Permit • r
CITY OF TIGARD MECHANICAL PERMIT
11 a COMMUNITY DEVELOPMENT Permit #: MEC2009 -00279
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/1112009
Parcel: 2S105DD06800
Jurisdiction: Tigard
Site address: 13435 SW SANDRIDGE DR
Subdivision: Lot: 0
Project: Loverro
Project Description: Install a /c.
Owner: FEES
LOVERRO LIVING TRUST Description Date Amount
BY LOVERRO, ANTHONY/MARYANN TRS,
13435 SW SANDRIDGE DR Air Conditioning or Heat Pump 06/11/2009 $14.00
12% State Surcharge - Mechanical 06/11/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 06/11/2009 $58.50
Contractor:
OHAC INC
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 - 538 -2953
FAX: 503 -691 -8556
Type of Use:
Class of Work: 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. \ ^/
Issued By: o-1w Permittee Signature: Q
`Y 7:00 a.m. for an Inspection that business day.
/ ` pp
Call 503.639.4175 b
Y P Y
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.
06/09/2009 16:13 503 691 -8556 OREGON HEATING PAGE 01/03
Mechanical Permit Application RECEIVE i 'FOR OFFICE USE ONLY
• City of Tigard Received ( permitNo.:
• 13125 SW Hall Blvd., Tigard, OR 97223 JUN 0 92009
Plan R 4 ' /IA • I
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit
T I G A R D Inspection Lune: 503.639.4175 CITY OF TIGARD Date Ready/13y: A m See Poet ror.
Internet: www.tigard or.gov BUILDING DIVISIO ' odfled/Method UM. Supplemental taformadon
� }�J r `P al{t1,' �•rirll a� • • J 4 � ?" I. Ins t �[trarr 7 1
L'I;I!!IfSic' EEMBI J i49 lj��k�31'w��"i �ukE;` u� fi t 'i i �+f@ f( i. t Ii i tIr���el a'! t 1 � i'! a 1 '� fit`. My��1 l
Illk ^ f 1r, '.�.:`� �. � 1 ..3� I,' �l[eTi'!CL51fa•3lEi.Y!��� �ih''1.1a91{T�PA1M. .��' .YJII'�i' '.a��n'Y�I9RlmfiIIll 1
Mechanical Permit fees" are based on the value of the work •
❑ New construction NI Addition /alteration /replacement
on
El Demolition perfomled. Indicate the value (rotmded to the nearest dollar) of all
� }} � 3' �t R9 N ❑ O t h e r . mechanical materials .. .• labor overh and ..fit,
pI ' t � `i,�j l'ai$gj� au' �V4�)'(`{'r s �IIt I 4� Value: $
J�. j ,: ', WE1 �IWl-:ulltllli�t6; .��M::IC: :J�E t VIi f 1 • gI �7p � ivel f ul /I ���745... p,��pV
El 1- and 2-family dwelling . tt a99iGPJ14l.t@&Puullft 'ISI'r7 1 a L 1111fnee.4, ' 1' n fcas, `rr
y g ❑ Commercial/industrial ❑Accessory building
For special utfor nation use chccldist.
El Multi - family ❑ Master builder ❑ Other.
Head .:
qqJy" �R 'E? r" ant ltt L u w4 N n } ���y y Desch•t10n Qty. Ea. Total
Ji T ''1t �' .� 1 'JP ' C I� aili i e :R`' 'io alirir S r �..ffig�' fit, EI�JI!'�'t' ��!Jl�il'�' fit: ' , 111E . —1i : .
t rsl 1 ,l y r. 'trte�. , '��`{a!t1flr,Em��nA , 1
Y�� : Air conditionhag or teat pump III
Job site address:
r .r..__ s �� u9 . �_. ►r.. 1 kg, ii .. site • Ian ahowin: •laeemeat 14.00 14.E
Er • 1 Furnace 100 000 BTU (ducts /vents) ow 14.00
Furnace 100 000 BTU (ductahente 17.
no.: Project name;
Gas heat • 14.00
Cross Suite/bldgJapt.
