Permit •
CITY OF TIGARD MECHANICAL PERMIT
a : COMMUNITY DEVELOPMENT Permit #: MEC2012 -00589
T [ GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/14/2012
Parcel: 25111 DD03500
Jurisdiction: Tigard
Site address: 8935 SW HAMLET ST
Project: Arrigoni Subdivision: STRATFORD Lot: 23
Project Description: (1) furnace replacement
Contractor: SPECIALTY HEATING & COOLING INC Owner: • ARRIGONI, MARGARET
•
7500 SW TECH CENTER DR SUITE 130 8935 SW HAMLET ST
TIGARD, OR 97223 TIGARD, OR 97224
•
PHONE: 503 -620 -5643 PHONE: 503 - 639 -8095
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 11/14/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 11/14/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/14/2012 $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 77 5 ' 03.232.1987 or 1.800.332.2344. /� / ,
Issued By: AAA/ �Y/ Permittee Signature: O)4 4 fLJ e r^f I /OA1
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.
From: 11/09/2012 09:48 #096 P.002/002
Mechanical Permit App li CE EO r OR 01 �c i u � O
Received
City of Tigard Perm N o .:. ,, � , a
25 SW Hall Blvd.,Tigard,OR 9 1'Z Date �� �4 It Y 01O)a 0001
P h one: 50 3.718.2439 Fax: 503.598 0\�� + LO Plan Review Other Permit:
1C 13125 V D ate.'By:
TIC ; k D Inspection Line: 503.639.4175 ��epn Notified Date Ready!By: Juris: See Page 2 for
. - - ...... _ Internet: www.tigard- or.gov /'�� V 1 • .'Method: --n Cep Information
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,. w, ,. '; Y.r z... = ° f;.:, - s" " ' ,,. AR FEE, -__ CHE- . [JLE : -= -- - -- - - -- -
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,.�/ M: echanical permit fees` are based on the value of the work
12 New construction a Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
KGs +GSM �: ' - Value: $
,� ?r• - � };� - _ - _ - - '^. !=ice =j :.�,'`� :,Cc::'� 141 _ 's'
,
�' :C:4TEGORYvOF CONSTRUCTION :;A- .• 34 4/ . , AL .
-�� , - .��� w3;.. ,,:.,; �,. -:. A�,� ,_.� a-,., .... � A...,._....��., , .,- �- e- i.er.�.srFr N,�r - - - -
�.<_�...: _° "'. ,.�. ... - �. ' "� , ;- ����;'% RESIDENT 7ALEQUIP�MEIYT ]t5I'�M
O r
and 2- family dwelling ❑ Commercial /industrial ' ❑ Accessory building For special information use checklist
❑ Multi- family 0 Master builder ❑ Other: Description I Qty. I Ea. I Total
. - _ :,� - :. ,:, :<,,'r- r;:: -,., Heating/cooling:
k- gt tlif- : :40.B;SITEY.0.tURN1ATl.!*34ND G .g /STA N %•:; '41'
, %, >- i
...s, =��:. �. �.:., M. Y��., a.. n_.,...-_.., �„-_k...,. r.. �. r,- �_ �._.. �.- .. .�__< ._,_� �'�i;�.,,�z:,�:r.,, Air conditioning
Job site address: (requires site plan showing placement) 46.75
City /State /ZIP: Arrigoni, Paul & Margaret 812416 Furnace 100,000 BTU (ducts;vents) 1 46.75
8935 SW Hamlet St Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. n Tigard, Or. 97224 Heat pump
(requires site plan showing placement) 61.06
Cross street'diret (503)639 -8095 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: Lot no.: Flue/vent for any of above 23.32
Other 23.32
Tax map /parcel no.: Other fuel appliances:
.:: 4' '.a K `. t =K =. r :: .- �'. Water heater
g-. 3 �-: r�_� -.s�:.. Vac DESCRIPTION OF WOia04. : 4 Y r u' < . x r ,
G 23.32
as fireplacelinsert 33.39
- Le-4 A.- L_j 4 - Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood'pellet stove 33.39
Wood fireplace insert 23.32
OP..:RT1 x. R7VElt : ':= i :. ,v_; 3 �, .� 1 `'1,:;&;.:4 s =el :, _1 Chimney,'liner /flue/vent 23.32
„_ �. _ ; >.'PR , E .. ., .fl -,. F:� ;,?6 1.z _z «: v . ,,._. , „A =.. *t Vg. Other 23.32
Name: C .-• Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State /ZIP: Clothes dryer exhaust 33.39
Fax:
Single-duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility moms) 23.32
- .4rn ?Lr- r�;„;�,.Si - rjz , sr•� fi vi : :,- te n(a,: - yr. ,...,.k.v< - - - -
y 3 ® 4.00. ICAN'f 0.P ,; T � t r �:.,:fi , i _ ' Attic!ctawl
',y .� ' i='��- ,-� t �, �CONTA�'�'EERSON r���', .:�,n ''P ace fans 23.32
Business name: Other. 23.32
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: _ Wall'suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
:x - =v _? . 2. , y-„, .:, F :' k .4.4. _ , :a.Sgi( �- M : - y te r ; Ct Barbecue
rF ax+a� - l . . .. y,,.11 C.T✓. }�.A.Na'�_... a.._..,,.. �-J : :
- ... _ ��-•.. 11v.<..k�- �:t1.�'f= Y ,. _ _c.. .ti � Y
^:ff" -�
Business name: Specialty Heating & Cooling, Inc
Clothes dryer (gas)
Other.
Address: 7500 SW Tech Center Dr #130 „ g. • ;,;p�� ;;W01: j ::. pg - ;; +::'� �rv��
awe., : mss= - -. �;:v., .. txt';z,:.��:,.�;
City. / State/ZIP: Tigard, Or. 9722.3 Subtotal
Phone: (503) 620 -5643 Fax: (503) 598 -0718 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 66578 State surcharge (12% of permit fee)
TOTAL PERMIT FEE //V •i{D
�.. This permit application expires If a permit is not obtained within 180
Authorized signature: days after It has been accepted as complete.
Print name: Andrea Dripps Date: I 1 / // . • Fee methodology set by Tri- County Building Industry Service Board
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I:\ Buildingmits•MEC.PenniuApp.doc 03'0712 440-4617T (112 0