Permit CITY OF TIGARD MECHANICAL PERMIT
311.1 is COMMUNITY DEVELOPMENT Permit#: MEC2014-00397
Date Issued: 07/30/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 CA0870D
Jurisdiction: Tigard
Site address: 9950 SW KABLE ST
Project: Todd Subdivision:3TATES NO.2 A REPLAT OF"GUL F SII Lot: 31
Project Description: Replace furnace and air conditioner. Placement of a/c unit must comply with manufacturer's clearance
requirements.
Contractor: SUPREME COMFORT HEATING Owner: TODD, ROBERT&MARY
9425 SW COMMERCE CIRCLE#16 9950 SW KABLE ST
WILSONVILLE, OR 97070 TIGARD, OR 97224
PHONE 503-682-1985 PHONE.
FAX 503-682-1018
FEES
Specifics: Description Date Amount
Air Conditioning 07/30/2014 $46.75
Type of Use: SF Furnaces< 100K BTU 07/30/2014 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 07/30/2014 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types'
Gas Pressure.
Total S104.72
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 Notifica -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 stions to OUNC by calling 503.232 1987 or 1 800.332.2344.
Issue By: � , 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.
07/30/2014 13:19 503-682-1018 SUPREME COMFORT INC PAGE 01
Mechanical Permit Application 1 I.l< 1 I I 1 I( I I ,1 11\1 1
City of Tigard Received Permit No.
DateJBy -r, x / / �.�_v-> i'll y/ ev-W7
13125 SW Hall blvd..Tigard.OR 97223 Plan Review
Phone: 303.718.2439 Fax: 503.598.1960 Date/Sy: Other Permit:
1 1 1 t : 1 inspection i�inc; 503.639.4175 tale R ly/uy: hoes ia See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SC1 EDL'LE—USE CHECKLIST. .
Mechanical permit tees'are based on the value of the work
❑New construction 13 Addition/alteration/replacement performed Indicate the value(rounded to the nearest dollar)of all
O Demolition El Other: mecb.nical materials,equipment,labor,overhead,and_profit.
Value;S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-Family dwelling ❑Commercial/industrial ❑Accessory building For spedNb fern rlonatedlecklbc
❑Multi-family ❑Master builder ❑Other Description I Qry. J La. J Total
JOB SITE ESFORMATION AND LOCATION
Heating/emoting:
Air conditioning .- 1 46.75 46.75
Job site address:9950 SW Kahle St. Furnace 100.000 BTU(duets/venni I 46,75 46.75
City/State/ZIP:Tigard, OR 97224 Furnace 100,000-BTU(dnetyvenn) 54.91
t Hcat pump _ _ 61.06
Suite/bldgJapt.no.: I Project name; Duct work 23.32
Crow street/directions to job site: Hydronic hex water system 23,32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric).
in-wall.in-duct suspended,etc. , 46.7$
Flue/vent for any of above 2332
Lot no.: Qthcr. _ 23.32
Subdivision: - Other fuel appliances:
Tax map/parcel no.: Wader heater 23.32 1
DESCRIPTION OF WORK Cras fireplace/insert 33.39
Flue vent for water heater or gas
Replace furnace and air conditioner fireplace 23.32 - -
Log lighter(gas) 23,32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 2332
Oth
❑ PROPERTY OWNER ❑ TENANTS: 2332
Environmental exhaust and veatalaaoa:
Name; Range hood/other kitchen
- equipment 33,39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms.
toilet cornpart,rm,uta.utility rooms) 2332
Phone:( ) Fax:( ) Atticlaawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: - 23.32
Business name:name is contractor Fuel piping:
$1115 for Snit four,$4.03 for each additional
I Contact name: Furnace,etc.
Address: was hemspd/emit hence r - __ -
City/State/ZIP: Water heater j
Phone:( 1 Fax::( ) Fireplace }.
Range
E-mail: Barbecue _
CONTRACTOR Clothes dryer(gas)
Business name:Supreme Comfort Inc. der.
-- - MECHANICAL PERMIT FEES*
Address;9425 SW Commerce Cir.#16 y SohMal 93.50
City/State/ZIP:Wihon ille, Minimum permit fee($90.00)
Phone:(503)682-1985 Fax:(503)682-1.018 Plan review(25%of permit fee)
State surcharge(12%of permit foe) i 11.22
CCA lie.:21892 (,,7, /c _ TOTAL PERMIT FEE 1 104.72
MN permit aptuieatine expire]if a permit to not obtained within ISO
dare etirr it het been accepted ere complete.
Authorized signature: • Fee methodolov set by Tn.County Building lnduary Service Board
[ Print none:Randal Lapp f tc:7/30/14
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