Permit CITY OF TIGARD MECHANICAL PERMIT
tt COMMUNITY DEVELOPMENT Permit #: MEC2012 -00523
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 10/10/2012
Parcel: 2S112CD04900
Jurisdiction: Tigard
Site address: 7980 SW BOND ST
Project: Bradley Subdivision: BOND PARK NO.2 Lot: 29
Project Description: Installation of gas furnace and add a /c. Placement of a/c unit must maintain 5' side and approved rear yard
setbacks
Contractor: HEAT RELIEF CO Owner: BRADLEY, DIANA
13122 NE DAVID CIR # 800 7980 SW BOND ST
PORTLAND, OR 97230 TIGARD, OR 97224
PHONE 503 - 261 -9915 PHONE: 503 - 530 -6868
FAX' 503 - 261 -9814
FEES
Specifics: Description Date Amount
Air Conditioning 10/10/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 10/10/2012 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 10/10/2012 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types Natural Gas
Gas Pressure.
Total $104.72
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 Notifica ' n Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 52 -nnm -cif: O. You may obtain a copy of the rules
or direct q stions to • • C b allin• 503 232 1987 or 1 800 332.2344.
•
Issued y: / ����`` y Permittee
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.
10/10/2012 WED 13:41 FAX 503 261 9814 Heat Relief (2001 /001
' J.vivenanical Permit Application
City g Pe No..
of Tigard Receive a /a
;� Date/By: �� /O / C
a 13125 SW Hall Blvd., Tigard, OR I vE
Plan Review a A
Phone. 503.718 2439 Fax 503 Date/By: Other Permit.
TIGARD inspection Line: 503.639 Date Ready/By. Juria: H See Page 2 for
Internet: wwwtigard or.gov OCT 1 0 2012 Notified /Method Supplemental Information
..-. . 1, �; Ar t- t a ° F 4T r m I R r t L'• II .. n.. 6': .. 6A - 3
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El New Additio ,71f i 1 0 31' r , Alt ` r , Mechanical permit fees* are based on the value of the work
New const ruction , • performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
x*. �' c s= r z r 1 era r Value �t
t {' � MEEN.; �-e P �� f + SU W' , it ` , IL' .v 11 1VL�Lt 5m. rt I �•� ` ` k„ , q,. .
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For spedal Information use checklist.
❑ Multi - family p�3 ❑ Master builder
�, El Other: Description I Qty. I Es. I Total
;1;;� .. sa O of bolt �,`7?ifi s II re aGld . � , , i [� L.t Heating/cooling:
`..4 ,,, ,, `' „. Air conditioning
Job site address: 7980 SW BOND ST (requires site plan showing placement) 1 46.75 46.75
Furnace 100,000 BTU (ducts/vents) I 46.75 46.75
City/State/ZIP: TIGARD OR 97224 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: R12131C Heat pump
(reclaims site plan showing placement) 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: I Lot no.: Flue/vent for any of above 23.32
Other 23.32
Tax Wrap /parcel no.:
Other fuel appliances:
5 �,� ��
'I F a r� � i r t � I1 II I c r r 1 ' j 0 Li
i•* _i _ t� i alt -,ylil ME4;z� .t t:. 4 sew{ a Jl ,ige,.•r ', • '
Water heater I 23.32 I
INSTALL GAS FURNACE AND ADD ON A/C Gas fireplace/ insert 33 39
Flue vent for water heater or gas
fireplace 23 32
Log lighter (gas) 23.32
Wood/pellet stove 33
Wood fireplace/insert 23.32
f 1lI i'S �w It Q qq" nil � S ' ' h�� {� tN 1t fi [j 9p g ney/liner /flue/vent 23.32
B .!' )2[i,� ' dl, �ti?1iEYD.�.'(x�-,�.'Y-n �4 5 YrJ, '1+ ( ;1 _ .aa,F e j .�• :4 'I� -,;.141 i ,.4, j I
23.32
Name: DIANA BRADLEY, ',mental exhaust and ventilation:
Address: 7980 SW BOND ST 1Z irle hood/other kitchen
.r utpment 33.39
City /State/ZIP: TIGARD OR 97224 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)530 -6868 Fax: ( )
toilet compartments, utility rooms) 23.32
l WE ; ti cll�.s I l t!i� #"` ; 2 .w �' LIA9 t 1 �`: u' '' 't Atticlerawlspace fans 23.32
.... . w ��,,. , , .n:wr� is m.rZ.i.�.�a .s., s;�L�e).���'?s�
'i Business name: HEAT RELIEF - Other. I 23.32
Fuel P in
Contact name: KARINA GRANT $14.15 for first four; $4.03 for each additional
Address: 13122 NE DAVID CIR # 800 Furnace, etc.
Gas heat pump
City/State /ZIP: PORTLAND OR 97230 WelVsuspended/unit heater _
Phone: (503) 261.9915 Fax: : (503) 261.9814 Water heater
Fireplace
E -mail IIROFFICE a@HEATRELIEFTODAY.COM Range
r w i� ` }p�-I i z 7 rca+ r n
a l p: �4 ( i 4� 1 7 ��r, l;l?1" §ifs '' , �'' Barbecue
Business name: HEAT RELIEF Clothes dryer (gas)
Address: SAME AS ABOVE Other:
„* r = W
City /State /Z1P: Subtotal 93.50
Minimum permit fee ($90.00)
Phone: ( ) Fax:
( ) Plan review (25% of permit fee)
CCB lie.: 122424 State surcharge (12% of permit fee) 11.22
TOTAL PERMIT FEE 104.72
Authorized signature: This permit application expires if a permit Is not obtained within t80
days after it has been accepted as complete. o ff ' / , _/
Print name: KARINA G NT Date: 10 /09/12 I • Fee methodology set by Tri -County Bwiding Industry Service Board
I \autldmg'Permus\MEC- PemutApp doc 03/07/12 440 -4617T (I 1 /07/COM/wEB)
10/09/2012 TUE 14:14 FAX 503 261 9814 Heat Relief 0002 /003
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HEAT RELIEF .
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