Permit CITY OF TIGARD MECHANICAL PERMIT
MEM
t; . COMMUNITY DEVELOPMENT � I Permit #: MEC2013 -00375
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/10/2013
TIGARD 13125 2S115AD02200
Jurisdiction: Tigard
Site address: 10494 SW TUALATIN DR
Project: Reid Subdivision: DOVER LANDING Lot: 3
Project Description: Replace a/c unit. Placement of unit must comply with manufacturer's clearance requirements. 7/17/2013:
REPRINT permit to add replacement of furnace.
Contractor: THE HEATING SPECIALIST INC Owner: REID, SCOTT E & ALLISON R
9300 NE HALSEY ST 10494 SW TUALATIN DR
PORTLAND, OR 97220 TIGARD, OR 97224
•
PHONE: 503 - 257 -7000
PHONE: 503 -625 -9104
FAX: 503 - 257 -7702
FEES
Specifics: Description Date Amount
Air Conditioning 07/10/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 07/17/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 07/17/2013 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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.
alb
Issued By: Ne m / _ Permlttee Signature: dA �/'/O/ / C1-7 -7D/\,/
Call 503.639.4176 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.
CITY OF TIGARD MECHANICAL PERMIT
11111 COMMUNITY DEVELOPMENT Permit #: MEC2013 00375
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/10/2013
Parcel: 2S115AD02200
Jurisdiction: Tigard
Site address: 10494 SW TUALATIN DR
Project: Reid Subdivision: DOVER LANDING Lot: 3
Project Description: Replace a/c unit. Placement of unit must comply with manufacturer's clearance requirements.
Contractor: THE HEATING SPECIALIST INC Owner: REID, SCOTT E & ALLISON R
9300 NE HALSEY ST 10494 SW TUALATIN DR
PORTLAND, OR 97220 TIGARD, OR 97224
PHONE: 503 - 257 -7000 PHONE: 503 - 625 -9104
FAX: 503 - 257 -7702
FEES
Specifics: Description Date Amount
Air Conditioning 07/10/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/10/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/10/2013 $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 • . - ' • • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue • By: / Permittee Signat
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.
Jul. 16. 2013 1:27PM The Heating Specialists No. 3807 P. 2
Mechanical Permit Application FOR OFFICE USE ONLY
V City of Tigard �'
% 13125 SW Hal Blvd. Ttgar�, : y i.. V jD ,% V Permit No.; to i ;+ ?
• Phone: 503.718 Fax: 503.598,1960 Plan Review
baleBy: Other Permit
T I G A RD' Inspection Line: 503.639.4175 JUL 1 6 2 013 Date Ready/By: 10 See Page 2 for
- Internet www.ligardor.gov Notified/Method: Supplemental Information
CITY OFTIGAR0 FM
Bt6'pWISION • COMMERCIAL PRE* SCRED=ILE - CifECIcLIST
Mechanical permit fees'' are based on the value of the work
❑ 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.
CATEGORY 0)7 CONSTRUCTION
Value: S 53,500.00
RESIDENTIAL EQfUIPefENT /SYSTEMS PEES
® I- and 2- family dwelling Q Commercial/industrial ❑ Accessory building For spade!informnrion ure checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty, I Ea I Total
JOB SITE INFORMIA.TION AND LOCATION Heating/cooling;
Air conditioning 46.75 5
Job site address: 10494 SW Tualatin Rd. Furnace 100,000 BTU (duels/wnis) aI 46.75 /6' , f ir
City /State/ZIP: Tigard, OR 97224 Furnace 100,000+ BTU _ (duets/venls) 54.91
Heat .um. 61.06
Suite/bldg.lapt. no.: Project name: 2013.067 Ductwork 23.32
Cross street/directions to job sire: Hydronic hot water system 23.32
Residential boiler (radiator or
Itydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended, etc. 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 2132
' DESCRIPTION 0i _Gas fireplace/insert , 33.39 -
r' Flue vent for water heater or gas
' 1� f. p i R r P. Q : /S Fat A),emin(/_i - F fireplace 23.32
'1 j ' (J /�.l(y' 4'1 )'Y \`;('. 0::)1, ( - rd Log lighter (gas) 23.32
R • (: ( $ Wood/pellet stove 33.39
( Vy! (I 1 f `ti; t) A .V1 (' (' • V, 3 ') - Wood fireplace/insert 2132
() (VC /) 4) i 0) , v p f-.2) 7 i t i 1 . Chimney/liner /flue/vent 23.32
i Other: 23.32
®.PROPERTY OWNER I ❑ TENANT . Environmental exhaust and ventilation:
Name: Mary Reid Range hood/other ki tchen '
equipment 33.39
Address: 10494 SW Tualatin Rd. Clothes dryer exhaust ,33,39
City /Slate./ZIP: Tigard, OR 97224 Single -duct exhaust (bathrooms,
toilet compartments. utility rooms) 23.32
Phone: (503)625 -9104 Fax: ( ) Altie/crawlspace fans 23.32
N APPLICANT d CONTACT PERSON, . , Other: 23.32
Fuel piping:
Business name: The Heating Specialist 514.15 for prat roar; 54.03 for each eddlllonal
Contact name: TJ Furnace, etc.
