Permit ' : � n
.,, CITY OF TIGARD l r � � MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00217
TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/19/2007
PARCEL: 2S 104AB -01500
SITE ADDRESS: 13270 SW CHIMNEY RIDGE CT ZONING: R -4.5
SUBDIVISION: MORNING HILL NO. 1 LOT: 021 JURISDICTION: TIG
PROJECT: MARTIN
Project Description: Instalation of airconditioner.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: SR3.3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
LESLE MARTIN Description Date Amount
13270 SW CHIMNEY RIDGE CT.
TIGARD, OR 97223 [MECH] Permit Fee 4/19/2007 $72.50
[TAX] 8% State Surcha 4/19/2007 $5.80
Total $78.30
Phone: 503 - 590 -1132
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST.
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -061 1
FAX 503- 234 -0439
Reg #: LIC 161085
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
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Issued By: . .i/ // A_. / Permittee Signature: (361" ,2l, * Cf:( ���
Call 503.639.4175 by 7:00 a.m. for inspections 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.
Apr ,9 07 10:30a p.
Mechanical Permit Appiicatf3FCEI v i. D .
o'F r1c F. ► Sc ONLY t
City of Tigard APR 1 9 01 Dammed
Y
Permit No.: M EC L b r 0021
13125 S W Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 CITY OF .7/1 , . ♦❑ .i.. ( e l i,. 1 ,, ,, , Date/By: Other Permit:
Inspection Line: 503.639.4175 BUILDIAI .i 1/•" ; •. Date Read /B runs
Internet: www.ci.tigard.or.us ' Ready /By: See Page for
t l I
6 NNotified/Method: S Supplemental Information
r s a ..z rJr o
.. "i G 'a, �P,, 'OB ' 41iK , , )s , t'. ': = F4 C4 41, CIS. ` 40 -� §.* CICKLIST:
El New construction Mechanical permit fees* are based on the value of the work
® A ddition /alteration /replacement performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment. labor, overhead, and profit.
CA.'TEC11JO(Y OF O]NSTRCICTION
..... .. , . . <, . .e ...4iV.Ci? `cf,'i0 Value. S
1 - and 2-family dwelling $IG.SIDE1VZ Al .EQUIPMENT /SYSTEMS FEES'
} g ❑ Commercial /industrial ❑ Accessory building
ID Multi-family Cl Master builder ❑ Other: For special information use checklist.
Description Qty. 1 Ea. Total
.. JOB :SITE JNF'ORMATIQN AND LOCAT'IOi±1ty , Heating/cooling
- - ; . ,5 - ,, , :?, } A / Air conditioning or heat pump
Job site address f -1 ' • ( . 3 • 1 4 a i n
1 ` C , r ! . f � net l - j < � i ;ti - (requires site plan showing placement) ./ 14.00
Cit■/StateiZlP -
: ' r t t`1 ( : j • t ...),.) - Furnace 100.000 BTU (ducts/vents) 14.(10
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: j 7/6,11,e' l j,t Gas heat .um. 1 14.00
a.nr,
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 1.1.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended. etc. _ 10.00
Subdivision: [.ot no.:
Flue /vent for any of above 10.00
Other: 10.00
fax map /parcel no.: Other fuel appliances
DESCR)PTJON OF !WORK Water heater 10.00
Gas fireplace 10.00
t r't \ ')r<.L., G! -L
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue /vent 10.00
( PROPERTY Q. ' .. ` t, .. 'titi t∎StI r ....
Other. 10.00
Name: i `: ,,�.. ,"" si'vti,/,, t _ /_, 1 ,-- \ Environmental exhaust and ventilation
Address: !:.7.;L:, ? Range hood/other kitchen
3 •.� - tL. , 1 . L ,,, , : , t " , , i &E.'•'' equipment 10.00
City /State /'LIP: -) Cr ? Clothes d •er exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( - >L.; •) / U -i .:''.›1 -t.'';',' Fax: ( ) toilet compartments, utility rooms) 6.80
❑' APPLICANT , Q CONT 4 rJ kERSON ,' Attic/crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: S5.40 for first four; S1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /Stale /L1P: Wall /suspended/unit heater
Phone: ( ) F : : ( ) Water heater
E-mail: Fireplace
Range
. r r n cQ R A ..4 .. f 4krAa ,ta: h""e�3 r r044 Barbecue
Business name: Sunset Heating and Cooling
Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street ; x r r ` F ME4*::0:t t PERMrt EEEs* .
City /State /ZIP: Portland, OR 97239 Subtotal i''-r
Minimum permit fee (S72.50) 7.3 S,1";
Phone: (503) 234 -0611 Fax: (503) 234 -0439 Plan review (25% of permit feel
CCB lie.: 161085 State surcharge (8% of permit fee) ■ `Sj."
„--- TOTAL PERMIT FEE /c'
/ Authorized signature: `°-- ..,,
- This permit application expires if a permit is not obtaiocd within 180
f days after it has been accepted as complete.
Print name: Shauna D'Arnbr"osfa Date: q f 1 ~t U • Fee methodology set by Trs County Building industry Service Board
i 01uildinearnits \MEC- PermiApp.doc 12/07 440- A6t7T(11 /02/COM/W£13)
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Name: , Z,C.- -/� /
Address: /_ ,.2 7( S %— G ;yr �s >��¢, Y .�i �- �� CT N
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