Permit '1 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00300
R Date Issued: 07/01/2010
Il irAAD 13125 SW Halt Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S112BD05000
Jurisdiction: Tigard
Site address: 7947 SW LEISER LN
Subdivision: LEISER PARK Lot: 14
Project: Stanley
Project Description: Replace existing A/C.
Owner: FEES
STANLEY, KERRY Description Date Amount
7947 SW LEISER LN Air Conditioning 07/01/2010 $46.75
TIGARD, OR 97224 12% State Surcharge - Mechanical 07101/2010 $10.80
PHONE: 503 - 314 -0485 Minimum Fee Adjustment - Mechanical 07/01/2010 $43.25
Contractor:
AAA HEATING & COOLING
5017 NE GRAND, AVENUE
PORTLAND, ORe97211
. PHONE: 503- 284 -2173
FAX: 503-284-1552
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.:ifwork 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 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 1c44 4eAd.... , z
/re _ Permittee Signature: D -x/ „4 /0 , 0z./ e
Call 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.
From: 06/30/2010 11:33 11495 P.001/003
lit 'EC CIVT;r:L.:-.„. f., Mechanical Permit Applicatio 1 • 4' ,
Nr- Y hUR OL1jC, IISL ON11 1
City of Tigard Received
s q 131 zs i sW Hall Blvd., Tigard, OR 97223 JUN 3 0 2010 � v: 7 Q arm,® Permitt No : c Ao ' I r I
, I l is Plan Review l •
Phone; 503.639.4171 Fax: 503.598:1960 / Y Other,Permit:
lyl 6 iii Inspection Line: 503.639.4175 CI �I � 7 ARD Date ReadY /By: r � :Sce Page /foe
Internet: www.tigard-or.gov
� ►�� Supplemeuta hiformation
BUILDING DIVISIQ Notifled/M ethp od: Sj ■
,i., :•, iii WORK COM1YffitCIAL FEE' SCHEDU V.O't CKI,ISr,
❑ New construction Eli Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
❑ Demolition ❑Other performed. Indicate the value (rounded to the nearest dollar) of all
Other: matenials,,equipment, labor, overhead, and profit.
7 CATEGORIC OF CONSIRTJCTION+ �w Va lue; $
j 1 and 2- family dwelling ❑Commercial /industrial 0 Accessory building +
❑ Multi family ❑ Master builder ❑ Other Forspecral information, usechecklist.
• h .r Y ...._ k , ,' .. � JOB' SITE UWORMATION AND r LOCATION ` at I 1 Ea. I Total
Description Qty.
_ ......... ._ _.__...._..w.,..�..,_. _...._.... r__..::, ,,•�,,,tt. > t:: Heating/cooling
Job site address: 11.4-1 S\. 11_ S ,p. Air cmiditiening + ' J L _
Ir- (requites site plan showing placement) l 46.75 Z!Q
City/State/ZIP: T p c s pc- c - 7 z2. Furnace 100,000 3TO (ducts/vents) 46.75
J Stan( Furnace 100,000+ BTIJ (dueta/veatsj 54.91
Suite/bldg. /apt. no.: Project name: of
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32 _
'Hydronic hot water system 23.32
• Residential boiler (radiator or
hydronic) 23.32
Unit, 'mutat (fuel -type, not electric),
inwall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other. _ 23.32
Tax map /parcel.no.: Other fuel appliances
1�� 1.1MI� ^�r Sr` 11ON' itt* *Rhea a ` x ' Water-heater 23,32
. x..�,.�,... A,M.,y .. .. .X�`�;aaz :'�' = �s:..,�,: __. _... ,H. ,,.... ... kr.. ..� <i :.,... _., xfx�-. .� „.u:- c:....�f�"`'r�'• `.�u.'r.< as..�u�?° - •. -
p ° Gas fireplace _ 33.39
�`t .".1 f/t i t 1e c'7•I Flue vent for water heater or gas
I*Y 'fireplace
23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
- . ^"3 ./ t -�-ax .r r , w r •a C /liner/flue/vent
8 i =� .2� 1a,.Pittilf ITY1OW *T.tel: i r� f S, S El _ {li&NANT fi f a rilrY
2332
{ s . <...' r:. nas zP .. st H Oche[ 23.32
Name: rr� 5 11t et Environmental'.exhaust and ventilation
Address: -. 1', 614-1 '� �.-2a r Range hood/otherkitchen
equipment _ 33.39
City /State/ZIP: '-}' o C(a (Je_. q 1 22* Clothes diver exhaust 33.39
Single -duct exhaust (bathrooms,
Phone:
) J( 04-2 Fax ( ) toilet, compartments, utility rooms) 23.32
a mil} a r AP PLICANT 'b i” t' ltd {r�4 ai " 4 A ttie /craw ace Sans'
.X�.��;.r,.<�x,.,;h.,� ; .....,.,.. �w...i.,,� -. ,� s�-fi`� �e+,�.� �CON2'ACT�tP�RSON � �,r��E 1sP 23.32
Business name: AAA HEATING & COOLING INC. Other 23.32
Fuel piping
Contact name: $14.15 for first four;•$4.03 for'eaeh,additional
Address: Furnace, etc.
\\I Gas heat pump.
City/ State/ZIP: Wall/suspended/unit heater
•
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
,.; _ ' CONTRAGrOlI Barbecue
Business name: AAA HEATING & COOLING INC. Clothes dryer (gas)
Other
Address: 5017 NE GRAND AVE li ECHANICAL PEa_M_ IT FEES°
City/State/ZIP: PORTLAND OR 97211 Subtotal
P one: (503) 284 -2173 Fax: (503) 284 -1552 Minimum permit fee (590.00) L7
• Plan review (25% of permit fee)
CCB tic.: 0..„7 State sun:harge (12% ofpennit fee) IV - Su'
TOTAL PERMIT FEE _ADD e . f
Authorized signature: This permit application expired If a permit is not obtained within 180
7 / days after it has been accepted as complete.
Print name: VICTORIA ALLEN l Date: Le ikl f l o * Fee +methodology set by Tri-County Building Industry Service Board
t:\auikting \Permits \mEC- PeonitApp.doc 10,/01/09 440 6171 (1I/ Z /COM/WEB)
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JUN 3 0 2010
CITY OF TIGARD
BUILDING DIVISION
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