Permit 4 CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00165
T [ G AA D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/14/2010
Parcel: 1S133AC10200
Jurisdiction: Tigard
Site address: 10950 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES Lot: 20
Project: Wheeler
Project Description: Installation of a/c unit. Unit must meet 3' minimum side and rear yard setback requirements.
Owner: FEES
WHEELER, SARAH Description Date Amount
1950 SW BRIARWOOD PL
TIGARD, OR 97223 Air Conditioning 04/14/2010 $46.75
12% State Surcharge - Mechanical 04/14/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 04/14/2010 $43.25
Contractor:
COLUMBIA NW HEATING
PO BOX 622
SCAPPOOSE, OR 97056
PHONE: 503 - 543 -3624
FAX: (503) 543 -6285
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 � 50 3. 3.246.6699 or 1.800.332.2344. �
Issued Byc �� '' Permittee Signature: c
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.
04/12/2010 10:42 5035436285 PAGE 02
Viechanical Permit A !i �
Ca110 i 1 p -• - ,,. • ; - - . : r .16 r t - xi
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‘4,0 City of Tigar '' " „ a `'
R occived �
) 3125 SW HMI Blvd.. Tiganl, OR 97223 n AtcrS ( : 7 la, t O I/ P�,-mii No,: � e ae/o„ � ,
■
g Phone: 503.639.4171 Fax: 503.59R,1.930 AP 1 2 2010 Plnnitavicw
r ! I,1. Inspection Line: 503.639.4175 Data /fly; Other Permit
!
Internet: wtvw,llgard- ar.gov Dal; Reedy /lay 71 SuT� CITY OFTIGAItD Notired/MCtllrxl: 1 pplemp ent 2 I intormntlnn
W ILDING D IVISIO
_._ T Y P E OF'-, , .COMMERCIAL FEE.* SCEEIMJZ*.- ;l,isF: nE as�i'
❑ New construction ® Addition/alteration/replacement - i Mechanical permit fees* arc based on the value ofthc work ' --._,.
Demolition Outer. performed. Indicate the value (rounded to the ncarosl• dollar) of all
mechanical materials, equipment, Jabot ovcrheid and emFit,
CATEGORY OF CONSTRUCTION .. Value: $
® 1- and 2- family dwelling CI Comrftercia1/indush ial RESIDENTIAL EQUIPMENT / SYSTEMS FEES *
❑ Accessory building
Multi- family Master builder ❑Other
For ,special nrfnrman'on use checklist.
YbR.: S1TE.11vpOR1VIA fOIV AND LOCATION' on Q'y. Total
T aipti
• Heatiny,JcoollmE
Job site address: 10950 SW Rriarwond P1 Ai conditioning
uires site plan xhnwiag placement) 1 46.75 46,75
City /State /ZiP: Tigard, OR 97223 Furnace 100,000 BTU(ducralvents) 46.75 _
Suite/bldg./apt. nn,; Project name: _ 3Ce 1 i3TU (duetJvwits) 54.91
- Beat .pump __ 61.061
Cross street/directions to job site:
Duct work 23.32
-
Hydronic hot water system 23.32
_ Residential boiler (radiator or
itSydronic) 23.32
Unit htyltcra (fuel -type. not electric),
in-wall. in -duct. suspended- ctc. 46.75
Subdivision: Lot no.: Muelvem for any of above ■ 23.32
to 23.32
Tax map /parcel no.: Other Mel appliances
i3ESCRIPTION OF WORK . Water hotn.cr
2332
Install Air Conditioner - Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (ga� , 23.32
Wood/pellet stove 33.39
Wood. litcp laccrinscrt 23.32
C PROVVAT�' OWNER o TENA 4T
Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Sarah Wheeler EmFtrmmentai exhnmt acrd ventilation
Address: 10950 SW Briarwnnd Pi
Range hood /other kitchen
equipment ' 33.39
City /State /Z1P; Tigard, OR 97223 _ Clothcn dryer exhaust 33.39
Single-duet exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments. utility rooms) 23.32
M APPLICANT • 0 cONTAC'C PEKsoN Attic /crawl space fans l 23.32
Oth
Business name: Same as Contrnctnr I 23.32
Fuel piping
Contact name: - $14.15 for first four; S4.03 far Inch additional
Address:
- Furnace, etc
Crae heat pump
City /Stnte/ZiP: Wail /suspended/unit.healer
Phone: ( ) I Fax:: ( ) Water heater
E -mail:
Fir glace
Range
cnhli 1tACTOR'
I3arbccuc
Business name: Columbia NW Heating Clothes dryer (gain
Address: PO Box 622
_ tea:
MECRANICAI PERMIT FEES*
City /Stabs /ZIP: Scapponwc, OR 97056
Subtotal 46.75
/ Phone: (503) 5433624 Minimum permit fee $90.00
( ? Fax: (503) 443 -6285 ( ) 90.00
Plan review (25% etymon tbe) 0
hi CCB tic.: 61947
-- State surcharge (12% of permit fcc) 10.80
t TOTAL PERMIT FEE 100.80
Authorized signature: � ; / i ! i ? This permit applicetien a pire+ ire permit M not oAtnincd within 180
L �'� 1_114 days sew It has been accepted as complete.
Print name: Ccrri Jacobson , Otte: 4/12/'10 * Fee medlOdOlegy sat by Tn- County Building Industry Service unstd
1: \Orzildinq \Permits \MLGPcmritAppane 10!01/09 - MO- 6I7T(1 /02/COMAVEB)
04/12/2010 10:42 5035436285 PAGE 03
JOB COVV230H
WHEELER, SARAH
10950 SW BRIARWOOD PL
TIGARD, OR 97223
Installation Property Information 543 -7749
DIRECTION;
Proterty Line
( 3'X
FT:
FT:
Property Line
(F= FURNACE)
(X= OUTSIDE UNIT) STREET
o-5 -ill -- PL,
Columbia NW Heating, Inc.