Permit �� CITY OF TIGARD MECHANICAL PERMIT
III COMMUNITY DEVELOPMENT Permit #: MEC2011 -00069
TIGAR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/16/2011
Parcel: 2S102CA00235
Jurisdiction: Tigard
Site address: 9525 SW FREWING CT
Project: Haskins Subdivision: Lot: 0
Project Description: Installation of ductless heat pump.
Contractor: PYRAMID HEATING & COOLING Owner: HASKIN, DALE E & SHEILA M
5699 SE INTERNATIONAL WAY STE A 9525 SW FREWING CT
MILWAUKIE, OR 97222 TIGARD, OR 97223
PHONE: 503 - 786 -9522 PHONE: 503 - 452 -7701
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Heat Pump 02/16/2011 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 02/16/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/16/2011 $28.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
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
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 if worpended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or di ct que ions to OUNC b' • 0. - 32.1987 or 1.800.332.2344.
Issu d By: ! 4 , f - / Permittee Signa. re: ' 0i
0
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
02/15/2011_ TUE 14:01 FAX 503 786 3432 PYRAMID HEATING 001 /003
Mechanical Permit Application I l FOR OFFICE USE ONLY
Y I •
City o Tigard L /E /7` / a
- 13125 SW Hall Blvd., Tigard, OR 97223 �� Permit No.:
Phone: 503.639.4171 Fax: 503.598.1960 FEB 1 2011 Plan Review
Date/By. Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Read y /B y orrs: 0 See Page 2 for
Internet: www.tigard- or.gov ]
CITY OF TiekiD
Notified/Method: Supplemental Information
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t TYPE OF W-OR1C':._,.:,;;, ., I r d; L flE *' SCHFDJTLE'' (ISIS CHECKLIST_:
I
❑ New construction Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
ATEGQRY .`:OF::CO3\'ST;Ri-J.CTlON <- :'::.:''`_'_ i;•__;`:,:-:;:;.:<:;;
.,:,RE5ID NTIAL,EQUIPIVIEN I SYSTE ''S;FEES* i'
I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building - For special information use checklist.
1:1 Other:
Multi-family uilder , esc npl on Qty. Ea. Total
�
HeatinWcouling
Job site address: �� ( 51,3 �(��� � , � / ,,•,
Air conditioning -
(requires site plan showing placement) 46.75
City /State /ZIP: - 1 - 10 y ®rZ C — 2 _ 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 2.3.32
Hydionic 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
s`:•a.:;:- ” <DLSC TION; - : s:: ::r ::r.:; :z_v =:a... m - :`':` i` Water heater 23.32
l e ,Up , Auk_ L `^ Gas fireplace 33.39
y n$ L vat IG�� Flue vent for water heater or gas
p fireplace eplace 23.32
�
i � t o � Log lighter (gas) 23.32
e- Q- tY - 1C/.✓A.t - Wood/pellet 33.39
Wood fireplace/insert 23.32
:, ... , ,
'?PR,OPERIY_:O: : — ER:'- .....::::•., .':i' ,,, . hinmey /liner /flue /vent 23.32
TENANT , ' : ,. � :.::.,,
Name: 51 ,` C
�Jf \� Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 33.39
City/State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (Ft ' I 0 g Fax: ( ) toilet compartments, utility rooms) 23.32
; :(_',•=-` a��' PI; iCAIv° C,;;' �';. s, i=. i' f; t�=' ?-:=:' �: i''®?: CONT1#�L';:PERS.ON'`�.;;::-:_�, Atticictawlspacefans 23.32
Businessname: PYRAMID HEATING AND COOLING
Other: 23.32
Fuelpiping
Contact name: MEMORIE BROWN $14.15 for first four; $4.03 for each additional
Address: 5699 SE INTERNATIONAL WAY STE A Furnace, etc.
Gas heat pump
City /State /ZIP: MILWAUKIE OR 97222 Wall/suspended/unit heater
Phone: (503) 753 -9522 Fax: : (503) 786 -3432 Water heater
Fireplace
E -mail: mbrown@pyramidheating.com Range
Barbecue
Business name: Pyramid Heating and Cooling Clothes dryer (gas)
Other:
Address: 5699 SE INTERNATIONAL WAY S•1'E A
City /State /ZIP: MILWAUKIE OR 97222 Subtotal (p 1 0�
Phone:
(503) 786 -9522 Minimum permit fee ($90.00) C ,00
( ) Fax: (503) 786 -3432 Plan review (25% of permit fee) O
CCB he.: 59382 / State surcharge (12% of permit fee) O • �O
TOTAL PERMIT FEE DO, 50
Authorized sign This permit application expires if a permit is not obtained within 180
_ days after it has been accepted as complete.
Print name: MEMORIE BR • WN Date: Z' 6 6 , Fee methodology set by Tri- County Building Industry Service Board
I'.Buddiny Ibnnits'htEC- Pcnnitnpp.doc 10'01 so 440 (11:02 COt't WEB)
02/15/2011 TUE 14:01 FAX 503 786 3432 PYRAMID HEATING a002/003.
, ..
1 41 YR A M11) . 5699 SE International Way, Suite A ... iVlilwaukio, OR 97222
HEATING ta& COOLING
office 503.786.9522 fax 503.786.3432
www.pyramidheating.com
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withtmttrsdirty tht.1 let t ef tit's,:
OR CCB: 59382 WA CC: PYRAMHC964P8
Address: 9525 SW Frewinq Cl. (Department) Call type: residential retrofit
City Tigard State OR Zip 97223 (Problem) Job type: Job-Retro
County:
Job# 10656
Estimator: Ralph Shafer
Mechanical Site Plan
Please Note: Direction I I Gas meter location I 'Vent termination location 100U locate, Street name I I
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