Permit a
Er CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00423
Date issued: 08/14/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S112BCO2500
Jurisdiction: Tigard
Site address: 14710 SW 84TH CT
Subdivision: HAMBACH PARK Lot: 9
Project: Parth
Project Description: Installation of A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
PARTH, UWE Description Date Amount
14710 SW 84TH CT Air Conditioning or Heat Pump 08/14/2009 $14.00
TIGARD, OR 97224 12% State Surcharge - Mechanical 08/14/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 08/14/2009 $58.50
Contractor:
OREGON HEATING & AC
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 -691 -9699
FAX: 503 - 691 -8556
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
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: Of '9 ',°Ld �� 9--70 `� /
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.
Mechanical permit A I RECEIVE! FOR OFFICE USE ONLV Ap
City of Tigard . AUG 1 3 2009 Datc/By. 44 0 4/i , • rgait14° a0• - i /
13125 SW Hall Blvd„ Tigard, OR 97223 plan Review
I • Phone: 503.639.4171 Fax: 501598.1960 Other Permit:
C 1 A A Inspection fine: 503.639.4175 CITY OF TIGARD a le �r�Bl: Ready /By: See Page Z tor
Internet: www.tigard -or.gov BUILDING DIVISIi 19• lotified/Method: Supplemental Information
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El New construction $ Addition/altcration/replaoernent Mechanical rsl Prrm't fees are based on the value of the wont
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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1 I- and 2- family dwelling ❑ Commercial/industriai ❑ Accessory buildusg , For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other Description I Qt I ._ Ea. I Total
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Job site address: S y,1 b S� ) {`f*- _ Air conditiuluug or heat pump
(requires site plan showing placement) I 14.00
City /State /ZIP: T1 t "7i'"'C furnace 100,000 BTU (ducts/vents) 14,00 - •
Furnace I00,000+ ETU (duets/ vents) _ 17.90
Snite/bidgiapt, no,: Project name: Gas heat lump 14.00
• Cross street/directions to job site: Duct work 10.00
- Rydrvnic hot water system 14.00
Residential boiler (radiator or
• hydronic) - 14.00 ,_,
- Unit heaters (fuel -type, not electric), .
in -wall, in -duct. auspcalded, etc. - _ 14.00
Flue/vent for any of above 6.80
, Subdivision: FLot no,; Other. 10.00
Tax map /parcel no.: Other fuel appliances
PERMIT" 1 r' �� n *+ i' t °ti Waterheater 10.00
� ,.r'� ,fTi, I . - a , ,.. ;'c � li�tml ulx't+artif . , � � f �' � w`.k4 , i' 1,6 1 Ct 1 I,k f 10 00
Gas fireplace
M r3 C irAI -/ Flue vent for water heater or gas
fireplace 10.00 -,,,,^
• . I-0E lighter (gas) 10.00
Wood/pellet stove 10,00 _
Wood fir5I 10.00 -T er /�Qe /VCnt l lace/insert -
p y � T , r.. I ` R W'rT,l ft J.y` i, t� d� r T; , 4 p C �Il+ 10.00
. isti4lPi §r _.'fr64ti iii ;iy�tl��� R+7�15'17i OthCL 10.00
Name: 1 g 1 P i Environmental exhaust and ventilation
` ` Rage hoediC.1er Sdtchen •
Address: 1241 t 0 f la g u ` t{+. y equipment 10.00
City /State/ZIP: `fit b 6_ 0 r . (2 p - 41 Clothes dryer exhaust 10.00
` Single-duct exhaust (bathrooms, •
Phone: ( ) Fax: ( ) toilet compartments, uti]i rooms) 6.80
4 T ^rn tell ;af \.z 't--`.,.,r ".,.••„W "r i•. r -.. - 10.00
}.l':x.,�,_ , f'?" •lt; �r.l.. �ili t 11 _ .l' i' �' E ('�'`iFt {j ai r,' i',E,+ Att / Craw a ce fans
`,N �j k ��'� �' �•X t;a:�{ �J1S ,4 %_1�hj,�c' {�s;��:�- 1�.;.:. ����'•�'��:`:�'�v'i•.;'�.1'M �'r. rt�',�'t' • 10.00
.. Other: .,
Business name: ,
��(� �,P��t � ��. _ )sue! piping
for fleet four; $i< -00 for each additional
Contact name: U 1
1J Furnace, etc.
Address: M X a4 i Gas heat pump
Cf
City /State/ZIP: i �� O l 5 . /
-
Wall/suspended/unit heater
Phone: ( 05 l �� � 7" L 1 - `l // �� e � , 6 a `7 �7 Fax:: ( 5) 6C l - ,5 C�1 Wine' heater
Fireplace ,
. E -mail: ' Range .
yY . _,: . ; rti !, - aY &I §, ;,� , i�, -.,; .. ;, ';it;f'• Barbecue ' .'.' -L i 4 'ih,•:, � ''� . ,.� . .,. 'i!0v.di .,E. 1I r;� ,"F Barbe ._
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tJIC i �e ok 1r y� c A L • Clothes dryer (gas)
Business name: /` `1 pillar _
Address: ` ,i ce rye Y . /, ..,.i , ,lIt� . , , � , �/ / � ,' .��lk !.apY •!`. t'"' ....
t �L J'\ •• "r'�♦!l:!.it sr� J-� :`^' ' �ttitt* t 1..1'.. Fi. ,Y.'� s 1%r
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City /State/ZIP: 121lC� tee 91115 subtotal
Minimum permit fee (572.50) 10/`50
Phone: b • • * 0 1- q 6• ct Fax: (5O' rpR `- 55 (b Plan review (25% of permit fee)
CCB lie.: `i ; A : . State
t :. State surcharge (12% of permit fee) ' '1Q
'rte+ TOTAL PERMIT FEE 4 /
/ 1 This permit application expires if a permit is not obtained withiu 180 ✓
Authorized siguature W f r ii ` 1 + . dAya atrer h has bean ateepted as complete.,
Print name: Ira �� � i � ..1 Date: ' r -
a Fee methodology set by Tri` County Building Industry Service Board
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44f1-0617T (1 1/07/C09N1VEB)
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•
zJ "2-- : 00.0311
44` '--› First Floor •
®• 90 dm 90 m
er90 dm (8) cfm
• First For ®' 90 drr
• 0 cfm 993 dm
0.90 cfm ,- -- ®• 90 cfm r
j
®- 90 cfm
® 90 cfm
garage
®' 90 cf •
Job #' Oregon Heating & Air Condltionin... scale: 1/8" = 1'0"
Performed for: Pave 3
Uwe Perth PO Box 3971992 Fiwy 99W Right -Suite Residential
14710 SW 84th Ct Dundee, OR 97115 6.0.108 RSR39325
Ti9ard, OR 97224 Phone: 503 Fax: 503- 537 -2172 2009 - Jut -31 08:18:22
Phone: 503 - 285.1855 ProJectt.rrp
Tomaoregon heating -com
E0 /E0 39dd 9NI1ti3H NO93NO 9g58- 169 -EOS Lt :01 600Z/ET/80