Permit '., q CITY OF TIGARD MECHANICAL PERMIT
�`; 11 COMMUNITY DEVELOPMENT Permit #: MEC2010 00044
T I G AAP 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/02/2010
Parcel: 2S104AB00200
Jurisdiction: Tigard
Site address: 11975 SW MORNING HILL DR
Subdivision: MORNING HILL NO. 1 Lot: 8
Project: Waki
Project Description: Install a /c.
Owner: FEES
WAKI, DAVE H & SUSAN M Description Date Amount
11975 SW MORNING HILL DR
TIGARD, OR 97223 Air Conditioning 02/02/2010 $46.75
12% State Surcharge - Mechanical 02/02/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 02/02/2010 $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.
Issued By: & Q , l Q cam Permittee Signature: Q0 _
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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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FOR tirl�lc :r: USE �
Mechanical �e Application RECEIVE
P efbutNO , : I1 4 41 . .1�
City of Tigard •- .
71 / w 13125 SW Hall Blvd., Tigard, OR 97223 Fl Ruvicw m Phone: 503.639.4171 Fax: 503.598.19601 her Permit
FF FEB EB 0 2 01 Date /Eiy:
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,• I � ' • �" • Mechanical permit fees are based On the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ New consa'ucrion Addition/alteration/replacement
overhead and Protrt
❑ Demolition ❑ Other:
U' 1. ' ''^{ mechanical materie rqul mart lnbur �'
1 Value: [s \,y [�
1 I I, 1 r ! t.141 , rA y 1 '�•L7 l , - t, 1 '.
.,,. ..1 ;pHF��II�,�plll M�' (. �6�1� Fk��i� ,
1- and 2- ftunily dwelling Q Commercial/industrial ❑ Accessory building For special information use checklist. _
0 Multi- family ❑ Master builder ❑ Other Description Q y C 1 °ml
D I t. -a.
showilw pluccwcnt) )HCutiii /000lititi
l r �.�i ,E ,r , > ,TQ�,i„ °r „...� � � ■ Air conditioning 1 _ ,���
��� S, , ) hymn 1 . 0 (• acquires site plan 46.75
Job site address: w V
Furnace 100 (ducts/vents) 46,75
City /Start /Z1N: \ / t j f � Furnace 100,000+ BTU U (duels/ 54.91
• Project nurno: Huai um 61.06
Suite /bldg. /apt. no.: i ,
Duct work 23.32
—
Cross street/directions to job situ: 1iydronic hot water system 23.32
Residential boiler (radiator or 23,32
hydronic) _
_ -„_ unit heaters (fuel -type, not electric),
in -wall, in -duct sus ended etc. 46.75
Ptuc /vent for any of above 23.32 _
tot no.: Other: 23.32
Subdivision: _ _ _ _
Other fuel appliances
Tax map /parcel nu.: _
.,. , >I j 1 r . � I W Ater heater y
fprb?!Y47+ ! ?�'Q Gus fireplace • 33.39
yl i � V '` _ - fireplace _ vent for water heater or stns
Log lighter (gnu) 23.32
Wood/ •elletstove 33.39
Wood fire lace/insert 11111111 23.32
Chimney/liner/due/vent _ ---
I -
.. ', ,''• t ! t.•.Q 1 JR
' • Other: •
�' Environmental exhaust and ventilation
Name: ' Wfi 0 Range hood /outer kitchen 1
— .e quipment —
Address: Clothes dryer exhaust _
City/State/ZIP: Single -duct exhaust (bathrooms, 23
Fax ( ) t s 23.32
/„ ,{ toilet cam menu u t r ro s
Phone ( ) 51 "1 ��11Q� , •�: ; �: Atticicrawlseucc lrrr
- , CUNT AcIFJ, k'R}t$91� 23.32
d ��, ��, �I Other:
Business name: Fuel i In_
_ t4:11.5 for first f L 54. for each additional
Contact name: - -- — Furnace, etc. --_
Address: Gas heat pump _____,
W all /suspended/unit heater
City /State/LIP: Water heater
Phone: ( �) Fax; ' ( ) Pire lace
Range
�. mall , 1 i . ' I n. 4 r� 1 ��, �', Barbecue •
+ YI � I' -^ r '�' I f) ]< 1?` �r � �Y �l .i .; 1 er S 1.,-__
' '+ ,1� .....1. „1 ,. ' Clothes
Bushtess name: ,�j`l�V bIL <'rYe 4;
Othor ' ,
a 1 �EI+1GaPl� 4 1 ,1>~* ,
AddrCas: Ow .'l SUS c tU subtotal _ 9tfriC _
City /3tatc /ZlP P0Y`}lUvvtA- 'ire G47 2• �9 _ _ Minimum permit fee (90. 00)��'�
Fax: ( [f • 1 7 j :0 '0 i Plan review (25'Y° of permit Ice) �
Phone: (�i CJ ) 2:54-t +' r l) J State surcharge (12% of permit fee) Mall
CCB lie.: 1 Q i 0 S's TOTAL PERMIT FEE 100 • 011111
— IP This permit application expires if A permit is nit obtaIe' d within 180
'
)-. -^ days Ow it has been accepted as complete.
Authorized signature: A f ee t nullro
�}YI'Ihl`t`.S d �� 1 dolo6Y set by Trt County Building industry Swvioc Board
Print name: , .
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