Permit CITY OF TIGARD MECHANICAL PERMIT
1: COMMUNITY DEVELOPMENT Permit #: MEC2009-00247
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/29/2009
Parcel: 2S 104 BA02700
Jurisdiction: Tigard
Site address: 13938 SW CRIST CT
Subdivision: Lot: 0
Project: Braham
Project Description: Install gas furnace.
Owner: FEES
BRAHAM, RICHARD S Description Date Amount
821 N 27TH AVE
CORNELIUS, OR 97113 Furnaces < 100K BTU 05/29/2009 $14.00
12% State Surcharge - Mechanical 05/29/2009 $8.70
PHONE. Minimum Fee Adjustment - Mechanical 05/29/2009 $58.50
Contractor:
PYRAMID HEATING & COOLING
5699 SE INTERNATIONAL WAY STE A
MILWAUKIE, OR 97222
PHONE: 503 - 786 -9522
FAX: 503 - 786 -3432
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $81.20
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: II ' , , . Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
From:PYRAMID_ 5037863432 05/27/2009 15:08 #084 P.002/002
Mechanical Permit Appli t ,y 1 L1 V 9..r .0 i.ic1 1:.`:15 (iNla' ,'
City of T igard Received
• 131 SW Hall Blvd., Tigard, OR 97223 Date/By . i y��
i p Plan Review
Phone 503.639.4171 Fax: 503,59 1�i/b 7 2009 Date/[3y; Other Permit:
T 1 : A i , I nspection Line: 503.639.4175
Date Ready/By: Ei Sec Page 2 for
Internet: wwrv.tigard- or,gov CITY OF TIGARD Notified/Method: IIMI Supplemental Information
TYPl� . DIVIS9� `1
., COMMERCIAL FEE * SCHEDULE,' -' USE CH.ECKLIIST
Mechanical permit fees* are based on the value of the work
❑ New construction Addition /alteration /repiacetrietlt
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑Other:
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION' Value: $
2-family dwelling C /iriduSli ial RESIDENTIAL EQ[JIPMENT /, SYSTEMS FEESx ; % ? ;,,•,.
- and 2- 1a
y g ❑ Q Accessory building
❑ Multi ffltnily ❑Master builder For special Information use checklist.
-_ ❑Other: Description Qty, 1 Ea. Total
. JOB SITE INFORMATION: AND LOCATION. ... ' Heating/cooling
Job site address: Zia 3 ex- ; rt c. i • Air conditioning or heat pump
(requires Site plan showing placement) 14,00
City /State /ZIP: `7. U1 .- +' `,,.� D R /'t 12 Furnace 100,000 BTU (ducts /vents) I - 14.00 144 ,.-
t
w ► -1 Furnace 100,000+ BTU (ducts/vents/ 17.90 _ _
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street /directions to job site: Duct work 10.00
Nydronie 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: Flue/vent for any of above 6.80
Lot no.:
Other; 10,00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION,. OF WORK .' Water heater 10.00
} Gas fireplace 10.00
Eat) tt n2 .� 94a s . ,rn car t, - h) PAS j`? l 1 s
Flue vent for water heater or ga
t - i pi r1 1e c L Y l cod, d fireplace 10.00
Log lighter (gas) 10,00
00I• r • _ Wood/pellet stove _ 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue/vent 10.00
. PROPERTY OWNER, Q TENANT:,,,:, ., Other: 10.00
Name: if11rIahtyl Environmental exhaust and ventilation
Address: 1 39 393 5- c-{- -, Range hood /other kitchen
equipment 10.00
Cit y r /State /ZIP: {� Clothes dryer exhaust 10.00
p�� l OR_ � �� Single -duct exhaust (bathrooms,
Phone: ( ) I Fax: ( ) toilet compartments, utility roomy 6.80
. . ® APPLICANT ' C O
❑ CONTACT •PERSON Attic/crawlspaccfcns 10.00
Business name: Pyramid Heating and Cooling Other 10,00
Fuel piping
Contact name: T�ewiidagrwen I �] v).5-e S3.40 for first four; 51.00 for each additional
Address: RO Bex -Ir99? C Ci ° C.� ` SE � ,r-na_ Furnace, etc.
�G !1 C -h L.)n l,< <A Ja ti sil A • Gas heat pump
City /State /ZIP: Ststril=1PARST 1\klI1.l eLuW OR qr1 2 Wall /suspended /unit heater
Phone: (503) 786 -9522 I Fax:: (503 -) 786 -3432 Water heater
Fireplace
E -mail: thagernan@pyramidheating.com Range
. CONTRACTOR
Barbecue
Business name: Pyramid Heating and Cooling Clothes dryer (gas)
Other:
Address: RarSata4f02. 51 LAO( S
_ cC �!� ►] t . Tt'1 � A Ma -A • • - .,.,..,.:.
�I X ,1,11�+�..� .( (� MECIIANI C AL PERMITFEES" ;:'�':o ri
•.;{ . ''i`:i`�.
City /State /ZIP: SAS � \ � 11 }d1l.l.k i i (�l� Gz.z _ Subtotal
Phone: (503) 786 -9522 Fax: (503) 7863432 Minimum permit fee ($72,50) Si.)
Plan review (25% of pertnit fee)
V CCB lie.: 59382 State surcharge (12% of permit fee) 56 ,
TOTAL PERMIT FEE tp, (.
Authorized signature: �, r This permit application expires if a permit is not obtained within 180
+�9 - - .,A days after it has been accepted as complete.
Print name: Tami Hageman r Date: T a,j - ` Fee methodology set by Tri- County Building Industry Service Board
1: 1Building \Permito/.M5C- PermiuApp.doc 01/19/07 4 40 -4617T (1 I /02 /CDM/WEB)