Permit `.' CITY OF TIGARD MECHANICAL PERMIT
c v.: COMMUNITY DEVELOPMENT Permit #: MEC2010 -00336
T[Gf1REj 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 07/15/2010
Parcel: 2S110BCO5200
Jurisdiction: Tigard
Site address: 12285 SW THORNWOOD DR
Subdivision: THORNWOOD Lot: 23
Project: Hung
Project Description: NC installation. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
FEDERAL HOME LOAN MORTGAGE CORP Description Date Amount
5000 PLANO PKWY
CARROLLTON, TX 75010 Air Conditioning 07/15/2010 $46.75
12% State Surcharge - Mechanical 07/15/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 07/15/2010 $43.25
Contractor:
FOUR SEASONS HEATING & A/C INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132
PHONE: 503 - 538 -1950
FAX: 503 - 538 -0165
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 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.: e l '4.
0 1111. A
Issued By: �� Permittee Signature: i
-_-. /i
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.
Mechanical Permit A lICA� �► i t � E
City of Tigard e `k, \� Dn to : yr. Permit No. G , �� I� - 3 6 (.
] 3125 SW Rail Blvd., Tigard, OR 472 l 4 Plan Review
° '!c� Phone: 503.639.4171 Fax: 503.598.1960 \ \ G �.9 �` f p }3y: Other Permit:
Internet: Line: www.tigard-or.gov .gov .639.4175 C o ��1�15�0 Notified/Method:
3 V Supplemental I Date
internl: d- tu
TYPE OP Cam permit fees° are based on the CIAL FEE* SCHEDULE - USE C) .IST w'
l value of the work
E3 New construction Addition /alteralion/replacemCrft Mechanica performed. indicate the value (rounded to the nearest dollar) of all y
Q Demolition Other: mechanical materials. equipment, labor, overhead. and profit. (
CATEGORY OF CON&T1iI.1 & Value: S r
RESMEPPEIAL EQUIPMENT / SYSTEMS FEES'* ::
1- and 2- family dwelling ❑ Commercial/industrial �] Accessory building ix
For special information usd Chtrdklist. ,
0 Multi- family - ❑ Master builder D Other: I?eseription (qty, ( Ea. ( Total
JOR STfE INFORMATION AND LOCATION Heatilug/tooliag
show
�j 7 ` Air conditioning
j � �� � � . _ `• • � 1�1 . (requires site plan placement) ` 46.75 � � -7
Job site address:
City/State/ZIP: q ar f � G 1 . - -.,4 Furnace 100.000 BTU (duets/vents) 46_75
e � t 'l Furnace 100,400 BTU (m,ete/vente) 549I -
Suite/bIdgJapt. no.: Project name: i'� Y j,.. ..,.Q Heat pump 61.06 ,
Cross street/directions to job site: •J Met work 23.32 l
Hydronic hot water s 23.32 f
Residential boiler (radiator or
hydronic) 23.32 ,
Unit heaters (fuel -type, not electric)
"�--- ,
in- wall. in -duct, suspended. etc. 46.75
Lot no.: F ltx&vent for any of above 2332
Subdivision: Other: , -- 23.32 j
Tax map /parcel no.: Other fuel appliances
• . DESOUPTION OF WNW .. Water heater 23.32
� Cos fireplace 33.39
-- l ~ Flue vent for water heater or gas }
fireplace 23.32
- Log Gutter (gas) 23.32 _
—
Wood/valet stove 33.39
• Wood fireplace/insert - 23.32
Chlmncy/liucr /flut/vent 23.32
RQI I Y OWN : , : 'iEIYANT, . other: 23.32
N � , Eavironntentat exhaust and ventilation
a.--4 ■ Range hood/other kitchen
Address:
"--;' . . r , W • v • / I. • equipment _ 33.39
City/State/EIP: fl °�� t F — Clothes dryer exhaust 33,39
Single -dud exhaust (bathrooms,
Phtrae. ( $ 2 , 4 �� -� Fax• ( ) toilet compartments, utility rooms) 23.32
f3 . APPLICA 4T [ .... CI PERSON .. Attic%rawls ►ace thus 2332
_ w Other, 23.32
Business =no: s Fad piping
$14.15 for first four; 54.03 for each additional
Contact name. ' rvs �/ " ` , g 7 13 Furnace, etc T
Address: .- - '� N IQE RG • Gss heat pump ..
City /StateILIP: Wall/suspended/unit heater
t? Sp Fax :: ( ' 1 (r, water heater
Phone: (51:53) J _ (,, ,,�+�,,, Fireplace -
E -matt_ of
I U1 °l . €. u. •`►-�� � °,"r^^ O U` C D!�_ Range
4
CO . Barbecue
a =�`_ �, �rj' Clothes dryer (gam)
Business name: r r i, . MA I b, s R L t tither _
MECUANICAL PERMIT FEES* •
Adder: � VV ER . OR � Subtotal
aty/Statc/ZIP: _.---- - Minimum permit fee ($90.00) via . ,."--
ne: ( ) Fax: ( ) — -- Plan review (25% of permit fee)
CCB lie.: 11 F S - ..., _ _ - State surcharge (12% of permit fee) /Q • gp
TOTAL PERMIT FEE /8P5 • eQ
This permit application espy if a permit k not obtained within 186
AuLhoriZ d Signatufe: tia . A _ r , ' days after It has bean accepted as complete.
M 1.t. Date: S • Fee methodology Set by Tri- County Building h�esay Service Board
Print name:
1 :� MI
c GtermEUwvdae toiotro9 aao.tbtrrtttrolrtotuv►vsa)
1700 /17000 0i llJa- IlV )• 4+ G\1\) S9L0869609 XVJ 9Z :LL 0103 /bl /Z0
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A/C -AT PUMP —UNIT srr PLAN . - -
_ , ri 0 BACK OF PROP ' z LINE - E
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, \ FEET TO SIDE PROPERTY LINE
. F l - 14 .3 .
FEET TO FRONT PROPERTY LINE
173 . A)w m
�pREs: .'
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PLEASEREFAX APPLICATI N FITH SffE PLAN
FAR SEASONS HEAille
AND AIR / N ITICN+lING INC.
APiD Alai CONDITIONING O
1006 INDUSTRIAL NOW. W
• NEWBERG, OR 97132 0
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