street/directions • • • Duct work - 10.00
II, dronic hot water " stem I4.00
Residential boiler (radiator or •
h dronic 14.00
Unit heaters (fuel -type, not electric),
in-w. in•duc .... ed, etc. 14.00 M
Subdivision.: Lot no.;
Flue/vent for , I of above 6.80 Ism
Other Mil 10.00
Tax map/parcel no.: 1n :fiances ���' `;fi; if {� Vii, i1 {i; +�!�'�� '�: n }y � 11 � :� n�tl�,�'1°r°{ 1�' ¢ .It t, m � . Fl Ift I i 1 " � 141 ��I,J'��i�`�, i , ���E1 o"f�rt It 1 1' �t���Ir � Water heater 10.00 •
1i:.. i .>r{,..,.1.l :EEl,� ili �t J4t:J;; .P.:ul, rl!nr!'r.=et 41` is:m?.•�elCih l;.., } '2LMEsir.;r.� SI��E i};i��;l1:,Itfib I I�iJ;i���liM Other fuel a . •
tt� ri,l ri{1� is
IE..u. iii Gas . -.lace MN 10.00
OA Flue vent for water heater or gas
, . lace . 10.00
Lo: . :.ter :as 10.00
Wood/. Jlet stove 10.00
Wood . - .lace/insert 10.00
lrJ •;1 � a � r 1 mli u t t r , f '' zl lnm p� m gm tirm I g r , , E � C. - .... - /liner/flue/vent 10.00
.�' ?1� ` l E tl[ ` 5 . erg ' F P l t � �Sil!!ili!il ,fi ibl �.4i11 �11I i E �I` i ji1b, ��l t1@S JI �rauL11
Other __ 10.00
Name: 1.1 Environmental exhaust and ventilation
Address: t r Z VO .circifTkle.. Dr. .,
..�...... ... . ,. 10.00
City /State/ZIP: ' ` e r . • aa3 Clothes cl ' er exhaust _ 10.00
Phone: 2 ) • -� g Single duct exhaust
'u ents (bathrooms. . -
J • U Fax: : ; ►% �� toilet co • • , . , R ents utili rooms 6.80
Z "m i, rr.; ^qr•. a r. � y � {��� r
k:(illiti ;;ifu i� 14�a E • u>� c Jt t qlt i$1l tltdll �' � �Ll � J l' i }�,`J llr $ � . 1 r i a :r; r.G � . , l it� f Attic /Craw j /Craw • ace fans 10.00
i 1s ki;r. tLatlEmL t. u ,. a , tilt a uttt �ti�' Other. 10.00
Business name: rya— is Elr, " OA 1 six ` C
MIMLinimiimmomimi
Contact name: OP . \b $5.40 for first four 51..00 for each additional
Address: ∎` ;L ., ., r a F� Furnace etc.
City/State/VP: Gas heat . �_- .
wr1r1eP °Il 1 l 5 Wall/sit I:•••ed/tmitheater �� MEM
Phone: ( 5 0 0 3 ) _ q 6 q 9 I F a x : i - 8'55E) water heater
E -mail: ' ' _ �-
�t 1 Ran_e
` U 1lxi�� ��1(iJ� l� .��J.. + iiY;.n t�1 11UL°tt ( rd � i a�tt�(•i 3 Iidt:.1 . . f 311 1 `.i +lit q� (, it� r 4 , `a Barbecue 1.11=
�J �(1� `l� l 1 A C Clothes • er :as ��
Address: � name: )
Business name: __
,��`,` ` Other ' 1 I u tu• f o•e r m�
"L L • E f fllt.11T i t 4 i lit E 7 J '1 "
•' 9 l�F f>i f1�wtrrltitrocl� ,�i.�tt�L:r_FlvLi'mtt :!r>lo'Rnlm,mnrtlkil�,41� 4 �w�F',��
City /State /ZIP: 6 • - _ C) 115 . Subtotal -
��(� �i
Phone: ( `_ (�, 6 Fax. ( O V �q'- S ((` Plan review Minimum P fee ($72.50) of ~�'
(25% per mit fee)
CCB lic.: t--/ a G. State surcharge (12% ofpemtt fee) ki . 0
TOTAL PERMIT FEE 'lam
Authorized signature: ( \� � . . Thi, pera+it application expires if a permit Is not obtained ..itbin 180
days after it has been accepted as complete.
a.
Print name: p pt n - Date: s CI S • Fee methodology set by Txi- County Building Indusoy Service Board
06/09/2009 16:13 503 - 691 -0556 OREGON HEATING PAGE 02/03
•
5¢
i First door O 9 0 216
t
f
•
v,
5
Main Floor
�1147
El
165 dm
`o&165dm
•
I
\ it
Living R• 11.4 High
105 cfm
C 105 dm
•
•
/ Garage
•
•
•
JOb Oregon Heating & Air Conditioning,... Scale: 1 : 90
Performed for: Page 2
Tony and Mary Ann Lovemo PO Box 397 / 992 Hwy 99W Right-Suite Residential
13435 SW Sandridge Dr Dundee, OR 97115 6.0.79 RSR28586
Tigard, OR 97223 Phone: 503 - 538-2953 Fax 503-691-8556 201)9-Apr-23 08:46:53
Projectljrp
Phone: 503 WWW.OREGONHEATING.COM Ki
rsten@oreg...