Permit CITY OF TIGARD MECHANICAL PERMIT
•• COMMUNITY DEVELOPMENT Permit #: MEC2011 -00441
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/05/2011
Parcel: 1 S135CA09900
Jurisdiction: Tigard
Site address: 11412 SW 96TH AVE
Project: Solera, Lot 8 Subdivision: SOLERA Lot: 8
Project Description: Install air conditioner. Placement of unit must meet 5' side and rear yard setbacks.
Contractor: PYRAMID HEATING & COOLING Owner: EVERETT CUSTOM HOMES INC
5699 SE INTERNATIONAL WAY STE A 735 SW 158TH AVE, SUITE 180
MILWAUKIE, OR 97222 BEAVERTON, OR 97006
PHONE' 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 10/05/2011 $46 75
Type of Use: SF 12% State Surcharge - Mechanical 10/05/2011 $10 80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 10/05/2011 $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 • work i uspended for more the 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Noti cation Center. hose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct • estions to OUNC by - ' • t 13 232.1987 or 1.800 332 2344
01 Issued =y: Permittee Signatu/ , , �,f
" \ 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.
1 0 /04 / 2 01 1 TUE 14 : 4 8 FAX 503 7 8 8 3432 PYRAMID HEATING 2 00 1/003
Mechanical Permit Application
'r
- Folz oFFIC:E 1. ONLY
Cit of Tigard 1;3 Received
Pe
Date/By 4 , Ama rmit No.: le , ,,,,,, ,
I . 13125 y SW Hall Blvd., Tigard, OR 97 4' P\C\ lan Review
' I - Phone: 503.718.2439 Fax: 503.5 .o.'" cj 'f- />)\
Date/By: Other Permit:
A R il Inspection Line: 503.639.4175 . c -\ % sz _ pai ed:
Ready/By: Juria. VI See Page 2 for
Internet: www.tigard-or.gov
•-• l eX1 M 5 17 .., Supplemental Information
1 t0
f‘ OF WORK , f6 - : ' '''' ' ' -','''''''''-'--:', '',A0liiiigfrAiktft*OlIMIL A !„;'„,A.
. Mechanical penult fees* are based on the value of the work
dNew construction D Addition/alteration/ b,i.. : .ment performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
Value: S
‘ ;,.'. ;;;;;;,'''''-''-:! :: 1: , - ,. ; 7;04000**0.*: '.**Ii,1010 a: ,, .4:i,:iojtoolowitortotigtixtoofook; , ,ii:,5,-, , j:-p
ffil- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use amid&
0 Multi-family 0 Master builder EI Other: Description I Qty. I Ea. Total
4 Ai ,-`. :, ; ,,,,f ,'; ,;:f.;.); Heating/cooling
-- " : ' '-t •'''' . '''''' '' ' ''''' '-• - '''' Air conditioning
Job site address: i L.) I 2 5w q u .0 ye (requires site plan showing placement) 1 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: I ( c a ,..-A r) R_ q 12
Furnace 100,000+ BTU (ducts/vents) 54.91
, j 1 " / ‘-'
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
S o\ cro, Lot S 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:
ifj ijk:„:800,*,- . ,.!; ; _al Water heater 23 32
Gas fireplace 33.39
i n5i72-1A_aLC, 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
tf. Chimney/liner/flue/vent 23.32
1,'':.'''>;-.'",j;..;:':-';'k:.P.j..T,F44APIT,,,',---:._:??:,?,'-.A Other: 23.32
Name: E)vere,-ft CV 5-1) (Y\ NI) orr_s Environmental exhaust and ventilation:
Address: - 135 sup i 5,s4j Range hood/other kitchen
equipment 33.39
City/State/ZIP: 6efl Vertbn OR q D) Clothes dryer exhaust
i Single-duct exhaust (bathrooms, _. 33.39
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
_': W.:Safoeo,K, Attic/crawlspace fans 2332
Other: 23.32
Business name: t • Ile 0 IL ill Ilk . • a i Fuel piping;
.....—
Contact name: li v i \ s,..\e_Mkon $14.15 for first four; $4.03 for each additional
Address: CA ( ocA NE 0-2,\f„,: 5 Furnace, etc.
Gas heat pump
City/State/ZIP: piz.. „„,„ 9 R oi -7 220 Wall/suspended/unit heater
—) ' Phone: ()1( q gz, Fax: : (9.8) 0 (.132 Water heater
Fireplace
E-mail: ' k ahn3. corn _ Range
. AKFinkaag#: l iV . :Talth~ittlteing4r,:iglge;: ' ,40111 Barbecue
Business name: /\ Clothes dryer (gas)
Other:
Address: S(UrYU
f.i :,;.' .;..-4 rOMMI
City/State/ZIP: Subtotal 0 ,- 5
Minimum permit fee ($90.00) Cl D —
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
1 CCB lic.: 5(;18-2_ State surcharge (12% of permit fee) it) .
TOTAL PERMIT FEE (Oa
This permit application expires if a permit is not obtained withta.180
Authorized signature: L A/pA
days after it has been accepted as complete.
Print name: iScp \ j.en ItALI I t I * Fee methodology set by Tri-County Building Industry Service Board
IABuildingTermits NMEC-PermitApp doe 09/09/10 440-4617T (11/02/COM/WEB)
10/04/2011 TUE 14:49 FAX 503 786 3432 PYRAMID HEATING Z003/003
MECHANICAL SITE PLAN
1
5 `
Job #: 13999 Pyramid Heating & Customer Information
Cooling, Inc.
Everett Custom
5699 SE International
Performed By- Way, Suite A 11412 SW 96 Ave
Pyramid Heating Milwaukee, Oregon 97222 Portland, OR 97223
PH: 503 -786 -9522