Permit CITY OF TIGARD MECHANICAL PERMIT
-''1 2 COMMUNITY DEVELOPMENT Permit #: MEC2010 00417
T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/19/2010
Parcel: 2S111CC23100
Jurisdiction: Tigard
Site address: 10430 SW GREENLEAF TER
Subdivision: Lot: 0
Project: Avena
Project Description: Replace gas furnace and A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
AVENA, MARIAN Description Date Amount
10430 SW GREENLEAF TERRACE
TIGARD, OR 97224 Air Conditioning 08/19/2010 $46.75
Furnaces < 100K BTU 08/19/2010 $46.75
PHONE. 503 - 684 -0376 FlueNent For Any of Above 08/19/2010 $23.32
12% State Surcharge - Mechanical 08/19/2010 $14.02
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: Natural Gas
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 OUN by calling 503.246.6699 or 1.800.332.2344.
Issued By: ` , / ; Permittee Signature: 04/\./970/04./- ` -7
� of
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 11:33 1t822 8.001/003
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Mechanical Permit Application„, .s..- ) FT 14.(:) .-- .--' .. .• .:' . ::-:-....
. . . ...... ,.. : .. .: . : . .
.... ..:... .'... City of Tigard a Recved ey .
os 1 Date/ ei Br ‘ /9 /.? ■1* Permit Ncl CerP4,0 --- e/ / .' ' :
,
- Illi • 13125 SW Hall Blvd., Tigard, OR 97221 r . A, )c)
0 ..-. Phone: 503.639.4171 Fax: 503398.1960 l ' ' ' Plan Rev Other Permit
• ± I , ,4 b Inspection Line: 503.639.4175 l''
..,, Date Ready/By: 63 Sae Page 2 for
. ' .. • :. .., Internet: www.tigani , -or.gov " ' 'WOtified/Method: 110Z Supplemental information
s • .
VVg%'ag3,VkRW:7'.',.1:1:::BA.:nit*S,*t:,t*:Ata: (: 7,0,1w.grAcm4LFEEJZOcifitogi*:'Aivsg,,:,mpa.s.2 _.r;,.!:
cJ New construction Addition/alteration/replacement Mechanical permit fees* am based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition LI Other: mechanical materials, equipment labor, overhead, and profit
Winiiag::}Mli-1:N-SN-N.A:PARCIAY;ii:P...1%talig:Wc.110*Oli;ligaREIR*BRS Value: $1(000
gegliANMPATAWIKIP*..41P 1. .-54 11 .7. 2 0:*4-tRa ,
1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist
*nth-family 0 Master builder 0 Other:
Description 1 Qty. - I Ea. I Total ..
, 'A:MTERAZIK44#:**7:nerOIRmA::::#0110:7..60770*ISTAWARANt::: Ileadatileonibre
Air conditioning
Job site address: i oci 7 t , 5L, (r4tve,u i 4.6- r f ....- (requires site plan showing placement) i 46.75 L it 1.5
City/State/ZIP: .-""- . I. 4» Furnace Furnace 100,000 BTU (ducts/vents) / 46.75 tii„,1.5:
,
' Furnace 100,00(» BTU (ducts/vents) _ 54.91
Suite/bldg./apt.no.: I Project name: ..e.v\o__
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water. system 23.32
- Residential boiler (radiator or
bYthollie) 23.32 , ,
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Flue/vent for any of above I 23.32 2. 5..5 7...,
Subdivision: I Lot no.:
' Other: 23.32
Tax map/parcel no.: Other fuel appliances
Eilat 7alft Water heater ' 23.32
Gas fueplace .
Ck CLS VA'( (VX-e--R- '4-- a (, Flue vent for water heater or gas
• _ 33
i u 1
fireplace 23.32
-- " Lott lighter (gas) 23.32
Wood/pellet stove 33.39
• Wood fireplace/insert 23.32
STOPM:0 fettaiM 1 . 5 1: 1 # 7 * - 41#41krir.1 04 7: ' ChinineYninedfluelvent
_Other: 23.32
23.32 •
Name: M 6 ,../ I ' c NI A \pc N i 4... Environmental exhaust and ventilation
Range hood/other Idtchen
Address: t CiLn ei 5‘,, G.r-4.4..A1 L. sr 4 or -c- equipment 33.39
City/State/ZIP: T s c..,-4 •,,e1.. cli 22-C-f Clothes dryer exhaust 33.39 '
Single-duct exhaust (bathrooms,
Phone: ( ug. 14, - Fax ( ) toilet compartments, utility rooms) 23.32
Witrentrar:AP4ritaitgageli F.Efkli.i .9 IONr. AtticiclawisPase fans 23.32
Business name: AAA HEATING & COOLING INC. Other: 2132
Fuel Within
Contact name: ...r 5 f tryz ik _ S14.15 for first four; S4.03 for eadt additional
Furnace etc
•
Address:
Gas heat pump
City/State/ZIP: Wall/suspended/tmit heater :
Phone: ( ) Fax: : ( ) Water heater -
Fireplace
E-mail: -
Range ,
gR:::;t'50.'‘PrS:R:gle0Flitrit"..r0R-gi:1„:?.0.:44,i:,,V,1),!;.',A.:IV::,, Barbecue
•
Business name: AAA HEATING & COOLING INC. Clothes dryer (gas)
Other:
Address: 5017 NE GRAND AVE rA!j14;.'10EGIIACALr,PER1111TFEESI,k2c.,
City/State/ZIP: PORTLAND OR 97211 Subtotal_' , ,4-
Minimum permit fee (S90.00)
Phone: (503) 284.2173 I Fax: (503) 284-1552
Plan teview (25% of permit fee)
CCB lic.: 000222 State surcharge (12% of permit fee) /Y, a?...
V
TOTAL PERMIT FEE 1/3 0
Audiorized signature: ..._,.... ..,A------- This permit application expires if a permit b not obtained within 180
days after it has been accepted as complete.
I Print name: VICTORIA ALLEN I Date: g-/ g_ 0 I • Fee methodology set by Tri-County Building Industry Service Board
IABuildineltrmits\NEEC-PamitApp.doc 10/01/09 440-46171'o uovcomiwou
From: 08/18/2010 11:33 11622 P.002/003
AUG 18 2010
CITY OF T!G a RD
BUILDING DIVISION
Air Conditioner/Heat -Pump Site Plan
AAA Heating & Cooling
5017 NE Grand Ave
Portland. OR 97211
Jobsite Address: totAi a C4 r , 1 L . - - , -i fa, c-c-
Project Name: -01e--
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South