Permit n CITY OF TIGARD MECHANICAL PERMIT
m COMMUNITY DEVELOPMENT Permit #: MEC2010 -00110
T t G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 03/17/2010
Parcel: 2S1 02 BB00829
Jurisdiction: Tigard
Site address: 10470 SW JOHNSON CT
Subdivision: Lot: 0
Project: Mobley
Project Description: Install heat pump.
Owner: FEES
MOBLEY, MELEAH Description Date Amount
15702 S NEIBUR RD
OREGON CITY, OR 97045 Heat Pump 03/17/2010 $61.06
12% State Surcharge - Mechanical 03/17/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 03/17/2010 $28.94
Contractor:
AIR PRO HEATING & NC INC.
7405 SE POWELL BLVD.
PORTLAND, OR 97206
PHONE: 503 - 771 -7871
FAX: 503 - 771 -5579
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: / ' f _ - . Permittee Signature: C Q
APP
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.
03/16/2010 10:24 5037715579 AIR PRO HTG PAGE 02
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Mechanical Permit Application . , ,. -. " - _ � � . ,
r : Received
City of Tigard •
EIVED Re eive Permit No.. I L 0�'
a . 13125 SW Hall Blvd., Tigard, 3'_ Plan Review
IV
Phone: 503.639.417I Fax: 503.598.1960 Other Permit.
Datc/By: d 41 • r OAT
W ti #. Ins cction Line: 503.639.4175 MAR 1 '3 L010 Date Rcady/By:
C; '' K n' D 121 Sec Page 2 for
s Internet: www.tigard- or.gov Notified/Method: supptemcntat Information
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El New construction Addition /alteration /replacement Mechanical permit fees" arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
[,l Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
f y , a'. Y"'r,7.:'. ° r- :'r.: "Si S:o;- o ?. Value: $
F S. r — 1 r7Fz r r„ : { +4t1 5, 7 '�P T:wi.�,, -; F it -,..; /'t� V y , ..,r! ri - of
F ? -
.d �r{�!i =a . For special information use checklist. �.:r, .,‘''...',-.1.-.,T-- 1J: r !l ,'' , < A�,�R+ `:.:i 1 . -�. 1
1 -turd 2- family dwelling ❑ Master 121 Accessory t building F ..:
Multi - fa mily [f Master builder ❑Other: Description 1 Qty. 1 Ea. 1 Total
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a rl, i � r , ` I :- i tr t , , P� rx 4 .7(:,,,,-,4.:Z-'41.:',':,:,:..,:,r .', .t .-:.:. ,' J, • i Hen COn linR, ,
Air conditioning
Job site address: / /
a � 7 0 $ (2tl.kb c» £ - f (requires site plan showing placement) 46.75
City /State /ZIP: • , _ i / w / 100000 BTU (ducts/venis) 46.75
Furnace 100,000+ BTU (ducts/wnts) 54.91
Suite/bldg. /apt. no.: Project name: 0 6GlY Heat pump 1 61.06
Cross street/directions to job site: Duct work I 23.32
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
Subdivision: I Lot no.: Flue /vent for any of above 1 23.32
Other: 1 23.32
Tax map /parcel no.: Other fuel sus ,ianeco
t `` t -- ;:*.i.'.7-. , '; ssarrv1'^ � ,„ + a � � , 1, - Water heater 2.32
I:_. f F,F. Yrf.: n . _ r ., _:,.1',` t.�a 41 1F' /_ r „ u. .,.,... . :
,4• ,� Gas fireplace 33.34
r , r „ • , r . - „ / r
f �i 17 / // . Cc-/ D�t � / �� � Flue vent for water heater or gas
fireplace 23.32
A (4(.7 • L..),} /lc _ !l ! 1.•og litter (as) 23.32
Wood/ diet stove 33.39
Wood fireplace /insert 23.32
r r -3. pry r n rr a vr it <,-' .�z ti; [+.r7} .. + -+ Chimn /liner /flue/vent 23.32
r � I . r Y: ] I " « f ey F�� SC i r a, y jl. 11 ' r-!-:'-'"d•::."'.' i 4
,: � ... . ......x a , . ..... ,rU..,, , f ..,. �.. _ . ... ,.... e;. �,�,.., -- -- — ... ... :..._ . Otltcr• _ 23.32
Name: d' Environmental exhaust and ventilation
J Range hood /othcr kitchen
Address:
O * , . _ C equipment 1 33.39
City /State/ZIP: . ,. a . '' -x, ,3 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503 ) ' Q (-- Fax: ( ) toilet compartments, utility rooms) 23.32
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t i` + `� r , tY ; w °�, f I,f 4 '
,A :
r 1 'c r5 Attic/crawlspacc fans 23,3
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Business name: • - 1 Otbcr: 23.32
/r •. .. - /� _ Fuel piping
Contact name: lL _. u /„ / / $14.15 for first four; S4.03 for each additional
Address:
7 4 f j S J r 5 _ / a P L I . ti� I ✓ �S
Furnace, mac. I
Gas heat pump
City/State /ZIP: r - ` a . Wall /suspended /unit heater
Phone: (spa) 77 / -- 7 8 7 I Fax:: (5 ) 7 7 / _ . , 7 ! Q Water heater
Fireplace
E-mail: G 1 e..r e e.,,', ,f /a h Cc-ti - , 4 yv Range .
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;, ...: . ,. + , 1 s : : . ., '� , % T l <L � , , , � :
.. � . ��v . ' � ",:.
f,,.,. C t,; � , I.A. f e `,, 1 ., ;:,1,....._ Barbecue
Business name: Clothes dryer (gas)
Other
. Address: 5r:... ,..-_.C. c..,5 c..bei / -e r .r , ; r f 7 d +r ,
City/State /ZIP: Subtotal
Phone: ( ) p er; ( ) Minimum permit ice ($90.00)
Plan review (25% of permit fcc)
CCB lie.: 7 . p 8 6 State surcharge (12% of permit fee)
TOTAL flRMTT FEE AA, `.
Authorized signet r Thi permit a pplication expires if n permit is not obtained within 181
.
1 1 days after it has been accepted at complete.
Print name: 77 tom! lU Lc.„ c.R_. L c Date: 3 -! . - / 0 • Fcc methodology set by Tri - Cormry Building industry Service Board
/C.ssc r c,..,K A- 61 -- .65. <- (C ISa_3) 7 7/ -SS
I D ‘ ,( f ro � gas � �a�r K Lcu � va.
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