Permit CITY OF TIGARD MECHANICAL PERMIT
1114
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00146
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/21/2012
Parcel: 2S109AB13300
Jurisdiction: TIGARD
Site address: 14292 SW STELLERS JAY LN
Project: RES CONSTRUCTION Subdivision: ALPINE VIEW Lot: 14
Project Description: NC installatin. Unit must meet 5 ft. minimum rear and side yard setbacks.
Contractor: PYRAMID HEATING & COOLING Owner: RES CONSTRUCTION
9409 NE COLFAX 735 SW 158TH AVE
PORTLAND, OR 97220 BEAVERTON, OR 97009
PHONE: 503 - 786 -9522 PHONE: 503 -641 -7342
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 03/21/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/21/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/21/2012 $43.25
Occupancy Grp:
Stories:
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Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
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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.
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Issued B — Permittee Signature:
I/
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.
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03/19/2012 MON 17:37 FAX 503 786 3432 PYRAMID HEATING Z100 1/003
Mechanical Permit Aupli hu. i I FIVE w� r()i(til ri( 1: t Si: ONi.,
City of Tigard Receeeeive: M �_ v • . ,: No.: LC _ . - f.UI'i
13125 SW Hall Btvd., Tigard, OR 972 2012 Multi:vie
Phone: 503.7182439 Fax 503.598.1AR 2 0 Date/By: other Permit:
r f c A i t n inspection Line: 503.639.4175 See Page 2 for
D
- t A .� Date Ready/By: nil
Internet www.tigard GIN �F I Dui u tD Notified/Method:
EMI Supplemental Information
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Mechanical pem it fees* are based on the value of the work
u 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
E , , $,%4Uttif le i - i!2. ;Y�f �} ilV: �,6 . :1- .._m.,...�, _`. ,y 3 i rM -, Yet `'' � � ;;. - -- ` +t, -4
i 1 - and 2 -family dwelling ❑ Commercialindustrial ❑ Accessory building For special dWarn:sios use cheekllrt
❑ Multi- family ❑ Master builder ❑ Other:. Description I Qty. I Ha, Total
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nt , r .:r at - , � 1 i f . t- 1., ;: g-0.: Heating/cooling:
uz s r ,..,w ! t t . ` - 4 g
4 ..� f C ,; ' i s 1 - . .. , .- . , Air conditioning
Job site address: 1 '7 2 q Z S W Sid fr s �J ail-ark: % (requires site plea ehowma placement) I 46.75 1/4 lg
Furnace 100,000 BTU (ducts/vents) 46.75
City/StateJZIP:
1 ai o g, Q 7 2z Furnace 100,001)1• BTU (docte/vents) 54.91
Suite/bldg./apt. no.: P name: Heat pump
( undtm site elan showing elaumeen 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: A (p v (, I Lot no.: i y Ftue/veut for any of above 23.32
Other. 23.32
Tax map /parcel no.:
_ Other fuel appliances:
� , j';, :g; .:., ; . ; t . "�;; :� >� .tt 3 - ... :7e d is •VAek ?. �"'far- WBLCr heater 2332
Gas fireplace 33.39
Flue vent for water heater or gas
- r f/. . 4 fireplace .23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplacdaseit 23.32
lL , tt Ci �� k `� 6 v, i i ,. , Tip {v Clamney/tiner/tiudvent 23.32
Name: Q es � f S t Other, 23 32
' ` Environmental exhaust and ventilation:
Address: -'7 3s SL4) ' 5 ch , Range hood/other kitchen
equipment 33.39
City/State/ZIP: �p n l /, fX .. } yl . q'4.009 Clothes diver exhaust 33.39
V�'�" / Singie-duct exhaust (bathrooms,
Phone: (S ) Fax: ( ) toilet compartments, utility rooms) 23.32
' iz I . - ` k M A:gtt a ` Attic/crawiseace fans 2332
Business name: Pyramid Heating & Cooling Other 2332
Contact name: 9409 NE Colfax St. Fuel piping'
F'oruand, OR 97220 15 for that four; 84.03 for each additional
Address: City /State/ZIP: Gas heat pump
Wall/suspended/unit heater
Phone: ( 9 y 2 a ) 1 e6 , q 5-2 _ Fax: : (55$) 7 .. 5 Water heater
-mail: / -I 'J n 0....1 /...11 A A -! I O i • ' � R�
E, ia . M a-P-M '' 'f f g `,- 14 7. 1 ,6'. ,r ' i cy Barbecue
•awn .. ,. 0A r�;.l r. �: ., :: Y 14,41 -. +. _'r:Ya : .. .iar - . 't wS 4a1 :t.e -.a .' L:>.1
Business name: Pyramid Heating &Cooling Clothes dryer
Other:
Address: 9409 NE Colfax St. '' " ° "" t':�� tF r
Portland, OR 97220 , ` � :�� � r-.-:��?727.l k1).'°;:. w.°`r;.r. r : 5:
City/State/ZIP: Subtotal
Phone: (j )'18 Si. Fax: (11 3 Minimum permit the ($90.00) 90
�' e• 2- P lan review (25% of permit fee)
CCB lic.: 6 q 3g State surcharge (12% of permit fee) 1 c . go
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' TOTAL PERMIT FEE 1 00.8p
Authorized signature: ' 11.K ' { _ ] , ( � J_ ( T h i s apptleaHon expires It a permit is not t e wltt�in L80
days after it has been accepted as complete.
Print name: / s I 1 "J _ .I Date: 3 • 2.. • Fee methodology set by Td- County Building Industry Service Board
I:1Bui1dutg1P- • ' 1 - ., , • ..doc 09/09/10 440.4617r(11l02,00MIWEB)
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REVISEP 1/20/11 JJG
• • FEV1SEP 10121/10 -LIG '
DRAM 15/6/10 PSC
• . . .. • ALPINE VIEW
Contractor is responsible to cher* . SITUATED IN THE N.E. 114 OF SECTIONS, TOWNSHIP
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site plans and notify designer of any _ - _ !I. : G_E :‘,. - .......... 7 ,...--_ , _--.
errors pr omissions prior to start of .. ., ,, , .., , F - 11 —
consirdction. Also plans and 4
• specifications sholl'be approved b A • .
local building authoritiss prior or \i„,...................._______ Ir's1? Z ._---_____. _ _ ,
• start of constnIction.. . i
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, ' . LOT 14 •
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22.EVIMOP2aNT, WM REAR YARDI 151 .
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fsRCANT MORONI 15' SCALE
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735 SW 158th Ave. PRZPIT MAR4GE1 20'
BEAVERTON, DR 97006 81E' 5' 1 '
STREET S1DE2 leo
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