Permit CITY OF TIGARD MECHANICAL PERMIT
17 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00014
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/13/2012
. Parcel: 1S133DD03700
Jurisdiction: Tigard
Site address: 12566 SW BRIDGEVIEW CT
Project: TOPP Subdivision:'ILLAGE AT SUMMER LAKE PARK NO. Lot: 76
Project Description: Gas furnace installation.
Contractor: SUNSET HEATING & COOLING Owner: TOPP, STEVEN W AND
0607 SW IDAHO ST LIU, SHI -YI
PORTLAND, OR 97239 12566 SW BRIDGEVIEW CT
TIGARD, OR 97223
PHONE: 503 - 234 -0611 PHONE:
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 01/13/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 01/13/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/13/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: /'
Cal 03.639.4175 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.
01/13/2012 11:56 5032340439 SUNSET HEATING PAGE 02/02
Mechanical Permit Application FOR OI+l� lei USE ONLY
City of Tigard ) Permit No.: _
1 .
13125 SW Hall Blvd., Tigard, O.R,,,,��7Z2 +\. Plea Review
Phon
Fax: 503x5981960 ( V Date/13y: Other Permit;
T I t. A R D in Lin 503.639,
4175 �� r.� \v Date ReadyBy: lariat to lice Page 2 for
r,gnv ' r:.�‘ ® Notified od: - Supplemental information
'N VV
: , :';'/ www.tigard-or.gov
. ,. :.. R , WO `. �` , ' ° R 14.i1!'til�`, itTSU1jL' . .. ;.. SE;CII"<;c 1.1ST "
' /Meth
')r'S�'P>R` :�1 "� : ° = �CbN�1�7>C ice' -tA .. , ? '.. ..,...; ...., .., • , -
�> \i' Mcchmicat permit fees* are based on the value of the work
CI New construction 'ddition /alteratio /ORraccmcnt performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition [] Other: mechanical materials, equipment, labor, overhead, and profit
Value: $
c C i�.bti1 i. :t71� -Y I�IV5 f1tU.iC"I If}
- .,,. y Forspecial nforse che tCM5 P
`' " y - g y ❑ Commercial/industrial ❑ Accessory building
J ; y M
- and 2-family dwelling -, - i I$TTILIV Is
Mul - family ❑ Master builder ❑ Other: Description Qty.
Ea, Total
— 1111: : $i E INPOIMr/T1ON AP1.i) " : Y;:('jtATION :.; 1 eating/coaling
Alr conditioning
Job site address: , g-5 6(� a met al e y 1 c,4-, • (requires site ohm ahowi placement) 46.75 _
City /State /ZIP: Qur4k aA.a Oa 9 7D--:3 Furnace 100 000 l3 U (tlncts / v ents) _ 46.75
- ' - HcrnA n i00,000 +BTU . cts /vents) / 54.91 , `It
Suite/bldg. /apt. no.: 1 Project name: P . w.. 61,06
(Cross street /ilireellons 10 job site: Duct: work 23,32
"'"^ Hydrenic hot water system 23.32
Residential boiler (radiator or
hydronic) _ 23.37. -
__...- - _�.. _.. . �__ ,_._ _ . Unit heaters (fuel -type, not electric).
in -wall induct, suspended, etc. 46.75_
Subdivision; Lot no -: Flue /vent for any of above 23,32
.. _,...,......_...-- ..,._.m —,- Other: _ . 23.32
Tax map /parcel no.: Other fuel appliances
{v� . `.. ^ C . (rl ✓i �' , XCt ?
Gas ter 23 32
/A. -a pCT
(ifla rreplace 3 9
[,� Flue vent fee water heater or gas
fireplace 23,32
^ 1,og lighter (gas 23.32
Wood /pellet stove , 33.39
Wood fireplace /insert _ 23.32
: NA _ Y flue /vent .. .
T' bWNElt 0,1'$Nt Ot /liner/ 2't 32
P1Z�T: _ .. Other: 23.32
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust - 33.39
--- • - Single -duet exhaust (bathrooms.
Phone: ( ) Fax: ( ) toilet compartments, atilt rooms) 23,32 •
G;' i7 APPL,ICi11' T r CONTACT tt ttsCiY Attic /crawis . ace tans 23.32
Business name: Other: 23.32
_Fuel piping ,
Contact. name: $14.15 for first four; $4.03 for each additional
Address: — Furnace, etc, — -
Gas heat pump
City/State/ZIP: Wall /suspended /unit heater
Phone: ( ) Fax; ; ( ) Water heater
Fuc place --
Email: Range . __
'ON,,7far + i~`T0,ir'` •
, ' aarbeene
l,:.v1
Business name: „
Clothes
,-. 'Set ClOtl dryer (gases
,t'." 19t?rt�h,�c w (.CtC >1ir
• Other;
Address:
0 "- ; T' ti:t'>Ci#1VI11";;p'E1 ,.
City/State/ZIP: Sobiotal „5 `j /
Phone ( L} ) 234-N 1 Ftix (� °t' =i) t _ Minimum permit: fee ($90.00) To t)-0--- p t _� Plan review (25% of permit fee) --
CCB lie.: I L l 0 ?5 ry State surcharge (1.2% of permit fee) /Q ,W)
- TOTAL PERMT,T FEE / QV, WO
CU- This permit application expires if a permit to not obtained within ISO
Authorized signature; day+ after It hes been accepted no complete.
Print name: Pedlpj� Date: 1 01 (7_, * 1 cc me$bn nln y sot by Tri County Auilding Industry Sot lee fionrd