Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00237
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/02/2013
Parcel: 1 S134DB01200
Jurisdiction: Tigard
Site address: 11015 SW 114TH PL
Project: Thrasher Subdivision: WINTERS ADDITION Lot: 6
Project Description: (1) micro -head vent
Contractor: AIR PRO HEATING & A/C INC. Owner: THRASHER, HAROLD DEE AND
7405 SE POWELL BLVD. KOVAC, LISA THRASHER
PORTLAND, OR 97206 11015 SW 114TH PL
TIGARD, OR 97223
PHONE: 503 - 771 -7871 PHONE: 503 - 680 -4152
FAX: 503 - 771 -5579
FEES
Specifics: Description Date Amount
Range Hood /Other Kitchen 05/02/2013 $33.39
Type of Use: SF 12% State, Surcharge - Mechanical 05/02/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/02/2013 $56.61
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 503.232.1987 or 1.800.332.2344.
Issued By: n l /1 /a Permittee Signature: D u P�C n Y n
UYl (! f v �i�iiT
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.
05/02/2013 14:53 5037715579 AIR PRO HTG PAGE 02
•
Mechanical Permit ApplicatioRECEIVED FOR OFFICE USE ONLY
City of Tigard onte/'BMyd c)_ MIN PennitNo L /S OU� 37
I n 13125 SW Hall Blvd., Tigard, OR 97223 MAY 0 2 2013
Pion Review
Phone: 503,718,2439 Fax: 503.598.1960 bale/By, (7rher Permit:
TIGARD Inspection Line: 503.639.4175 CITY OFTIGARD Datc Ready/13y: tuna: 0 See Page 2 for
Internet; w or.gov BUILDING DIVISION N""fied/MCd ■/
rod: i Supplemental Information
.,, S. !a s R�1r G1P x ,�` COM MERCI I, FEE ySCIt� 114E7 i i �+ , ...
" ' / ' ti "' Mechanical permit fees• arc based on the value of the work
❑ New construction Addition /alteration /replacement performed, Indicate the value (rounded to the nearest doItar) of all
❑ DentOlition ❑ Other: , mechanical materials, equipment, labor, overhead, and profit.
rr t �� p I.A Y s r ( it
Value: $
+ + IY, iMhpnui } ��.�� D 1 C P,h3 J
;%4 n , Vii; f+ It L4 4 "''r' . ' " "7 14 . 111 X111 i tom 1' 4: I +' '')till''''' � } 1„ M i,.11tr 1, M'Yr Zk,..A1 .., dC'` 1'
,.lidhr�klir!i ,t,1.Ni,rl�i.es ���5�� � w'duc
1 , ...v. ,.. o y
►: - and 2-family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
-
F, ,ti n w t Bea tin /coolin
r8�trJ�1n��` �1.�t� "WS fi � rr �� i�i6 RI^' r �iy " j g
,;,,. .•,,+�r ,,, ;rt,. iii ' g
/� Air wnditioninR 46.75
Job site address: //O L t ,5 _ /I 7 74A C i Furnace 100.000 BTU (duels/vents) 46.75
City / State/ZIP: 7.-: y 3 Furnace 100,0004- BTU (ducts/venis) 54.91
JI � Heat pump 61.06
Suite/bldg. /apt. no.: Project name:
Duct work 23.32
Cross street/directions to job site Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended. ate. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23,32
Other fuel appliances:
Tax map /parcel no.: Water heater 23,32
AV i . ' ,: ` 1' ; r'i 1 a1 + ?I a1 ,. ,0 rep-Ante"'
u 4tl � 1 t" t i j.1"...' ' �d tf i:. ' ', FILM vent for w ater 33.39
i. v , oy , r aft ,. u„ L l w ? „h• + r " FILM vnt for water heater or gas
/ M t cc° - 4 a a c Ve. -7" _ fireplace 23.32
Log lighter (gas) 2132
Wood /pellet stove 33,39
Wood fireplace/insert 23.32
Chimney /liner /flue/vent 23.32
1 y�k , p r ti tl, a ,•�}i rryr Ir }r r stint !, + , �� i, 1 V OthCr: 2 .32
ii {i ':n �� r ,i, a0�'^ � 7; ,1V 7 c c . (?Tt 4 ; , h., Y r t ,l ;l 0 'll r l ; },,1 ". l ` "l i 7'; 1.2,14.'rnIM:r . f '',�
F nvirnnmcntal exhaust and ventilation:
Name: H�•a a 7 s L e I- Range hood/othcr kitchen /
Addre9s: �//� ,Q equipment I 33.39
/ �5 , ,,$ ) . J �7 4-Z, f� Clothes dryer exhaust 33.39
City /State/ZIP: . a 2 a - Z i3 Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phonc: (5J) • 4 , 6 — Z Fax: ( ) Attic/crawlspece fans 2132
Ip�r�• +', wr i P r. �(7u.,p . ra� ..i. .,.,)u� y; +I y / y. , 1� , {y1 r�,r� r, {
� ,,,;I isWk, t p - i } l i, i I �I>�LlV.iu R �.lit4:i u 1 1rJ i1L i ;0 • .al Il c 41 41 i,„ Other: _ 23.32 11
Business name: Fuel p
G..— C S - 4. a r_ J 514.15 for First four; $4.03 for each additional
Contact name: Furnace, etc. I
Address: Gas heat pump
Wall /suspended /unit heater
City /State/ZIP: Water heater -
Phone: ( ) I Fax: ' ( ) Fireplace _
E -mail: Range
Barbecue
1 q NNrr,cS jq � � v�,. �, c.{�., r i PTA tl,F 1 ) ,Kr , a 1 r � . ,
rtn mlici �t, i t tvii 0 k 4 i );P!; i t toi t itiAr'iiy �S>i k) ) r 4 r id..� y. a d p. Clothes dryer (gas) .
y / Other
Business name:
i ”, ld H'� l i fr ALA- c - �i 1,ggrl,.w�r-i� !
lr iiy �l A :o.4� t,�.� .�. � „I. �i l ,,.
Address: ,",73' / vl I' • „ly�r. l� t �...� a ,;...,,,71 , d•'�N.1 •4u.u:afT�
O �f cJ /2,6 A/ I., - subtotal
City / State/ZIP: O/ '/ G � V
j / 9 7 6 6 T Minimum permit fee (590.00)
� 2 q Plan review (7.5% of permit fee)
Phone: (5 _�� 7 Fax' (3-03) I -,5-s / State surcharge (12% of permit fcc)
CCI3 lie.: 2.-c-1 TOTAL PERMIT FEE _A 1V 8J
- This permit application empires if a permit is not obtained within 180
ys ee acs m
Authorized signature: • Fee med,peruing da net after by it Tri has County bn Building cepted a Industry coplete. Scrvicc Board
,,Z
r Print name: c" ,k l__0r�„ Date;. - 2, f/3