Permit CITY OF TIGARD MECHANICAL PERMIT
"11 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00209
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/17/2011
Parcel: 2S110AD01600
Jurisdiction: Tigard
Site address: 10550 SW CANTERBURY LN
Project: MCGUIRE Subdivision: LANG HILL Lot: 13
Project Description: A/C installation. Unit must meet 3 ft. minimum rear and side yard setbacks.
Contractor: SUNSET HEATING & COOLING Owner: MCGUIRE, STEPHEN
0607 SW IDAHO ST 10550 SW CANTERBURY LN
PORTLAND, OR 97239 TIGARD, OR 97224
PHONE: 503 - 234 -0611 PHONE:
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Air Conditioning 05/17/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/17/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/17/2011 $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 or 1.800.332.2344.
Issued By: Permittee Signature:
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.
05/10/2011 13:09 5032340439 SUNSET HEATING PAGE 02/02
Mechanical Permit Application FoR OEVICE USE ONLY
" SW Flail DIV&
City of Tigard Tigard, OR 97223 _ _-:- - -
Rc.ci,d .
:raj Permit No,: /ha _ 1 —
‘ A
111 13125 1••■,- \ Plan Review
2 .. Phone; 503.639.4171 Fax; 503,598.196 ‘„,)
N 'A'\ Date/By: Othet Pettnit:
Tic A,RT) Inspection Line: 503.639.4175 ,,\ NJ 143) ..! ■ . to Ready/13y: 0 See Page 2 for
Internet: www.tigatd-or.gov ''-‘ (A'''' .- otified/methed: iw..... Supplemental Information
iicv * ' • fc * j . \,
' ' ,,,,',\ •,... :' - .. i • '' .' ' , =e ti riiitifetidA0.,W.FittOP4:::4:j*::04,P00
Ei...ii.ew con . , It...) Mechanical permit ices* are based on the value of the work
, AdditiOnialterationtrep t performed. Indleate the value (rounded to the nearest dollar) of all
LI Demolition 0 Other: $ mechanical materials, ecuti mein, labor, overhead, and_profit,
Value: $
.• :..,,.;, .: , ,• ...::'''...:...:' ,4*O'ORV,.',0,` ',... .:.'.:',..','LL
11:71 1 - and 2-family dwelling 0 Commercial/industrial 0 Accessory building
• For special information use checklist
0 Multifamily 0 Master builder • 0 Other: Description qty,. Ea, Total
a tittiltRiT000100*** ...;j:...,.'„:, Heatin ooti. ill
/
.,
.; ' • . - i . ' Air conditioning .
Job site address: 1 u p ( Sti 0; ' f , A A ( Om
requires Etc showing placement) .. 46.75
— - —
City/State/ZIP: ' • /oh CI ' Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100 000+ BTU ducts/vents 51.91
Suite/bldg./apt. no.: Project name: roil 6 1,„'re._ Beat urn. 61.06
Cross street/directions to job site: Duct work 23,32
— Hydronic hot water system 23.32
Residential boiler (radiator or
--
hydronie) 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, sus.endcd etc, 46.75
—
- Flue/vent for any of above 23.32 •
Subdivision; Lot no.: "'
- ........_ _— Other; 23.32
Tax map/parcel no Other feel o Names
:.• ,...• • -,: • :: , ;•.•• ': •-:.:,, ::• ,,,•;•:.•: op ...we •:;. j:Iy• ::, ; ..!:;,.: Water heater 23.32
n si a61 anitliaaex_--- Flue vent for water heater or gas
fireplace 23.32
o Los lir,hter gat) 23.32
Wood/pellet stove 3139
Wood fir •1am/insert 23.32
Chimnnyylinei/llue/vciti __, '23.32
Name; S' \ )Q in c Environmental exhaust and ventilation
Range hood/other kitchen
Address: c. ui merit 33.39
.
City/State/ZIP: Clothes d r exhaust 33,39
Single-duet exhaust (bathrooms,
1 „.:
2__ ( ) toilet compartments, utility rooms) 23,32
:. '';..:,, ..: :.::/:.: • : 1:1!!:001■0 ft0,; .. Attie/crawls ace fans 23.32
. ,. . .
Other; 23.32
Business name: _
_ Fuel .i . name: . — —......---- •
Contact name: $1.4.15 for first four; $4.03 for each
Address;
Furnace etc.
—
Gas heat urn — --
City/State/ZIP: Wall/sus . cnded/unit heater ---
— .
Phone: ( ) Fax: : ( ) Water heater — —
Eire . lace
E-mail: Ran le
. ' • . : ..... r:::: ::,.,...,, ,,..;.',.., ijitt'jk:Seri;jR.:: • .'...•!:::::', ,:.::: j."'" !::'",':'ll:'l:,: ,''';','' Barbeeue
Clothes dryer (g) LM
Business name: SLLIr) Se* 1-1e2c. c CZT1 it"5
Address: 0(0 Cl 5 0 ) 6 6-d i 0 , .fre
Other . _ . . ■•••■
1 .: ' :,..; ;1 :., ..• ' .
City/State/ZIP: Ppy..HA Te Al 2,3-1 Subtotal ( Ito- :
— Minimum permit fee ($90.00) 't't_ c-
Phone: (b)) 23 ki I I . Fax: (V3 ) - Z . 3q, - pf y.)
Plan review (25% of emit fee)
CCB lie.: il L:' C)3 State surcharge (12% of permit fee) AO t ■ 6
TOTAL PERMIT FEE
Authorized signature: da- ------
SIA_ . - 01141
_
This permit application expires if a permit is not obtained within 1/10
day, after it ban been accepted an complete.
Print name: S' 1. J . IS ;-.-
, ktiz LI ;14- . 11 1.• •' / '1,.. Date: 511 0/ /1) * Pee methodology Oct by Tri-Cuimly Building Tndustry Scryicc Board
11:113teltding \ ParmitrAMEC•PermitApp.dot 1 440-4617T (I 1/02/COM/WV.4)
05/16/2011 07:49 5032340439 SUNSET HEATING PAGE 02/02
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A/C & HiP
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SUNSE
Fuel CDniPa
DIRECTION
pr. Name & Address:
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