Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00413
TIGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/18/2010
Parcel: 2S 110DA02600
Jurisdiction: Tigard
Site address: 10515 SW NAEVE ST
Subdivision: RENAISSANCE SUMMIT Lot: 17
Project: Thomas
Project Description: Replace existing A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
THOMAS, SHARON Description • Date Amount
10515 SW NAEVE ST
TIGARD, OR 97224 Air Conditioning 08/18/2010 $46.75
12% State Surcharge - Mechanical 08/18/2010 $10.80
PHONE: 503 - 598 -8603 Minimum Fee Adjustment - Mechanical 08/18/2010 $43.25
Contractor:
AAA HEATING & COOLING
5017 NE GRAND AVENUE
PORTLAND, OR 97211
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 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 Signature: 4 ,97.0„0/..../ r� �O/V
���� 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: 08/18/2010 10:12 8614 P.001/003
, . ; - 1
•1
Mechanical Permit Application. l( >R Ol i`Ic i I O
City of Tigard Received
9/
, � C • 13125 SW Hall Blvd., Tigard, OR 97223 AUG 17 2010 Pia 0 &- /o Permit No �r ea 2YJ .3 • Phone: 503.639.4171 Fax: 503.598.1%()
Date/By: Other Permit:
T i n ii n Inspection line: 503,639.4175 " .v aft Ready/By:
: Internet www.tigard- or.gov D Supplemental See Pale 2 for
Notiiied/Method n Supplemental Information
OF WO RK .v�....
_ : .. ., ... _ ;COMMERCIAL FEE' SCHEDTILE ` USE C HEcKLIS T
El New construction : Mecbanical permit fees" are based on the value of the work 3i
o ❑ Demolition [] Odle perfornted. Indicate the value (rounded to the nearest dollar) of all
. ;, :,.., ; :,.,,,.... :._ :.... _ mechanical bor, overhead, SC
materials, equipment, e4mP mot and profit.
is r CATEGO CONBTl3TA0IT _ Value
r, -
g 1- and 2- family dwelling ❑ Commercial/industrial ID Accessory building � L r /SYBTEj )R11 `
❑ Multi- family ❑ Master builder ❑ One For special information use checklist.
E Qty. Ea. Total
Description Y +
..,.r.,�... ,.__... ,.I ORMATINi AND LOGATI9N , . ' Reatlngkooling
Job site address: ' (I5 g1, \A Q-�4ie £( Air conditioning I K �./�
(regains site plan showiest placement) 1
O 46.75 '
City/State/ZIP: 7 5 C L ( 7 2_ Lf Furnace 100,000 BTU (ducts/vents) 46.75
Suite/bldg./apt. no.: ` I Project name CtL.c Furnace 100,000+ BTU (ducta/vents) 54.91
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydc 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
Subdivision: L Lot no.: Flue/vent for any of above 23.32
Oth
Tax map/parcel no.: en. 23.32
Other fuel appliances
.,.. > : - r Y ' '• z �.,, j 's °5.:fiirn;. tec`> -.•,- - ..,-, ; - , ,. a ,,.� Y ., 'o� !i,`�' :' ":r"`,� ,
... �t �... z 4.ts:, . r`.,.., x _, ag!:x DEr TION (4F *o::** ... 7c�..'s i:i >�n r t Water heater 2132
yD
` \ .r (k.1 C+ OA VU v Gas fireplace _ 3339
`,, Fhue vent for wale heater or gas
V L� (,iZ— fireplace , _ 23.32
Log lighter (gas) _ 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
sr Y P d ; v:ii /)P1 in " ' it T >• 5,5X` +=710. , . :3 . �_ ..,,_.74�s u <+,, i �s=' Chitnney/liner/flue/vent 23,32 _
„ r, Other, 23.32
Name: Ql�(1�� l C l r Ak_ ` ? x �< Environmental exhaust and ventilation
Address: 1)( > Sk+l.) 'M ve. V- -- m other kitchen 33.39
City/State/ZIP: T'''\\ Ck,ca 09-' ct Z2J4 Clothes dryer exhaust _ 33.39
Phone: ( ) v�� 2S � Fax: ( ) 1 Sg t compartments, rt e nt s (uatt coo
toilet compartme utility trams) 23.32
�,r3 ;� .�J.��•'4wH; `� 3 T' "` 'H;s•v ��'� t• = °. ;ti :�;,r,•- y r_",..� =,
f "` 3. L
�.._ : : � t P.;c. a,. ,r� „tAPPLIC;i►NT.,, .�s;�, ��'"u? �°",�,_® ;QONTACT�,PRR80Fi' it r••f U;���.,' Atttc%rawlspace 23.32
Business name: AAA HEATING & COOLING INC. Outer 23.32
Fuel piping
Contact 514.15 for fast four, $4.03 for each additional
Address: Furnace, etc.
City/ State/ZIP: Cgs heat pump
WalUsuspeaded/unit heater
Phone: ( ) I Fax:: ( ) Water heater -
E- mail: Fireplace
s
.. .._ Barbecue
:...:. < �NTRACII'OR .. �
Business name: AAA HEATING & COOLING INC. Clothes dryer (gas)
Other;
Address: 5017 NE GRAND AVE
. -. ...... ,... , : MIECHANICAI: P FatAill T. :i0*8 +,V. : ,. : :.:, ;... : ::
City/State/ZIP: PORTLAND OR 97211 Subtotal
Phone: (503) 284-2173 , Fax: (503) 284 -1552 Minimum permit fee (590.00) LS c
Plan review (25% of permit fee)
CCB tic.: 000222 State surcharge (12% of permit fee) t p . 20
TOTAL PERMIT FEE 1O'D . O
Authorized signature: This permit application expires If a permit is not obtained within 180
d ays after it has been accepted as complete.
[ Print name: VICTORIA ALLEN I Date: ? I Lei (D • Fee methodology set by Tri -County Building Industry Service Board
t:\ euildiogMermits \MEC- Permi[App,doc 10/01/09 440-461 (1l/02/COM/WE6)
From: 08/16/2010 10:13 11614 P.002/003
•
REF
AUG 17 2010
CITY OF Ti4t\p,D
Air m r I./mo
Air Conditioner/Heat-Pump Site Plan
AAA Heating & Cooling
5017 NE Grand Ave
Portland OR 97211
Jobsite Address: tc,s
Project Name:
• . North
• 4,
•
11/4
West
East
C kr . I ••••-rn
40'
South