Permit 'rr MECHANICAL PERMIT
q CITY OF TIGARD
0 COMMUNITY DEVELOPMENT Permit #: MEC2010 -00370
Date Issued: 08/03/2010
f GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S 109 DD09700
Jurisdiction: Tigard
Site address: 15617 SW RAPHAEL LN
Subdivision: Lot: 0
Project: Turner
Project Description: Install a /c.
Owner: FEES
TURNER, JEFF Description Date Amount
15617 SW RAPHAEL LN
TIGARD, OR 97224 Air Conditioning 08/03/2010 $46.75
12% State Surcharge - Mechanical 08/03/2010 $10.80
PHONE: 614 - 975 -8400 Minimum Fee Adjustment - Mechanical 08/03/2010 $43.25
Contractor:
PYRAMID HEATING & COOLING
PO BOX 1502
SANDY, OR 97055
PHONE: 503 - 786 -9522
FAX: 503- 786 -3432
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 sus ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notifi n Center. e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct estions to OUNC b : lin. 50 46.6699 or 1.800.332.2344.
Issu d By: , Perm ittee Sig /
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.
0 7 / 29/ 201 0 THU 8 : 5 5 FAX 503 786 3 432 PYRAMID HEATING a001/001
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received ,ZIZr
Date/By: I 16 A om
'I te x ao ... De 5 7
4 13125 SW Hall Blvd., Tigard, OR 97223 Permit No.:
Plan Review
I 11 • Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit:
:
Ihspection Line: 503.639.4175
T 1 GA R D Date Ready/By: Juris: Z See Page Z for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
Mechanical permit fees* are based on the value of the work
0 New construction CZ Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
D Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
rir..gf-IT;gi-;-51R..+-1, Value: $
M .V-IMPHOIihn
El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other Description 1 QtY• I Ea- I Total
iSk.,U;t:miiiiefalriqviV.":
it - _,4 1 41Aft*I.OiC.R0 1 :0040:10g ;:41,7tg.r. Heating/cooling
Air conditioning
Job site address: 15617 SW Raphael Lane (requires site plan showing placement) 1 46.75 46.75
City/State/ZIP: Tigard Or 97224 Fumace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name:
Heat pump 61.06
Cross street/directions to job site: Duct work 23:32
Hydmnic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: -
Other: 23.32
Tax map/parcel no.: Other fuel appliances
Water heater 1 23.32
Gas fireplace 33.39
Install AC, use existing gas pipe and ducting. Electrical updated at time of Flue vent for water heater or gas
fireplace 23.32
install by others
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
f'''''' i.si
-,-. Chimney/liner/flue/vent 23.32
Name: Jeff Turner Environmental exhaust and ventilation _
Range hood/other kitchen
Address: Same equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (614)975-8400 Fax: ( ) toilet compartments, utility rooms) 23.32
------" - 1:' -1 . 1 ' ''Va't-a'aa Attic/crawls ace fans
RettOarl.***,(0*- EN P 23.32
Other: 23.32
Business name: PYRAMID HEATING AND COOLING
Fuel piping
Contact name: MEMORIE BROWN $14.15 for first four; $4.03 for each additional
Address: 5699 SE INTERNATIONAL WAY STE A Furnace, etc.
Gas heat pump
City/State/ZIP: MILWAUKIE OR 97222 Wall/suspended/unit heater
Phone: (5111)537152Z. Fax: : (503) 786-3432 Water heater
Fireplace
E-mail: mbrown@pyramidheating.com Range
lililk Barbecue
gA4V4),,:i.,121171"."4,41.Atrtie,M41
Clothes dryer (gas)
i
Business name: Pyramid Heating and Cooling
Other
Address: 5699 SE INTERNATIONAL WAY STE A iltittallftgarO.01014-0#04.04:64112
City/State/ZIP: MILWAUKIE OR 97222 Subtotal
Minimum permit fee ($90.00) 90.00
Phone: (503) 786-9522 Fax: (503) 786-3432
Plan review (25% of permit fee)
CCB lic.: 59382 i State surcharge (12% of permit-fee) 10.80
ita
TOTAL PERMIT FEE 100.80
within 180
alp ....• •4). r p . .-,. I his permit application expires if a.permit is•not obtained within . - •
Atithonzed s :o a ,..
- ......■ / 1 days after it has been accepted as complete.
Print name: MEMORIE BROWN Date: i' . a... 111: Fee methodology set by Tri-County Building Industry Service Board
I
I: \ BuildingTerm its l MEC-PermitApp.doc 10/0)/09 440 : 17T I/02/C 11 M/WEB)
07/27/2010 TUE 15:26 FAX 503 786 3432 PYRAMID HEATING 2002/003
Mechanical Site Plan
p E L. A)
, 7 '
5699 SE International Way, Suite A Job #:
Milwaukie, OR 97222
HEATING & COOLING ph: (503) 786 -9522 Performed By:
Akt\k Fax: (503) 786 -3432
ww s py ramidheating.com
OR CCB: 59382
re WA CC: PYRAMHC964P8
-- Rcv -1/10 CAB