Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00421
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/24/2010
Parcel: 2S111 C801736
Jurisdiction: Tigard
Site address: 10340 SW HOODVIEW DR
Subdivision: HOOD VIEW NO. 2 Lot: 35
Project: Dunne
Project Description: Replacing existing A/C and gas furnace.
Owner: FEES
DUNNE, KEVIN B AND SANDRA L Description Date Amount
10340 SW HOODVIEW DR
TIGARD, OR 97224 Air Conditioning 08/24/2010 $46.75
Furnaces < 100K BTU 08/24/2010 $46.75
PHONE: 503 - 639 -5606 Fuel Piping 08/24/2010 $14.15
12% State Surcharge - Mechanical 08/24/2010 $12.92
Contractor:
A- ACTION HEATING
18245 SW TV HWY
ALOHA, OR 97006
PHONE: 503 - 649 -3524
FAX: 503 - 649 -6095
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $120.57
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. . ..
Issued By: - Permittee Signature:
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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.
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Mechanical Permit Application , t t,i i I( tar O\1:1
,- Cit of Tig �'� -Received
. , Petmitxe.: .
q 13 125 SW Hal Blvd. T igard, OR 97223 R E C � ' L V
a , .. Phone: 503.639.4171 Fax 503.598.1960 , , (, . Other Permit: •
• Ins Line: 503.639.4175 AUG 2 4 .
F I c "K D °Ate Ready/By: l � o �� ® See Page 2 for
w - co � : ^
Internet: ww.tigard or.gov Notifed/Method: /.rl�( Supplemental Information
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I=1 New construction a' • ddition/alteration/replacement Mechanical permit fees* are based on the value of the work
1:1 Demolition ■Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
: %r,4� ldtism� r i a M c�rlttli�3i Fg
Value: $
ii ,i 1 3i PtSi „,ligtitit, :Srj ?w.K. ,'> ., � 3 :10. t.t.w7.!m,,..r ter. �itZ4:- :11 5.tfe.,:.. +r a=- saiaa ac•a 4 ,t ° n .in mss ttr cr
'g �
1- and 2- family dwelling ❑m
Comercial /industrial ❑Accessory building
r e..r.'^,a >v � t ' t t .,. ,, rr;,. I ., ,s E - ra . `. ,,,, ,M1
11 Multt family El Master builder 171 Other:
For special information use checklist.
,a ,� ;( Description 1 Qty. I Ea. Total
' `'t' Er'{`.S,I` IO Ich _ P. i d i riit;;ri t : a A , � f if i fs' W ;t*W' u�.,u'^e i ` 1 'ifi�
..��a„, i 1i l + ip '.:� .... -. _ . ?. Heating/eooling
Job site address: +1 �� . Air conditioning or heat pump
L r l
, r _ ` (requires site plan showing placement) 14.00 ) L IA
Cit :-R Q j a al'? _ f - 7 ? ` Furnace 100,000 BTU (ducts/vents) 1. 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bidgJapt. no.: Project name:
DL Q- Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.:
Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
7 1. w4 :� ,0g.f.,r "P S4 t'filiisi -. '1,7 ---L hi!'�i' §l rd'e it. d tVI'q r , Water heater 10.00
r,2 m 'F x.f ) a� ,. ,, si (t �,h .
iss' z? Effni il,!:P ;4'i.n rrra., . .. .d}E9tai -, .rtx_hrdl. ,iTt n:;v R ival. :1.2:' 1 ° i d,!ArA rig v - _:: $451tu .
Gas fireplace 10.00
aN. ,' .1 /11111 • • • Flue vent for water heater or gas
fireplace 10.00
-- • E� Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
:NBi � ra( � ;(, Z M7" C! -r'r � . 2 � , +^ : -c' , k r 4 �'r" y rt 1 . 1tl ttSUt< 1 }tt 3, m ; -, Chimney/linerl8ue/vent 10.00
ra x lt. ,. ..,:o t ' �^' '. s .r, ... , Other:
., 10.00
Name: n V u f . Environmental exhaust and ventilation
Address: + 1 ' '/- Range hood /other kitchen
10.0
I �.� l P I equipment 0 City/State/ZIP: ` r fa ^d. • XIX/
Clothes dryer exhaust 10.00
..7' 63 4 5�O � Sing duct exhaust (bathrooms, r rooms) ..7 Fax: ( ) " toilet t compartments, utility ility rooms) 6.80
*7.1 ianir: is v,,r Lsl ! 5�i''hro; SK "s d " 3c,.1 T 7 a :
°Vw i" i x 11 tit' e s. .141.4,1" other. ic/crawLspace fans 10.00
' '1� "sii+lu u.ul:vr.l I;r+n.r'.uiw a.. �i.� HEATING vm //� ,..Y.._.JJ'!�._N _...6.._..� 5,�. ...tk2_Pr�-
Business name: A- ACTION HEATING & A/C pipit 10.00
Contact name: 18245 S.W. T.V. HWY $5.40 for first four; $1.00 for each additional
Address: ALOHA, OREON 97006 Furnace, etc. I 1
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
ase4F 5 T417�41V tti4� . _�sw .... f vs-..: .�.i754..02, ;�aS. F' W 7 mmr4 y
✓ fi rr 51 `T >w+ r s r i acs s t, ti,in tr ?�">3kU(It a '� - 1g a. . Barbecue
x.r da. . � �'` 3 s r7 t !i➢5tn�t,4i���st���...aa. , i�.�'s. ,w....V'!.�`:�3 ' .,�: x ::�,,i���:�....tfag,w'a't�
Business name: Clothes dryer (gas)
HEATINC & NC Other:
Address:
A � rt i , ° i n„ �
1 824 6 W TV. HWY w,...�,.,. , 1. ter
City/State/ZIP: OREGON 97006 Subtotal
AI�HAL Minimum permit fee ($72.50)
Phone :5n l -1 _ s a Lt. f Far 6y 1 - L 05 Plan review {25% of permit fee)
CCB lic.: -- 7 3 ( / State surcharge (12% ofpemtit fee)
TOTAL PERMIT FEE 171 -
Authorized signatt . e This p ermit application expires if a permit is not l on 180
Jaya after it t has em accepted as compplet complete.
Print name: Sc y"Q Ke v ' �` n Date: L2o) j * Fee methodology set by Tri- County Building Industry Service Board
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A- Action Heating & Cooling, Inc.
18245 SW Tualatin Valley Hwy
Aloha, OR 97006
503- 649 -3524 office
503- 649 -6095 fax
www a- actionheatinji.com
SITE PLAN:
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ADDRESS OF INSTALLATION: