Permit ,� CITY OF TIGARD MECHANICAL PERMIT
111111 - • COMMUNITY DEVELOPMENT Permit #: MEC2011 -00361
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/02/2011
Parcel: 2S109AB12400
Jurisdiction: Tigard
Site address: 14230 SW ALPINE CREST WAY
Project: Alpine View Subdivision: Lot:
Project Description: NC installation.
Contractor: PYRAMID HEATING & COOLING Owner: ALPINE ESTATES LLC
5699 SE INTERNATIONAL WAY STE A 735 SW 158TH AVE
MILWAUKIE, OR 97222 BEAVERTON, OR 97006
PHONE: 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 08/02/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 08/02/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 08/02/2011 $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:
0.• i �G /t
Call I .• 9.• 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.
08/01/2011 MON 14:32 FAX 503 786 3432 PYRAMID HEATING 0001/003
Mechanical Permit Application FOR oI :l.'lrl: USE ONLY
City of Tigard � !r i l d u e � ��
. of 13125 SW Hall Blvd,, Tigard, OR �!72 } b '6 � Date/B D s +�
Phone: 503.718.2439 Fax 503.598.19260 Flan Review
Inspection Line: 503 ^639,4175 Date/By: Other Permit:
TI< p AUG 01 2011
Date Ready/By: ®See Page 2 for
Internet: www.tigard- or,gov Notified/Method: FA' Supplemental Information
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• ° ° -' L Mechanical permit fees* are based on the value of the work
New construct ❑ Add 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 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. C Total
`'i' is %; - ,,.�s.:,• ,:p :, ry :., ^. ,.,,.: ::rr.:,
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- eatin coolin :
- - PTO
B,, I�!E O RlyIAT O _ R/ g
''' " "' �''�` �• �`� "" Air conditioning � "�''1{''
Job site address: I (4 230 5 u) .kI p i n e " r' re c + t.p• S
City/State/ZIP: - r r . °K. ^ i -� '�i7 (requires site plan showing placement) 1 46.75 4 Furnace 100,000 BTU (ducts/vents) 46.75
l a �{ Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt, no.: `J project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
'pint. V i -e . 5 Hydronic hot water system 23.32
Residential boiler radiator or
hydronic) 23.32
Unit heaters (ftel -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.:
«k. ances:
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- ��O ter heater 3.32
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/1 /+ Gas fireplace. 33.39
rl 1 ...• 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
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- :•,a ner /flue/vent
sv "i _ 3.32
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Other: 23.32
Name: � - ' I `5 Environmental exhaust and ventilation:
Address: 735 S ui 18i Ave Range hood/other kitchen
equipment 33.39
City /State /ZIP: (Z n n i . er 4 or D (2 [1"1 O1�t _ Clothes dryer exhaust 33.39
Phone: ( ) ��}� Fax: ( ) f loo Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
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�� ., ..,.... ,.. ,. = i�f� .rte ? =;� �1ViC • Z�'�f,`1E'L13S�� , >s�,x�• /c awls ace fans
, .. :%r', „v:�% ti =. �.::,1,. , � �?':' ..fi;,,: Q:..: A» ,-, . .,:Q�:_ . ,<: �''�••�., p 23.32
Business name: Pyramid Heating and Cooling' Other: 23.32 ,
4G99 SE fitter iatituuti Way • - Fuel piping:
Contact name: Suite A $14.15 for first four; 54.03 for each additional
Milwaukiu, OR 97222
Address: Furnace, etc.
City/State/ZIP:
Gas heat pump
ity /State /ZIP:
Wall/suspended/unit heater
Phone: (9)3) / $ it of 522 Fax: : (563) -7 g ,, 8(432- Water heater
J y Fireplace
E -mail:
a� e I'� $P Y1(� 0 t l j'rI CI�I�I {1 CA�YI Range
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< „ ... � ..mac- ,,.,�..< .- , K._.,, -,.. < a�:: r, �:,. ��»�..���,:���:��,�:< „�����:7�, `n:s:c; ,`>' ;-.:,; -C:� � v, Barbecue
Business name; Clothes dryer (gas)
ramid Heating and Cooling
Address: 5699 SE International Way - Other:
City /State /ZIP: Miiwaukle, OR 97222 "`r tr- ' yPE Y'�ub ,: :,R: ,
Subtotal 4( .riS 1
Phone: (9)1 D Ip 1 57. Fax: )�RL.o 3 2 _ - Minimum (25% r mit fee)
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'Uw `i Plan review (25% of permit fee
CCB lie.: ,q 2fig Z . State surcharge (12% of permit fee) (c) • ISO
TOTAL PERMIT FEE ((t, gf)
Authorized signature: ,� 4i • t This permit application expires if a permit is not obtained within.180
/► days after it has been accepted as complete.
Print name: ,LW7n j� Date: S l • Fee methodology set by Tri- County building Industry Service Board
I: BuUding \Permita\MBC_FermitA 09/09/10 440 - 4617T(1 I /02/COM/WEB)
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_______________. . ALPINE-VIEW -- • f .
Contractor is responsible to check
site plans and notify designer of any za SITUATED IN THE N.E. 1/4 OF SECTION 9, TOWNSHIFI ,
•
OUTHvRANGE 1AIEST OF THE WILLAMETTE NIERIDIAt•i
errors or omissions prior to start of .
ciTy9R TIGARD, WASHINGTON"COUNTY, OREGON . j
construction. Also plans and .
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specifications shall be approved by • .,.........,
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local building authorities prior or .14230-a:VW-ALPINE CREST WAY
start of construction.
4,750 SQ. FT.
.,.., ._..._.._________________
LOT 5 .
,
,...• WEST HILLS • .
bEYELOPMEnrr, INC.
REAR YARD: 1.5' (FROM Pi.)
-...,..___-.--........
FRoNT (I-10UsEJ: 15 (PRoM PL)
•
FRONT (POIRDW: 15' (FRoti PL.)
735 SW 158th Ave. FRoNT (GARAGE;: 2o' (FRoM PL,) SCALE
BEAVERTON, OR 97006 STREET SIDE: leo (FRoM pL,./
1
SIDE: 5' (FRDM PL./