Permit n CITY OF TIGARD MECHANICAL PERMIT
'— COMMUNITY DEVELOPMENT Permit#: MEC2013-00506
T 6GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2013
Parcel: 1 S 134BD07002
Jurisdiction: Tigard
Site address: 11340 SW COTTONWOOD LN
Project: Jett Subdivision: ENGLEWOOD NO.3 Lot: 227
Project Description: Install furnace
Contractor: SPECIALTY HEATING&COOLING INC Owner: JETT, STEVEN M
7500 SW TECH CENTER DR SUITE 130 DUKES, KATHRYN
TIGARD, OR 97223 11340 SW COTTONWOOD LN
TIGARD,OR 97223
PHONE: 503-620-5643 PHONE: 503-908-5397
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Furnaces< 100K BTU 09/10/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 09/10/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/10/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State. of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By C k)(kit/WA-Li� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
From: 09/04/2013 15:26 #996 P.001/002
Mechanical Permit Application S2)) FOR OFFICE USE ONLY.'`
City of Tigard r.._ t'" Received 1p / Permit No.:
N.,
�� Date/By: 9 i3 F674. 3 G)oS
• 13125 SW Hall Blvd.,Tigard,ONT),' '
C Phone: .., �`� Plan Review
hone' 503.718.2439 Fax: 503."8. 4`�� Date.By: Other Permit:
T I G A ft i Inspection Line: 503.639.4175 �` Date Ready:By: mrb: ® See Page 2 for
Internet: www.tigard or.gov S �\�®�J Notified/Method: Supplemental Information
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*. Mechanical permit fees*are based on the value of the work
❑New construction [ .ddition/altera y_∎}Lpcement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other; mechanical materials,equipment,labor,overhead,and profit.
Value:$
E: ka F AGO R:, - Y!T a rs, �x' _ �
� �
_
• r_�ES�I � E �` Y T � S
and 2-family dwelling ❑Comnercial/industrial ❑Accessory building
For special information use checklisr.
ail Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
.,.....� , .,-, Hearing/cooling:
�QBI3' �k37*t1FOR1►9i4�Ri0111'"rkt i=ii 1y% r;'�,r�:i,.y--'`'n'?
Job site address: / j-,,� /� Air conditioning 46.75
(3 Li 0 S .u.0(;I �/i.i7 4/(J(,3() di (..,et... Furnace 100,000 BTU(ducts vents) / 46.75
City/State.'ZIP: Furnace 100,000+BTU(ducts.Vents) 54.91
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.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
Gas fit lace/in e:r
s t
3 .
.ESCJR� rr /� W(1ItIC-�
g4�'1%.iTt �Y
33.39
Flue vent for water heater or gas
fireplace 23.32
,S}A1)- --0•-k-'(--' Log lighter(gas) 23.32
� Wood/pellet stove 33.39
Wood fireplace'inset 23.32
Chitnney,'liner/flue/vent 23.32
PIE
p Other: 23.32
I2 ►t T NAiVTj
Environmental exhaust and ventilation:
Name: c 1 i--fiAA .-e 14 Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(SO)) ( U4"--- S `' Fax:( ) Attic/crawlspace fans 23.32
;i:!%.. . . 41T >X t - fi `t - "{ Othe 23.32. . t-.r. _rn-
Business name: Fuel piping:
$14.15 for first four;54.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
... . ,. . f '. , OI. ErO sm , r; .FraF r � Clothes er- : ;,�.d
Business name:Specialty Heating&Cooling,Inc Other: ,
rij Address:7500 SW Tech Center Dr#130 Subtotal
City/State/ZIP:Tigard,Or.97223 Minimum permit fee($90.00) 9o•eo
Plan review(25%of permit fee)
Phone:(503)620-5643 Fax:(503)598-0718
State surcharge(12%of permit fee) /0•cca
-
CCB lic.:66578 TOTAL PERMIT FEE /t O• 0
This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Authorized signature: CV • Fee methodology set by Tri-County Building Industry Service Board
Print name:Andrea Dripps Date: L(�/L
I:.Building'Permits'MEC_PermitApp_0401 13.doe 440-4617T(I t'OVCoM WEB)