Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00330
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/27/2012
Parcel: 2S104AB00100
Jurisdiction: Tigard
Site address: 12030 SW 135TH AVE
Project: Sumamoto Subdivision: BELLWOOD TERRACE CONDO Lot: 33
Project Description: Install A/C
Contractor: SUNSET HEATING & COOLING Owner: SUNAMOTO, BOB
0607 SW IDAHO ST 2740 SW BUCHAREST CT
PORTLAND, OR 97239 PORTLAND, OR 97225
PHONE: 503 - 234 -0611 PHONE: 503 - 805 -7147
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Air Conditioning 06/27/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/27/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/27/2012 $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 503.232.1987 or 1.800.332.2344. /� , /
Issued By: C Permittee Signature: °k 4PPL/eAriON
Ca �5003.63�9.4175 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.
06/26/2012 11 : 10 5032340439
SUNSET HEATING PAGE 02/03
Mechanical Permit A licati O
PI..., l' /C mil, 01 ICE USE ONLY
• g . s y r) ueedve a
City of Tiford ' . ai(i1.--or Permit No.: re op 324)
141 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
: • ' 'Phone: 501639.4171' Fax: 503.59R.I.960 2 6 2012 Date/By: Other Permit:
Inspection Ling: 103.639,4175 Date Ready/By; ties . gee Page 2 for
- Internet: www.tigard-or.gov - CITY OF TIGAF1D Notified/Method: Supplemental information
,....____:Ell.-LI D10,C41:4:%Lqr - L__.,,,,,,—.....,
:i.i .yiii.i::r.". , ;iik . ..ii i .ti• ,ii.
' - '' . ' 're■stii 'Aotiolitefilic, _ ,._.”‘ .______,::: : • .1Zi:?'":1 i.=:'4i ..:.:. 7 f. f li' : liti4100:041■'04k4:VSSolgoth,t
,......f.,,,..!: -i,i.ti, ...t - - . / . ...'' , ' , /t.'" — " • ''''' "..' MCchiMical permit fees* arc based on the value of the work
0 New' construction Nir Addition/alteration/replacement performed. Indicate thc value (rounded to the nearest dollar) of all
0 Demolition ti Other: _ mechanical material e ' men labor overhead and . . lit
Value:
'': .,. :',.: : •:: .... ,•'•:,`..:. '•,•::: -. frIgtEki .•:,;(,:.,:
r 1- and 1 dwelling 0 Commercial/industrial 0 Accessory building Far special information use checklist
Multi-family 0 Master builder El Other: Description Qty. Ea. Total
' • ' - Tit. i•`..'': ir : 'i ii: i
2-s''05tlii5411470W4kOtiNAKPOI.0101!,1,:,-4t4,!:,et..,.. Benti:e001:
I. 4
. ': .: • '' ' ' .-- ''" "''' - ''' '. ' ' " " . . Air condning r
Job site address: 1 2_030 . 44- pt- fres site Ian showin laeement 1 46.75
. Furnace 100 000 BTU doom/vents 46.75
City/State/ZIP: 7 Li N i /ye_ 4 1223__
Furnace 100 000+ BTU ductslvents 54.91
Suite/bldg./apt no.: ( Pmject name: Beat um 61.06
Cross street/directions to job site: Duct work 23.32 MI
1 -- &Mile hot water tem NM 23.32
Residential boiler (radiator or
it 'conic 23.32
- f-
Unit heaters (fuel-type, not electric),
in in suspended, etc. 46.75
Flue/vent for . of above IM 23
Subdivision: • 1 Lot no.:
Other: 23.32
Tax map/parcel no.: , Other rad appliances
•' tiljk iiiAtidiiie ..; "..!';'.,,.:''''''::,;. ; . ,6-,N.j, -!!...... -;:::: Water heater 23.32 IIM
33.39
• -________'6Ski)A_AAge — Flue vent for water heater or gas
fi .lace , 2332
, I, ._ 11 tcr :,.■ PO
wood/ llet stove MI
— ----
Wood fire lacc/insert 23 32
. Chimn It
23.32 1.11.1
s 1440#*0:". i::. .:''; :?.1::;''', :i'.r i .i‘.... -'- Other. 2332
Name: ob Si • Environmental exhaust and ventilation
Range hood/other kitchen
Address: I - )-413 0 SW . 1 ' 5 4 ' L A-,--- e . ii ment 33.39
C it-icy/State/ZIP: - 1 . 1 ., (14 l• 1 ?';.- minim dryer exhaust .1. 33.39
• ---...- Single-duct exhaust (bathrooms.
Phone: 50 ) W..16-• 1 i '41 Fax: ( ) toilet com..;runents utili rooms 23,32
:, .; : • .. . ti 'AiitidOk :,::i.;.•:':• 7.. 6,.,4;0*:,.00 „It' Attfriclawl"acc funs 23.32 •
Other: 23.32
siness name:
B -
u
Fuel .' . in
_.—..--------- --.
Contact name: 514.15 for first four; 54.03 for each additional
--------' Furnace, etc.
Address: . _ Gas hctpump
City/State/ZIP: Wall/au .cnded/unit heater
Phone: ( ) : . • I Fax: : ( ) Water heater 1111 '
Fi lace
E-mail: . Ran. •
•.••••i:: :• .1' ;;;', ;- ..:.:, .. .:.
':.; .:,..:::;';!•,..:-...:.._
Clothes d _ .
)3usincss name; Sl..Lr) Set 14( , (‘; Czpii”)
. , Other
Addras: i OL9 01 5V t (WI V. . ireet ‘.!...- ...; .I:
—
City/State/ZIP: P Cy-RA.14k._ 'ere' (412-31- Subtotal
Minimum permit tbe
Phone: (50)) 234-cu. II • I .
Fax: ( 5 - V3 ) i 3Li -0 4.39 N. review (25% of permit fee)
CB lie.: 1 4? 1 0 35 , State surcharge (12% of permit the
... . . . . . . ___.
TOTAL PFMMIT FEE I /00 . S
This permit application expires Ire permit is not obtained within 180
Authorized Signature: CULA.11:1/46:........ • days after it has been accepted as complete.
Print narrtr, v1/4 7ki i i 0.c ILDat2:qla...._____1 • Fee methodology set by Tel-County Building Industry Service Board
410.4617T (11/02/COMAVEB)
06/26/2012 11:10 5032340439 SUNSET HEATING PAGE 03/03
A/C & H/P
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Fuel Company
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