Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2012 -00370
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/17/2012
Parcel: 2S102AA02600
Jurisdiction: Tigard
Site address: 8810 SW SCOFFINS ST
Project: Scoffins Street Investments Subdivision: TIGARD HIGHWAY TRACTS Lot: 27
Project Description: Replace furnace and a/c with like kind
Contractor: CLIMATE CONTROL INC Owner: SCOFFINS STREET INVESTMENT COMPA
16500 SW 72ND AVE 8810 SW SCOFFINS ST
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 -453 -4822 PHONE: 503 - 639 -2200
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/17/2012 $283.08
Class of Work: ALT Type of Const: Plan Review 07/17/2012 $70.77
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/17/2012 $33.97
Stories:
Project Valuation: $7,700.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 1 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $387.82
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
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, • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili 1 otification Cen Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or •erect questions to OUN • • c-• 503.232.1987 or 1.800.332.2344.
ued By: - I /ir Permittee Sig •
41
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.
•
City of Tigard REEiew d
1111 •
1 3125 SW Hall Blvd., Tigard, OR 972j D 7 / /'J Permit No.: H MAYA -603,6 0 Phone: 503.639.4171 Fax: 503.598.1960 P � / � J
Date/By: Other Permit:
c / ,: D Inspection Line: 503.639.4175 JUI. 1 7 202 Date Ready/By: r
Internet: www.tigard- or.gov
.
Notified/Method: ttris: I S upplemental Information
See Page 2 for
n �p� S
, r • . ' : , .. _'YPE�O yy£�� a VISj UFTIOARD - -. . _--- -- ,.:� ��...a....W ....�..a .�...........,.,.. -
. ,..r �' - - F,.•- { i 3i 01107IEBCIAL FEE* «.. 77 , ,,�„-._
al i •' ., e.: �=,« wu. a . ��a�.n;,�� �l
ID New construction XAddition/alteration /replacement Mechanical permit fees* are based on the value of the work
12 Demolition Other: performed. Indicate the value (rounded to the nearest dollar) of all
... �; mechanical materials, equipment, labor, overhead, and fit.
▪ . • -._,,._ ., . CATS, G ORY;, _1!; IB . 4 . , -- . r ", , ', %rj`_ Value: S 7 70 c"-=
I. 2- family dwelling �CommerciaVindustrial .w;. s . ;
❑ Accessory building �r ' ,;,,��,"��.,,:
❑ Multi - family ❑ Master builder 0 Other: For special information use checklist.
H
~ :; ?� = SJOB ,. sII O w . A A ' it' Description I Qty. I Ea. I Total
. "�i1171'i w , ,...,,.�.,.- . .t..,, - .0.,.e rt •`!;ni is '' r� nalnp/cooling .
Job site address: >�8 /, 54) c� "�7tis S r Air conditioning
�LIJ (requires site plan showing placement) 46.75
City /State/ZIP: 77 9- 2 Z 3 Furnace 100,000 BTU (ducts/vents) 46.75 J
4
Suite/bldg. /apt. no.: I Project name: See�PFr/1S S')- ,yj(/ r/e / rEr1T Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 61.06
Cross street/directions to job site: Duct work
23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: 1 Lot
no.:
Flue/vent for any of above 23.32
Tax map /parcel no.: Iec 23.32
Other fuel appliances
,fig V viii • - 4, r:. ;, :edtP ";td'rr D7 a�T �.. O•-.+ 7tl *.PP-0-:i7i1� t ta. ^; . Water heater 2
3.32
/�� (�� Gas fueplace 33.39
/ /4f / - � / 1/ Flue van for water heater or gas _
f >2 i- /K6 //) 54974 149c-11_77.0)1J fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
1� e rw
- �. { , r rt { "ifF .nu : ` : '4 �;' -" 747. :.' Chimney/liner/tlue/vent 23.32
Name: Other: 23.32
�Co /i/S sr /N vest 4--vr eo Environmental exhaust and ventilation
Address: 8g /Q Sw 34 � F/4s S T Range hood /other kitchen
equipment 33.39
City /StateZiP: 77 4 Of- C77 Z Z 3 Clothes dryer exhaust 33.39
Phone: (Sa i ? -�ZOd Fax ( ) Single -duct exhaust (bathrooms,
} a _ toilet compartments, utility rooms) 23.32
n ...r . .. . /Zo � i � � 3 • •• , . .- -�� ^ . 4. " Nr16.i.. ` Si� . Attic/crawlspace fans 23.32
A _ . , C, U M4TE Ll oflTrOL. Ins Fuel 23.32
Business name:
Fuel piping
Contact name: Ro 4 H r - 1
s 514.15 for first four; 54.03 for each additional
Address: 1 (9500 SW 71" AVE Furnace, etc.
City /State/ZIP: Gas heat Pump
r rland
9722-3 WalUsusprnded/unit heater
Phone: (5 ) £ g3 L i B Z Z I Fax:: (S D3) q (o8 -'7 2 2.()/ Water heater
Fireplace
E -mail:
C'oy @GItrr 4-e.c0 n4-- eoL Co
t.r. i f. ^a:tt •� {'��.�c �.1[ � ; 3�n7.,�a'yy�Y,.,'.'�eY�''.."w' {,; � . p� + .. y N� .�,�� ?�- Range
t:i. , z. i +, 3i,. nt�iC•..:;il . ,t iJ1raa�A: ► M L+�lP �F 7!r IA q.1 `�"�7s �VA:i Barbecue
Business name: CLI yvl p r - 60 to 41UL , n e . Clothes dryer (gas)
Address: 7.,,f/I9 Other:
Ad
Ci or
dress:e/ZIP: RO soo Slot-) A v t ta '` t ' P; .. cii- F�,.. 1 e,t.T _ �. °I r
rland or z .�'`"`%' lV �w.,-., -_
G7•z -1 1 Subtotal A85.01
Phone: (5 45-3_ y t O . zZ I Fax: (5-03) ) q b w _ z Z Minimum permit fee ($90.00)
/ � p / Plan review (25% of permit fee) 70. 7 7
CCB lic.: IQ State surcharge (12% of permit fee) 31.
TOTAL PERMIT FEE g $7 e $'Y
Authorized signature:
Th i s permit application expires If a permit is oot obtained within 180
days after It has been accepted as complete.
Print name: ,,r / 0/ I methodology by ry Building Industry DY //Arc I Date' 7 Fee methodolo set b Tri -Coon Buildin Indus Service Board
IA ■Pesmits PertnitApp.doc 10/01/09 440.4 I7T(11/02/COM -WEB)
o!,.. „F CLIMATE CONTROL ;0s:::;::;; 650 ue Portland, OR 97224
HEATING 8 AIR CONDITIONING Toll Free: 866 - 453 -4822
Fax:503- 968 -7224
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