Address: 9300 NE Halsey St. Gas beat pump
Wall/suspcndcd/unit heater
City /State/ZIP: Portland, OR 97220 Water heater
Phone: (503) 257 -7000. I Fax: : (503) 257 -7702 Fireplace
Range
E -mail: tj @theheatingspecalist.com Barbecue
• • CONTRACTOR Clothes dryer (gas)
Business name: Same as above Other:
....
Address:
Subtotal 46.75
City/Slate/ZIP: Minimum permit fee (890.00) 90.00
Fax: -- Plan review (25% of permit fee)
Phone: ( )
( State surcharge (12% of permit fee) 10.80
i
CCB tic.: 56628 , , , TOTAL P PEE • •
Thla permit opptlention expires i t permerm it t in i; n nor obtained w,rhln 18
days aver It hes been accepted as complete.
Authorized signt`u / • Fee methodology set byTri- County Building Industry Service Board
Print name: Tracy Jones f '7 v t J7 OM tU'1- I Date: 07/8/13 ",M!M"^'Te J 9
'Jul. 8. 2013 2:20PM The Heating Specialists No.3739 P. 1
Mechanical Permit Applica FOR OFFICE USE ONLY
City of Tigard �® Received g Pem�itNo �G' -oa37
1 r.teny: 7 A0 3
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
g Phone: 503.7182439 Fax 503.598.1960 J U L 8 2013 Dawes Other Permit:
TIGARD Inspection Line: 503,639.4175 pat; heady/By: ruffs: g See Page a for
Internet: www.ligard- or.gov CITY OF TIGARD Notified/Method: Supplemental inlermattan
RUING NG DIWS# I
° : :..:.. r,_- E..OF WORK..... :...':.. _ :COh1Mg12CfAL F&E' 3CHEYyUL& U3ECftt?CKU -
Mechanical permit feels are based on the value of the work
❑ New construction IN p (
Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar ) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ $3,500.00
. . . .. •• ' CATEGOJi': OF CONSTRUCTION -.. , . • . -,� <..p , -• : . , _ . . 1DxIr1I7►2
� gQ(lCP1ttT1 %`(fh15
® I- and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building For speciaf lttfomrafar use checklist.
❑ Multi - family U Master builder ❑ Other: Description l Qty. I Ea. Total
.. -J013 STTE 1I FOIRMA' ION AND. LOCATTON• Heating/cooling: _ •
Air conditioning 1 46.75 46.75
Job site address: 10494 SW Tualatin Rd. Furnace 100,000 BTU (ductalvents) 46.75
City / Stale/21P: Tigard, OR 97224 Furnace 100,0001- BTIJ (ductsivems) 54.91
Suite/bldg. /apt. no.: Project name: 2013 -067 Heat pump _ 61.06
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, etc. 46.75 _
-
Flue/vcni for any of above 23.32
Subdivision: Lot no.:
Other: 1 23.32
. Other fuel appliances: _ .
Tax map /parcel no.: Water heater 23.32
-= DESCRIPTION Gas fireplace/insert 33.39
_ ..:.. DESI:RIPTION OF•�.,, ORK; �, .: - -
Flue vent for water heater or gas
Replace air conditioning unit fireplace 23.32
Log lighter (gas) 23.32
- Wood/pellet stove 33.39
Wood Fireplace/insert 2132
Chimney/liner /flue /vent 23.32
. ... - . . Other 23.32
_ .
• PROPERTY` - OWNER: - : ,., .. Q :NANT :'- . - .
Environmental exhaust and ventilation:
Name; Mary Rcid Range hood/other kitchen
equipment 33.39
Address: 10494 SW Tualatin Rd,
Clothes dryer exhaust 33.39
-
City /Stale/ZIP: Tigard, OR 97224 Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone; (503)625 -9101 Fax: ( ) Allic /orawlspace fans 23.32
®, APPLICANT _ 0;CON7IACl, :PERS4q; .`.; Other: _ 23.32
Business name: The Denting Specialist Fuel plplug:
514.15 for first four; S4.03 for each additional
Contact name: TJ Furnace, etc. 1
Address: 9300 NE Halsey St. Gas heat pump
WalVsuspended/unil heater
City/ State/ZIP: Portland, OR 97220 Water heater _
Phone: (503) 257 -7000 I Fax; : (503) 257 -7702 Fireplace
Range
E -mail: tJ a@theheatingspecalisl.com Barbecue
. CONTRACTOR . n (g
..._ � .. .. Clothes dryer (gas)
1l / Business name: Same , ..
c ns above Other:
Address: btEC13ATRCALEBltM1T:FBLS•
Subtotal 46.75
City/State/ZIP: Minimum pennit fee (590.00) 90.00
Phone: ( ) Fax: ( Plan review (25 %ofpermit fcc)
/f State surcharge (12% of permit fee) 10.80
CCB tic_: 56628 s +(9� 1, TOTAL PERMIT FEE 100.80 �n /
T his permit apptication expires If a pernilt Is not obtained within 180 g�y
days after it has been accepted as complete.
Authorized sig lure: • Fee methodology act by Tri- County Building Industry Service Board
Print name: Tracy Jones kv 't I on, ,„L.. I Date: 0718/13