Permit CITY OF TIGARD MECHANICAL PERMIT
r l COMMUNITY DEVELOPMENT
Permit #: MEC2012 00386
Date Issued: 07/25/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 25109A615900
Jurisdiction: Tigard
Site address: 13373 SW ALPINE VIEW DR
Project: Powers Subdivision: ALPINE VIEW Lot: 40
Project Description: Install A/C. Unit must meet 5' sideyard and applicable rear yard setbacks.
Contractor: PYRAMID HEATING & COOLING Owner: POWERS, KIM D
9409 NE COLFAX 13373 SW ALPINE VIEW DR
PORTLAND, OR 97220 TIGARD, OR 97224
PHONE: 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432
FEES
Specifics: - Description Date Amount
Air Conditioning 07/25/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/25/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/25/2012 $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: Permittee Signature: GAT 197 /✓
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.
07/23/2012 MON 11:16 FAX 503 786 3432 PYRAMID HEATING CJ 002 /003
•
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard �` �'� 7 Z6/12' Permit No.: EG 42 _ ®/
Ill
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan R OO'6 p
Phone: 503.718.2439 Fax: 503.598.1960 JUL 2 3 2012 UateBy Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: 1 13 See Page 2 for
Internet: www.tigard -or.gov crrYOIITIGARI� Notified/Method: ,' t upplemental Information
s - ._73°"9 r 1 1 d ! ' b V � u 1 1 t,
igkla YA y, ? a e e'` ..: i ¢, r #ale .1,6,k-.2.i _ :.. _e__, l O (e� n 96T*. - :i J'' ;:'Dl l nE i.i^ ??•' c as •
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Mechanical permit fees* are based on the value of the work
❑ 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
- .v w w . n "' ..� :a, ti_ :Tsi Value: $ tt ` d�, v .�ar�e����" .?,'..`''.,.xT',.,, � .�` � - '... - �s�- .�'�� T `� `� f"�5� li. F'` ,.. n A I . ,�,, s? . v ' "�'..:
® I- and 2- family dwelling ❑ Conunercial/industrial ❑ Accessory building For spedal information use eheddirr.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
s...a: 'Tea:. ,nr - ,yett" '.E _73.2.` „-: Hera coo
irs� - " ^� K. � ` • m � ..�_•It'4'�� Es `yS e �S� , ''F } �nT� , _.r
Ln.z.. . L • .._ ... — ^I -- w ry.- _ , '
- • ' _ Air eonditionnhg
Job site address: 13373 SW ALPINE VIEW DR (requires site plan showing placement) 1 46.75 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City / State/ZIP: TIGARD OR 97224 Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg./apt no.: Project name: Heat pump
-- (requires site plan showing placement) 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: I Lot no.: Flue/vent for any of above 23.32
Other 23.32
Tax map /parcel no.: Other fuel appliances: •
- -r �_ e i can F -.; ...:
' & - � ®�,� =��+ ___ Water heater 2332
_.� - ..- .z�, —_ .ter ..,....
A/C INSTALL Gras fireplace/incert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
T _.._ ....- - .
-�- - . � ••� -..•; . � ; � _ '...• : a. � �- rye -:•� .. ,.- Chimney/liner/flue/vent 23.32
Oh er. 23.32
Name: KIM POWERS Environmental exhaust and ventilation: _
Address: 13373 SW ALPINE VIEW DR Range hood/other kitchen
equipment 33.39
City/State/ZIP: TIGARD OR 97224 Clothes dryer exhaust 33.39
Phone: (503)404 -7029 Fax:( ) Single -duct exhaust (bathrooms,
toilet compartments, utility moms) 23.32
Y "". `' 9- "i ;'' . y ef� '°' -` Attie%rawlspacefans 23.32
• Business name: PYRAMID HEATING AND COOLING Other 23.32
• Fuel piping:
Contact name: LISA MILLER $14.15 for first four; $4.03 for each additional
Address: 9409 NE COLFAX Furnace, etc. 1
Gas heat pump
City/ State/ZIP: PORTLAND OR 97220
WalUstupended/trnitteater
Phone: (503) 786 -9522 I Fax: : (503) 786 -3432 Water heater
ller Fireplace
E -mail: lmi
®pyramidheating corn
Range
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,� - 'si d.-� t= 1 ••• t - r '�`'+ C 4} f 29r4G �'Y �':EVt - : '..4 E
: c - rn an.....l �i ri,;iir;�, 3,: .L, .■ . Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other. _
Address: T t i i 'i-'71 c t ! _ Li, A "'r. �,.
City /State/ZIP: Subtotal
l Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
J CCB lic.: 59382 Plan review (25% of permit fee) / 90.0 State surcharge (12% of permit fee) '^ 10.8 ,, �
10.80
This signature: / a cation TOTAL PERM F EE J23'3�
a !, p ppU expires If a permit Is mot obtained within 180
-........1 Print name: �+ ( i - t Date: ' / j `. -. a
I
days after It has been accepted as complete. / oQ �Q
/ T Fee methodology set by Tri -County Building Industry Service Board
1:h Build "ing\Pennits\MEGPermitApp.doc 03/07/12 440-4617r(1l/02/COMIWEB)
07/23/2012 MON 11:17 FAX 503 786 3432 PYRAMID HEATING Z003/003
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