Permit CITY OF TIGARD MECHANICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit#: MEC2013-00049
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2013
T I k_;A h I7 9 Parcel: 2S109AA01600
Jurisdiction: Tigard
Site address: 14378 SW 130TH AVE
Project: McCallister Subdivision: WOODFORD ESTATES Lot: 4
Project Description: Replace gas furnace,reconnect ductwork and gas lines.
Contractor: SKY HEATING&AIR CONDITIONING, INC Owner: MCCALLISTER, CORT W&KELLY A
1637 SE NEHALEM ST 14378 SW 130TH AVE
PORTLAND,OR 97202 TIGARD,OR 97224
PHONE: 503-235-9083 PHONE: 503-830-2343
FAX: 503-235-0454
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 01/23/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 01/23/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 01/23/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicabl All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issu , or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Ut' Notification Cen -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
o direct questions to OU • calling 503.232.1987 or 1.800.332.2344. _
Is ued By: / �� Permittee S •nature: , /ireregir
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
From:5032350454 01/22/2013 16:10 #357 P.002/002
RECEIVED
Mechanical Permit Application ok of II( 1 (1\11
A
City of Tigard J ' 2 2013 Received
Dace J L�/� 1 / r
114 • 13125 SW Hall Blvd.,Tigard,OR 97223
II Phone: 503.718.2439 Fax: 503.598.1960 OF TIGARD PDl'tn eRw
Other Permit:
Inspection Line: 503.639.4175
BUILDING DIVISIO See Page 2 for
Internet: www.tigard-or.gov Supplemental Information
Mechanical permit fees'are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
I-and 2-family y dwellin g ❑Commercial/industrial ❑Accessory building For speciel information use ehraFlist:
❑Multi-family ❑Master builder ❑Other Description Qty. Ea. + Total
.; w ' �'1 =1 Heaung/cooliaR:
.E �_.- = �r Airconditioning
Job site address:14378 SW 130TH AVENUE (requires site plan showing placement) 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.: l Project name:MCCALLISTER Heat pump
(requires site plan showingplacement) 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: f Lot no.: Flueei vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
Water heater 2332
REPLACE GAS FURNACE,RECONNECT TO EXISTING DUCTWORK,GAS Gas fireplace 33.39
Flue vent for water heater or gas
LINES,AND ELECTRICAL. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace5nsert 23.32
w •;r Chimney/liner/flue/vent 23.32
Other 23.32
Name:CORT McCALLISTER Environmental exhaust and ventilation:
Address:14378 SW 130TH AVENUE Range hood/other kitchen
equipment 33.39
City/State/ZIP:TIGARD,OR 97224 Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:(503)830-2343 Fax:( ) toilet compartments,utility rooms) 23.32
Attic'crawlspacefans 23.32
Business name:SKY HEATING&AC,INC. Other: 23.32
Fuel piping:
Contact name:TAMI HAGEMAN $14.15 for Uric four;$4.03 for each additional
Address:1635 SE NEHALEM ST Furnace,etc.
City/State/ZIP:PORTLAND,OR 97202 Gas
Walt/'sussus pump
heater
Phone:(503)235-9083 l Fax::(503)235-0454 Water heater
Fireplace
E-mail:TAMI(SKYHEATING COM Range
�.: . . G ,t`6�s * :-5,'".-E 'd.,'- i : ten
... ... ,.p. _. - _ as ti. s . ... -„ ... _ k_�-�..a. 5 `-cam ��:.a..�-.�..btr,
Barbecue
Business name:SKY HEATING&AC,INC. Clothes dryer(gas)
•
Other:
Address: 1635 SE NEHALEM ST
City/State/ZIP:PORTLAND,OR 97202 Subtotal 46.75
Minimum permit fee($90.00) 90.00
Phone:(503)235.9083 Fax:(503)235-0454 plan review(25%of permit fee)
CCB lic.:50244 State surcharge(12%of permit fee) 10.80
TOTAL PERMIT FEE 100.80
Authorized signature: This permit application expires If a permit b not obtained within ISO
days after it has been accepted u complete.
Print name:TAMI HAGEMAN Date:1/22/13 • Fee methodology set by Tri-County Building Industry Service Board
I:•Building Pennus!MEC-PermitApp.doc 09,09.10 440-4617r(11f02,COM,WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14378 SW 130TH AVE, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
02/28/2013 00:00
MEC2013-00049
PASS - No C of O
Violation Summary:
Inspector Contractor