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Permit CITY TIGARD MECHANICAL PERMIT AA DEVELOPMENT SERVICES PERMIT #: MEC2006 -00303 DATE ISSUED: 7/6/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S133DD-10500 SITE ADDRESS: 11894 SW 125TH CT ZONING: R -4.5 SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT: 142 JURISDICTION: TIG Project Description: Replace gas furnace & A/C. Connect to existing gas line, ductwork w /scoop & damper for upper fl ductwork. 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: 1 DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES GREG & DOR RUECK Description Date Amount 11894 SW 125TH CT TIGARD, OR 97223 [MECH] Permit Fee 7/6/2006 $72.50 [TAX] 8% State Surcha 7/6/2006 $5.80 Total $78.30 Phone: 503 -524 -3642 Contractor: PYRAMID HEATING PO BOX 1502 SANDY, OR 97055 REQUIRED ITEMS AND REPORTS Contact #: FAX 503- 826 -0689 PRI 503- 826 -9522 Reg #: LIC 59382 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: , , Permittee Signature: SA _ // 1 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. ,From:PYRAMID_HEATING 5038260689 07/05/2006 14:55 #011 P.002 ' ,• "k _ -• ♦ saw N '� T' 697: Mechanical Permit App1 stab© A .., . City of Tigard ''1 ? - - - , , �' Permit xa��lGe o2ao , l/O � 13125 SW Hall Blvd.. Tigard. OR 97223' pi Ravicw J Phone: 503.639.41'71 Fax: 503.598.1960 Otlse<t tiria Inspection 5 9.4175 Line: 03.63 b �` .,414-.;.0 ` 5 ` r �Tn' i Da�e/8y Intent: Line: 03,63 orus ,\u� f '1 DateResdy/By: la satPage2for _ . n Yj l ,� b - Notified/Method: 8appbWasdal Inroemrtlee • ` < ■ e .V ( ) � 1 ' ` �i A A TYPE biZ,, VURK,. s.�.,c 3•.,,. . COMMERCIAL FEE" SCHEDULE - VSEC»Igr fl New construction gr Ei altet'ationheplacensent A?eobanioal permit fees• are based on the untie o f the work performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other_ mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value $ ® 1 and 2-family dwelling 0 Commenciai/mdustial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTLi A3S PEEiS° El Multi fam3Zy ❑ Master builder [] Other: Dea For special irg6sr►ldtiorr use checklist caiptioa r Qty. � 1?a- I 'Total • .TOR . SITE INFORMATION AND LOCATION Resting/coaling Job site address: t I %m g Q)UtJ 1 ac& . Air oond>boming of heat pump (requites site plan stowing plaoemsat) t 14.00 City /Statc/ZIP; i t a Q l a � 3 Furnace 100.000 BTU (d elsivreb) 1 - 14.00 r Furnace 100,000+ BTU (ducta/venra) 17.90 Suite/bldg. /apt. no.: Project name: - Gas hem pump 1400 Cross street/directions to job site: Duct work 14.00 hydro is hot water system - 14.00 Residential boiler (radiator of hydronic) w 14.00 Unit heaters (fuel -type mot eledrlc), in -wall, in -duct, suspended, do. 1 , 10.00 • Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map/parcel no.: Other fuel appilancea DESCRIPTION OF WORK : -- Water beater 10.00 , Gas fireplace , Rtela.� tirt 5as ( rvw o-t n L AC wt , r tai U.441 vent v for water hedge or gas 10.00 CoAM4 to CI t �' f l t .t. i duct 1/31 tit. a Q.YI d Lo fireplace gh 10.00 . d ! ,nc A0 J ' , Log !ice (gas) 10.00 • er'_ _ el' � �� i -l athe d i l: a L Wood/pellet,stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 X( FROF'EETY owl.= ❑. • TENANT • . Other: 10.00 1 Names . ■ 4- I .• 0. . - ■ u Sisvisunmental erlumat and ventiletion Address: ) F ' 4 1 Si-1, -+^ > A hood/other kIIOhen £ q equipptrnt 10.00 City /State/ZIP: Ti - 0. Y 6 j /� ` • � � 3 Clothes dryer exhaust 10.00 J Singladuct exhaust (bathrooms. Phone: ( �3 ) S4 3 4 Fax: ( ) toilet compartments, utility rooms) • 6.80 fid.AP?LCCANT 0 CONTACT PERSON Atiidcrawispace 10.00 Oth Business name: 'r i..rn1 CJ and Cool v ts FaeL�nLph a 10.00 Contact mane: TQ.. Q Mvta. _ $S40 Our first foe; 81.00 for each additlamal Address: I JV O'_ - FUSINICe, eta Q y , OIL qq () W sheatp nde . city/stateJZIP: y p• walUsuspendedharit heater Phone: ( ) t)( ..0 1 pax:: ( Q3 ) 2 -610 Q q Water heater _ Fireplace E -mail: /� t{10.aGma i i)*ealm.td It. coyv� Range . �eONTRACTOR j�11 Barbecue Business Warne: `'✓ 1 to k yi et �1..�0C]'t'n8 Clothes d (gas) I �� other: Address: V �(, I � �/ . MECHANICAL PERMIT FEES° . City /State/ZIP: SayVI Lc OR_ en.cis Subtotal l Minimum permit fee ($72.50) , 1 a . so Phone: ( 3) %2, --q �.� 1 Fax: ( �3 ) �R9 flan review (25°.6 of permit Re) CCB lit.: 59 3 Q State surcharge (896 0 ( 1 )0 ' 314 fee) 1:18- - TOTAL PELT FEE Authorized �: This permit application aspires if a pemnst is not obtained within 150 y k ` day after it has been accepted as complete. n..:...... �.,,. � . ' l 1 T%_._. 4 1 1 $ F.s w.e*i+n.inl va. n. a {w tiJ�n�.�w A 7 .rii.li..n T.uin n.r C.nriv � Rn,...l From:PYRAMID_HEATING 5038260689 07/05/2006 14:56 #011 P.003 WC2E) w PO Box 1502 Pyramid Heating and Cooling Sandy, OR 97055 Withstanding the Test of Time (503) 826 -9522 Fax (503) 826 -0689 CCR #59382 WASH #PYRAMHC964P8 LOT LINE: DIST NAME: Gre.9 1 LAST NAME: DONS: se as h CI 'y: f A • c • STATE: /fin ZIP: (� , 722 3 INSTALLATION ADDRESS: I ding (DS,fL a CITY: -1-1-q. J STATE_ m PROPERTY LINE 3 . -4 " FT: FT: FT: ta FRONT • 3. " FT: .U, - 11 r ct= OUTSIDE UNIT HOUSE FACES: VUQ.�fi