Permit CITY OF TIGARD MECHANICAL PERMIT
t; COMMUNITY DEVELOPMENT Permit# MEC2012 -00461
-FIG A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/11/2012
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Parcel: 1 S135CA09200
Jurisdiction: Tigard
Site address: 11488 SW 96TH AVE
Project: Solera Subdivision: SCLERA Lot: 1
Project Description: (1) A/C addition Must maintain 5' side yard setback and approved rear yard setback
Contractor: PYRAMID HEATING & COOLING Owner: EVERETT CUSTOM HOMES INC
9409 NE COLFAX 735 SW 158TH AVE
PORTLAND, OR 97220 BEAVERTON, OR 97006
PHONE: 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 09/11/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 09/11/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 09/11/2012 $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: J)Li��(.{ Permittee Signature: YM T7T`f oc ii -77Dj1
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.
09/07/2012 FRI 13 : 36 FAX 503 786 3432 PYRAMID HEATING Z 0 0 1 / 003
Mechanical Permit Anplica 1 oiz ()I II( I k.si 0.1 1
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City of Tigard I Received
f ' C El vE i Date/By: ' 1 ( , ermi143 /46e4of .
13125 SW Hall Blvd., Tigard, OR 9 4 '. • • •
1 : 1 1 1 11 I
PIM Review
• Phone: 503.711.2439 Fax: 503.598.1960 SEP 10 2012 Other Permit:
;
Date/By:
Inspection Line: 503.639.4175
i (,ARD
Date Ready/By: la See Page 2 for
Internet www.tigud-or.gov
Notified/Medtod: EN supplemental Information
CITYOF fIGARD
----0.-,
.-..;':, - - . -_-:-F•-' iiriZEMMIZI=DIE
- ' Mechanical permit fees* are based on the value of the work
a New construction 0 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
CI Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
Value: S
;--57,. .k 3 ': 04 :1 - MMEANNIEWI
n 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedal information use checklist.
CI Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
. ;''. 1.' . .° G':•k Hea iurcon " I diti emli oning " : '
Job site address: 1 (.4 : 4: A ° (49 ril - - ; - site . . showin lacement t 111
Furnace 100 000 BTU ducts/vests all 46.75 MI
City/State/ZIP: 1 ,3 ard_ OR q--- 233
Furnace 100,000+ BTU (cam/vents) MN 54.91
Suite/bldg./apt. no.: Project name: Heat pump
(maim site plan ACM* placement) 61.06
Cross street/directions to job site: Duct work 2332
• 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: 50 t e t I Lot no.: il Flue/vent for an of above 23.32 i
Other: 23.32 ,
Tax map/parcel no.:
Other fuel appliances.
- — - lEttagEttri .
ace III 33.39
Flue vent for water heater or gas
4 I 4 0 drA • fireplace 23.32
.._ 1r . ter y MIN 23 32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
EIMX&< :='' a •;, :..4., 0 - ENNIMMEM.21 Chirac /finerffludvent 23.32
23.32
Name: 6 C U stbyn .., • S Environmental exhaust and ventilation:
Address: - • etz ,, • , Range hood/other kitchen
City/State/ZIP: .• - , • NIM IVAIIIIIIII. Qothes . - exhaust Ell 33.39
... s ..
Phone: ( ) 112111111.11111111 Stc:11:ite4.;:j.ct; exhaust (bathrooms, III 23.32
.
,friEMMEiliSr-SEZIRMEMEMZID=ams Attic/craw . fans NM 2332
Other. 23.32
Business name:
PyrArniri Heatirig & Cooling Fuel ; . In::
Contact name: 9409 NE Colfax St. S14.15 for that tour; $4.)3 for each additional
Address: Portland, OR 97220 Furnace, etc.
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Phone: (5030 . . C1622- Fax: :18)B) 4 , .,Lt Water heater
.., Fir -.lace MN
E-mail: 0: ' A –' . A40% .81: . • i lt AI 6 -60 Ran: 111.
Wilgiarte:StratWrir;r-VIMATEntenattlal• B albecu ME -
Business name: Clothes a er :' .1111 I
Pyramirl Heating & COOlin • Other: ME
Address: 9409 NE Colfax St.
City/State/ZIP: Portland, OR 972 •
Subtotal LLD
66 i c . , i •
Fax: ( -'? . b S9 2.- Minimum permit fee ($90.00) • 13—
Phone: ( )
Plan review 25% of. it fee)
imaimirmilramgri. cat :t. ili State surcharge (12% of pemiit fee) lb • _ •
6 akca , TOTAL PERMIT 1FEE 1CO.: D
Authorized si :. gum: ti Alb 1 411i ....A.L...i This permit application wine if a permit is not obtained witirin.180
...-...2 . _....-a.--.• days after ft has been accepted as complete.
Print narne. D / oli . Fee methodology set by Tri-County Building Industry Service Board
1
11:113udding \Permits . • PenisitApp.doc 09/09/10 440-4617T (I 1/02/COM/WEB)
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