Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/12/2012
Parcel: 1 S135CA10000
Jurisdiction: Tigard
Site address: 11400 SW 96TH AVE
Project: Solera, Lot 9 Subdivision: SOLERA Lot: 9
Project Description: A/C installation. Unit must meet 5 ft. minimum rear and side yard setbacks.
Contractor: PYRAMID HEATING & COOLING Owner: EVERETT CUSTOM HOMES INC
9409 NE COLFAX 735 SW 158TH AVE #180
PORTLAND, OR 97220 BEAVERTON, OR 97006
PHONE: 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
• Air Conditioning 01/12/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 01/12/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/12/2012 $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 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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232. • _ .: e i. 344.
Issued B Permittee Signature:
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.
01/11/2012 WED 14:59 FAX 503 786 3432 PYRAMID HEATING Z001/003
Mechanical Permit Applica ' 1 1 ,. roll OFFicL, t;sl.; oNL)
City of Tigard Received i
• E "oz DateBy: i ffl �'li �� riffinffirISIMM7
iiiii . 13125 SW Hall Blvd., Ti OR 97;2 Plan Review
Phone: 503.718.2439 Fax: 503.598 1960 Other Permit:
, lc A � Inspection Line: 503.639.4175 AN 1 1 2012 Date/By:
Date ie Supplemental Ready/ By: MI See Page 2 for
Internet: www.tigard or,gov w N otified/Method: S Information
TYP ,. ,lam �F. DUIE 5�'.
2 New , ,:r ...... ..... Mechanical
permit fees* are based of , -.
tai New construction ❑ Addition/alteration/replacement P (rounded de the the the work
performed. Indicate the value (rounded to the neaarest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
s ...:_. Value: $ '
:G 'TEE'�.Q��j CO' w �,. ,
':!' lX � n ue'�m t I��', L
ye 1 T
�/ L't�r, . °' "O,Sr Ta`"!.`i�.,.M..e.. r 4•'+. �. �,. e.: x.,..-.,. zr,: �5�<:,�....�,:. o`c`'-:: �.. ,.. .,,
lb 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
0 Multi- family ❑ Master builder ❑ Other: Description Qty. 1 Ea, I Total
H n
earl coolin
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,. , x .. ............. ..yr. w..,..... ..,.. ' ...,�, ., A cond
Job site address: 4 1 H oo U ) q to.µ. a ve. • (requires site plan showing placement) 1 46.75 L i (0'lS
! a c n 2-23
Furnace 100,000 BTU (ducts/vents 54.91
City/State /ZIP: ^ (�, "
`J Furnace 100,000 + BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: roject name: S o 1( L q 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
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:
DE Wa
SS ter e e
N
, .0;.. 23.32
:.. - .., ... Gas fireplace 33.39
Flue vent for water heater or gas
In cs.- t i . IC.- f ireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood irep ace insert 23.32
€ ?s �w • 1- Chimney/liner /flue/vent 2332
�P.R � s-
`.0
:., ,_...,..,._,... ....:......... ... .... .... ._.._,,,,._;N,. ..3:;:,. .,,:�: , , - 'sga'+:'.. Other:
. ... . ":- :..,.....,... Y� i ..,. .:. 23.32
Name: EVere'ft CUS +ct r r 1 — iJ(I IeS Environmental exhaust and ventilation:
Address: - 735 S w i5 g A vIJ. , l Range hood/other kitchen
.5-it v 'go v equipment 33,39
City/State /ZIP: beaver n C) R c1-7 O 0 (o Clothes dryer exhaust 33.39
Phone: ( ) / Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
r .
r-
ra
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e.1d; •.:rc:,;. �,.:... �:.:,i•,`;ri ;,.. ,, . ;,:.... s: r ?. � �'�2A:, ;x:17 +i -:; _ . . , , „ ?x;� : s `" '"t"s c PYFi' n %'i ��.. raW e_fanS. _ _ _ - . ... _ _ . __
:... - ..,. _ ., ... t;; : :.., .�,` � ��N;" ..... , A / Is ac 23 , 32
Business name:
Other: 23.32
Pyramid Heating & Cooling Fuel piping:
Contact name: 9409 NE Colfax St. $14.15 for first four; $4.03 for each additional
Address: Portland, OR 97220 Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: (r50 j) 7 S(p Q 522.. Fax: : (C56)" 1 ato t.7`i 3- Water heater
E - mail: Q �S L n @ `�, - Fireplace
'' � ea:. J :,,::� , ,:-�;: ; �:��� . kozio :,: L � . C o Range
y �k',.i. ; ,: n - . la.kf4.'�:::.�:PJis ; i t,,4.,14M - A3T,1:`:i:'�v':iil':�
Y:if':- ,��::x., .,- ._,._ .,. -i = ; ' 1iOl£ ,, , , , .r,. , S.,r, �,��.K BB ar b ecue : ,. >!F1'' +.., r... ....,urkase:S'x�fC3��t'real::., ..:',a. ,�':.T- ��3a, \z•
Business name: Clothes dryer (gas)
Pyramid Heating & Cmollna Other:
Address: 9409 NE Colfax St. ^"i« �' €-,( ?gn { : w .. . C; . .+.FEr..: ,r -_'_ .., : ;;
'l
City/State /ZIP: Portland, OR 97220 Subtotal 4,' ;-
Phone: (57 8t0 gsL2 F a x : ( ) " 464 3� 32 Minimum (25% of r mit fee q 0
Plan review (2 of permit fee)
CCB lie.: 5R3$ 2 State surcharge (12% of permit fee) L p. gp
` ^^ TOTAL PERMIT FEE •gQ
Authorized signature: JT ' ^ - " This permit application expires if a permit is not obtained within 180
t days after it has been accepted as complete.
Print name: y1 1 Sp �" 1( Date: ' 11 I 1 1 2 ° Fee methodology set by Tri- County Building Industry Service Board
/
I ui lding\Permlts\MEC- PermitApp.doc 09/09/10 440-0617T (11/021COMIWBB)
01/11/2012 WED 14:59 FAX 503 786 3432 PYRAMID HEATING 2002/003
MECHANICAL SITE PLAN
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Job #: Pyramid Heating & Customer Information
Cooling, Inc. y�-- �"
5699 SE International L ver'e, Homes
Performed By- Way, Suite A 1 I I-100 j 0 9G '
Milwaukie, Oregon 97222 1 /} Apt 0 2.,