Permit CITY OF TIGARD MECHANICAL PERMIT
• I C COMMUNITY DEVELOPMENT Permit#: MEC2009 -00484
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/11/2009
Parcel: 1 S136AA09100
• Jurisdiction: Tigard
Site address: 6993 SW LOCUST ST
Subdivision: Lot: 0 •
Project: Kay
Project Description: Install A/C Must maintain 3' rear and side yard setback
Owner: FEES
KAY, RUSSELL Description Date Amount
6993 SW LOCUST ST Air Conditioning or Heat Pump 09/11/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 09/11/2009 $8.70
PHONE: 503 - 939 -5554 Minimum Fee Adjustment - Mechanical 09/11/2009 $58.50
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST
PORTLAND, OR 97239
PHONE: 503 - 234 -0611
FAX: 503 - 234 -0439
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
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
J /LL)L & .L ( � n
Issued By: O V l� Permittee Signature: 1
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 �n the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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•
Mechanical Permit A II NED 1 OIt ureic •t: t si a t'1.1
III City of Tigard Received
y . Permit ND, , J I t A ' e r a
-. 4 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4!71 Fux: 503.56P501 0 2009 Date/By: Other P- "
I C ; ,,� , t „
Inspection Linn: °03.639.4175 Date ReadyBy: f!! See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Non&ed/Methad: / t _ Supplemental information
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Mechanical permit fees* are based on the value ofthe work
❑ New construction v. • ddition/alteration/replacemcnt
performed. Indicate the value (rounded to the nearest dotter) of all
❑ Demolition ❑Other
mechanical materials. equipment, Tabor, ovcrltted, and profit
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Value: $
_tM.1!_ L-'1141:::4. Aa 1 _ ✓: __..a . ? , 1:,,c .: "3. r ;i.- a • t„ _::..., . .'.1 z ., r. : . y ,:,. F ; . �, x
1" 1 - and 2- family dwelling l Commercial/industrial ❑ Accessory building
❑ Multi family Master builder [) Other: For special lnjormatian use clrec/d&
Description I Qty. I Ea. I Total
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Job site address: � � 3 LOI,(�l/,}.. Mr cdnditioning or heat pump
(requites site plan showing olaumsem) ' 14.00 Iv
City /State/L1P: - °r1?-.- 3 Furnace 100.000 BTU (dects/ve ts) 14.00
Suite/bldg./apt. no.: Pro : a: Furnace 100,000+ BTU (duets/vents) 17.90
fW Gus heat 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 -typo, 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
Pl i 1 ;4.."`'e. 1 i -ci�; :Tr , , 1 i-{q.l.t. , , ' ir 9 rY•e.r t> 4 ( , � 1 . 1 ,'A , ::
alL, , r ) :, V 0 1 1 I a^ .,,.J t i q\ u ,' �, e ,• J I71 tta.. . r 1 ter 4 gyp Water heater 10.00
r .. -�r � . T -!:(. �r..uir' k ^ .1.�+w.�c- J+ �d
U� Gas fireplace 10.00
r Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
r•+, V , 1{ • ^ "' H , c't" r k q� r . . 11 q Chimney /hoer /llue/vent
10.00
tr�l� r a r6d 3 t A I v `., L r F ti > t p7A +i11 , d I�"�'�c + $ i s i z4"NT
•.� :, ,r • Q t i ) - t Other: 10.00 :
Z =.._r •• r , i C . "- CrlJ n r+:174 r , ' rl .yo .' � � ?, 1^ P:: f
Name: / { F -� Environmental exhaust and ventilation
Address: hood/other kitchen
equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
nt 3 5�
Phone: ( ) Fax: ( )
Single-duct exhaust (bathrooms, l
rooms) ptnenu, utiity
', LJ k " "�''°� �j; r f �;+wy Y r „�. toilet comart 6,80
It 1 E : ^ Artie/owls ace fans _
14tiNch" ',! r Y j `.'� t r ,3 •'4 51. 14. ` , ;�. ' � .' Sul ... s1 � u i 1 . " ' ,4 . P 10.00
_>......rM„ r -. K?-,u .a.. �,3..u, +x , 1L _s� - ,r � : :. � f ter
Business name: Other: 10.00
Fuel piping
Contact nume: $5.40 for Brat four; $1.00 for each additional_
Address: Furnace. etc.
Gas heat pump { t -
City/State/ZIP:
Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
E-mail: Firep
7y YYd N t h . �7'�1Y�il'- fP „•'";+I T'v� e,. ,fiT1i rllpy f .. -.���. k {r ,, .�, -�r'a
I K l Y ,- G , i�:..a. ,. j Wrb4 „ r ' ... , f 7 +.�i_, r. Barbecue
tL..,._ C.i-.....-.. .t r:P . :: 11 "••,.S -u. .. wa;u. �_ssY.:.. _rte, __: 1 *:I i'zi l l _ -ea-
Business name: Sunset Heating & Cooling Clothes dryerlgas)
Other
Addres: 0607 5w Idaho St
ir,W 7r p _, C yA.`.rt.ru�._f , , , ,,,c r 1 . ? :- ' G:r
City/State/ZIP: Portland OR 97239 • _ Subtotal i .
Phone: (303) 234-0611 Fax: (503) 2.34-0439 Minimum permit fee ($72.50) 1
CCB lie.: 161085 Plan review (25% of permit fee)
- • - -� State surcharge (12% of permit fee) I ' -
g This . days after 4 bas been accepted as complete. TOTAL PERMIT TT FEE ��
- Autho signature: is pm•mit application e :pirea if a mi tallied �vitttia trio
Print name: S'Ylll,lltyvA~ I cam; � Date: / P try _
v a ` j D • • Pee mpttodaloby sat by rd County Building Industry Service Board
l !undies■Pcmitamec- e- m,:tApp.e.. of /ia'a'
4404617T (11/021COM/WEA)
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A/C & H/P
SUNSET
Site Phan
Fuel Company
Name & Address: DIRECTION
kuSl
ill
):121
HOUSE
Loc1-
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