Permit •
CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00003
• TIGARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/4/2007
" PARCEL: 2S104AB -01500
SITE ADDRESS: 13270 SW CHIMNEY RIDGE CT ZONING: R -4.5
SUBDIVISION: MORNING HILL NO. 1 LOT: 021 JURISDICTION: TIG
Project Description: Replace furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 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: 1 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 1/4/2007 $72.50
[TAX] 8% State Surcha 1/4/2007 $5.80
Total $78.30
Phone: 503 -590 -1132
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0611
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.
Issued By: Z��l Permittee Signature: " c, /y
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.
Jar:..04 07 09:41a p.
1VIechanica�'Permit App�i`c tai r OK OFFICE I SE ONLY _ �:;;:< •!, •
City of Tigard Received
i 1 Date/By: / a B Permit No rO �� fir/
13125 SW Hall Blvd., Tigard, OR 97223 Jrt t, ?M ` Plan Revie " —
Phone: 503.639.4171 Fax: 503.598.1960 Glae l ; i Date/Br: Other Permit:
Inspection Line: 503.639.4175 x,11 J � f, 1 t 1 t• , �1.
1 { „ - 1 y Date Ready /By: s ® $ee Page 2 for
Internet: www.ci.tigard.or.us ...t ; luri
Notified/Method: Supplemental Information
I T r rvfA 'let! 5
<:: Y E OF WOR>EC t l st. -.
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.. ; : ,' '; FEE!:. SGIiEDIJL i$ECHECI►LLST
❑ New construction ® Addition /altcration/replaccment Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
CTEORY OF CONSTRUCTION ,. Value:
� R> SIDENTTAL EQ111Tly E Nr /SYSTEMS FEES*
w r 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
❑ Multi ❑ Master builder ❑ Other: For special information use checklist.
Description Qty. Fa. Total
. ; JOB SITE - INFORMATION - AND LOCATION :'l. ; Heating/cooling
Air conditioning or heat pump
Job site address: ( - . ' / . f_., i . s ' ¢7 i al f t 1 i. - ( ,.. (requires site plan showing placement) 14.00
I Furnace 100,000 B TU (ductsivcnts) 14.00 LI
Cite /State /ZIP: • r-( 4," i...) " j . 7 1
J ! Furnace 100.000+ BTU (ducts rents) 17.90
Suite/bldg. /apt. no.: Project name: l '1Z L.1- ,, Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric).
in -wall. in -duct, suspended, etc. 10.00
Subdivision: I_ot no.:
Flue/vent for any of above j 10.00 t -= ,
Other: 10.00 l
fax map /parcel no.: Other fuel a liances 1
DESCRIPTION. OF WORK Water heater 1 10.00
(4 Gas fireplace 1 0.00
i-'-i i - t i Lc, - -( E, . i ; ii. t _ . 1 “ C 1 •1 . , r'`! Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood lircplacc /insert 10.00
Chimney /liner /flue /vent 10.00
.. Cif PROPERTY'OWNER ( TENANT y Other: I 1 000
Name: 1 .t,;:',1 L ` jl)Ul.' - -h Y, Environmental exhaust and ventilation
P Range hood/other kitchen
Address: 1 _;,� -i �.� 1 ,: ; .,l•) ( y k\..( { }-� (.k J L 4 equipment 10.00
City /State /LIP: ) Clothes dryer exhaust 10.00
! L �' J Single -duct exhaust (bathrooms,
Phone: (L;: ?_) •("77,ci� 1 f ; Fax: ( ) toilet compartments, utility rooms) 6.80
❑ AJ'PLICA,NT , Q CONT P ERSl7N Aftic/craw•ispacc fans 10.00
Other: 1000
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each a_ dditional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
.a : .i . < CONTRACTOR .... + : • s %< Barbecue
Business name: Sunset Heating and Cooling Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street 1%v 5 wt `1yIECII IY IG4P..E1tMTTFEtESt
City /State/ZIP: Portland, OR 97239 Subtotal ...j -`
Minimum permit fce ($72.50) -7;) < E
Phone: (503) 234 -0611 Fax: (503) 234 -0439 Plan review (25% of permit fee)
CCB lic.: 161085 State surcharge (8% of permit fee) C : �: ,
TOTAL PERMIT FEE i': _
� ` r - •- -'. )( .__ _- This permit application espires if a permit is not obtained within 180
Authorized signature: ;`� S V �:_,f - days after it has been accepted as complete.
Print name: Shauna D'Am Date: ii ;.; Itil • Fee methodology set by Tri- County Building Industry Service Board
i lnui)ding\Permits1MEC•PermitApp doc 12/03 440 -1617T (11 /02/COM/WEB)