Permit " " CITY OF TIGARD MECHANICAL PERMIT
• : - COMMUNITY DEVELOPMENT Permit #: MEC2009 -00550
. ° ' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/20/2009
_TIGARD' Parcel: 2S103CD02100
Jurisdiction: Tigard
Site address: 13750 SW FAIRVIEW CT
Subdivision: Lot: 0
Project: koansci
Project Description: Replac furnace.
Owner: FEES
KANGAS, MICHELLE Description Date Amount
330 NW 188TH #209 Furnaces < 100K BTU 10/20/2009 $46.75
PORTLAND, OR 97229 12% State Surcharge - Mechanical 10/20/2009 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 10/20/2009 $43.25
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST
PORTLAND, OR 97239
PHONE: 503 - 234 -0611
FAX: 503- 234 -0439
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
�"� Permittee Signature: /
Issued By: /1-f 9 (Jl CL f c tcaJJ .Jl2
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. J
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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'Mechanical Permit Application , � .rot .,., K w !1, � I ,`,,,, ;..N . >>'
�$,� Received ,
< , r� City of Tigard 7 09 Pyr't Na .: .
' 4 13125 SW Hall Blvd., Tigard, OR 97223 0 C 1 1 2 0 P a n Rev J / • - r at. ro'' '' r " Phone: 503.639.4171 Fax: 503.598.1960 D an Review
Date/By. Other Pamir:
.. R D
pp��l-I t:i'A It l� Inspection Line: 5036394175 UV OF TIGA Date IZCialy/By: tYrtr. ® Ste YPage i t hInternet: wwW.tigard -ocgov RUIL ®I�'G DIVISIO D Notil'ie 7 6 S4ppiCwentlt1Informatin
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Mechanical permit fees! are based on the value of the work
El New construction L, Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition '" i �5.. ID Other: y� mechanical materials, equipment, Tabor, overhead, and profit.
ri i, ', 3 � ,55`f ' . o � Q k' M • ( Q t ` , .i,�., ' . .!J�9 .\. rk , ,� 4. e f° Y R ) . I Value: $
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ma�cc,, t1'' I +i a i11,,,,,, ,,3isu;! ;,a�: t s. ;:;,�`,P,Kk.3 % -'it. i
1! 7 1- and 2- family dwelling ❑ Commercial/industrial 1=1 Accessory building "°
For special ulfbrnlauon use checklist.
Q Multi-family
❑ Master builder ❑ Other:
Description I Qty. I Ea. ] Total
p" 3 i ii +" 11 :ik. ' ^i "•.:qt:;, .::''.'4 c ' 'N,t!'a'� ;: ;4 1, � M ',p dJ ' K; "' ,.;: '
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1 s.:-a,-" ; r� -.ti 017;,+ p 0 1I. 0�f �l"' C t + w ��[y0 `��` "t?`" ."vr 11Cati0 coulill 1
: : %r °.fii.,:t's:�f. "u:4: ro9 ia�. �siyi�xw� i.w�'f.'T � a ri <."c.:,a��t� Hf,
Air conditioning or heat (pump
Job site address: Va 131 S v S\ '-,L` i J 1 d..W (requires site plan showing 7 p Iaccmcnt) 14.00
City /State/Z1P: "n'• e.„ Cfl �..a, 3 Furnace 100,000 BTU (dum/vents) I 14.00 ly
Furnace 100,000+ BTU (ducta/vents) 17.90
Suite /bldgJapt. no.: Project name: �, 6' 085 heat pump _ 14.00
Cross strecUdireedons to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
. Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for uny of above 6.80
Subdivision: Lot n0.: 1
Other:
.• 10.00
Tax map /parcel no.: p ,q � Other fuel appliances I
� v r : .0 .`: 1 i c k > : r +' y 9,7 , o ,b ,M 1 , a V Y h r te , , ,' r', e.' Water heater N 10. 1) "
rvl tttn.r� A t i
u eras fireplace 10.00
(-0.4 \Anae -C (.q.. Flue vent for water heat r or gas
h fireplace 1 _ 10.00 ,
Log lighter (gas) _ 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 1 10.00
t •y yra , '-r i " �r � f .", } m vew g ! ?r �'2 �,C�YI1it� a Chimney /Iincenuc/vertl ■ 10.00
ti+ a : , �4)'Li } 1 d } ti „ � � �}} �i �p 7 ll 2 1 I. ?� fi1 � 1ti i 5 ^ �d
1. -,C ,.w..., i4 a.nay. »r ..:Lwi2 3 r1': to Sa .ky c r .t.2 _:,Ituu TI,1 Other: 10.00
Name :. V iu ( ) ,_ &.Q Environmental exhaust and ventilation
Address: 330 �.eu - equip -1 • hoQd/othcrlcitohen
equipment 10.00
City /State/ZIP: P Dyl' Clothes dryer exhaust 1 10.00
Single -duct exhaust (bathrooms,
Phone: (yN 1 % 1 % Fax: ( ) toilet compartments, utility rooms) 6.80 -
:7,t� ; 6il�� J j 3 f t ` lam' r Attit:/crawl5 ace fans 10.00
Business Hama: Other: 10.00
-
Fuel pipiug
Contact name: $5.40 for first four; 51.00 for each additional
Address: '
Furnace. ctc. I
Gas heat pump
City /Stare/ZIP: Wullisuspendcd/unithaulcr ^
Phone: ( ) Fax:: ( ) Water heater .
Fireplace '
E -mail 1
y / Range
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i. .4 { 1i . r ('t p 1 �( � t 01 6 4 4 1.141' ' , :s : Z • t A.' t Barbecue
Business name: Sunset Heating & Cooling Clothes dryer (t us)
Other:
Address: 0607 Sw Idabo St ' G '/r R�ttLyn.C� err %9`'ta� �( p. .� t�';tu��� 1'' , '
2.I + `,:7r" ui�1Y.�AlS't7lllia�l c __. ! i .l'1:.. ,: 1 � } Y :l , ! � :!IY lr. .e111
,. 77�. 'r..id "C 'l. r1.1Lu1'r '
City /State/ZIP: Portland OR 97239 ! Subtotal 1
Mii itnum permit fee ($72.50) -'(1 9 3. Up
Phone: (503) ..34-0611 Fax: (SU3) 234-0439 Plan review (25% of permit fee)
CCB lie.: 161085 State surcharge (12% of permit fee) � l 0. 0
�. TOTAL PERMIT BEE 5
,,
Authorized signature: / t This permit application ixpires if a penult Is not obtained within 180
�„ days alter it has been accepted as Cuwpletn• t 00 • V r'.
1
Print name: �rn.Gl,Ul.1/ll� ��It, Vo+ l:i�ls _- Date: T) f Ot) ' FYV. arutlrodulo set by Tri -County Building Industry Service Board V lJ
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