Permit (164) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00227
T(GAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2019
Parcel: 2S 104C606900
Jurisdiction: Tigard
Site address: 13145 SW CREEKSHIRE DR
Project: MICHAUD Subdivision: HILLSHIRE HOLLOW Lot: 22
Project Description: Furnace replacement and NC installation. Placement of A/C unit must comply with manufacturer's installation
requirements.
Contractor: OWNER Owner: DYKIER, LAWRENCE&PAMELA
LAWRENCE& PAMELA DYKIER 13145 SW CREEKSHIRE DR
13145 SW CREEKSHIRE DR TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 509-942-8484 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 04/09/2019 $46.75
Type of Use: SF Furnaces< 100K BTU 04/09/2019 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 04/09/2019 $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 t. • o, the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-I•90. Y• may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.19: or 1.800.332%244.
Issued By: Permittee Signature: Aa.
416.
Call 503.639.4175 by 7:00 a.m.for the next available inspec on dat•
This permit card shall be kept in a conspicuous place on the job site until comp etion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard �� Date/By: H T /g L Permit
-- t, i
Ili 111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Y t
Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By:TIGARD APR 9 2019 BupSpeleemPaengeta2l Ifonrf
LAM
ormationInternet: www.tigard-or.gov
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a ili +_,"; "ai6 � .,�" Mechanical permit fees F ' n1 val m yin
*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
0 Demolition ❑Other:
Value:
$
"1i iE r : = �Ph1 1 I �� '7' 116,1.:-:!,'We
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ai' rl t" !i Y, • a, 9 . . "ii.:'
,�''''' . or special information use checklist.® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 1°,'7.11°M_ti:4- as 741
i
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
�a� � � �u �® '"n art tea= _ 7". Heating/cooling.
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Air conditioning 1 46.75 46.75
Job site address:13145 SW Creekshire Drive Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75_
City/State/ZIP:Tigard Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:NA Project name:Dykier
Duct work 23.32
Cross street/directions to job site:Creekshire Drive and SW Horizon Blvd. 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:Hilshire Hollow Lot no.:22 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
�k r d ` l " a Gas fireplace/insert 33.39
rh ! f i � is 1 ''t §i' ‘I''''.2';''
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Flue vent for water heater or gas
Add airconditioning to existing forced heat system. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
@Bd� e =�® ) .- vrept 11 Other: 23.32
-_`4 I " Environmental exhaust and ventilation:
Name:Lawrence Dykier Range hood/other kitchen
equipment 33.39
Address:13145 SW Creekshire Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR.97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(509)942-8484Fax:( ) Attic/crawlspace fans 23.32
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