Permit CITY OF TIGARD MECHANICAL PERMIT
1 n
' COMMUNITY DEVELOPMENT Permit #: MEC2010 -00229
TtGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 05/19/2010
Parcel: 1 S 135AA70245
Jurisdiction: Tigard
Site address: 10450 SW AKILEAN TER
Subdivision: OAK STREET CONDOMINIUMS Lot: 0
Project: Burton
Project Description: Install a /c, per Hap Watkins, Planning Dept, ok for 2' setback from side property line.
Owner: FEES
BURTON, COLLIN & ALISON Description Date Amount
10450 SW AKILEAN TER #45
TIGARD, OR 97223 Air Conditioning 05/19/2010 $46.75
12% State Surcharge - Mechanical 05/19/2010 $10.80
PHONE: 503 - 341 -3566 Minimum Fee Adjustment - Mechanical 05/19/2010 $43.25
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 qu tions to OUN b calling 503.246.6699 or 1.800.332.2344.
Issued By.
• Permittee Signatu / �!
CaII 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 Applicafio FOR OFFICE USE ONI.l"
City of Tigard IF I ' l i I I o 0-319 ermo.: ht% e le /O 0/22 131 SW Hall Blvd, Tigard, Olt 97223 A PE
f ' Phone: 503,639.4I71 Fax: 503.598.1960 Datr/ny. Other Permit:
1111 I I G .,. R c Inspection Line: 503.639.4175 MAY 17 2 010 Date Ready/By: kris: PI See Pate 2 for
Internet: www.tigard - or.gov Notitiad/Method: Supplemental Information
CITY �� }}fir gy�pp i
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/vfechantcal permit fees' arc based on the value of the work
❑ New construction 0, 1° .ddition/alteration/replaccment performed. Indicate the value (rounded to the nearest dollar) of ail
0 Demolition ❑ Other: mechanical materials, equipment labor, overhead, and profit.
7 Value $
i /,,. ,, r c i ,,: Awi a : r t � �. ,
'��t 9 lE`,,, �'",`•,> �T� �' i` f 't
V1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building for specral information use checklist.
I ❑ Muiti- family 0 Master builder ❑ Other: Description Qty. 1 Ea. Total
%-..-). ;
,•. +., „ • r y
•y:� / S'. ` ;tOB Ec$�F�1Ri�'l;ek'�!,+��, +*,!wh��Y; � 6E .,:..,: Heating/tooting
lob site address: 1 �, r Air conditioning
0456 S `o ��ve r l!•
City /State /ZIP: �— (requires site plan showing placement) 46.75
(�
Furnace 100,000 BTUjducts/vents) 46
1� . `"L� Furnace 100,000+ BTU (ducts/vents) 54,91
Suite/bldg. /apt. no.T Protect name' L! �� Heat pump i 61.06
Cross street/directions to job site: Duct work _ f 23.32
. 1 l�vdronic hot water s' tern 23.32
Residential boiler (radiator or
—
hydronic) 23.32
- — Unit heaters (fuel -type, not electric),
in -wall. in -duct. suspended. etc. 46.75
Flue /vent for any of above
__ 23.32
Subdivision: Lot no.: Other: 23.32
Tax map/parcel no.: Other fuel Appliances
r � , l z a t " 'r ` .. . i t Water heater 23.32
,� ;•.,, : • o�.,,.a ,,a' 33,39
. I& Flu e vent for - ll • 1.� „[PC.t,�l1` -r Flu vent or lvatcr heater or gas
fireplace 23.32 _.
Log lighter (gas) _ 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 2.3.32
1 „ ;d 5 C., ,`' :,. °� . I'` 0 , A r .;� ^rr :: Other: 23.32
'�. N e: 1 m _ . f > L Environmental exhaust and ventilation
��1� Range hood/other kitchen
Address: O V 6 a 1 r equipment 33.39
��+ Clothes d er exhaust 33.39
s 'ty/State/ZIP: __I(� "l i r
S ingle -duct exhaust (bathrooms,
Phone: (I f Fax ( ) toilet compartments, utility rooms) 23.32 -
+c t/r r 1 i ,�e r 6iy ! Attic/crawf ace fans 2332
,;.tit �G�f:;• 23.32
Other: L
Business name 1 AI ∎ ..i. Fu el in
Contact dame: 1 514.15 for first four; 54.03 for e ach a dditloodl
• a Furnace, etc.
Address: I > 1_ Gas heat • um•
City /StateeZl9: C'u N a1, ( 5 Wall/sus • ended/unit heater
Phone; t r ( C(Q Fax:: Lei :«a (s) � water heater
{ R ,lace
41 E-mail: Range
'r 119 ? I, t 5 ?,1 Barbecue
Clothes d er _as
Business name: ii r ,A ith 0 _.„t : Other III.
Address.
�/ L.�
t t « IC` & l — s a
Civ /State /ZIP: Subtotal
Minimum permit fee ($90.00)
` .0 Phone: 1. t / I is • Fare: a 41 / 5io Plan review (25% of permit fee)
CCB tic.: 72,j2,4 4,/,___ State surcharge (12% ofp fee) �Q:
TOTAL PERMIT FEE C .
1
��i • 4 This permit application expires if a permit is dot obtained within 180
Authorized si titre: 1 r ,, A j _ 41 day's after it bas been accepted as complete.
Print name: g ► 1 r �1 Date: • Fee methodology set by Th- County Building Industry Service Board •
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Job #:
Performed for:
Collin & Alison Burton
10450 SW AKilean Tarr
Tigard, OR 97223
Phone: 503 -341 -3566
10
4
r
First Floor
10
- 1•
2
N
SW Akiiean Terr
Jurisdiction Tigard
Oregon Heating & Air Conditionin...
PO Box 397 / 992 Hwy 99W
Dundee, OR 97115
Phone: 503- 538 -2953 Fax: 503 -537 -2172
Tam @oregonheating.com
100012
Scale: 1/8" = 1'0"
Pape 3
Right -Suite Residential
6.0.106 RSR39325
2010- May -16 18:14:19
C :1{iocuments and Setiings‘satasi 1...
9NI203H NO9a10 9598- I69 -E0S IZ:bt 0IOZ /Lt /S0