Permit 1 V CITY OF TIGARD MECHANICAL PERMIT
,1 - COMMUNITY DEVELOPMENT Permit #: MEC2009 -00195
Date Issued: 05/05/2009
TIGARD 13125 SW Hall Blvd. Tigard OR 97223 503.639.4171 Parcel: 2S103CD01700
Jurisdiction: Tigard
Site address: 13775 SW FAIRVIEW CT
Subdivision: Lot: 0
Project: Ludes /Lyons
Project Description: Install furnace and heat pump.
Owner: FEES
LUDES, GREG J & Description Date Amount
LYONS, JENNIFER, 13775 SW FAIRVIEW CT Air Conditioning or Heat Pump 05/05/2009 $14.00
TIGARD, OR 97223 Furnaces < 100K BTU 05/05/2009 $14.00
PHONE: 12% State Surcharge - Mechanical 05/05/2009 $8.70
Minimum Fee Adjustment - Mechanical 05/05/2009 $44.50
Contractor:
OHAC INC
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 - 538 -2953
FAX: 503- 691 -8556
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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
applica taw. ork will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
i ance, or if work is su nded for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. se les are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 - 01.09 -You may obtain a copy of the rules
Issued By: � ` g 4 .k Permittee . nature: .if / 'O
Call 503.639.4175 by 7:00 a.m. for an inspection that busiipessday.
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.
04/29/2009 13:50 503- 691 -8556 QREGON HEATING PAGE 01/03
• ItiNIAS‘.) ,
Mechanical Permit Application 6 FOR OF 'ICL 1.SL ()NIA
' ` �a r ued
$ Ci of Tigard r , :„ v' 9— GD /9�.
ry �. ants a 9 0 �! u
Permit No.: Mg e
13125 SW Hall Blvd., Tigard, OR 97223 � Y
i Phone: 503- 639.4171 Fa Q Ptak *evjew
Fax! 503.598.1960 P Other Permit:
Inspection Line: 503.639.4175 ° <,pa�ciDy'
TIGARD P OV �'Aa` il'dy/By: 7 S
Internet „ -ww.tigard- or,gov r tified/Mefltod: � Supplemal luformation
'A � ' i ' C i ° l tlii{ � , };## � ��; ip;�, , i.: �,iMl � �1! � : '.t .: ,�f 13 i ) ",' '; {t' � � 1 3s r i r -nf � �l�i;,a,.,�� # " P "� .1f;�1u�e,n »'6;ca,� <, nfowi a, r. ,:, �.:
i1. i E �!! 11 ! i' t`! g i { ® 0 f j }; 'a�i. o { y f 11- t ! i j� ^ p� I p pi Y to p
_;��r, � ..��, �' .�'' i'1'���iu•isb:'' l�'��:�;b �li!�!'�1��!t �,�' f.111 i��!I�'t�iah� �ll: ° il,£�C�"+�.Y`_'� "£ ��^tk1`�jp��"'IS�� ��� ��^IQ� ��1�'
�w, � ii is f,�ln. �f,•,., i1,r f�[v zf,ma Id`il�f5f, 1•x��till t.let,i a, ,:�.,°, ,;. •lva, •; a,1r„s!�
❑ New constriction /:a Addition/alteration/replacement Mechanical penult fees* are based on the value of the work
performed, Indicate the value (rounded to the nearoat dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead. and profit.
1 , i A.r��rt, 1 I, •,,,, ,.il ,fe vl r,yl!h::rl ,t.: v r. i,e�t.•• 1 f N
r 6 ! I ,,,, v..„!:1:, Iii .., , g ! 1.: 6 . p r , , ll d , , iT t' +' 11,,},.' ! tr 1 " t 14} value:
,,} w; ii5, 1, • ; :p. r ,� {{ ° �„ �� ' ,E , s e, " 6 6.{ ; i , I : ;t , i i7E , 3 , a
� S )S�Ifi�S'l� �.�4� I P� M�, .�lrf• n„'£"ifnlyrd(llp dldiE:ty YA p, , „u!ran a, r•� i,,i, S 6;t l.£,�,z 1• Itp , 1117' ? f, �.(1 i ��6: f !, a:;. fl�t , � . 1,
1- and 2-family dwelling ii i 'l iil r i t , u t , J ":1; f.- ' , i4 t' ' ` tst ;7t; , ! n N
J g ❑ Commercial /industrial ❑ Accessory building !: 9,icr n :e t. f +0 1r o, 1 o
❑ Multi - family ❑ Master builder ❑ Other: For special information WE' checklist.
Description ~ Qty. ! Ea. Total .
