Permit ;� CITY OF TIGARD MECHANICAL PERMIT .
,;'. C COMMUNITY DEVELOPMENT Permit #:.MEC2010 00019
IIGARD 13125 SW Hall Blvd Tigard OR 97223 503.639.4171
Date Issued: 01/15/2010
. Parcel: 25111 DCO2500
Jurisdiction: Tigard
Site address: 15745 SW.ALDERBROOK CIR
Subdivision: SUMMERFIELD NO.8 Lot: 472
Project: Meyer
Project Description: Replace heatpump and furnace heat recovery ventilator. Unit must meet 3' minimum rear and
side yard setbacks.
Owner: FEES
MEYER, ROBERT E & LAVOLA Description Date Amount
15745 SW ALDERBROOK CIR
TIGARD, OR 97224 Air Conditioning 01/15/2010 $46.75
Furnaces < 100K BTU 01/15/2010 $46.75
PHONE: FlueNent For Any of Above 01/15/2010 $23.32
12% State Surcharge - Mechanical 01/15/2010 $14.02
Contractor:
ROBBEN & SONS HEATING INC
2214 SE 8TH AVE
PORTLAND, OR 97214
PHONE: 503 - 233 -5841
FAX: 503 - 238 -8849
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $130.84
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State•of OR Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issued By: � Permittee � 0,0 ie /9 - 7-70, / 11::;
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
This •permit card shall be kept in.a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
'` 'Jan. 15. 2010 1 :19PM . Robb ions Heating Inc No. 6502. P 1
Mechanical Permit App
licat>IO E � s y 1 be 1' l)I t 0 f 1 hC " I •.II S I 111 L :; I' /4r p ∎ „ N‘ ' 4 i ,
n w . Rived/ • �S �0 1 ,, Per -N
City of Tigard. Date/By: i; Received.
`�Ie� �v� /0 -!7/
13125 SW Hall Blvd,, Tigard, OR 97223 JAN 15 plan Review
Niel-Permit;
n 7 phone: 503.639,4 171 Fax: 503.598.1960 petcl$y: say Page 1 for
T il'AR n Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /I El See Pa ge 1 r
1
Internet: www.tigard -ocgov BUILDING DIVISION N °ffied Miff) s Information {,
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Mechanical permit fees" are based on the value of the work •
Q New construction 1' • ddition /alteration /replacement performed..lndicate the value (rounded to the nearest dollar) of all
[] Demolition ❑ Other: mechanical materials a labor, overhead and rofit.
to !
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.fi � Value: $
1 rt� Jt: + J ' i .,t,: ri. •;.x,1,0 e e `Y . u aitt . , r ?x }...;.w , " , r. " , I' ° X - 4 �" ...
PI I- and 2- family dwelling ❑.Commercial /industrial ❑ Accessory building
For spe in(orntarion use checklist.
❑ Multi- family ❑ Master builder ❑ Other; Description Qty. Ea. 1 Total
7t.,, n s 7 � +„ p` -4,`r { Ifealln: coolie:
F o , h 3 f r' rl Q , M.O' a v.;t z i i•. t t t a r r a - ,.: 4f ?��. ^ 'i - 0�
" -- 1 Air conditioning or heat pump ,
Job site address: \ lg.,. al, ciih,la (requires site plan showing placement 14.00 / `
C\-- Furnace 100,000 BTU (ducts/vents 14.00
City /State /Z1P: , ` Furnace 100,000 BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name; Gas heat pump 14.00.
Duct work 14.00
Cross street directions tojob silo: Hydronic hot waters stem 14.00
Residential boiler (radiator or
hydronic) ' 14,00
— Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. _ 10.00
Flue/vent`for any of above 1 10.00 /0 w
Subdivision: Lot no -: Other: _ 10.00
Tax map /parcel no Other fret a..11
r x ,, 1 ' ' a Water heater 10.00
, ,,; y pi 1 /14 ' , 't r. P r.,;'' • ',j,a i 0 - i ' 1 1.: 44_ +f '
r. *.:.'f s- .,,• - r 4: _ x ' Gas fireplace 10:00
� A' SD Flue vent for water heater or gas
ifr�:v 1 \�: Wit. lb r fire, lace 10.00
r r�'� �a�- �� Newt =. . - Log lighter (gas) 10.00
Wood /pellet stove _ 10.00
Wood fireplace /insect 10.00
e Chimne /liner /flue/vent MI 10 -00
rr -!ilPt r O I'? a ai ' ' 8 " -. 10.00
;;�r.;t 7;1,x, �i �. - other.
_ Environmental exhaust and ventilation
Name: r r9 ` ` 4 — �_ ` Range hood/other kitchen
Address: ( � *; ` r. .102 .,y e • ui' menl . 10.00
Clothes d er exhaust 10.00
+,,(�, `� Single -duct exhaust (bathrooms,
Phone: ( ,) toiletcom•artments utilit rooms - 6.80
r , ' t . a At tic/crawls ace Fans 10.00
to +4�, 9 6 ,, ' ' ' d AS , 0 ty , Zy 3 r a .� B 4,4'x; /
X OFther: 5 r. �,.��A
10.00
Business nam : ii I +• �OAW. M tire'.\ �tr Fuel i,ln:
Contact name. 55.40 for first four; $1.00 for each additional
Furnace, etc.
Address: '�'
4r1,A Gas heat pump
City /State /ZIP: L0� �M rl�a �� �� Wall/sus cnded/unitheater
Water heater
Phone: is1 !! Fax.: 'wild) a .- Fire lace
E -mail: •t Ran:e
4ln'ti � r:'t ; ,i c 3 �d" ( E' (i i x4 r t; � o li ' g1: l j t�d 0,' -'G n 1 fKe f f: i ,I Barbecue
F i
14r. r : :t %1'4 {1 : :'4'l i : 162Ig;,.. • ,f, lg. k4, ti t �,7 F
Clothes d er as ft
Business n?me: Ob Q.-11 r t ' Other D
Address: L- • �� U 4s.... ,Yfr 2„., , „....„n:r,:• {.P.r ..P4,r,., P i.„ ff'�
City /State /ZIP: It r rI Qe Subtotal ,
�I a � `”" } " q12.1 Min perm fee ($72.50) IM1 i' W Phone: 603) 23 5 -5 ( Fax: (503) 238 ` 884 Plan review (25 %of permit fee) a 0 e).,
I r eCB lie.: J 82 _ _ State surcharge ( , of permit fee) L ��i� r
TOTAL PERivfl f FEE' a'1 �
This permit application expires if a permit is not obl • ■ within I :'
Authorized suture: days aft It has been accepted as complete. •
rPtiut name: u 1
I Fee me thodology set by g y
�� �P+� Date; y T ri•Count Y Building Industry Serv7 Board
r:\BuildingVermits \MEGPermtAep .doe 04 /06/06 440.4617T(11/02/COMhvEB) °/v
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A/C -HEAT PUMP -- -UNIT SITE PLAN ��,
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ADDRESS: 5 ') 4 s � -ct, . IDEr brae G‹ 6t.r ' c ° ,-,
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PLEASE •REPAX APPLICATION WITH SITE PLAN o d
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