Permit CITY OF TIGARD MECHANICAL PERMIT
111 11 COMMUNITY DEVELOPMENT Permit #: MEC2013 00208
T [ G; \R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/17/2013
Parcel: 2S 111 AA08800
Jurisdiction: Tigard
Site address: 14235 SW 89TH AVE
Project: Reed Subdivision: GREENSWARD PARK NO.3 Lot: 72
Project Description: (1) A/C installation Placement of A/C must comply with manufacturer's clearance requirements
Contractor: OREGON HEATING & AIR CONDITIONING Owner: REED, SHEL E & TERRI E
19300 SW 118TH AVE 14235 SW 89TH AVE
TUALATIN, OR 97062 TIGARD, OR 97224
PHONE: 503 - 691 -9699 PHONE: 503 - 348 -4551
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Air Conditioning 04/17 /2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 04 /17/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04/17/2013 $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 OU /) (/ l�C,i by calling 503.232.1987 or 1.800.332.2344.
Issued By:
///oY /( �/ i A !/ Permittee Signature: D Ppo c m7
OO ���77 �' �� (tt...Cll ...1��(CC///111 , [
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.
04/16/2013 14:14 503 - 691 -8556 OREGON HEATING PAGE 01/02
• ,\ \11 Et)
Mechanical Permit A 4 1 111 7. 1
, FOR OFFICE USE ONLY
City of Tigard Ap R ' 1.6 2013 Y (-411021= Permit No. /3 - e.9t)r3U
, � . 13125 SW Hall Blvd., Tigard, OR 97223 eeDD� Plan Review OtherPermiC'.
T [ r,q. EZ a
Phone: 503,639.4171 Fax: 503,54g, OF1i "' Date/By:
inspection Line: 503.639.4175 V n �f� \ \ISIO' Date Ready/By: 52111 iii See Page 2 for
Internet: www,tigard- or,gov BU't„U ‘? D Notified/method: Supplemental information
TYPE Ofi' WOMC p ..FEE* SC1 E1)ULE - USE'CBECK.LIST
- 'CONIMER�T A]C:
Mechanical ermit fees* are based on the value of the work
❑ New construction Addition /alteration/replaCetnetlt performed - Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, eauipmcnt, labor, overhead, and profit
:CATEGORY' OF .:COI tSTRIJC1TION -.:
Value: $
_ RESiDEN IAIL EQUSPMENT f S FEESh
1- and 2- family dwelling Commercial /industrial Ill Accessory building For special information use checklist
❑ Mint]- family ❑ Master builder ❑ Other: Description Qty. L E 1 Total
M JOB SITE airt1fA.T'[ N:A10 Heath). coolin.
• ° - 0 Air conditioning f
Job site address: 1 3 re•aims sift .lau sLowu : Iaoement e+^
City /State/ZIP: , i ff 0g q 72 21 Furnace 100,000 BTU (duets/vents) 46 -75
rrd / . Furnace 100.000 +ETU ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name' /� � 0 01 ,2
•
, Heat pump - 61.06
Cross strect/directions to job site: Duct work 23.32
Hydronic hot water system 2332
Residential boiler (radiator or
h dronic 2332
Unit heater (fuel-type, nonelectric),
in-wall, in -duet, suspended, etc. 46.75
Flue/vent fbr any of above 2332
Subdivision' Lot no-- - Other: - 23.32
Tax map/parcel no.: Other fuel appliances -
• ' ' AESGRIPTJ(ON Water heater 2332
Gas fireplace 33.39
In ji- a / ( 4 Cord D /: ,-r v 0 - . e,- Flue vent for water heater or as
fireplace , 2332
- , Log lighter (gas) 23.32
Wood/pellet stove 33.39
- __—. _- Wood fireplace /insert 23.32
Chimncy/liner /flue/vent 23.32
f� PRORERTY.OWIVk"R ❑ T)ENANT:': ;
Other 2332
Name: ,S` M ,_ e Environmental exhaust and ventilation
i► Range hood/other kitchen
Address: it / .377 ♦ /1 .• , - etui.ment 3339
City/State/ZIP; <7 _2 Clothes r exhaust _ 33.39
y r Single -duct exhaust (bathrooms,
Phone: (5.&) 2 r z Fax: ( ) toilet compartments, utility rooms) 23.32
f AiPLICANT I] CONTACT PERSO Attic /ctawlspace fans 2332
r -- .. Other: 2332 �
Business name; et - k . IA: fuel .i.in:
Contact name: 4 tk. � "Tq o
1/• S14 -15 for first four,; $4.03 for each additional
Furnace, etc. „-
Address: 11 3' 3 11'8111 4't - Gas heat pump
City /State/La n, h c • od .7' WaliJsuspended/unit heater
Water heater
Phone: (5,e3 )6 i / _ _ 9c i9 Fax:: (. ) Fireplace
E -mail: Ran Le
. CON'TRACTOf Barbecue -
Clothes . et Lea
Business mane: Or y,..-", 444 . _. Other: ,
Address: / .) // /, tie .. ' ' MECBANICAL PERMIT FEES* .:.
Clry /State/ZIP: 77, q 1 _ Subtotal .. 77.5
� —.._ Minimum permit fee ($90.00 I -
Phone: (5o! ) Cq 1- 1691 ! Fax: ( ) Plan review (2554 of permit fee ) r'
CCB lic.: / "72 / 2 6 State surcharEe (12% of permit fee) - 1 O. ro
TOTAL PERMIT FEE j 004Q
This permit application expires if a permit is oot obtained witktn ISO
Authorized signature: days after it has been accepted as complete
' rt . Date: 1_4 / / / / 7 1 W F ee methodology set by Trl- County Building Industry Semi Board
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
14235 SW 89TH AVE, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
04/25/2013 00:00
MEC2013-00208
PASS - No C of O
Violation Summary:
Inspector Contractor