Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00247
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/03/2011
Parcel: 26 104AB 11300
Jurisdiction: Tigard
Site address: 12307 SW MORNING HILL DR
Project: Tajipour Subdivision: MORNING HILL NO. 6 Lot: 142
Project Description: Install A/C. Unit must meet 3' minimum rear and side yard setbacks.
Contractor: HYBRID HEATING & AIR CONDITIONING CO. Owner: TAJIPOUR, REZA &
PO BOX 329 12307 SW MORNING HILL DR
CORNELIUS, OR 97113 TIGARD, OR 97223
PHONE: 503 - 357 -5663
PHONE: 503 - 542 -0915
FAX: 503 - 357 -0668
FEES
Specifics: Description Date Amount
Air Conditioning 06/03/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/03/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/03/2011 $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 OU calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: Q 61.70 (r9-7.7 &
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.
06/02/2011 15:13 5033570668 HYBRID HEATING PAGE 02/04
Mechanical Permit Application FOR OFFICE (St. ONLY
City of Tigard Ec,11,,0 Date,}y ce I // , '' — Pe'nit No,,"y�c 01 _
Deceived o �q
$ 't 13125 SW Hall Blvd., Tigard, OR 972 Plan R e v iew
Phone: 503,639.4171 Fax: 503.598. L pat erBy: Other Permit:
"r 1(: A R i? Inspection Line: 503.639,4175 I I I N 9 pate Ready(By; ��� See Page 2 for
rn
Inteet: www,tigard or.gov J V , 2 0 � � Notified/Method: Supplemental Information
TIER`• 4 :x ;� , ,: 't , . .�'+': ;- ,:.:u .. , ?t��:.?>�
Mechanical rep3ace l eit " as based on value of the work
";, ,
,.�... 14''.'
echanieal permit fees are based on the
❑ New construction performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY O • C)NSTRUCTION�T Value $ • .tR sl0 ')< y "�'„ 0CJIh`10#1'hS EEE �'„'"
mil- and 2- family dwelling El Commercial/industrial ❑ Accessory building Pb; special information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
• JOB Sfl .'.INFORM 10N ;LOCAtIUN.': , Heating/cooling
conditioning
Job site address: 3 0 ii o In i n ' '• / 11 (requires site plan showing placement) / , 46.75
p. City / State/ZIP: • 1" / J Or• 9 id' A 3 Furnace 100,000137U (ductsrvenrs) _ , 46.75
( Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg,/apt. no.: Project name: a I a a r Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic 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
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map /parcel no.; el appliances .
•
•
'DE�ITON�,OF ", :WORK. .. • water heater 2332_I
Gas fireplace 3339
A Sl ( r C ' CI i 4/ t Flue vent for water heater or gas
fireplace 23.32
-- Log lighter (gas) 23.32 •
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner /flue /vent 2332
Q'PROPERIV OiG
_ I?N *: ;•••.:; j .. •..1111 C IAINSx'. • .. Other: 23.32 •
Name:
• � � ' # O r Environmental exhaust and ventilation •
Range hood/other kitchen
Address: / 230 7 S4) /77002 .n A r. equipment 33.39
City /State/ZIP: f ' c / .l • .s Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: r (5 ' Fax: ( ) toilet compartments, utility rooms) 23.32
JUJ 0: c0i.:.4 ' i.!.IIRSQN. ` Attic /crawispace fans 23.32
Other:
23.32
Business name: Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
-_ Furnace, etc.
Address: — . • Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone; ( ) I Fax: : Water heater
( ) Fireplace '
E -mail: Range . W
oN - tRAc1 oft Barbecue
' . Clothes dryer (gas) .
Business name: A. r t . to, C a r
Other: •
Address: ► „;. : 0440E * ,>E ,F,5.7, „
ty Co k t a5 ( ow. q7 /f Subtotal
Li / State/ZIP: -� Minimum permit fee ($90.00) � �
Phone: (� ) Fax: 07.3) 0 Plan review (25% of permit fee)
CCB tic.: p 3 i/ State surcharge (12% of permit fee) j 42 .0 i
ll - TOTAL PERMIT FEE_ ( , B 0 t/ �` - This permit apptieetion expires if a permit is not obtained within 180
Authorized signature: /�t� t,,:. days after it ban been accepted as complete.
Print name: nil • Date; 3 1 • . Fee methodology set by Tti•County Building Indusuy Service Board
I:1Build16041mitAMEGPtrmitADP, doe 10/01/09 440.4617T l uo2ICOM/wi a)
06/02/2011 15:13 5033570568 HYBRID HEATING PAGE 03/04
Hybrid Heating & Air conditioning
McCienny / RIIC
Refrigeration / Hearing / Cooling
P. O. Box 329-230 Basel ine-Comelius, Oregon 97113 Office 503-357-5663 Fax 503 357-0668
SITE PLAN •
•
•
ttv't(
fitr-tc(v-er
. . - • •
•• ir li dit
-
NOTE. — Please show the following on the site plan:
—441111
Location of Indoor Unit and Outdoor Unit •
cate now theflue will be run (thru the roof — out the sideweil — etc)
with C `.^1 t"7.e Iineset wifl be run and pprc,-x. c:stahoe
Indicate how the ccndens2te will be run