,rt, l�,J,fi'x''ti „Ui, L: P!dt aiP,. „si a � l ay,, i3 t , .1 • °+ t !IlE£ ;l I ili419'� i :, p
} 109 i f al li i��g 6�i6�t f ' 1 I :iii il l l i f —
, y �
V {{ ! dtR l,a�?i,11 ;li�tii � r ill,`�i,o:,, 6,4t, o�, r f, �.i ,..f ' 1 I , ,:. a'ir`11,i 91 {y�;� •
hr t!i /f_;� �j�4{,fl.li rg ;F9i1, �1 ��; 7� g if� [5�� !G )i � .1.'),ea[InT/000N
�S' it ?. � 65�� Pai'.�. R ^' j Ili it i# 6 1 � lii � � �� ��6 � N ,.�.� -- - -
Yob site address: k3-7.75 s s � (' A,ir condinon.tng or heat pump
_mow- "J �V–. \e„� V ,,x1 ` � • (requires site plan showing placement) 1 14.00 14.00
elty /state/Z1P: 7\1(13--6 a3 Furnace 100,000 BTU (duets/veins) f 14.00 t4,00
Furnace 100.000+ BTU (ducts /ventsL 17.90
Suitc/bldg. /apt. no,: 1 Project name: Gras heat pump 14.00
Cross Street/directions to job site: Duct woslc 10.00
Itydtoruc hot water system 14.00
Residential boiler (radiator or
hydrouic) 14.00
- -� — w•° TM Unit heaters (fuel -type, not electric),
• in -wall, induct sits ided, etc. 14.00
Subdivision: Lot Flue/vent for any of above 6.80
Other 10.00
fuel appliances
Tax map/parcel no.: Other
' ce
ap/pa Other
'IIIR Cif y '� ��' Ci �( i. Water heats 10 00
k1ri riftti`'itad �4. l El ' i!1i� : l '
{ Gas fireplace 10,00
i Y"c� \\ lf_ 1eaV , ,c< � ' r\c a.M., 11 .e. Flue vent for water heater or gas
fireplace 10 -00 '
Log lightas) I 10.00
Wood/pellet stove 10.00
. Wood Ereplace/insert __ 10.00
8 C t ;,r r t. i a>, as s 1061 Chimney/liner /flue/vent 10.00
P i r I f l r ,h13i iii �.
'Y c12'LIE i ' �1 7, .
°.! i Other. 10.00 i
Name • 1. •. 1_)(1e, ill '-' , 1 • Environmental exhaust and ventilation
Range bood/otber kitchen ^ ■
• IL*. equipment 10.00
City /Stale/ZIP: �1 s`- 1�.. Clothes dryer exbaust 10.00
\{ \4 1 Sin exhaust (bathroo
��}}{{Phone: l ) 9 e ,.. 3 i Fax: (- ) toilet com•artmeuts, utility moms) 6.80
lG.l F .. I I! I 1 1 1 ' f i ( 6 } ro 1' r: a ! i Attc /crawlspace fans 10 -00
Business name: Other- ^, _ • 10.00
q('rt \ E ' (7, -1 r _. G Fuel piping _
Contact name; 4�� $5.40 for first four: $1.00 for each additional_
Address: ' F) 1, It"1x a/ I Furnace, etc _
^µ µ J
Gas heat pump
City /State /ZIP :h�1, , C 011 115 �, /� Wall/suspended/ueit beater
Phone; (5G_) I ^ �j t 6 C? Paax:: ( tali )f,C I B 55e) Water heater I
Fireplace
E -mail • M _....
rot a ” ♦i a ub
I � rr ! �. R�np�
�,i } V a '} • a�, l ( I i 6 i� 8 . tl �e161 B
" "�I 'd'i�i:�}�il ',� ���h + dd:7t - r <e "�T� 1 t.7115 � . � 1 � 'tk i ..1 1 1 . 1{ s !f ,l. i,tGl 1; .1 1. _ I
Business name: C� rc CoY , ti >,, c
Clothes dryer (gas) _� m
other
�2 �� c� /� r:
Address' Sai XS, AE'i: � ir ?- frill. } . P ,: , ,r, ; ) . : { � ' • r I� s tail;
i �r 7 ! vi 7t; £u �.t. ; •rll i,
! , � .- 11,• v ,., i h.x ' It,
City /State /21P: 1)‘, -r Ae r cr-1 _ Subtotal I .
Phone: G' a
C7� \ 6 Far : ( o 1 - Minitnum permit fee ($72.50) 6 0)
� 5) —.
flan review (25% of pewit fge)
CCB lie.: « a ‘ a State surcharge (12% of permit fee) " '71(;)
I
E TOTAL PERMIT FEE N . C`�
Authorized signature: � • This permit application expires If a permit is not obtained within 180
. ,. . _ days after it has been accepted as complete.
Print name: s 4 et , — s
Y Date: — Ir • Fee methodology sot by Tri- County Building Industry Service Board
04/29/2009 13:50 503 - 691 -8556 OREGON HEATING PAGE 02/03
e
First Floor � i
_ --
i
73 cfm 0, 73 cfm a 73 cfm ® 73 cfm
a 73 cfm r1
1 L 660 cfm 0, 73 cfm
First Floor Z04-
!y El
a
73
•
Zofi
Garage
•
73 ofm 9
• ®
■
•
■
.lob: Oregon Heating & Air Conditionin... scam: 1/a" =1.0„
Performed for: Page 3
Greg Laces PO Box 397 / 992 Hwy 99W Right -Suite Residential
13775 SW Fairview Ct Dundee, OR 97115 6.0.106 RSR39325
Tigard, OR 97223 Phone: 503- 538 -2953 Fax; 503 - 537 -2172 2009-Apr-25 11;14:35
Phone: 503-936-3129 To oregonheating.com Praject1.rtp
rn