Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00528
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/22/2011
Parcel: 1 S136CA90182
Jurisdiction: Tigard
Site address: 10900 SW 76TH PL 16
Project: Sipe Subdivision:GARD WOODS, A CONDO COMMUNI1 Lot: 18
Project Description: Install furnace.
Contractor: PYRAMID HEATING & COOLING Owner: SIPE, TRISTA
9409 NE COLFAX 10900 SW 76TH PL, UNIT 16
PORTLAND, OR 97220 TIGARD, OR 97223
PHONE: 503 - 786 -9522 PHONE: 503 - 635 -4300
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Type of Use: MF Furnaces < 100K BTU 11/22/2011 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/22/2011 $10.80
Occupancy Grp: Occupancy Load: Minimum Fee Adjustment - Mechanical 11/22/2011 $43.25
Stories:
Project Valuation: $0.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: 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 $100.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
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 work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notific Linn Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direr uestions to NC by (ling 503.232.1987 or 1.800.332.2344.
Issu d By: Permittee Signature: 4 �•
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.
11/22/2011 TUE 15:40 FAX 503 786 3432 PYRAMID HEATING 2)001 /002
•
Mechanical Permit ApplicatiRECEIVED FOR OFFICE USE ONLY
City of Ti and Received
IN - 't `J g Date /By: /I � // � ;, Pe rm i tNo.: r/�/ �D0s�,
13125 SW Hall Blvd., Tigard, OR 97223 N O V 2 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 2 1 Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: 0 See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: g Supplemental Information
BUILDING DIVISION
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Mechanical permit fees* are based on the value of the work
❑ New construction (Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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a,'kt i ? .. r ci.i-n t � brie. ��„r4.kW nitAr: „WoLl.: •- .. -e,=z, r 4. 1 . ` "� tta illyi
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Ti11- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. J Total
r'_ -rte - i 3 s✓ik n v ri •.. . P . _ Heating/cooling:
/0 0 Ai conditioning
Job site address: Si ? � / (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75 y -
City/State /ZIP:
Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg. /apt. no.: / Project name: MOO OO / 1 la l _ T�t'\ Heat pump
W u t (requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: • Other fuel appliances:
n`vme. � •
r i,+b ; 'uii "r.�- rau.S�er� . t.,
a We
��= -� .gi a`. � ,� s ._ 8 •''W`I~t`�i� ..;�..'�` �;;; Water heater 2332
1nS Gas fireplace 33.39
�.� r f / f Flue vent for water heater or gas
� r i ”' 11v-n_ j - fireplace 23.32
/ 6 / / L � t /� f� �'/T Log lighter (gas) 23.32
/' — E/ - / // 7/'/ Wood/pellet stove 33.39
Wood fireplace/insert 23.32
iin ii e i . , , r , t" t ai w 1 Chimney/liner /flue/vent 2332
�„q. -� - Other. 23.32
Name: ill (c ' LC _- Environmental exhaust and ventilation:
Address: !, Di / a) S f) (P t Range hood/other kitchen
equipment 33.39
City/State /ZIP: " l 1 W 17 a Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (, • 4/3 cp Fax: ( ) toilet compartments, utility rooms) 23.32
=.tea r G. e0,'TI� ' " ^ ` �, v Attic/crawlspace s. - mg:Inzem{a : na ' „t e.. '4 ---- -- � 5sm ace fins 23.32
p
Business name: ( V1Al / • . n, i C �j V Other. 23.32
� t'' J I l 1. Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: 1 1k ' ) ' W s--, Furnace, etc.
Gas heat pump
City/State/ZIP: 1� ti..•r • , I' ���(� Wall/suspended/unit heater
Phone: h615/) a, " � Fax:: ( ) r? U (O 3 VJ Water heater
Fireplace
E-mail: into !. g 1 ) 1144A., I „ dL. • e-4rti"• Range
4 Y .: .. in t igi0 ik-W1 ,1 € fki*V,� ca ` ' � - d l t Barbecue
r.r.mnn'i��ir'��`.1:.:m.:: 3 tw+.^' - �1,�...xb4.. -1 .,.k�. Sx'�,.•6 : .rdii7%. :1}... _ a,;:,aatx- ,d:Fit•;
Business name: � � Clothes dryer (gas)
A 'a Other _
Address: �. I .t �a`��l∎ • r • lE .Z � 4 � ' - +i e , .: ;
Qt6 uS L
City /State /ZIP: Subtotal " � ,
hone: ( ) Fax: ( ) Minimum permit fee ($90.00) eiata
Plan review (25% of permit fee) .
( Y CB lie,: J 0 State surcharge (12% of permit fee) /0 . Z
TOTAL PERMIT FEE j �7v
Authorized signature: This permit application expires if a permit is not obtained within 180
1 i ttt days after it has been accepted as complete.
/10 Print name: , 6C (1 Date: 11 - l r 1 * Fee methodology net by Tri- County Building Industry Service Board
L \ Building 'Permits'MEC- PcrmitApp.doc 09/09/10 440 -4617T (I I /0 /COM/WER)