 nn E Plan Review Phone: 503.639.4171 Fax: 503.598.196W e 200 Date/By: Other Permit: TI G n R D Inspection Line: 503.639 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard- or.gov C .' . : ,.r ,j -' Notified/Method: -r Supplemental Information PLANNiNG /HP n TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST New construction INn cddition/alteration/replacement Mechanical permit fees* are based on the value of the work 0 performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* rand 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 1/-.40 S S 1� 1 a / "S v _� Air conditioning o ! t �t/ (requires site plan showing placement) 14.00 r`l.00 City /State/ZIP: Furnace 100,000 BTU (ducts/vents) I 14.00 I'-t`,tD Fumace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 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. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 . Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 n ,� () Gas fireplace 10.00 9 -6.,....,i\ -,_(__.(2_---1-- y v2_,4`' ply r v--.0 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove . 10.00 Wood fireplace /insert 10.00 .PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: S ,J.Q. (, ei t T vv \c..),- Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone:. 7 7) "j <'O — C75.7.5i Fax: ( ) toilet compartments, utility rooms) 6.80 .APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: - -. Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State/ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name, , i C o h � 3 � — oa k: ^ , Clothes dryer (gas) SE t l 1 I W � �.l'J A d O t h er. Address: MECHANICAL PERMIT FEES* City /State/ZIP: `F'f JrI-JQ flo © p 49 796(-71 Subtotal /'� Minimum permit fee ($72.50) ` 2 :53Z> Phone:) 3 I Fax :. '2J — �' O� Plan review (25% of permit fee) CCB lic.: I .a f + I State surcharge (8% of permit fee) -� . TOTAL PERMIT FEE ?`6 Authorized signature: - • I • This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: - gib A :Iii r n oxylp Date: L L2 D I Flo • Fee methodology set by Tri County Building Industry Service Board l \ uilding'Permits\MEC- PermitApp.doc 04 /06/06 440 -46171 (I I /02/COM/WEB) —7 oZ� • . / b, ,o,4 Nau.sE PRoNf 16 V sL6 1 25 - s�� TOB Nsfe7 . V� pc,(\o-/A-0 AIA .1. S eboO EL MAKE 64&135 NTU* 1C f12-1 S.C. 6/01-6,9TE Poir. OR. 97202 503 - 23V-733/ �'Rx 503- 2311- t5..