Permit CITY OF TIGARD MECHANICAL PERMIT
114
COMMUNITY DEVELOPMENT Permit #: MEC2010 00494
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/08/2010
Parcel: 2S104DC06500
Jurisdiction: Tigard
Site address: 13788 SW FERNRIDGE TER
Subdivision: MORNINGSTAR Lot: 6
Project: Anderson
Project Description: Replace gas furnace.
Owner: FEES
ANDERSON, BRAD & DAWN Description Date Amount
13788 SW FERNRIDGE TER
TIGARD, OR 97223 Furnaces < 100K BTU 10/08/2010 $46.75
12% State Surcharge - Mechanical 10/08/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 10/08/2010 $43.25
Contractor:
PYRAMID HEATING & COOLING
5699 SE INTERNATIONAL WAY STE A
MILWAUKIE, OR 97222
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: Natural Gas
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
applica • - aw. All work w : - done in accordance with approved plans. This permit will expire if work is not started within 180 days of
iss -nce, or if work is suspende• or m• e the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
ility Notification Center. Those -s ar 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 • • g • ) . 6.6699 or 1.800.332.2344.
Issued By: // � Permittee Si ture: � / . / � G � `
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.
10/07/2010 THU 14:06 FAX 503 786 3432 PYRAMID HEATING 2001 /002
n ris1 R
Mechanical Permit ApPlicatio I��� 111 4 4Is'' i " i__ FOR OFFICE USE ONLY
of Tigard Received
�J/ - �/
. 7 Date/By v / T Air Permit No.: ./ge 11 ew FT
'+ 13125 SW Hall Blvd., Tigard, OR 97223 nn Plan Review ,e /f
Phone: 503 "639.417 1 Fax: 503.598.1960 OCT O T 2 U Date /By: Other Pennit:
TIGARD Inspection Line: 503.639.4175 CITY O - 'MAR Date Ready /By: Jun: Ea See Paget for
Internet: www.tigard- or.gov ^ r � u
BUILDING DI V Iti7��i tl Notified/Method: Supplemental Information
......._..., -,_ .,,i. ... ................... .. . . ._......TYPE:.OIF:.WARK:,.� :..• - ,r-ar- _�
,_,/ ......;.._..,,.. , :....,: - "sue :.. -_. -_�,. ,.....:._. SEE:;: c >�fi,�1��� I�sE_cH>r�acras:.�
❑ New construction I�Addition /alteration /replacement Mechanical permit fees* are based on the value of the worst
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Ot her: mechanical materials, equipment, labor, overhead, and profit.
..C9;T,IrGORY�i. F.:l!(� . - :..:.::::... ::.:.�:, >:.,,;:,,,,,,,::.,:.,:•
. ... -... . Q CO -.:.: 9TRIlCTIAN; L, W
[�l - and 2- family dwelling ❑Commercial /industrial RESIDENT : C.IPW J' + - MSFFS ya
❑ Accessory buil
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
_....., „, . ;: Description Qty. Ea. Total
:�„ ::: •; 40O SIT O
.....;.._ ..:..�.. >;`. 11! f> F.. RD' IAA'I 0111`A]VD • "r �:'= �= i
�r: - cts:'ri;:i
°- -_ -" - Heating/cooling
Job site address: ( pt-� 5 w Fe _l^ • r rif) r ,p Air conditioning
v v t V ) �� � (..e / (requires site plan showing placement) 46.75
City /State /ZIP: Vlc x J q el 273 Furnace 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
Hydronic 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: Flue/vent for any of above 23.32
Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
3)ES.CRT$TIO { AK:KOIt : z :-= Water heater 23.32
� a �' a p .y 1 Flue vent for water heater or gas
c, Gas fireplace 3339
, n 51 f ,1,1 1 . CiS ,Q r . • �� , 01 l
O� �j� , t i , �.n R t fireplace 2332
L �� ) Jti/1. U.J1 l.Y� g 1 Log tighter (pas) 23.32
Wood/pellet stove 33.39
Wood fireplace/inseit 23.32
• . , . ❑ . OPERT;.Y . : ER"
Chimney/liner/flue/vent
_ - ......__._.... � .__. ,- ; :.c,t- .,::� SAN „T:� >�s�;.�;``;:���:i
Other:
_23.32 _
Name: \ ,p 17�y \ r 1n ^ Environmental exhaust and ventilation
Address: t , , wf,1l^ Range hood/other kitchen
equipment 33 "39
City/State/ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility moms) 23.32
: ... ,._... .... p : _. .......,... _..- ., -,�' F'i" eta ace fans 23.32
._ . . : .-,. . .
..:.. ❑: AP "LICAN73'.: "•:,.,.- .,.,,. - - - P
:: ........ .._ fl cohvraer r -rcoi.
x:5 r�;.? Attid •ls
Other: 23.32
Business name: PYRAMID HEATING AND COOLING
Fuel piping
Contact name: MEMORIE BROWN 514.15 for first four; 54.03 for each additional
Address: 5699 SE INTERNATIONAL WAY STE A Furnace, etc.
Gas heat pump
City / State/ZIP: MILWAUKIE OR 97222 Wallsuspended/unitheater
Phone: (503) 753 -9522 Fax: : (503) 786 -3432 Water heater
E -mail: mbrown®pyramidheating_com Fireplace
Range
: ,. ,:,... -' - . . .... ..:: .
.:: ";.:,.: jjz;...y „ -;: Barbecue
. ... . .. ...... +CONTRACTOR � ��'
Business name: Pyramid Heating and Cooling Clothes dryer (gas)
Other:
Address: 5699 SE INTERNATIONAL WAY STE A a ;:", i � t.„-."..,: -i_p,,;:: ;:;,,:,:,••,,,: r F :,:_ ... W
i 'r �1�L ' ..._'
....,,.:. .�._:. ,- ,,,.... _ .......: . :. ..... . .::ate
City /State/ZIP: MILWAUKIE OR 97222 Subtotal I;Akc5
Phone: (503) 786 -9522 Fax: (503) 786 -3432 Minimum permit fee (590.00) f
Plan review (25% of permit fee)
CCB lic.: 59382 ;/./ l / State sutelrarge (12% of permit fee) ,O fp
TOTAL PERMIT FEE Q p
AuNtorized signature: j �,ro This permit application expires If a permit Is not obtai ed 80
days after it has been accepted as complete.
Print name: MEMO' . - 1 N l Date: 1O . `l . 10 • Fee methodology set by Tri County Building Industry Service Board
1:. Buildin PcnnitApp.doc 10'01'09 940-- 1617T(11'02:COM,wEB)