Permit 71 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00366
T.IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/22/2009
Parcel: 2S 102AD01900
Jurisdiction: Tigard
. Site address: 8935 SW BURNHAM ST
Subdivision: Lot: 0
Project: TVF & R
Project Description: Replace (3) rooftop units with like kind.
Owner: FEES
TUALATIN VALLEY FIRE & RESCUE Description Date Amount
20665 SW BLANTON ST
ALOHA, OR 97007 Permit Fee 07/22/2009 $270.65
Plan Review 07/22/2009 $67.66
PHONE. 503-259-1213 12% State Surcharge - Mechanical 07/22/2009 $32.48
Contractor:
ANCTIL HEATING & COOLING
4320 N WILLIAMS AVE
PORTLAND, OR 97217
PHONE: 503 - 281 -0752
FAX: 503- 282 -5722
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: S -2 Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm.
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP: '
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $370.79
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
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 . • , is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ■ • ification Center. hose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Yoi may obtain a copy of the rules
or . rect questions to OUNC cal ng •3.246.6699 or 1.800.332.2344.
/
Is ued By: ` 0 / / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business ..y.
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.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED Dat /B 7 � � Of IAIA Permit No: gi ,� 4r
• ^ 13125 SW Hall Blvd., Tigard, OR 97223
Pla Revie v��
Phone: 503.639.4171 Fax: 503.598.1 QQ q ) Date /By: 44 �� Other Permit.
TIGARD Inspection Line: 503.639.4175 �L �+ L 2009 Date Ready /ty. MI t�3 See Page 2 for
Internet: www.tigard or.gov Notified/Method. Supplemental Information
CITY OF TIGARD
I�(.IS <I
.•.. i! >:,;,-,.< �--„ r =` .TXPE kill � • ,. „ v. 0 4 1, BCIAL' EEE:..:•SCFIE 4 :67,E;<44,10 1, liIST:r
,:�ac�i.�. � <�� . ^� _ .cc..e.. <..� >< ��•ut^�ti.:.; - d...w. :• „a ,, s.�_ <. -. , .. � �t.•,��w- ash. «.:,:c:a�:.�•s.�•::a�o - .. . ..
['New construction 7.1 Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
, :r ;. ,y :s �; Value: $ . V
=max -:� _ _ /a �-� 5
<
a -� -� . � ., :• CAS �FiGORY Q7+`�- CON CI ;��. =;,:
; RESIDENTIAI UIPIlME TEMS ES: `
❑ 1- and 2 - family dwelling ® Commercial /industrial ❑ Accessory building °'�` ° °�� �� <EQ <�
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
6 a ,, s , ; JOB4l' I' E It14t .A'I.101VAiVD:tit:1�01(3N''''' R; ikW. Heating/cooling
Job site address: Air conditioning or heat pump
35 ([1 t- .4 3z• , (requires site plan showing placement) 14.00
City /State /ZIP: I " a ..4 I o& 'i -2'.. -3 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: n Project name: TYF 12 Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
,��- ;,, 3: <�;' °' „;;, ;y, y ` 5 � ; : w Water heater 1 :.:
�,. ;.� n�.�:� °I)ESCRYP�T101V ^O W.ORKi ^:: :.�,
, >�� ^. ..,mss, - :�� -'.•. . ,ti, _ �_.> .....,..� �:��� :a.�r✓ea. <...: .k,.s +�nv... �� <�A�•.. .<....; `•.: y ......,., ^,
pp` Gas fireplace 10.00
'' K.�io .t, 3 nv bt,.J 113 . C- IW►I4,CT ja Flue vent for water heater or gas
fireplace 10.00
t2 t124__OL t r /k-tL - r C5Pri L( Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
,, ^l= �, � -; < ,; �•, � \. � •- Chimney /liner /flue /vent 1 .0 _
. ,
PROPERTYUWIVER: , ."° IENAIV f =Y' °°
s;v;
� ........ .. .. ... .. ... . ... , -. , -. -.. _: H:,,., ��� �� ...� -,�- � ... -.. -....: 10.00
Other:
Name: I tl FrL — t ra J 4 l / vc . . rtA /Fi Environmental exhaust and ventilation
_ 1 Range hood /other kitchen
Address:
..01,65 so 61, / J equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
/ � r Single -duct exhaust (bathrooms,
Phone: ( ) 9 . 5 -5 _ai 3 Fax: ( 3) L,� 3i./ -2 toilet compartments, utility rooms) 6.80
_::: <r`c0 Rtiq; r,: ; ° Attic /crawlspace fans 10.00
^,t4P <- P•EICAIVT -�'' ,�., ����,:CONiTAC•T.,. <PERSOiY> °,a��
?nom <l > ''. `- e: . . 1 . • : , v ,•;..,,.,,: F -.. .. . .
Other: 10.00
Business name: j �+' C) fi Fuel piping
" 1 `�tAkt4 P P g
Contact name: m A $5.40 for first four; $1.00 for each additional
Address: _ r t� Furnace, etc.
��/� „� tots -Ii (. Gas heat pump
City /State /ZIP: 10044-2,14/44, I /�/d C} 17 Wall /suspended /unit heater
Phone: ( 3) 9,7 . 7). a. CND- Fax: : 51 3) ) - c'76)-,), Water heater
Fireplace
E -mail:
,Q Q
V`K-C t�l�C�iA3 k ✓� .C414 . Range
Vii?• - ,�',•� E����;>- : `.
• ,t E_, ., -- ��.•-,: Barbecue
°CONTRACTOR • : ��, 1
Clothes dryer (gas)
Business name: S ( ,q� NIi d
Other
Address:
:,;•` .,, MMIANIGAL PWI t:rES. _ ,,_. ,:>,.::, ,_
City /State /ZIP: Subtotal A70.0.5
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) ---------
Plan review (25% of permit fee) 7,(0(50
CCB lic.: I'7 State surcharge (12% of permit fee) A, yg
C / , � /J TOTAL PERMIT FEE ,. ?/,?n • 79
r// LC /.)/ This permit application expires if a permit is not obtai wd 180
Authorized signature:
days after it has been accepted as complete.
Print name: v Date: 7,.. di?. - S * Fee methodology set by Tn- County Building Industry Service Board
I :\ Building \Permits\MEC- PermitApp doc 01/19/07 440 -4617T ( I 1 /02 /COM /WEB)