Permit CITY OF TIGARD MECHANICAL PERMIT
Y. Permit #: MEC2009 -00108
14
COMMUNITY DEVELOPMENT Date Issued: 03/16/2009
T IGARL1 13125 SW Hall Blvd., Tigard OR 97223 503.639 4171
Parcel: 2S112CA02800
Jurisdiction: Tigard
Site address:-7 -7-7_0 SW GENTLE WOODS DR
Subdivision: Lot: 0
Project: Haines
Project Description: Install new gas furnace and heat pump
Owner: FEES
HAINES, CHARLOTTE Description Date Amount
7770 SW GENTLE WOODS DR Furnaces < 100K BTU 03/16/2009 $14.00
TIGARD, OR 97224 Gas Heat Pump 03/16/2009 $14 00
PHONE' 503 - 860 -8016 12% State Surcharge - Mechanical 03/16/2009 $8 70
Minimum Fee Adjustment - Mechanical 03/16/2009 $44 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: VB
Occupancy Grp: R -3
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 ork is suspended for more the 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ification Cen er Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain a copy of the rules
Iss ed By: , ` /, 1 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: PYRAM I D_HEAT I NG 5037863432 03/16/2009 #039 P.002/005
Mechanical Permit Applic a � i EKED FOR 1111• lt: •F. l Sl: ()NI;V
lik , City of Tigard Received 1 � 13125 SW W Hall l Blvd., Tigard, OR 972 1 6 2009 C)ate/By Permit No.' 1 ! � di 9 � d% .
Phone. 503.639.4171 Fax: 503.598.18 &0'
Plan Review Other Permit
i `I c, rcl+, Inspection Line 503.639.4175 OF By. u n■.
y 5t1 See Pane 2 for
TIGARD Date Read / J
Internet. www.tigard- or.gov C
BUILDING DIVISIO Nottfiied/ Supplemental Information
TYPE O WORK COMMERCIAL FEE' SCHEDULE - USE CIUEC1IST ,
❑ New construction 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.
CATEGORY OF CONSTRUCTION . , Value' $
•
' RESIDENTIAL EQUIPMENT / SYSTEMS 'FEES";',∎'
Iii 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
❑ Multi family ❑Master builder For special irlJpr:oron use checklist.
[�] Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: - 71 10 S `) Genf le- I , D r , Air conditioning or heat pump
t� (requires site plan showing placement) 1 14.00 l 1 4 -
City /State/ZIP: '7 3,Q rd i 0 R q "12l -j Furnace 100,000 BTU (ducts/vents) 14.00 14 -
`-' 1 Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: ~
Gas heal 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
DESCRIPTION . OF WORK Water heater 10 00
`J Gas fireplace 10.00
} , ��� �1J1.(ocke .e, �,s d Flue vent for water heater or gas
4 O.* O UX(\) t l. e xt 1 CI( U c Tor k fireplace 10.00
Log lighter (Ras) 10.00 •
ad C of A • a • . -. C.CaA d o a / Wood/pellet stove 10.00
b * e_r- Wood fireplace/insert 10 00
• J PROPERTY OWNER Chimney /liner / lue/vent 10.00
❑ '
Other: I 10.00
Nam ,/ c^ Environmental exhaust and ventilation
Address: '7- 7^70 5 Genii 1 t , 1 cc _f, i ti Range hood/other kitchen
1 1 .7 t L C] 1 J equipment 10.00
City/State /ZIP: -T- c ,. a r8 I 0 Gi 22_'- Clothes dryer exhaust 10.00
Phone: (W3 )S�0, _ 5 0 i , Fax: ( ) toilet comp rtm ents (utility rooms) ,
toilet compartments, utility rooms) 6.80
' ® APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Pyramid Heating and Cooling Other: 10 00 —
Fuel piping
Contact name: AK; ( 3 e [' ten $5.40 for first four; $1.00 for each additional
Address: 9'1 Furnace, etc.
-. a cIL I . n I Wu • ' A Gas heat pump
City /State /ZIP: nu OR 7 22 2- Wall/suspended/unit heater
Phone: (503) 786 - 9522 I Fax: : (503 -) 786 -3432 - Water heater
Fireplace
E - mail. thageman@pyramidheating.com Range
CONTRACTOR Barbecue
Business name: Pyramid Heating and Cooling Clothes dryer (gas)
Other;
Address: -(C S rt r a I it AI \ W( MECHANICAL PERMIT FEES*
City/State/ZIP: m „��,,,
; < , U c 2,22_ s
Subtotal 2_
Phone: (503) 786 Fax: (503) 786-3432 T Minimum permit fee ($72.50) 7z
-- Plan review (25% of permit fcc)
CCB lie.: 59382 t3/L(111 State surcharge (12% of permit fee) 0
r TOTAL PERMIT FEE y`i , 20
Authorized signature: Li �likx4U This permit application etpires if a permit Is not obtained within 160
days after it has been accepted as complete.
Print Print name: '' A�/'i 1 J e_n Date: 2 D 9 • Fee methodology set by Tn County building Industry Service Board
1 \Dulding\Pennns \1 Permit App doe 01/19/07 440 -4617T (11 /02 /commas)
From:PYRAMID_HEATING 5037863432 03/16/2009 09:58 #039 P.004/005
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Job #: Pyramid Heating & Customer information
Cooling, Inc.
Charlotte Haines
5699 SE International -
Perfonned By- Way, Suite A 7770 SW Gentle Woods
Drive
Milwaukie, Oregon 97222 Tigard, OR 97224
PH: 503-786-9522
503.860.8016-Cell