Permit CITY OF TIGARD MECHANICAL PERMIT
.111 - COMMUNITY DEVELOPMEN Permit #: MEC2009-00122
Date Issued: 03/24/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S103CC00600
Jurisdiction: Tigard
Site address: 13760 SW 121ST AVE
Subdivision: COLONIAL VIEW Lot: 1
Project: Erdt
Project Description: Replace furnace, install gas line to furnace.
Owner: FEES
ERDT, DONALD D & DOROTHY P Description Date Amount
13760 SW 121ST Furnaces < 100K BTU 03/24/2009 $14.00
TIGARD, OR 97223 Fuel Piping 03/24/2009 $5.40
PHONE: 12% State Surcharge - Mechanical 03/24/2009 $8.70
Minimum Fee Adjustment - Mechanical 03/24/2009 $53.10
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST
PORTLAND, OR 97239
PHONE: 503 - 234 -0611
FAX: 503 - 234 -0439
Type of Use:
Class of Work: 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: CI c(1,( (Adt0)0 Permittee Signature?" Q / t .
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.
Ph 0/23/2009 07:52 5032340439 SUNSET HEATING PAGE 02/02
- Mechanical Permit Application 1 01 t►a I I( I I sI ►►., ,
• City of Tigard Re�vaa
N. w 13125 SW Hall Blvd., Tigard, OR 97223 Date/Br l �� _aT r�
w Phone: 503.639.4171 Fax: 503.598.196t AR 2 3 2009 Date/B uw -
Other Permit:
! r I , Inspection Line: 503.639.4175
Internet: www.tigard -cmgov + Date Ready/9y: Wit ® See p age 2 for
Notified/Method \` ppleme tul Information
W
+' t , n .
, w v
Mechanical permit fees' are on the value of the work
❑ New construction V Addition/alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition t7 Other:
mechanical materials equipment, labor, overhead and profit
m ,, .,x..Ia , . jM y ,.�... , N-. , 4,.., L , M•^"" Value: ,R
tgt I and 2-family dwelling ' '
Y g ❑ Commercial /industrial ❑ Accessory building
1:1 Multi-family
For special information use checklist.
Y ❑ Master builder (� Description ! Iia Total
L Qty.
' . *, " y , ,i,,, +�n r r .a,.;" f vr` :,,.;r" �,-. ,r . ' -,,:,•; : Heating/cooling
Job site address: 1 COO LO (� Air conditioning or heat pump
(requires siteptnn showing placement) 14.00 _
City /State /ZIP: -- erg Crilc,a 3 Furnace 100,000 BTU (ductwvems) J 14.00 (c{ —'
Suite/bldg. /apt. no.: Project name: ' } Furnace 100,000+ BTU Cduccv/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10
Hydronie hot water system 1400
—
Residential boiler (radiator or
h tunic 14
Unit heaters (fuel-type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6 gp
.'••• Other: ;0.00
Tax map /parcel no.: » Otl►er fl rcl n (lances
L::'
,. . 'r . 1 }, ,� +F „, tin .ft�u_':a4i� .. rn ",eu6 ti7 ,I . r , i a 7 .4 Water heater - 10.00
G r W o: Gas fireplace 10.00
/
R� , 0 _ t r I I IN \ ' Flue vent for water heater or gas
fireplace 10.00
— Logligiter (pis__ 10.00
Wood diet stove 10.00
Wood fireplace /insert _ 10.00 _
",'^,,. - -:Rrt q.
, 11rTro 1 r ' rvr
� , . (a J -,� 4 oi ' aM 1�1�7 A 4� e> �`� e�' gin! '" 1 , V � 7 Chi mnC /liner/flue/vent 10.00
E v ri.: ...? —: '4,.-.4,:, --` ,,,,A 1 1.64 , 4 +n. . ,,,4 .1.SyM ith: h , Gd'.mlii au,, h, =,r4 %;,-; WL 4 , .... ,, u-a Other: _ _ 10.00
Name: �! ti%t /i-+ Environmental exhaust and ventilation
Address: 1 '_ ) - 1 b «I 6� Range hood/other kitchen
equipment 10,00
City /State /ZIP: —6 01-1_,,),__ Clothes dryer exhaust r 10.00
Phone: 5 ` Single -duct exhaust (bathrooms,
(- 3) 5 °(0 • 3 � is Fax: ( ) toilet compartments, utility rooms) 6.80
� 7:7 d '� ( p C� , "''� " YR"n^t^ s ,� ° ^�t e r � m
4 l i� :L,,' ) '',:‘4 u „: Isp .,, `4 a r(• t 1 , o .'.4•;, 9 a u : I � i i a'12` ' Attic /crawlspacc fans 10.00
,. Kk MrnT � U„UM �.4 a ,d,iSw1MO d,Z �x I1dG'�r'e.,tra , 44r m n•.,�.. r 1 :. ' � .. • „ 1M r ild J.
Business name; Other: r 10.00
- - Fuel piping
Contact name:
$5.40 for first (bur: 51.00 for each additional
Address: Furnace, etc. I 94,C)
Gav
_ heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax.: ( ) Water heater a
E-mail: Fireplace
��t t1Mar•: Range
, :
zy 77
It q � �
.. , • a : ) ,,',+.. 1.. " 1 ` "' r�Y�. � r_ ' �1 r } / }�. v.� r �.. ' +� 'ti � � $arbccuC
. 0^ ) �
Business name; Sunset Heating & Cooling Clothes d er gas
Other:
Address: 0607 Sw Idaho St j „ ,
City /State/ZIP: Portland OR 97239 - Subtotal _ICI Ltie
Phone; (503) 234 -0611 Fax: (503) 234 -0439 . Minimum permit fcc (572.50) -IQ .5()___
CCB lie.: 161085 _
Plan review (25% of permit fee)
oak AI + fi x ) it fix) , ]Q
TOTAL PERMIT' FEE g j.,
Authorized signature: - This permit application' expires Ito permit is not Mt:mined within I an
days a tm it has been accepted as complete.
- - _P'rint name: il[i,i,(;iv 1 1,1 J p �G� Date: • 0 3 'O. • Fccm
ethodology set by Tti -county Building Ied.. So Board -
1'l lundlnAM mi
ermiedt •PeetApp.doe 01/19/07 0 t -- • 44046171'(1 I /OZICOM/Wua) _ - _ _