Permit CITY OF TIGARD MECHANICAL PERMIT
16 • COMMUNITY DEVELOPMENT Permit#: MEC2013 00448
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2013
Parcel: 2S 104CA06300
Jurisdiction: Tigard
Site address: 13256 SW HILLSHIRE DR
Project: Vu Subdivision: HILLSHIRE Lot: 63
Project Description: Gas furnace and A/C replacement.Placement of A/C unit must comply with manufacturer's installation
requirements.
Contractor: OREGON AIRE INC Owner: MY DANG&TRI VU
7715 NE 33RD DR STE A 13256 SW HILLSHIRE DR
PORTLAND,OR 97211 TIGARD,OR 97223
PHONE: 503-335-2222 PHONE: 503-360-8447
FAX: 360-423-1978
FEES
Specifics: 1 Description Date Amount
Air Conditioning 08/05/2013 $46.75
Type of Use: SF Furnaces<100K BTU 08/05/2013 $46.75
Class of Work: OTR Type of Const: 12%State Surcharge-Mechanical 08/05/2013 $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.
Issued By: �g_ Permittee Signature:
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.
Aug. 1. 2013 11 : 15AM OREGON-AIRE INC. 503-335-9977 No. 1339 P. 1
Mechanical Permit Application FUIt(it•fIt:C,11`E ONLY
- City Tigard I Received Pemlit No,:
t3' C Date/ny: 6 i / .,i fnec.2013-oo K`i r
q 13125 SW Hall Blvd.,Tigard,OR Plan Review
° Phone: 501718.2439 Fax: 503.598.1960 Date/By: Other Permit:
f I 6;A lime Inspection Line: 503.639.4175 . AUG 1 2013 Date Ready/fly: )odr: El See Page 2 for
Internet: www.tigard-or.gov Notifled/Method: _ SupplementalInfarnlation
CITY OF TIGARD �(�
TYPE gittitAING DIVISION COMMERCIAL FEE" SCHEDULE - USECIIECKLLST
New conslruclion Mechanical permit fees*are based on the value of the work
❑ ®Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials equipment,labor,overhead,and profit.
Value:S
w CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEW
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For speciallrfornmllon use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qry. I Ea. I Total
JOB SITE INFORMATION AND LOCATION - Healing/cooling;
Air conditioning 1 46.75 46.75
)ob site address:13256 SW IRLLSIIIRE DR Furnace 100,000 BTU(ducts/vento) 1 46.75 46.75
City/State/ZIP:TIGARD OR 97223 Furnace 100,000+BTU(duets/vents) 54.91
Suite/bldg./apt.no.: I Project name.VU Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydroaie hot water item 23.32
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 23.32
Subdivision: Lot no.: Other. 23.32
. _ - Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
REPLACE GAS FURNACE AND A/C UNIT fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER l ❑ TENANT Other. 23-32
Environmental exhaust and ventilation:
Name:IIUO VU Range hood/other kitchen
equipment
SW IIILLSIIIRE DR Clothes es dryer 33.39
Cl dryer exhaust 33.39
City/State/2II1:TIGARD OR 97223 Single-duct exhaust(bathrooms,
_ toilet companmenls,utility rooms) .23.32_,_____
Phone:(503)3608447 Fax:( ) Attic%tawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other ,23.32
Business name:OREGON-AIRE INC Fuel plplRg:
314.15 for first four,54.03 for each additional
Contact name:RON STRONG Furnace,etc.
Address:7715 NE 33RD DR.STE A Gas heat um
. .- WalUsuspended/ututheater t
City/State/ZIP:PORTLAND OR 97211 Water heater
Phone:(503)335-1111 I Fax::(503)335-9977 Fireplace
E-mail:RSTRONG9OREGON-AIRE.COM Range
Barbecue
CONTRACTOR Clothesdryer(gas) _
Business name:OREGON-AIRE INC Other
MECHANICAL PERMIT rug-
Address;7715 NE 33R°DR.STE A Subtotal 93.50
City/State/ZIP:PORTLAND OR 97211 Minimum permit fee($90.00) A
Plan review(25%of permit fee)
Phone:(503)335-1111 Pax:(503)335-9977 -
State surcharge(12%of permit fee) 11.22
CCB tic.:t64235 (a'11 / TOTAL PER?irIlT FEE 104.72
Thus permit application expires Ira permit is not obtained within HO
.� days after It has been accepted as complete.
Authorized signature: ,1� ' Fee methodology set by Tri County Building Industry Service Board
Print name:RON STRONG Date:8/1/13
BecildirePemitAMEC PamdApp 0401 U.doc 9.10-4":177(r I Vco\uwao)