Permit ., CITY OF TIGARD MECHANICAL PERMIT
' - COMMUNITY DEVELOPMENT Permit #: MEC2011 -00161
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/14/2011
Parcel: 2S109AB13100
Jurisdiction: Tigard
Site address: 14258 SW STELLER'S JAY LN
Project: Alpine View, Lot 12 Subdivision: ALPINE VIEW Lot: 12
Project Description: NC installation. Unit must meet minimum 3 ft. rear and side yard setbacks.
Contractor: PYRAMID HEATING & COOLING Owner: WEST HILLS DEVELOPMENT
5699 SE INTERNATIONAL WAY STE A 735 SW 158TH
MILWAUKIE, OR 97222 BEAVERTON, OR 97006
PHONE: 503 - 786 -9522 PHONE: 503 - 641 -7342
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 04/14/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 04/14/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04/14/2011 $43.25
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, 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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 • .: i..
Issued By: ,./` r Permittee Signature:
dpoir
Call 51 .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.
0 4 / 1 4 /20 1 1 THU 1 0 : 0 8 FAX 503 78 6 3432 PYRAMID HEATING IZ1O01/O03
Mechanical Permit Application FOR ouTicrcsr ONLY
\\1 Received i A
City of Tigard
i
t 0 13125 SW Hall Blvd., Tigard, OR 972 ,
Date/By:
Phone: 503.718.2439 Fax: 503.5' ' ' .'! %\\ 1/1 1
Plan Review
Datellity: Other Permit:
44
Inspection Line: 503.639.4175 k I
Internet www.tigard-or.gov \
6 - .. , D il a o t t e ifi R e eady et t d: : BM Supplemental Information
Ed See Page 2 for
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N ew construction 0 Addition/alterationement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: V) mechanical materials, equipment, labor, overhead, and profit.
. Value: $
/.. ,.,. ,....r.,. ,,,, o,, ,.:,. . i_ i .;. , ,,,, „,..3: , ..,.-„..::,,,,,,.,,_ 004 , 70 . * ,. n ,,,, * ,.. 04 ... 0 ,, 00 ,,„:„„ i „.,,:„.,,,,„,
mti, and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use diedlist
0 Multi-family 0 Master builder 0 Other: Description 1 Qty. I Ea. I Total
JOi :4siii-toolotat.ii::;,:::.;_v::;::::::.::,,:„:i.:.i.,„,.,, Heating/cooling:
Job site address: 1 426E5 SW .‹.1. Z& - Te r race_ (requires site plan showing placement) 1 46.75 tfiv:15
._
Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: 1 (5 cird c OAS C O 2 2- 4 1 _ Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Alpine VieL) LD+ 17- Hydronic hot wamr system
Residential boiler (radiator or 23.32
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
4 Wa heater 23.32
_
vlati Pt IC, Gas fireplace
Flue vent for water heater or gas 33.39
Ts-V
fireplace 23.32 ,
Log lighter (gas) 23.32
Wood/pellet stove 33,39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
-1.;,,:.,_;;;..y.,,,..K.W.P,A,1•WRIVIA#,:i.iii:::: KNNY:6 oth„ 23 32
Name: vies-t-
1-lit‘s DeVtLOpY'tQYk Environmental exhaust and ventilation:
Address: -7 5 Su) 1 Satk Ave. Range hood/other kitchen
equipment 33.39
City/State/ZIP: Beaver-1-bn I 0 R C110 DLo Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (03)7.36 _ 9 522. Fax: ( ) toilet compartments, utility rooms) 23.32
,;,,,w,LKNO-401441*Plifty;:::ky-,.:F0 WiggititiftWitafkige0,31:Mf.V Attic/crawlspace fans 23.32 • AweetSiArt`xis: ......ia". i.,.,:;..!1,0-;;A„ ,tr,,•, -,„„ ;m.,Z.-.-.;:',, , ,....Pef ..AA
Other: 23.32
Business name: p reinli a 14 e.a. ..t ina
Fuel piping:
Contact name: Ap Ili 1 .3eyi 5.ex' ---/ $14.15 for first four; $4.03 for each additional
Address: 5()c1 q se nrrinr naiiona t LUCIA 4 Sk. A Furnace, etc.
Gas heat pump
City/State/ZIP: rr) i i / au l e. _ R cr ,_.)
Wall/suspended/tmit heater
/ ` r\ - '
Phone: (3)(q 522 Fax: : (56) 7 I -3(432. Water heater
Fireplace
E-mail: P- hea CD rn Range
' :; : .aq.BS%ik.datla.gatt, ( W.4#10>tgSIPi,ERF.MtetW o ta. a Barbecue
Business name: p 9rarn i c 1 1.4.e.crtinOi Clothes dryer (gas)
Other:
Address: St
n 5E interna*onal it3a.L. sit . A Witattic4.Uttiqt
City/State/ZIP: ry) i k L .1 au < ., :A z q 72_22 ,-, Subtotal L4tp.15
`''' permit fee ($90.00)
Phone: ( 503 ) -n.. u, ci F
) Minimum 5 22 Fax: (913)7%0 -31 32.
Plan review (25% of pennit qo --
fee)
CCB lie.: sci 3 g2.... State surcharge (12% of permit fee) ICI .go
TOTAL PERMIT FEE J 00. (g'D
Authorized signature: fiALP C•kl.'0, This permit application expires if a permit is not obtained within 180
4" -
days after it has been accepted as complete.
Print name: 19 ,,1 0 , 1 stn. I Date: 441141 i 1 . Fee methodology set by Tri-County Building Industry Service Board
I: \Building \Penults \MEC- ermitApp.doc 09/09/10 4404617T (I 1/02/COM/WEB)
,__04,/14/2011 THU 10:51 FAX 503 786 3432 PYRAMID HEATING U001 /002
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DRAWN 01/28/10 SNfs A VIEW
Contractor is responsible to check SITUATED IN THE N.E. 1/4 OF SECTION 9, TOWNSHIP
site plans and notify designer of any 2- SOUTH, RANGE 1-WEST OF THE WILLAMETTE MERIDIAN
errors or omissions prior to start of CITY OF TIGARD, WASHINGTON COUNTY, OREGON
construction. Also plans and
specifications shall be approved by 14258 S.W. SETTLER'S JAY TERRACE
• local building authorities prior or 5 SQ. FT.
start of of constrrucctionion.
LOT 12
WEST HILLS MINIMUM SETBACK REQUIREMENTS:
(rii) •
W . (FROM Pi. OR BACK OF SIDEWALK, NEAREST TO HOUSE)
DEVELOPMENT, TNO. REAR TARP: 15'
FRONT (HOUSE) i5'
FRONT (PORCH) 15' 1
SCALE
735 SW 158th Ave. FRONT (GARAGE): 20'
BEAVERT.ON, OR 97006 SIDE: 5' : 1"=20'
STREET SIDE: 10'
(30' MAX DRIVEWAY WIDTH)