Permit MECHANICAL PERMIT
IN - CITY OF TIGAR®
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00155
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/09/2010
TIGAAD` Parcel: 1S134CA08800
Jurisdiction: Tigard
Site address: 11136 SW 118TH TER
Subdivision: FEHRENBACHER NO. 2 Lot: 7
Project: Lyons
Project Description: Install heat pump. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
LYONS, KEVIN Description Date Amount
11136 SW 118TH TER Heat Pump 04/09/2010 $61.06
TIGARD, OR 97223 12% State Surcharge - Mechanical 04/09/2010 $10.80
PHONE: 503 - 734 - 6261 Minimum Fee Adjustment - Mechanical 04/09/2010 $28.94
Contractor:
OREGON HEATING & AC
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 - 691 -9699
FAX: 503 - 691 -8556
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:
MI747 L�� F Perrnittee Signature: 61A/ 4-" G i C,�76 -,
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.
Mechanical Permit ApplicatIV- 717
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City of Tigard
$W Received
. iliam/By: 0 7/09//a 4i ilf-----13enn"N VAZ i oZ0/ 0 - o 45
• p l3 ho l2 n 5 c503 Hall Blvd., Tigard, OR 97223
I N 503 .639,4171 Fax 503.598.1960 - • . . --, ' :71 Plan Review
Date/By: Other Permit:
Inspection Line: 503.639.4175 Cfr f k.i ...' '.'. .i:h,..t
:oi Date Ready/BY: .,
IZ See Pato 2 tor
Internee www_ti BUILD ON :,. 0,ifuth,,d
gard-or.gov 1-16 Simplemental Informatioa • ..N:',.. „' 'l 9iede,
c' ,...,.:,i.;:. .,.,:,•:•:. ,: .. . ."0,*()*"..''';‘,;:..^ ^ :; ... ?
El New construction IXAddition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate die value (rounded to the nearest dollar) of all
0 DcmolitiOn El Other: mechanical materials - •ui.ment labor, overhead, and .rofit.,
4:i54iW.;W.Ui;;ii.TEijTiiT,F2.77:7777.7:.77TX. Value: $
""• • 0,7,.44..'\ _',7,. , „; ,Y4;49P , ,,,, .,,.,/.:!,.:„. ..,..„„ :$ ;!:.
and 2-family dwelling 0 CommerciaLlindustrial El A.ccessory building
For special information use cheddiSt
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
§ Heath': coolie I
fob site address: 1 1 b 1 ig ft- 17“
_4'-r' Air conditioning
IT • kiireS site ;Ian ahowin: . lacement 46.75
City/State/ZIP; .- 1 --' ‘Wird% Oct P.5 Furnace 100,00013TV ducts/vents 46.75 M
F uniacc 100 000+ 8TU ducts/vents) 54,91
Suite/bldg./apt. no.: Project name: Heat i um. 61.06
Cross street/directions to job site: Duct work 23.32 I.
H dronic hot water s stern 23.32
Residential 'boiler (radiator or
h dronic) 23.32 M
Unit heaters (fuel-type, not electric),
in-wall. in-duct. Sus, ded etc. 46.75
Flue/vent for an • of above 23.32
Subdivision: Lot no.:
hOter
_ •
Tax map/parccl no Other fuel a . . Iiances
1.d, ''''... . - 4 ,A ,, , , ' ' '.' ,' ''''■' ''' ''' ' , '.!:' ,,, Water heater
' j)05(4146/4:..,6* , ,7777 . :,?,; -, , 1 ^,;.,:',:: , ,,..? :::;,.,,, _ 11E1
,F,, k,,,, :,
Gas fir;.lace 33.39
. . Flue vent for water heater or gas
fire , laoc 23.32
Lo- li: ter • as EMI
Wood/. end stove 33•39
Wood fire . lace/Insert 23.32
Chimn /liner/flue/vent 101.1 23.32
.2 . ''. '''' ' iii6' ititiiiii.'!OiviitiC; c.v.:1■, ,N.• 10 „A7-1' :. Tz .,,,y- ,,,,,,,,- ,,,, ,,, „,,,„, ; „,, , ,, , ,, ,.
'. ' .:);,)" . „.. ,, „ ,.'„„ , , • • • .• ':''''''.:: ::'.':'!,1,9 ' /.. '' .' j'! . "i: '''';'..''''''''' Other: IIIIIIIIII
Name: 41111 CrY1, t nvironmental exhaust and ventilation
WI AL A Range hood/other kitchen
Address: IA V14) S GO 78 % k g tiA—. Il .
ecisiqrthlt
- 33.39
City/State/ZIP: -I n "1 9 1 9-2 ..' Clothes d er exhaust 33.39
— Singlc-duet exhaust (bathrooms,
Phone: 5003 11.4 ( Fax: ( ) toilet coin • artments. utility rooms)
23.32
; ',0.0:4,0*AP,. :'. :.,.,;,..::: :,,,;;,^:.;,:,.. -.,..' p iorf,401 44,,::
Oulu: .
Business nam _ __ 23.32
e: t y r (au Fuel ci
Contact name: q' i I sr 1
ef
. ....
i S1 . 4.15 for first four . $ for each additional
t I _.„.
1 Furnace etc.
. • Address: It- O flOK J i Gas beat .um ....
P
City/State/Z1?: - D IAA AL L et --1., 1 t5 Walltsus • ended/unit heater
Phme: a& i4ct 1 GI uctil Fax: : COS) 1 t ZtStp Water heater
Fir dace _ _ NM -,
E-mail: Ran. e OM (
... Barbecuc
.n:I''',1,,,, '!,:f..':':::: c7 ..,. 4 ,,, ., ,., ,,,,',:. ,,,‘, ‘,. , t, , :,., , ,,.,,' ,i :,,,,, ,:.,,:,.:,';• C.` ' . IIMI
Clothes d er
s o ;as) 1111111111
Business natnc: ail, yks Other:
Addres: , • t ). a Li, 1
w..., , , ,: 1
City/State/ZIP: _ • --- - cr7// 5
inat......---w. Subtotal
Minimum permit fee ($90.00) Wili
Phone: A „ • • • . . Fax: . i - / 'y I gattp
Flan review (25% of permit fee)
1 CCB lic.: ( r au State surcharge (12% of permit fee) 1 ;la v
TOTAL PERMIT FEE
This permit application expires if a permit Is not olitaiae. within WI
Authorized signature: - A re: til / IP
_A. .. , days after it has been accepted as complete.
I ' Boa
Servi
Building • methodology set by Tr Coi-utiOj Industry Service Board
Print name: ig ii , iL , L ,_ i .1 _, i 0 . Date: Aily Fee me
• "
vow, ••■1--,....--1 .enn .--:. • ..... J... IP,. V, AAA-JAI - 7T /1 I AllealufAXXVIl
60/TO 39Vd ONIIV3H NO93d0 9SS8 -169 -EOS 6E :13I 0 TOZ/L0/170
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Job #:
Performed for:
Kevin Lyons
11136 SW 118th Terrace
Tigard, OR 97223
Phone: 503-734-6261
.� 10p0101
Home
11136 SW 118th Terrace -
Garage
N'
Oregon Heating & A/C
PO Box 372 / 992 Highway 99W
Dundee, OR 97115
Phone: 503 - 538 - 2953
kirsten@oregonneating.com
5'
5'
Scale: 1/8" - 1'0"
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Right -Suite Residential
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