Permit • . • CITY OF TIGARD
MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2012 -00575
T [CARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/06/2012
Parcel: 25 101 AA09600
Jurisdiction: Tigard
Site address: 6988 SW BEVELAND RD
Project: Taylor Subdivision: WEST PORTLAND HEIGHTS Lot: B
Project Description: (1) furnace installation and (1) A/C installation A/C must maintain 5' side yard setback and approved rear yard
setback
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Contractor: OREGON HEATING & AIR CONDITIONING Owner: TAYLOR, CHARLES F
PO BOX 241 P 0 BOX 1452
DUNDEE, OR 97115 LAKE OSWEGO, OR 97035
PHONE: 503 - 691 -9699 PHONE: 541 - 691 -9699
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Air Conditioning 11/06/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 11/06/2012 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/06/2012 $11.22
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Occupancy Grp:
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Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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Required Items and Reports (Conditions)
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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.
'., ?I
Issued By: j 'f Permittee Signature: Da 4 i�1f'�..( C. P14 i
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.
11/05/2012 11:37 503-691-8556 OREGON HEATING PAGE 01/03
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Mechanical Permit Applicatio EcEivc .
City of Tigard
..--- • 13125 SW flail Blvd., Tigard, OR 97223 gar,
III Lin Date/By: I i IS) LL.C*1- Ferarit bro.s.464401a...„ ac
' 2 . Phone: 503.639.4171 Fax: 503.598.1960 NOV 0 2012. D PI : enar Revi . 7 Other Permit
1 I G o Inspection Line: 503.639.1175 Date Reaely/Br. rods: El See Page 3 for
A. k
Internet wviw.tigard-or.gov crry OF TIGARD Nctiged/Methot ..y-ro Supplemental Information
ERD : SQ3.0D4X :. USE cilr..cid.,!1s4
TxrE O _ .': ,. :: : " . . . ::.:,-.: .;•.:, .: 1.• .... . .., •
.,.... - " " — Mechanical permit fees* are based on the value of the work
0 New construction VAddition/alteration/replaceament performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
Value: $
CATEGORY OF e(*gliiii6X(*.i ' ff .:.
' 't; ' ' ' . '' ' ' I • - ''''" . ' "..- ' ' — ' ' " ' 10 4(1WYEEPr!qxbTF4■1
0
1. and 2-family dwelling 0 Commercial/industrial 1=I Accessory building
For apecial information use checldist.
ID lvtulfi-family 0 Master builder 0 Other: Description I Qty. I E Total
'' • ' ' ":
JOB srrit:INFORMAtailkAiii, tiir10104; ............:::‘;:.:*:, ' ]',•:; Heatuigjcooliog
tta) Air conditioning
Job site address: ...-'' ' , • , 0 0 ' site len showin lacement 46.75 ,
City/State/ZIP: r . . 0 11.22Y Furnace 100.000 BTU (ducts/vents) / 46,75 cti, • -7.c.
Furnace 100,000+ Eau (ducts/vents) 54.91
Suite/bldg./apt no.. Project name: 61.06
Heat pump
7 .
Cross street/directions to job site: Duct work 2332
Hydronie hot water system 23.52
Residential boiler (radiator or
hydronic) 23.32 -
Unit herders (fuel-type, not electric),
in•wall, in-du, suspended, etc. 46.75
Flue/vent for any of above 2332
Subdivision: - Lot no.:
Other; 2332
Tax map/parcel no.: Other fuel appliances ,
• , ; ,. __ _ __... _, -, ,,,- • .-- ...,,,- , ; ::::,--,"•,.‘,:' .,; Water heater 2332
usol.II*T9N :',. :: : ;,',•••j; i.::';' . "'.V 4- 7,-.: 0 ',:•' "z'::-.'{ — 33.39
1;7 SI <eft gee 4m qtr. c40- area4 ow. Flue vent for water heater or gas
fireplace 2332
Log lighter (gas) 2332
.
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
23.32
: ‘."•-....: : .; : 01P110PERTY ,c!WitE: : : ' "•;: ': •;):[::: r.'';-:: ' ,. , . :.''. .-:: . , • . • . • 0 ' '.:1: :-• F.. L : . - ' Other 2332
Narae: C j 4c je T - -,,, kr ,
- Environmental exhaust and ventilation
' Range hood/other Icitclion
Address'. /2:1 (O SI" 7 ,etilos • equipment 33.39
_
City/State/ZIP : Tr sig.„. o g v221 Clothes dryer exhaust 3339
Single-duct exhaust (bathrooms,
Pale ( ) toilet compartments, utility rooms) 23.32 _
• - , :‘ 0 ApplicANT A1rk fa 2332
2332
Business name: 0,- kie.fij _ .. — Fuel piping
Contact name: Z t k - a- ll• e L for first four; 54.03 for each additional
Y (2...— Furnace. etc.
Address: /93 sh _Mtn /f 7 ..._ als heat
..
City/State/ZIP: n,1 o q /0 6.2 Wall/suspended/unit heater
Water heater
Photo: (5 ) pi/ - 9(y7 Fax: : ( )
-. Fireplace
E-mail: Range
T
' • ' ':, -:: ' . ' ' ' ' . r• ' &44114e0litr t: . " ` • :. ' ' ,• i- : : ' ';0' Barbecue
Clothes • L •
Business name: C±4 j.8 o_
• — Other:
Address: /5700 . si, j . No j i ,Sieikki**•4 i'0
Subtotal II- go
cityistaterziel Mao , oR 9 I QC2 Minimum permit fee (590.00)
Phone: (503 ) cp- 407 Far. ( ) — Plan review (25% of permit fee) :
CCB tic.: 112 126 State surcharge (12% of permit fee) 17 • 22 _
.... TOTAL, PERMIT FEE /04, 17
This permit application expires ifs permit is not obtained within 180
Authorized signature: ' ... days after it has been accepted as complete.
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, 77 - . /b.. _ ".... I Date: — I * Fee methodology set by Tri-Cotmty Building loamy Service Board
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cv r-1 Job #: Oregon Heating 8k A/C Scale: 118" =1'4'•
N t23 Performed for: Right-Suite Page 1 Residential C huck Taylor 19300 SW 118th Ave
12560 SW 70th Ave 8.0.106 RSR39325 3 58
m II Tigard, OR 97223 Tualatin, OR 97062
2012-Oct-30
Phone: 541 -530 -0758 Phone: 503 - fi91 - 9699 Fax: 503 894 - 8556 Abhac-sbsVolderRediredbnstImcmur..,
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