Permit r CIT Y OF TIGAR® MECHANICAL PERMIT
PERMIT #: MEC2007 -00006
� COMMUNITY DEVELOPMENT
TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/5/2007
• PARCEL: 1 S 135DC -03001
SITE ADDRESS: 11551 SW GREENBURG RD ZONING: R -4.5
SUBDIVISION: FIRDALE LOT: JURISDICTION: TIG
Project Description: Replace furnace.
CLASS OF WORK: OTR 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:
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
JIA -HWAY HUANG Description Date Amount
1910 SE TALTON AVE
VANCOUVER, WA 98683 [MECH] Permit Fee 1/5/2007 $72.50
[TAX] 8% State Surcha 1/5/2007 $5.80
Total $78.30
Phone: 360 - 604 -1280
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: - 2 u7 . Permittee Signature: .,P .R ,
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.
Jan 04 07 01:58p +, - -,,• ', p.8
Mechanical Permit A i' at F oR OFFICE I'SE': ONL1
City f Tigard and 4 " > ∎ '''' `� ‘‘.
25 SW Hall Blvd., Tigard, OR 97223 1 , b e t , '
131
Phone: 503.639.4171 Fax: 503 .598.1960 Pie Plan Rcvicw
c \ ` � . Other Permit:
) f ` ' � l • \ 0 ° ate liy'
Inspection Line: 503.639.4175 ` ���1..; ,�� �� Date Ready/By: Juris: / See Page 2 for
Internet: w��w.ci.tigard.or.us � �� V Notified/Method: /r Supplemental Information
••. ;, - ... _; v 'PE PIP , "; h z ;. s C QM MERQA L FEE'' ¢IED US E'CHECKL IST
Mechanical permit fees' are based on the value of the work
❑ New construction ® Addition /al eration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment. labor. overhead, and profit.
C ATEGORY OR CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
q 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building " "' '
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. 1 Ea. Total
•
JOB • SITE INFORMATIQN ,ANA. LOCATIQN : Heating/cooling
Air conditioning or heat pump
Job site address: 119 i l.r._' (.' t!-(y i-1 } -& •73. i (requires site plan showing placement) 14.00
City/State /ZIP: 7 )6' .,.7'.f . Z ' .' `% 72 � - ✓ Furnace 100,000 BTU (ducts/vents) 1 14.00 I'-} ,
• Fumacc 100.000+ BTU (ductstvents) 17.90
Suite/bldg. /apt. no.: Project name: 1,-) - -( 1,.f Gas heat pump 13.00
Cross street/directions to job site: _I 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: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
> , DESCRIPTION OF -WORx Water heater 10 00 I ,
Gas fireplace 10.00
� ,`.(, ; 'r �_, -{..) -� `,• 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 •
. �.PROP O WNER . . lr f :❑ TENANT , Chimney/liner/flue/vent nt 10.00
Chimney/ 10.00
Other
Name: -- ii L ;� _ }-},; -:0.N f-111,/..62.1i./.1 Environmental exhaust and ventilation
)(j ;' Range hood/other kitchen
Address:
( I) L ,:; Z. I a i• .7 b )'1 "� - equipment 10.00
City /State /ZIP: i 1 :1 L --\ c"' C; Ls; ,) Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (:' i,'• ) { 1i) .y ._. 1 2 •;■ Li Fax: ( ) toilet compartments. utility rooms) , 6.80
❑ APPLICANT ❑'CONTACT PERSO A ttic/craw Ispace fans 10 00
Other: _
Business name:
Fuel piping
Contact name: $5.40 for first four: 51.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /Z1P: WalVsuspcnded/unit heater
Phone: ( } Fax: : ( )
Water heater
Fireplace
E -mail: Range
. „
. CO TRAC'Ti o ... ,2 '' s < Barbecue .
Business name: Sunset Heating and Cooling
Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street I' :',;MEGSt NI I. ERM1T'FEES"
City /State /ZIP: Portland, OR 97239 Subtotal t if --
Minimum pemtit fee ($72.50) 1,7 'l,
Phone: (503) 234 -0611 Fax: (503) 234 - 0439 Plan review (25% of permit fee)
CCB tic.: 161085 State surcharge (8% of permit fee) `> `;,
,` " \ TOTAL PERMIT FEE _ i <5 7-A,. Authorized signature: 7! I�• • "�� This permit application expires if a permit is not obtained within 180 • 1 1 days after it has been accepted as complete.
Print name: Shauna D'Ambrosia Date: if 41 • Fee methodology set by Tri- County Building Industry Service Baud
i\ Building \Permits\MEC- PermitApp. doc 12/03 440-4617T (11 /07lCOM(WEB)