Permit CITY OF TIGARD MECHANICAL PERMIT
1P4
COMMUNITY DEVELOPMENT Permit #: MEC201300204
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/15/2013
T [GA .: R,17 9 Parcel: 25111 CC 12800
Jurisdiction: Tigard
Site address: 10345 SW HIGHLAND DR
Project: Launder Subdivision: SUMMERFIELD NO.4 Lot: 179
Project Description: (1) A/C replacement Placement of NC must comply with manufacturer's clearance requirements
Contractor: SUPREME COMFORT HEATING Owner: LAUNDER, LARRY W & MARILYN E
9425 SW COMMERCE CIRCLE #16 10345 SW HIGHLAND DR
WILSONVILLE, OR 97070 TIGARD, OR 97224
PHONE: 503 - 682 -1985 PHONE:
FAX: 503 - 682 -1018
FEES
Specifics: Description Date Amount
Air Conditioning 04/15/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 04 /15/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04 /15/2013 $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 5 J di J 503.232.1987 or 1.800.332.2344.
Issued By: ► "" /I .1 Permittee Signature: DKI APPLE(! l4T /o -
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.
04/15/2013 11: 503- 68 11@1 SUPREME COMFORT INC PAGE 01
Mechanical Permit ADPJiCatR , ■ IVE1 11�� f wiz trl 1 It 1 1 til <1.1.1
City of Tigard t i.. vvVJJ ' l� De i
13 �
R 13125 SW Hall Blvd„ Tigard, OR 97223 APR 1 5 2013 Date /B . 9 (ij / M/
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
f ns coon (,inc; ,503,639.4175 D�to/By.
I It , > CITY OF TIGARD reran ® See rape far
Internet: www.tigard or.gov
BUILDING DIVISION! Supplemental l information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
- — Mechanical permit fees' arc based on the value of the work
❑ New construction ® Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment. labor. overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
▪ I - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special Fnforrnaflon $se chee*lfst
❑ Multi - family ❑ Master builder ❑ Other: Description [ Qty. I Es. I Total
JOH SITE INFORMATION AND LOCATION Heating/cooling:
-- - Air conditioning 1 46.75 46.75
Job site address: 10345 SW Highland Dr. - Furnace 100,000 BTU (ductslvcnts) 46.75 ,
City /State /ZIP: Tigard, OR 97224 Furnace 100,000+ FITU (ducts /veers) 54,91
Heat pump 61.06
Suite/bldg. /apt. no.: Project name: Launder pact work 23,32
Cross street/directions to job site: I Iydronic hot water system 23.32
m - Residential boiler (radiator or
hydronic) 23.32 -
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue/vent for any of above 2332
Subdivision: I Lot no.: - other . 23.32
Other fuel appliances:
Tax map /pared no.: Water heater 23,32
DESCRIPTION OF WORK Gas fireplace /insert 33.39 ,
Replace existing air conditioner Flue vent fbr water heater or gas
P g fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33,39
Wood fireplace /insert 23.32
Chtmney /liner /flucivent _ - 23.32
' Other; 23.32
0 PROPERTY OWNER I 0 TENANT
Environmental exhaust and ventllation:
Name; Larry Launder Range hood/other kitchen
equipment 33.39
Address: 10345 SW Highland Dr. Clothes dryer exhaust 33.39
City/State /ZIP: Tigard, OR 97224 'Single -dud exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: ( ) Fax; ( ) Attic/crawlspace fans 2332
T
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Same as contractor Foci piping
$14.15 for first four; $4.03 for each additional
Contact name: Furnace, etc.
Address: Gas heat pur p
Wall /suspended /unit heater
City/ State/ZIP: Water heater
Phone: ( ) Fax: : ( ) Fireplace -
E Range
Barbecue •
CONTRACTOR Clothes dryer (gas)
Business name: Supreme Comfort Inc. Other. _
MECHANICAL PERMIT FEES*
_
Address: 9425 SW Commerce Cir. #16 Subtotal
City /State/ZIP: Wilsonville, OR 97070 Minimum permit fee ($90.00) 90.00
Plan review (25% of permit fee)
Phone: (503) 682-1985 Fax: (503) 682-1018 State surcharge (12%ofpermit fee) - 10.80
CCB lie.: 21692 TOTAI, PERMIT F',EE 100.80
- "`" ' - - This pe rmit application expirra If a penult In not obtained within Ian
AppiF d ays after it has been accepted as compl te,
Authorized signature: - • Poo meiIu, Iolotd sat try Tri- County Building Industry Service Board Adigr.rd
Print name: Randal Lapp r Date: 4/15/13
I AIInitding \PermiotgvinC_Permit App, ; 0401 I l.doe 440 -4617T (I 1 Alt/COM/WEB)