Permit
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2010-00052
Date Issued: 02/03/2010
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S111 BA12400
Jurisdiction: Tigard
Site address: 9577 SW MOUNTAIN VIEW LN
Subdivision: TEMPLETON HEIGHTS Lot: 4
Project: Jones
Project Description: Install air handler and heat pump. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
JONES, ANDREW Description Date Amount
9577 SW MOUNTAIN VIEW LN Air Conditioning 02/03/2010 $46.75
TIGARD, OR 97224 Furnaces < 100K BTU 02/03/2010 $46.75
PHONE: 503-432-7565 Duct Work 02/03/2010 $23.32
12% State Surcharge - Mechanical 02103/2010 $14.02
Contractor:
PARALLAX CONTRACTING INC
P.O. BOX 92068
PORTLAND, OR 97266
PHONE: 503-760-3427
FAX: 503-760-7183
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $130.84
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 952-001-0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: ®Z/G'sg"T10~
• r
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Feb 02 1,0 02:14p Parallax Contracting Inc 5037607183 p.2
- Mechanical Permit A I QED FOR OFFICE USE ONLY
City of Tigard ., � +1 f��J Received
Datrle r . 02 / 3 / 0 ��YY��• Permit No.: g-CAW0 OoQ ''
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 FEB 0 2010 Plan Review
2 P 6 ,, Date/By: Other Permit:
Inspection Line: 503.639.4175 . 14-. ' j
Internet: www.ci.tigard.or.us
= r.� Date Ready/By: , Avis 9 See Page 2 for
CITY OF T1GAR 1 ' Notified/Method (3 Supplemental Information
.. ... ...RIII ,DIVISION . . ..
"� ORK COhMM1 E•: IERCIAL FE SCH E: EDUL - • USE CHECKLIST
❑ New construction ® Addition /alteration/replacement I Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: ' mechanical materials, equipment, labor, overhead, and profit.
CATEGORY • OF . CONSTRUCTION
Value: $
... dwelling -; :;RE$1DENTIAL:EQUIPN EMIT /SYSTEMS FEES*
L - and 2 g ❑ Commercial/industrial ❑ Accessory building
Multi For special information use checklist.
❑ y ❑ Master builder ❑ Other: Description I Qty. I !a. I Total
7013 SITE INFORMATION AND LOCATION Heating/cooling
�5„ S r 1Vk. IN-J l s ,_) Air conditioning or heat pump +
7obsiteaddreSS: I en _ V - y (/� � (requires siteplmshowingplacement) 1 14.00 )11,00
City/State/ZIP: -r D 0) .1.'tl Furnace 100,000 BTU (ductxfvents) _ 1 14.00 j q.
;� Furnace 100,000+ BTU(ducis/vents) 17.90
Suite/bldg. /apt. no.: Project name: aa6 .5 Gas heat pump 14.00
• Cross street/directions to job site: Duct work i 14 00 Pi. co
Hydronic hot water system 14.00
Residential boiler (radiator or ,
hydronic) 14 00
Unit heaters (fuel -type, not electric), 1
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other. 10.00
Tax map/parcel no- Other fuel appliances
• . DESCRIPTION OF .WORK. ` _ . • . Water realer 10.00
( tf H J p Q, tt_i , ^' n _„ 1�� Gas fireplace _ 10.00
dl. 4
vw` f' r" ( IT�/�I' +.1 Ir y -' 1't Flue vent for water heater or gas
1 fireplace • 10.00
Log lighter (gas) 10.00
Wood/pellet stove - 10.00
Wood fireplace insert • 10.00
g PROPERTY OWNER 0.. Chimney/liner/flue/vent 10.00
p®�
Other: 10.00
Natne lba t hlf;S Environmental exhaust and ventilation
Address: 6 157- S .) frIbiAtjrWO VsL Lln� f Range hood/other kitchen
G f" , auiment 10.00
City / State/ZIP: - rivAlb D R r ( o ', . Clothes dryer exhaust 10.00
u 1 Ij�S 1 Singleduct exhaust (bathrooms,
Phone:() -! 3� • /+
' Fax: ( ) toilet compartments, utility rooms) 6.80
❑ • APPLICANT • 1. • 0. CONTACT. PERSON Attic./crawls-pace fans 10.00
Business name:
Other.' 10.00
Fuel piping
Contact name: $5.40 for first four, $1.00 for each additional
Address: Furnace, etc.
_Gas heat pump
Ciry / State : Wallsuspended/unitheater
Phone: ( ) Fax: : ( ) Water heater
E -mail:
Fireplace
Range
•• CONTRACTOR Barbecue
•
Business name: L
P t'p Q- ( f rrkik, I .- Other: dryer (gas)
Address: PO l 191 p (mg ..
J� MECHANICAL PERMIT FEES* p
Ciry / State/ZIP: p '�p c �,,ba . Subtotal IQ- DO //` 0
t Minimum permit fee (572.50) '1 a
rCC.B hone ( ) 160 -:1 Fax: ( ) 0 `� j Y3 Plan review (25% of permit fee) € � tic.: ' Q 1 l o l l f r' ge (8% of permit fee , 0 2-
I State surcharge pe )�p / �
TOTAL PERMIT FEE , '11,1(:)
Authorized signature: EAS This permit application expires If a permit is not obtained within ISO
M-t '.'� days after it has been accepted as complete.
I Print name: C ' Of ^ J.J Date: oa / t) I di o I • Fee methodology set by Tri-County Building Indusa'y Service
Q
i'9aildineemrti PenvitAes -doe 110) 440-4617 411i02/C0 M/WEe) 4 ' ///�� D • O ///
Feb 02 1.0 02:15p Parallax Contracting Inc 5037607183 p.3
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