Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00309
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/01/2011
Parcel: 1S135CA09800
Jurisdiction: Tigard
Site address: 11424 SW 96TH AVE
Project: Solera, Lot 7 Subdivision: SOLERA Lot: 7
Project Description: A/C installation. Unit must meet 3 ft. rear and side yard setbacks.
Contractor: PYRAMID HEATING & COOLING Owner: EVERETT CUSTOM HOMES INC
5699 SE INTERNATIONAL WAY STE A 735 SW 158TH AVE, #180
MILWAUKIE, OR 97222 BEAVERTON, OR 97006
PHONE: 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432 •
FEES
•
Specifics: Description Date Amount
Air Conditioning 07/01/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/01/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/01/2011 $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.
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Issued By: / Permittee Signature:
Call 503. • •.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.
06/30/2011 THU 15:20 FAX 503 786 3432 PYRAMID HEATING R] 001/003
Mechanical Permit Application ; FOR OFFICE USE ()NIA'
City of Tigard Received
r • 1; ! ' Date/By: l0 i1/ Penult No.: i 0 ll� • " •
• 13125 SW Nall Blvd., Tigard, OR 97223 Plan Review
.11h I Phone: 503.718.2439 Fax: 503.598.1960
Inspection 503.639.4175 JU 3 Date/ Other Permit:
p JUN Y7 2011
Fl(lAltD
Internet: www.tigard or.goV Date Ready/By; Iuris: See page 2 for
Notified/Method: eat,. Supplemental Information
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'` ?l1'FE O>F. u 1 , '9', a , CO1�I11!pz A: ,,.;, b,ILL I, CHE.;;,,
f � . �� Mechanical permit fe es' a based on t he v of the work
Ise New construction ❑ Addition/alteration/replacement performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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/ E�i O)lb`i' t " CAT Off` C ONSTR eTIOk r Value
� : .,., �.,o m , � �Q? .��,- 1�sxst
[�'1 and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building Forspecral informattonuse checklist
__ Multi-family Description 0 builder ❑Other Descri tion I Qty. I )✓a. Total
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` 3. r JOB_ SI'E' Ot*AT TJQ1�1ti �A, 'u)j.QCAY"`T1ON r , 4
Heating/cooling:
` ^ ^�`` Air conditioning
Job site address: 1 i q 2C.� C � ( (requires site plan showing placement) i 46,75 - ��
City/State/ZIP: --r- i -,.1 � ` 223
Furnace 100,000 BTU (duets/vents) 46.75
) "! l 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
„ 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
Subdivision: Lot no.: Flue/vent for any of above 23,32
Other: 23.32
Tax map/parcel no.; Other fuel appliances:
,,!:? cflUiN OF< WORK ` , ; Water heater 23.32
Add. l r 4 f Gas fireplace 33.39
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
ipBUBt1t1' O WeTllt+k I i c y I a N �" F r c; Chimney /liner /flue /vent 23.32
//��tt W �.,, a,a � .�; : Other: 23.32
Name. ( VeXt- C_uS'zrn 1 Environmental exhaust and ventilation:
Address: " j 35 S W i 5 8-"-:-. ( , C i ., i ¢� Range hood/other kitchen
J'1"� O equipment 33.39
City/State /ZIP: geave - -'b f ) QI� 0, 1 oc dryer "'1 t Clothes exhaust 33.39
Phone: ( �) u 1(C 9 g ( ) Single -duet exhaust (bathrooms,
toilet compartments, utility rooms) 23.32 _
w ° AP7')C c r''rs ;t t r x , ,' ; M 'E(�ErvO it tt P)E12SOrSi Attic /crawls ace fans
. � . �., . . . .. �.. , a : P 23.32
Business name: YQm i d 14 ea-h Other: 23.32
- 1 -
Fuel piping:
Contact name:
P 1 7.f)5vQ $14.15 for first four; $4.03 for each additional
Address: Q Se ker 1. �� t n 1 • S , 1 (1 Furnace, etc.
' r ` V. 1q122.2_, 1 V ` `' JV T4 1 t Gas heat pump
City/State/ZIP:
i Jr,U V . Pr a . Wall/suspended/unit heater
Phone: (b )1 q 52 2 1 Fax: : ( 5 13 7$1, 3432 Water heater
Q u� fkl, 0 � l �
Fireplace
E-mail:
tE � i.. � . <) t Y a l .Ef� 7 Ya�t yr° a- CV 1� �. Range
1��; x.,..a..�' n1,•.�i m 74�1a. �' ?1.... ,. �',E.,nufc $ . r , ,� e fi 4 < t r J
•_...r�" �.�„ ,::..xn` � , :� ,r�.,s,.e'�?:' Barbecue
Business name: � 1L ` l e Clothes dryer (gas)
Address: YYl ` 1 � a� Other
��q� 5e.- - ►-e.rr\ahDnat 'Na LSkt. I� C�,j,.,� t 5., n n ". �, S rt iE. s� �, n .
Cit 1 l�tu e �/ oR_ 412-22- Subtotal
Phone: ( ) Q ZZ V es; 3 )1 g� y 32 Minimum permit fee ($90.00) g
Rq� Fax: review (25% of permit fee)
CCB lie.: L5C1 532, State surcharge (12% of permit fee) )(0 .80
TOTAL PERMIT FEE Ir>0_
Authorized signature: This permit application expires if a permit is not obtained within iSO
L ApJ
days after it has been accepted as complete.
Print name: lilt y I 3 ex) Date: r /1 t ) I ' Fee methodology set by -County Building Industry Service Board
I:tBuilding\Permin\ 4EC- PermitApp,doc 09/09/10 440 (11102/COM/WEB)
06/30/2011 THU 15:21 FAX 503 786 3432 PYRAMID HEATING Z.j003 /003
MECHANICAL SITE PLAN
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Job #: 12460 Pyramid Heating & Customer Information
Cooling, Inc.
Everett
5699 SE International
Performed By- Gary Phillis Way, Suite A 11424 SW 96th
Tigard, OR 97223
Milwaukie, Oregon 97222