Permit . TIGARD MECHANICAL PERMIT
t Permit #: MEC2010 00088
COMMUNITY DEVEL Date•issued: 02/26/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 '503.639.4171 Parcel: 2S1146Al2800
Jurisdiction: Tigard
Site address: 16435 SW COPPER CREEK DR
Subdivision: COPPER CREEK NO. 3 Lot: 93
Project: Darr
Project Description: Install air conditioner. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
DARR, BYRON Description Date Amount
16435 SW COPPER CREEK DR Air Conditioning 02/26/2010 $46.75
TIGARD, OR 97223 12% State Surcharge - Mechanical 02/26/2010 $10.80
PHONE: 503 - 598 -8435 Minimum Fee Adjustment - Mechanical 02/26/2010 $43.25
Contractor:
A- ACTION HEATING
18245 SW TV HWY
ALOHA, OR 97006
PHONE: 503 -649 -3524
FAX: 503 -649 -6095
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
•
Fuel
Fuel Types:
Gas Pressue:
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 perrnit,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 areset 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: Z � - Permittee Signature: ;' /V / c 2 7 7 o r.l
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.
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Mechanical Permit A l r , fu �i�� 0M ��l
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' i �'' '� y �" Cl of Tigard Received 7 4
Ill ,,, c` a ` J g q Datemy: ' 0 2 t id c� Permit No,:' / E(. 2ti /O e o, /
F.' 1312 SW Hall Blvd. Tigard, 97223' FEB fi B 2010 Plan Revie r
. Phone: 503.639.4171 Fax: '503:598.1960 • DaB Other Permit:
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r a Internet: www.tigard-or.gov v TIGARD Date e cUM e th o SeePage2for
t C t, r K u , ,Mspect i on L 503.639.4175 CITY ®r
• BUILDING DIVISION .
i i .i ?? .a ::.mat a. tit t 4L fi g Yin § " 03 idk{8t a, r 7'r ; 104 r t � a utc�unR n,,, : va t attft'G p.r
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Mechanicalpermit fees' are based on the value of the work - ❑ New construction ►.1 Addition/alteration/replacement performed. Indicate the value.(rounded to the nearest dollar) of all
❑ Demolition ❑ • her: mechanical materials, equipment, labor, overhead, and profit.
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. , .. 1kYlea $1�it d +utMtlUa C:B.niS:'hs; • ft47 - - " , 7_� 9 1� : 1vr .: - i "'r . 1 r�t - W i
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':a iii �,s�l[ t xA i »s �u; i� 3':iii ;
0 1- and ' 2-family dwelling . ,G. a i & � �•_> re�ttis 4s ; _ xt r. :
y g ❑ Commercial/industrial ❑Ac cessory building
■ Multi family ❑ Master builder ❑ Other: For special information use checklist.
�aa i h "�si:r�try�lirllI34:'i t � e 4 , "St ''�r9 � :fi;;lS,ifrs,;.;_ •' 1
Description Qty. I Ea. I Total
7F- lime a t ` dr, t error., , t e a.n a i r t ? } )t t� r av ,� �# tW 1 `l < ati ea r 1 • Heatin eoolitl Q
..r 3 a i i, tl4Mc. 4• .4 l' lifixa.....,.., mte°.rrs:s t.:, ` 1:{ `.;..:.;k _.: S'✓ 1;
Air: conditioning or heat pump
Job site address: S � � I� (requires site plan showing placement) 1 14.00
City/State/ZIP: [ . r ' Q j" O9 0 1 2 .L__ Furnace 100,000 BTU (ducts/vents) 14.00
` a Furnace 100,000+ BTU (ducts/vents) 17.90
Suite /bldg. /apt. no.: P roject name: • Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydionic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: I Lot no.: ether: 10.00
Tax map /parcel no.: qq Other fuel appliances
. t Y? 7 ea•eu bd _ _. __
. _t n ;. r« 1 . r n t � hs�7r i ' •ti ? � ° Water,heater 10.00
e t 4 l ii1 41 44 .a , ss 1 . nb 1.0 4 t l.
. � ..�. 'mot -- �. rt°'ltasl E1 ?KSe?�i.
+�,/ ,�,� (/'��\ /'� Gas fireplace . 10.00
t 'I r l r l . fld 1 1 (7f e..)/ Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
•
Wood/pellet stove 10.00
Wood' fireplace/insert 10.00
I,s, 7 a aaa {���[��, Ch imne /liner /flue/vent 10.00
i a , avz i t ` t s iPA„I i P'U F 1)4 M„' fi r ; 1. i . a4N. a} iVail b t ` ),
Ali; inmm t . uu :.v,>i• t �) 0 144 Other: 10.00
Name: `�. • .di ` Environmental exhaust and ventilation
Address: Range hood/other kitchen
_� �� C ' >{�p Q -e 2.2_9 l Z n • �P, equipmen 10.00
City/State/ZIP: I1 c f-\ -,� D 1 � Clothes dryer exhaust 10.00
_ � Single-duct c exhaust (bathrooms,
Phone: Fax:
(: ) ti
. toleet compartments, utility rooms) 6.80
'-rt , fi t , a Pltt3 Ku ti i ' � i't a; t - , a • j l , ' iri r al ' 1 :: dC s. Attic/crawlspace fans 10:00
Other: 10:00
Business name: A-ACTION HEATING & l� Fuel piping
Contact name : 18245 S.W. TV. HWY . 85:40 for first four; 51.00 for each additional
Address: OREGON 97006 F °mace etc'
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E -mail:
Range
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13ld .' t ii J t7 �i g, < d Barbecue tYYiYLSttY US�1,.. P��.{tY.i.t��"x .y.���� t � NY �° �(« � .Ifi.�t C Pa ., n .
Clothes dryer (gas)
Business name: A-ACTION HFATING & PVC Other: '
Address: -4' •e' y, Rxxq tr .. s -v. ,..,r s Tmiiis t, Ttg?zeea
18245 SW T.V. FM t � , lrn� e y �, .
. .
"" ors � . � :� ?^?,.�1 .-�. ,�r>s;;rt.a d� z,ttmt,st ! . t:�a
city/State/ZIP: ALOHA, OREGON 97006 Subtotal
Minimum permit fee ($ -. i 9e .
Phone:3 . � 352 Fax Lt� �t C� C�95 0 cro
J Plan review (25 /o of permit fee)
Y CCB lic.: 3 Cc) 9 Air State surcharge (12% of pemtit fee) � _ Al r r
r TOTAL PERMIT FEE i :/`
Authorized signatutk This permit application expires if a permit is not obtained within 180
�� days after it has been accepted as complete.
Print name: • a . ♦ • Date: 2...1 2J Qj i Q , ' Fee methodology set by 'Fri-County Building Industry Service Boar d_ a/
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A-'Action Heating & Cooling, Inc. (\„„EEP'S 0 2010
•kK-e—a, Occ.)0
18245'S.W. T.Y. Hwy. CITY OF TIGAN)
• Aloha, Oregon 97006
CCB# 78369 BUILDING DIVISL.:
503-649-3524 Fax: 503-649-6095
SITE PLAN:
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SITE ADDRESS: