Permit A
y CITY OF TIGARD MECHANICAL PERMIT
'' COMMUNITY DEVELOPMENT Permit #: MEC2009 -00237
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/27/2009
K.
. Parcel: 2S114AB09000
Jurisdiction: Tigard
Site address: 16300 SW 93RD AVE
Subdivision: KITEELAND ESTATES Lot: 94
Project: Quinton
Project Description: Install heat pump.
Owner: FEES
QUINTON, STANLEY R Description Date Amount
16300 SW 93RD Air Conditioning or Heat Pump 05/26/2009 $14.00
TIGARD, OR 97224 12% State Surcharge - Mechanical 05/26/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 05/26/2009 $58.50
Contractor:
AAA HEATING & COOLING
2915 NE MLK JR BLVD
PORTLAND, OR 97212
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 $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
•
Issued By: ` ' , 1 ' I , Permittee Signature: A-00 (>t— i51(b)()
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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From: 05/22/2009 12:47 11205 P.001/003
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Mechanical Permit Application ; .. t '.' .. - .- : • . - .. FOR USE ONil V'
: 1 City of Tigard Received
__ _ it. , , _
.• 13125 SW Hall Blvd., Tigard, OR 97223
III 1\11 AY 2 2 2009 Datc/By: Permit No.:
Plan Review
I Phone: 503.639.4171 Fax: 503,598.1960 te/By: Other Permit.
Da
TIGA RD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: 0 See Page 2 for
• . Internet; www.tigard-orgov
BUILDING DIVISION Nottfied/Method: K IM Supplemental Information
New construction XAddition/alteration/replacement Mechanical permit fees* are based on the value of the work
0
performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
' A 4- tteAfFirgilltir.0 1 V.4 1 /N.7:30r.0,t 1 k 1217''''''" eirCO ''' X*Z1' ;4 '4 g: "* 1 ti:"i t' & l':, , , ? ,,, 7 -- .....,,,, ..- ---.,., - - ,,,... .....,
4.esTp . i',1' '' 0-0„g -,,,,Z9 ,
tgal_ and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
El Multi 0 Master builder 1:1 Other:
Description Qty. Ea. 1 Total
Frea'?,:.*i Qw 771;i ..,,,,,: -1 7 ar, i : ::::iC I T. 1, ‘6 7 ;t:'3?Fite:. Heating/cooling
Air conditioning or heat pump
Job site address: t 4 3 e. C ut3 R3, 0 -,, t , „,, e _
(requires site plan showing placement) i 14.00
City/State/ZIP: " T k y 0_ ei. 1 0 ce.., C%'-1 1:2.4 Furnace 100,000 BTU (ducts/vents) 14.00
<, Furnace 100,000+ BTU (ducts/vents) 17.90
R
Suite/bldg./apt. no,: Project name:
Gas heat pump 14.00
Cross street/directions to job site: firth '0, af-J' <A II Duct work 10.00 ,
3 S , Hydronic hot water system 14.00
A-n Sk4 c■r2.41(t. aue, , ..1-‘.....0.,... i ovos-c) Residential boiler (radiator or
hydronic)
s (,‘,3 iM; \\ R.." k b 42 -N•3;., •-k\r. tten. 1( ek.roVn
e ., Unit heaters (fuel-type, not electric), 14.00
SVA1 C V3 A l-
0 Na..t.5V. X - in-wall, in-duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: I Lot no.:
Other: 10,00
.
Tax map/parcel no.:
Other fuel appliances
o+:11::7 :1)40* !,:-,i`F4,5FiTli:1;PFP-Sra..7 Water heater
, t N t 10.00
,,, r • Gas fireplace
10.00
e.,p. \- P\,......(3 Am. ,e, cc;,.\ Flue vent for water heater or gas
e....)
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove _ 10.00
Wood fireplace/insert 10.00
10.00
Name: * L INA. e. laA..1..■v‘.'zr 0 v‘
.,) _ Environmental exhaust and ventilation
Range hood/other kitchen
Address: ' t 61 ., ... A c2‘,) . equipment 10.00
City/State/ZIP: . 1 \ 44 4;41. -1 '
4) ) Clothes dryer exhaust
Single-duct exhaust (bathrooms, 10.
Phone: (5D) Et, 0 - Li LI, ‘, Fax: ( ) toilet compartments, utility rooms) 6.80
Attinkrawis fans 10.00 '
Other: 10.00
Business name:
Fuel piping
Contact name;
$5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
- .
Phone: ( ) I Fax: : ( ) Water heater -
Fireplace
E-mail: _
Range
- -
01; CTOEF4 7 4 7 ":5,47 z 77 , , Barbecue
Business name: A. P A l_k-e cal vvr ..1.- tcokk‘Al Clothes dryer (gas)
Address: 501,:l K1 Z. (0,,(1' (Iv e 1/4.4.€ einaM - noKrtff -- _. , ..„ ,-;--- Tf*:!. ame4,;?, •
City/State/ZIP: Fercil cy9.- ekT it Subtotal 1 4 s 0 cl
Minimum perm fee ($72.50) . 1 2,.... et,
Phone: qf,) 1s1..4, 7_(-7 Fax: ( wro 244 - 1 sv 2_
Plan review (25% of permit fee)
CCB lic.: - 2.-4.2 ..
State surcharge (12% of permit fee)
• UCC),4,....bat, TOTAL PERMIT FEE 6 i ,2,. 0
Authorized signature:
This permit applicadon expires ir a permit Is not obtained within 180
days after It has been accepted as camplete. .
I
- Print name: Vt(.gs Vickl.e,...A.N. Date: S - 7 e CI • Fee methodology set by Tr-County Building Industry Service Board
I )BuildIng \ Permits)MEC-perrnitApp, don 01/19/07 440-4617T (11/02/COWWEB)
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Stanley Quinton
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'* 16300 SW 93rd Avenue
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GARAGE
35'
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100'
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