Permit •
III CITY OF TIGARD MECHANICAL PERMIT
q
z COMMUNITY DEVELOPMENT Permit #: MEC2012 -00385
T G AR O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/24/2012
I,
Parcel: 2S112BD07000
Jurisdiction: Tigard
Site address: 14709 SW 79TH AVE
Project: Brittany Meadows, Lot 6 Subdivision: BRITTANY MEADOWS Lot: 6
Project Description: Install (1) NC Must be placed with 5' of side yard setback and within approved rear yard setback.
Contractor: PYRAMID HEATING & COOLING Owner: PACIFIC EVERGREEN HOMES
9409 NE COLFAX 7410 SW OLESON RD STE 133
PORTLAND, OR 97220 PORTLAND, OR 97223
PHONE: 503 - 786 -9522 PHONE: 503 - 664 -6423
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 07/24/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/24/2012 • $10.80
Class of Work: Type of Const: Minimum Fee Adjustment - Mechanical 07/24/2012 $43.25
Occupancy Grp: Or/ '
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
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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: ijpJ ` Permittee Signature: 01 42Pu O.-44. s7 QAI
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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07 / 20/201 2 FRI 14:28 FAX 503 786 3 432 PYRAMID HEATING a 001 /0 0 3
Mechanical Permit ApplIMEIVE [OR 01 •I •I( I:, l:til; O1.1
City of Tigard Received fr Pmrdit N., gC,,Zi I ) . • 005.
Dide/By:
. 13125 SW Hall Blvd., Tigard, OR 9722 9 3 2012
' I Phone: 503.718.2439 Fax 503.59r 60 S Plan Review Mal 4: ST■
Date/By:
YWARD Inspection Line: 503.639.4175
El See Page 2 for
Internet www.tigard CITY OFTIGAREI Date Ready/By:
Notified/Metbod: FM Supplemental Information
BUILDING DIVISION
, -.z.,;,, , , , i , ::, ? ,..;,-,.. , :.:.;.:-. , ... i.k. 1 x: -,.,.., ai.T.tri:: 11 ' c 4 -- — : - & - ' s , ate' based on the value of the work
aNew construction 0 Addition(alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
Value: $
r"'eVlqgi:gifO'"NrtTIEittrdtZtrr71::'ji!IB.gd;',ga.;:.'afM ' wce7 .7,:71 7 .Mar,WirrZli=a . !'::■„: ';'.:..:
7/ 1. and 2-family dwelling 0 Commercial/industrial 0 Accessory building For &pedal 'atomization use cheddlst.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. Total
oz ..75:. zap fint
Job site address: IL 1 0 n
- t St4) 1 9 fi" Pt VC • (requires site Dian showing placement) I 46.75 41.77S
Furnace 100,000 BTU (duets/vents) 46.75
City/State/ZIP: Ti3 aro / OR c4-722_<-1- Furnace 100,000+ BTU (dacts/vents) 54.91
Suite/bIdgJapt no.: Project name: ; ' 4 i .a it '4,, CHAS 1 - Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duet 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:
lt04.: ':. ! . Water heater 23.32 fireplace 3339
Li lift 1 P i......1■1111■1111/. Fl vent for water heater or gas
fireplace .23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplacermsert 23.32
v Chimney/liner/nue/vent 2332
'' Other 23.32
Name: Pau 6/era(ein 140yy Environmental exhaust and ventilation:
Ad d r ess:
Rtmge hood/other kitchen
- 7 L i 10 94.) ofesan RA. equipment 3339
City/State/ZIP: 4170r-4i an oR q- 223 Clothes dryer exlutust 3339
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utffity rooms) 23.32
MIZZIEM-FISAMMEIESEEZ i . Cc 1 . , ,..°' Z-IrMinil Attickrasvispace fans 23.32
Other: 23.32
Business name:
pyr,motcLloatingt-Cacting Fuel piping:
Contact name: 9409 NE Colfax St: MIS for first four; $4.03 for each additional
Address: Portland, OR 97220 Furnace, etc.
Gas heat pump
City/State/ZIP:
Wall/suspendedAmit heater
Phone: (503 ) 1 8 (e. (452:7,-. I Fax: : (D3) 1 8(o Sq 2... Water heater
Fireplace
E 0.: ertSeJra • YRIAG Am:tin . corn Range
E YP :4<kiri4 afailtiriEREMEMIALYko'- . 740. ‘ r01 B arbecue
Business name: Pyramid Heating & Cooling Clothes dryer (gas)
Other:
Address: 9409 NE Colfax St.
w INSM,M.77'
PuitiaHd, OR 97220
City/State/ZIP: Subtotal
Minimum permit fee ($90.00) qo
Phone: (51)S ) /SU °I62-2-- Fax: (60b)1 gu 3E432_
Plan review (25% of permit fee)
/CB lic.: 6c1-5.8 2_ State surcharge (12% of permit fee) ID zo
. TOTAL PERMIT FEE 100 .fcb
ARA
This permit application evires Ifs permit is not obtained withM.180
Authorized signature:
days after it bas been accepted as complete.
Pri Date: / 12, • Fee methodology set by Tri Building indusny Service Hoard
1:18uddingTermits\ MF_C-PermitApp.doc 09/09/10 4404617T (1 UOVCOMNiEB)
C ° Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: /1.CrAD /o " 4 0-3 d5
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A PO
Routed Plans:
Original Plan Submittal Date: 7 02 c2.-
15t Revision Submittal Date: - WSite Plan Only
2 Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if a . pro -ed.
Planning Review (contact Id/I■ Ira .• .. ' at 503 -718- �`{j`{ or 77 @tigard- or.gov)
Land Use Case No. Name
❑ Zoning
❑ Setbacks:
Front Rear Side Street Side Garage
❑ Maximum Building Height Actual Building Height
❑ Visual Clearance
❑ Easements
❑ Sensitive Lands Type: •
Notes: . 6AO I �/L -7 -20 - (( I�€4446 bL ,
S' sG ,f on-s ti% l s p OW 4-1 g1, 20 /2)
Original Plan: Approved ❑ Not Approved -0" Date: 9 3ic _/ 2—
Revision 1: Approved _Q Not Approved ❑ Date: 7 - ?( '-/7
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope:
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ , Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @ tigard - or.gov)
❑ Street Trees
❑ Protected Trees
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: • Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ❑ No ❑
Date Routed to Building:
Page 2 of 2
07/ 20/ 2012 FRI 14 : 28 FAX 503 786 3432 PYRAMID HEATING el 003/003
RECEIVED
PYlakIlD JUL 2_3 2012 9409 NE Colfax Street, Portland, OR 97220
HEATING CO& COOLING CITYOFTIGARD office 503786.9522 fax 503.786.3432
BUILDING www.pyramidheatIng.corn
withstanding the test of time
OR CCB: 59382 WA CC: PYRAMHC984P8 11 t(L.1, L ,
Address: 0 ILI-1015o 0-, (Department) Call type: 0
G ILD State 0 e, Zip 0 1 Z.72...4 (Problem) Job type:
County-
Jot* 15734
Estimator Desiree
Mechanical Site Plan
Please Note: Direction Gas meter location NMI Vent termination !matron ODU tocetiori Street name =NM
I
CA
264. I T7
1 1
• 0‘)4 40
on ;4
L i FT
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40,
MECHANICAL SITE PLAN
; REPr.ilign
JUL 31 2012
Cl CF TMOD
BU!LC NG DWISION
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Job #: Pyramid Heating & Customer Information
Cooling, Inc.
9409 NE Colfax St. pt1
Performed By- 09 so 7R
1W-A-tsivti Portland, Oregon 97220
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