Permit 1 -a
r ,.
CITY OF TIGARD MECHANICAL PERMIT
$ COMMUNITY DEVELOPMENT Permit #: MEC2009 -00297
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/22/2009
Parcel: 2S111AD07400
Jurisdiction: Tigard
Site address: 8815 SW SCHECKLA DR
Subdivision: • Lot: 0
Project: Lau
Project Description: Replace gas furnace.
•
Owner: FEES
LAU, KAI CHEUNG & WINNIE MAN -LEE Description Date Amount
8815 SW SCHEKLA DR Furnaces < 100K BTU 06/22/2009 $14.00
TIGARD, OR 97224 12% State Surcharge - Mechanical 06/22/2009 $8.70
PHONE. Minimum Fee Adjustment - Mechanical 06/22/2009 $58.50
Contractor:
CARSON OIL COMPANY INC
3125 NW 35TH
PORTLAND, OR 97210
PHONE: 503 - 471 -4365
FAX: 503 - 222 -0186
•
Type of Use: SF
Class Alf Work: ALT Type of Const: VB
Occupancy Grp: R -3
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: / A4A Permittee Signature: A.e •
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.
•
•
Jun. 17. 2009 7:50AM Carson Oi 1 Co., Inc. No. 0052 P. 1
Pr
Mechanical Permit Application FOR OFFICE tIsE ()NIX
' : City of Tigard Received
Permit No.: C, 00
11
'. ..11 13125 SW Hall Blvd., Tigard, OR 972R.F
CEIVED Daleffiy:
plan Review
r 2 . Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
: inspection Line: 503.639.4175
Tiototo JUN 1.7 2009 Date Readynly; huts: El See Page 2 for
.-...-, Internet: www,tigard-or.gov Notified/Method: Supplemental Information •
: .:z: ;, :' A t KC? : t iikidtvik*fffgT.:='.f?':4'J .:,'•Pcii;!■/..t.ggAl:**.!.7:
Mechanical permit fees* are based on the value of the work
• 0 New construction Addition/alteration/replacement
performed. Indicate the valtte (rounded to the nearest dollar) of all
, 0 Demolition f=I Other: mechanical materials, equipment, labor, overhead, and profit
libia
g Value-
.:R4: 11; :: , . .
I - and 2-family dwelling D Commercial/industrial 0 Accessory building
For special Information use checkliri.
0 Multi 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
i. c,i 4 ' ' '''' r '' .. 5.0,1, i • "''''''''"',..;“ '"''' ' ' C '' ' '.1"'" ' 'C'';"" ' - -
0ii',#.0;:py Heat' n : co o Iln :
Air or heat pump
Job site address:8BI 5 ilici si/E7, c
A DR. (requi onditthning res sRe plan showing placemon0 14.00
Cily/Slale/ZrP: //c4RiO , OJ 97e2.24t Furnace 100,000 BTU(duclstvcnu) / 14.00
Furnace 100,0004 BTO(dueta(vents) 17.90
Suiie/bldgiapi.no.: • I Project name4i:
1 I 4.11 1 1-11 LI Oas heat pump 14.00
Cross street/directions 10 job site: Duct work 10.00
IA/ ) Hydronic hot water system
Residential boiler (radiator or - 14.00
3 9 c7.
hydronic) 14.00
- Unit heaters (fitel.type. not electric),
in-wall, in-duct, suspended, etc, 14.00
Flue/vent for any of above 6.80
Subdivision: I Lot no.:
Other: 10.00 _
Tax map/parcel no.: Other fuel appliances
f.Iikr.-4 Water heater 10.00
Gas fireplace 10.00
ri kt.tv 1 :. , -7,14, I
(i4 s 1 3,9 -5 X(.;(t NO C.F 1?G..p/ A r4c. i-fk 7 .. Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove
_ _ 10.00
Wood fireplaceinsert - 10.00
•
,‘ ..::.:swk6iiiiii Chitruiey-.ncr
ni /Maven( 10.00
10.00 .
Name: iki i ful j e . f p 4 Environmental exhaust and ventilation
Range hood/other kitchen
Address: N8i5 , 5) id S oNecociA j
equipment 10.00
City/State - /Let4_0&j7 , 424______ Clothes dryer exhaust 10.00
Single-duel exhaust (bathrooms,
Phone: 6 ° 3 ) e, .
compartments, utility rooms)
. - Fax: ( ) toilet
• 6.80
L
" -i --,--- - -- ..
. 4.0tikr e :7..42.ti -- -.t! ' -t.1111 . :IT ''' s: - : .: C.PAY.;°,01741*,: Attie/crawlspace fans 10.00
Other: 10.00
Business name: ( g.56AJ 0/ ___
1 Airril Ai y Purl piping
Contact name: Au L. 1 J. Jra 4 $5.40 for first four; $1.00 for each additional
•
Furnace, etc.
Address: 3/ 0 1 s.< It / 14 / ,35 7 A VE Gas heal pump ,
City/State/ZIP: Pt A - A kin OR 97 / 0 Wall/suspended/unit heater ,
Phone: (563) li 7/ .3L3e 6 I Fax: : (S(e) .22z o j 913 water hcatcr
- Fireplace _
E-mail: wA 4 09 - Range
.::i?:::AgAVOKVOI-l-VVAN4':'6 '4""/f) ..t'r/%*".`721.4t2:4:7 Barbecue _. .
Clothes dryer (gas)
Business name: (2,,Ro,,... Oil 35, y) tu.yr 1 ,
3
0 thee:
Address as- Alt 1i A \IF .
2=
City/State/ZIP: p opzr Lia NI r'n, c112.10 Subtotal /Ai ik"...
1 U Minimum permit fee (S72.50) 7 ,So
Phone: (503) 4/ Fax: ( 56 i 2;_ O 4 ,
Plan review (25% of pcnnit fee)
GCB lie.: 55138 State surcharge (12% of permit fee) 8 ,lo
O TOTAL PERMIT FEE PV, 0 1.0
Au thori2ed signalur
This permit application swims Ira Final is not obtained within Ho • SZ4../(2,41)
days otter It has been accepted as complete.
Print name:4 /
a L. I A . , 4 1 Date:1/ -/7 - 0 7 t F o a m ethodology set by Tri-County Building industry Service Board