Permit CITY OF TIGARD MECHANICAL PERMIT
14• COMMUNITY DEVELOPMENT Permit#: MEC2013-00516
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/11/2013
Parcel: 1 S125DA10600
Jurisdiction: Tigard
Site address: 9185 SW 66TH AVE
Project: Heily Subdivision: CHARLES ESTATES Lot: 1
Project Description: Furnace replacement
Contractor: HEAT RELIEF CO Owner: ZONICH, CORY B&
13122 NE DAVID CIR#800 HEILY-ZONICH, MEGHAN C
PORTLAND, OR 97230 9185 SW 66TH AVE
PORTLAND, OR 97223
PHONE: 503-261-9915 PHONE: 503-381-7191
FAX: 503-261-9814
FEES
Specifics: Description Date Amount
Fumaces<100K BTU 09/11/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 09/11/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/11/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ti CCenter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or 'ect questions to-O,NC b calling 503.232.1987 or 1.800.332.2344.
I sued By: ' 2L Permittee ignature: ., 44
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
09/11/2013 WED 8: 33 FAX 5032619814 Heat Relief Co 1002/003
Mechanical Permit Ap r lica r11,tf . rt R ell ric,r usr.()Nil'
City f Tigard , 1 �!J Re(xived
li V
13125 S W Hall Blvd.,Tigard,OR 97223 "}
• Iielday: permit Na,: �f f Cpl Ct�S/�o
fs Phone: 503.716.2439 Fax 503 598.1960 n 1 1 2013 Plan Review O1herPermie
T I C;niZD Inspection line: 503.639.4175 Dabs Ready/Ely; rmir 0 See Page 2 for
Internet: www.tlgard-or.gov CITY OF TIGARD Notified/Method: Cc Supplemental Information
I'�: '.. .: ,_ ,1 .. it :.': 1 :.,.al(iQ, - : '., ,�... ..:. .. t U,1;.15)j( 11 (. W 1ti ,(LI itll Li a)iJ c:13141111 t`ll f':.
Mechanical permit fees*are based on the value of the work
❑New construction in A.dition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ■ Other: mechanical materials,equipment,labors overhead,and profit.
IP ,,rtbI �i F e1 c.lit I,I11 Q16C mil ( V e:$
1W--.:4�tl hl,111 v1 oaf I;,1 alt ;;. n +E,:. 1, r
vie
1-and 2-family dwelling ❑Commercialtmdustrial ❑Accessory building For sprdal b(farmallon use cheeklirc
❑Multi-family ,0 Master builder ❑Other: Description _ I Qty. [Ba. I Total
lint ir.I J 11,1 (1'l,I,i-N[Ho,i.:, .(el l((a I I r );,I Healing/eoo1Ing:
S r_ 1 1- hi Air Cordite ting •
Job site address: • i� W Tr'ti vitae site tan rtwwin !moment 46.75
City/State/ZIP: • a� ?unlace 100,000 BTU(ducts/vents) 46.75
IU • Amoco 100,000+BTU(ducwvente) 54.91
Suite/bldg./apt.no.: Project name: Heat pump
(requires site plan showina placement) 61.06
Cross street/directions to Job site: Duet work 23.32
Hydronic hot water system 23.32
Residential boiler(radiator or '
• • hydronic) 23.32
Unit heatcra(fucl-type,not eleotrlo),
In-wall,in-duct,suspended,etc. _ 46.75 1
Flue/vent for any of above 1 23.32 I'
Subdivision: Lot no.: [
Other, 23.32 h
Tax map/parcel no.: Other fuel appliances: .
'ir/'14I ^I,(Ito;,0)r:\'‘'401!1:,.,: Water heater 2332
Gas fireplace , 3339
t .'
'Si A ' 1 11 C B t .' a s • 1. !AY hQ cc- Flue vent for water heater or gas
fireplace _ 2332
Log lighter(gas) 23.32 ,
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
;'4-4, :,i, 1 t I N 1 I,::, .u1 Chillinviliner/flueivent 23.32
Other 23.32
Name:me_ �t /N .Q�1 Environmental exhaust and ventilation:
Address: �1 6 t' �QQ Rangehood/other kitchen -
oquIpment 33.39
City/State/ZIP; Q� 1. Clothes dryer exhaust 33.39
Phone: ( r Feu: Single•duot exhaust(bathrooms,
r s o CI ( ) toilet compartments,utility rooms) 23.32
1 V 1II:II.,‘:(I I I I L O ,I ,0 I I.1•+ ;Ii!`, ' Atllo/OraWlapaoeMIS , 23.32
Business name: tea*- C el i a•f Other: 23.32
Fuel piping:
Contact name; 1r4)Y% 514.15 for that fours$4.03 for each additional
Address:151 a A.16 bAv l w Girt,6,, -g3O �- 1
Gas heat pump
City/StatelZ1P: 1'+1 O \a Ci 0._ Q I , :a 0 WalUsuspcndcd4utit heater
Phone:(go3 `ao t. 99 1 C) I Fax::( o t q g 4, Water heater ,
&mall: . �( r J 1�l to a Fireplace
.,.,. ....__ Range
.... .. -. I:101 IP:. (r ii n1;:. .. .-, Barbecue
e.u. Rat
Business name: 1 r► r Clothes dryer(gas)
Address Other:
131 D�, p.E ita'I 1 ( c(. -• $� ti(c,tr% lit : d Ilti :; r!.I
City/Slate/Z)P 14H aryl O2 Ct.4-a•"53 Subtotal
Phone:( 1 t'�C,`S. Pax:teS'J3)a l0 I13,I Plan review permit foe($90.0e)
I��,l Plan re view(25%of permit fee)
CCB lie.: `l 4l State surcharge(1296 of permit fce)
1 TOTAL PERMIT FEE_ ,�p
Authorized signature: fbls permit appllcaUoa o:plrw if a permit to not obtained within IRO
days idler It has been accepted as Complete.
LPrint name: L ' („, --4- I Date:Olin 13 a Ike methodology set by Td•County Building Industry Scrvieat�vu(d
rilluadlnipermilslhe'GPermitApp.doa 09/09/10 440.4617T(lle2/COMJWRO) �[�
•
09/11/2013 WED 8: 33 Fax 5032619814 Heat Relief Co 0001/003
HEAT
RELIEF
SALES:(503)260-0077 HEATING & COOLING 13122 NE David Cir
SERVICE:(503)281.9915 Suite 800
FAX:(503)261-9814 Portland,OR 97230
Licensed&Bonded
Fax
To of U From: Heat Relief
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Fa:c ( % 1q(i J ��C, Pages: 3
Phone: - 2 am-59 Date:_
9\ \V B •
Re: 47.11 IN t ' — � CC:
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