Permit 117 11 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00350
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/22/2011
Parcel: 2S 112CA08000
Jurisdiction: Tigard
Site address: 7668 SW ASHFORD ST
Project: Minniti Subdivision: Lot:
Project Description: Install A/C. Unit must meet 5' minimum rear and side yard setbacks.
Contractor: SUNSET HEATING & COOLING Owner: MINNITI, TERESA
0607 SW IDAHO ST 7668 SW ASHFORD ST
PORTLAND, OR 97239 TIGARD, OR 97224
PHONE: 503 - 234 -0611 PHONE: 503 -624 -7101
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Air Conditioning 07/22/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/22/2011 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/22/2011 $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.
07/21 /201 1 10:40 5032340439 SUNSET HEATING PAGE 02/03
•
Mechanical Permit Annlic . " FOR OFFICE USE ONLY
Dsteroy: Received � .2�/ 0 ^, rermitNo.44/ x20/ - 16 3 5 0
1 City Tigard
13)12 '7 IIIII 13125 SW W Hall Blvd., Tigard, 09 3 $ - f01\\ � nat Plan Revie
I : Phone; 503.639.4171 Fax: 503,S9R.19 t,1® Dole/By! other Permit;
T[CiA;lZL7
Ins Line: 503,639,4175 \ Ir`t \ Date Renrly/By: ru to See Page 2 for
-C ' // (.7 Supplemental Information
Internet: �wiw.tigard- or. gov � �� ` l �+ t � r �� v NotiCo<IlMcFl •
. .,,... ,.......ti : '' ., :.`. �T �Y �,. 1�.CT�- va o G�l#1rC 11ST.,
.
cchanlcal permit fee, 1 c luo
arc based on of the work
New construction ddttion /altcratt on/rep laccmbnt performed, indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other; mechanical materials, equipment, labor, overhead, andj,roftt.
G'AT GO
. tDi• � �bN'S"1' 1iJ
ag - and 2-family LC";Y ' � - , :�. • � :�� a '." p' . ,.::
, .. � � � ., kFS�iti)Ll'�`)['1~Ali '�i��1JCJi�EN�' 7•�'S'S'1a1�;M >r1Ciw�S , , , ..
y dwelling ❑Co mmercial /industrial 0 Accessory building (brspecial Information use checklist.
Multi-family ❑Master builder 0 Other: Description Qty, Ea. Total
- .rt3R
fi't'OMOi(jH = Healing /cnolin�
Air conditioning '�
.rob site address: t 1t , re. aims site ha showin i .lacemcnt 46.75 l
-- _ — , 9 •7x-7 Par - 100 °000 BTU (Ancts /vents) 46,7
City /Sb tc/7_LI' ( (,, f� ..
{ Furnace 100 000-F BTU ducts/vcnts 54.91.
Suite /bldg; /apt. no.: Project name; Neat pump 1111 61.06
---
Cross street/directions to job .r'ii:b: Duet work - -__ 23.32
— .._ -- .. -" tiydronic hot water : stem -- 23,32
Residential boiler (radiator or
— h (Ironic IIII 2132
_ Unit heaters (1Uel ^type, not electric),
- - - -- - in -wall, induct, suspended, etc. 46,75
-- -. ^ — Fluc/vent for any of above 23.32
Subdivision: Lot no.: Other; 23.32
. Tax map /parcel no.;� Other 11tel appliances
- - ' .. �F C 1UPTit7H' 01 W tt>K Water heater 23,32
• NM — 33.39
lilac vent for water heater or g
lire dace 23.32
jgli_iner :as 23.32
Wood /pellet stove - 33,39
Wood fire . lace/insert 23.32
/liner/flue/vent r/
'. Tt< 1�Bit9[ ]"s.7VYN 11N
Chimnc c . � ue /vent 23.3
Other:
Name: > .' ► V\ ` Environmental exhaust and ventilation
Range hood /other kitchen
Address; - equipment _ 33.39
City /State /ZTP: �� Clothes d er exhaust 33.39
_ f (� - - Single -duct exhaust (ltathrooma,
Phone; l Pax_ ( ) toilet compartments, utility rooms) 23.32 II
a ce fans
. S
23.32
P1,iCA1V 1 '.',
.. , �...: „ � . ,.., :. "....,:�'� . „ ...... ,.. .. - -
'f
,, AP - �^- Other:
Business name; ��__ Fuel tpi log _-
Contact name: 514.15 for first four; 54.03 for each additional
_Furnace, etc.
Address; - Gas heatpuntp -.,
City /State /ZIP: Wall /suspended /unit heater - `
Phone: ( ) Fax; ; ( - )
Water heater
Fireplace
E -mail: Range
PEW
�, "i � , , ..'•�.;;;; iGO1VZTl�:'t"'�'oIZ.'' : :.. ? r cc:uc
Clothes dryer (gas
Business name:
., V 11. t
i ` mi l, '
Address: " , I:t ...... f11 : .
C' ''L 'L ` CM s 111'1' _ Other'
.
c�� 5 vu a cRn i c �eFtin r P1;VTl I'
ivx�%
City /State/ZIP; ptyKIL .. L )Z., Al "Z-3r1 __ . '.. subtotal l? - .
Minimum permit fee ($90,00)
• tone: ( cC? ) 2 :'4•° 1 1.i? 1 A Fax; 6173 ) 1 311 _-21,,KI Plan review (25% of permit fee)
i CC13 tic. • i (el CI ? j ,r J 4 _ State surcharge (12% of permit fee) p 4/ j .-/. / r , TOTAL PERMIT FEE 1,) , ; 1
//) / Th permit application expires if a permit is not obtained within In
Authorized signature: J days niter it hr+s been accented Aa complete.
° r
f Print name; - / y + Fee methodolo' act by Tri •Cowny BnildinR Industry Service Boon]
Date: 7 �/
.
..._. .... •_ • - .• • •^■^•,,,^ ee11_4617rnvnM: M/wsuu
07/21/2011 10:40 5032340439 SUNSET HEATING PAGE 03/03
1 '
/C 8t /
\.,
SUNSET Site Plan
Fuel Company
DIRECTION
Name & Address:
*?\\*
d
HOUSE
Ica