Permit CITY OF TIGARD MECHANICAL PERMIT
11q1 a COMMUNITY DEVELOPMENT Permit #: MEC2012 -00529
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/15/2012
Parcel: 25111 CA09600
Jurisdiction: Tigard
Site address: 9856 SW KABLE ST
Project: Schendel Subdivision: TAMI PARK Lot: 3
Project Description: (1) gas furnace installation
Contractor: SUNSET HEATING & COOLING Owner: SCHENDEL, MARIAN
0607 SW IDAHO ST 9856 SW KABLE ST
PORTLAND, OR 97239 TIGARD, OR 97223
PHONE: 503 - 234 -0611 PHONE:
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 10/15/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 10/15/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 10/15/2012 $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: i, /� di� Permittee Signature: !/AJ 4PPLI G477O'4-
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.
10/12/2012 09:27 5032340439 SUNSET HEATING PAGE 02/02
'Mechanical 'Permit Application • FOR OFFICE 1.15E ON I,1'
City of Tigard n y; a Co if - /la_ Sr- PetmltNo.: .401 a... - 3 i
13125 $W Hall l3hYd,; Tigard; OR 97223 Ptnn Review
• 0:. Phone: 503.639.4171 Fax: � ' Datelby: Other Permit:
Tic; i\ ii r. , . inspection Line: 503.639.4175 ` ��(( RI See Page 2 for
Internet www.ti.►ard -or. OV • ' Supplemental information
g . OCT , 2012 ptiu
j. ,. :•.Ilr� , ... . '. '' i ,l f .•,: t: Nn.v .., " `..f.d. �:.,
Mechanical permit fees' are based on the value of the work
❑ New construction Additionlalto performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ID Other:. mechanical materials • equipment, labor, overhead, and profit _
''CiI todidebrti Sxittr ei + :� 7. Value: $
I . and 2- family dwelling . ercial/" dustria 0 A :'(" " " r
Comm' m 1. rccssoryb "'....__.' '" - >:.,` Y,,;...
For special information use checklist,
❑ Multi- family . 0 master *lacier ... ❑ Other: Description r Qty. I Ea. 1 Total
IJ.00:4EE. ' 1?�tf!F ?' : "•b a1'['10 tiSs.; ? ;,1.:c'.:::..:'': l
Job site adress: q Air conditi
d
• (p' � ... `i l (S, �' �rectulraa silo g len showin I 1_ 46.75
City /State/ZIP: ot c, • � 7 Furnace 100.000 BTU (duet /vents) I 46.75
— CLc l . ` Furnace 100,0001 BTU (ductsfvents) 54.91
Suite/bldg. /apt. no.: Projectnanie:,. - • Heat puny 61.06
Cross str et /dircetiona to job site:. Duct work 23.32 -
Hydroinic hot water sy stem 23,32
Residential holler (radiator or
. hydronic) _ 2132
Unit heaters (fuel -type, not electric),
in -wall, in- duct, suspended, etc. 46.75
Subdivision: 11..ot no.: Flue/vent for any of above 23.32
Outer: 23.32
Tax map /parcel no.: Other fuel a . , fiances
DESeRIP'I:�ON :,:dt$"tK' :';. " ' ': Wafer heater 2332
, .. . .. • , : 5: ".. J .... . .. .. .til_•:.�.4- '''4:;1:''a}
Gas fireplace 3339
f e, Flue vent for water heater or gas
fireplace 23.32
- ---� -� -- 1 0 li to 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
;P12t7ii! r r Chimney/liner /flue/vent 23.32
- �" �:•��. ;� • :` ' > {.� :, _ .:..,:- .,,:...,. .i...:..i�: -. other; 23.32
Nam e: l Y �.t.✓ t� e s i ' Environmental exhaust and ventilation
Range hood /other kitchen
Address: _ equipment 33.39 .
City /State/ZIP: . ' , , _Clothes dryer exhaust 33.39
— Single-duct exhaust (bathrooms,
Phone:( ) . . Fax: ( ) toilet compartments, utility rooms) 23.32
: a t: . ,..t.:;:. ._ -,ice u " 47s: ro � .,•.: , . P1143; a: '::. �' Attic/crawlspace fins 23,32
' .i:r � �l':.1 • ° k Y. �F : L I _32 l�% v 14 ?l. _ _
_ ,, f ':'! . „� Other: 23.32
Busincsa name: Fuel &it1A
Contact name: $14.15 for first tear $4.03 f or each additional
Address: Flinl3C etc,
Gas heat pump _
City/State/Z1P: Wall/suspended/unit heater
Phone: ( . ) : • Fax:: ( ) Water heater _
Fireplace
E-mail: y �y � y,, Barbecue Range "
'f. .'. - ::'. ,, r,ii',cb 4 14 . . tiAUJ,bit l'' :;'; ''�:,. ,,��' °': : :''.
... ,... .- .. : ... ., .,... . . ... ,., ...
I3us laws name: a l:.V) S (..I `}h,, (Ir U i lM� Clothes dryer (gas)
1001 , C J :' Other:
Address! - iNe4 4 L < `: •r _
A' � SUJ . r:4GV'1 S�' '�`l' ��1�si�tt��'�I�>ttiho§.4.
City/Statc/ZrP : p tO' CO2.- ( Subtotal
Phone: ( G Gr es) 23 4- pt„,.1.1 i d ( 44 ( 1'( Fax: ( 13) Z 3t... Q y" Minimum permit the ($90.00)
_ Plan review (25% of permit fee)
CC$ lie.:' 'a 4i I G g5 state surcharge (12% of permit fcc)
TOTA1G..rE _RAW iEE IL U
Authorized Signature: permit apptleatinn expires if a permit la not obtained within 180
days after It has been accepted as camplete.
` 'Print name! VV �— 1 te: /� rZ • Fee methodology set byTri -County Building Industry SerrioaBoard
mo: as :.mn.:.deAmor;.v4.LLirAnd.d t0/ti1M? th i61Trtt1u2/COM/wnn)