Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00450
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/26/2009
Parcel: 2S103DA00800
Jurisdiction: Tigard
Site address: 13175 SW WATKINS AVE
Subdivision: Lot: 0
Project: Braden
Project Description: Installation of A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
BRADEN, ROBERT Description Date Amount
13175 SW WATKINS Air Conditioning or Heat Pump 08/26/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 08/26/2009 $8.70
PHONE: 503 - 639 -1249 Minimum Fee Adjustment - Mechanical 08/26/2009 $58.50
Contractor:
FOUR SEASONS HEATING & A/C INC.
1005 INDUSTRIAL PARKWAY
NEWBERG, OR 97132
PHONE: 503 - 538 -1950
FAX: 503 - 538 -0165
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules
or direct questions to 4a4,70—pz____ OUNC by calling 503.246.6699 or 1.800.332.2344. �/���
Issued By: Permittee Signature: J/ , , . ' 2"/
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the Job site at the time of each Inspection.
08/24/2009 15 52 FAX I002/004
t
Mechanical Permit Annlica$TCE I up. ( .1 1 1, 1. 1 ,i ,,,A ,
City of Tigard Received
Datc/By. 4 ,9Z i f VbAilll - " a - 00 V..,9
1 97 --- 13125 SW Hall Fllvd., Tigard, OR
2 Uri 2 5 2009 Flan Revie
111 ' Phone: 503.639.4171 Fax: 503.598.1 - Date/By: Other Permit. .. 0 . -409:5
- Inspection Lim 501639.4175
Date Ready/By: Juat' B See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental information
; UILDING DIVISION
''''' • ' . ' ' . '' '", '. n' ' ' " .' - . , ' • %. '' . :. '' , A7'-.1;`! , ?n4i::"14'x
4 : h
.,',;" ,;' $,I'‘')-tr:', ..';.
. ..,. .. - . , at. . . ,..... . ,
Mechanical permit Res* are based on the value of the work
El New construction 51 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of an
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
'/ Value: S
' tAlt•Gekir ! Of rOSi(16: "7. :r ,,, ':',' % 5 r . "' ,:,A ' ..::,'' , .: 1 „.. , „ ,,, „,-....„, .„. , . , , . , . .,... , - - . :, „ ______ ,,__ _, , ., , , , - - , - .-..., .. ; „
121 1- and 2-family dwelling 0 Commercial/industrial ID Accessory building
For special Worn:Mon use checklist
0 Multi-family 0 Master builder 0 Other:
Description I Qty. I Ea. [ Total
Joll$EI'lelffili&iiTitiir"" ' :'.;:.: '-,'.. ' : Heating/cooling
Air conditioning or heat pump
Job site address: 13 1' SW 1,00, 4 s ku-e... p acement) t 14.00
(requires site lan showing pl
A_
City/State/MP: -- ri" 0R ar72,23 ,rtj.
i Furnace 100,000 BTU (chiets/verits)
Rum= 100,000+ BTU (ducts/vents) 14.00
c a
17.90
Suite/bldg./apt. no.: 1 Project name:
Gas heat pump 14.00
-
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) . 14.00
Unit heaters (fael-type, not electric),
in-wall, in-duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: I 11ot no.:
- Other. 10.00
Tax map/parcel no.: Other fuel appliances
.., , . • ' " • ..1 ,,,: 6: .■ ! •",'. i%', ''T k'''' '''. ^ ..'''''' ', : '.' ...*:# ::'; ' -:- Water heater 10.00
Gus fireplace , 10.00
skS'‘.01 11 mu) A C nut )(2rp, Q e- Fiue vent for water heater or gas
fireplax 10.00
Log lighter (gas) . 10.00
Wood/pellet stove 10.00
-
Wood fireplace/insert 10.00
• '.';',. 7 , ...' ' ° - ' 1. ?.; : ‘ ;4=111 , Ni " Pr'e l
Chimney/liner/flue/vent 10.00
„ _ • ,. ,, • • t, • ,• , • Am(Nwas • ,, -.,.:. •,-, •• •,,', :, , , • --," " ' Other: 10.00
Name: i • I! era Range hood/othcr kitchen
1..2\, Environmental exhaust and ventilation
Address: 13 17,g- (A) (1 -it is A-tp .c. equipment 10.00
City/State/ZIP: i OR 6172.2."-S Clothes dryer exhaust 10.00
lzt4ci
12 54
Fax: ( ) Single-duot exhaust (bathrooms.
Phone: ( oz, ) (
toilet compartments, utility morns) 6.80
' , biiirf , ',..':. '1. ;'''''''' ' ,''';'.f11:111090W.,0011 Attic/cmwlspace fans A 1 000
Other 10.00
Business name:
FOUR CEASONS HEATING Fuel piping
Contact name: AND AIR CONDITIONING. INC. $5.40 for first four; $1.00 for cach additional
Address: 1005 INDUSTRIAL PKWY Furnace, etc.
NEWBCRG, OR 97132 Gas heat pump
City/State/ZIP: Wail/suspended/unit heater
Phone: (503) S3% ictso I Fax: : 6,03)_5 DI f,s Water heater
Fireplace
• ' ,, ' ' : ' ,,, , 1 , 4 , rf, 0 4 tv-rti v . Range
.• . ,•,, . „ , , ‘ . „ .),),.,:, o i,;•,,:,, „ ,,,,,,,,,, •,,, - , ,,, 0 0e,loJeL ;:,
Business name: FOUR SEASONS HEATING Clothes dryer (gas) Other
Address: AND AIR CONDITIONING, INC. x ): ; -,:, , ,,,viligc.0. ; i , , ,, ,,, , 7,7, ! , ,7.,, , ,,,p., , ..., , ,... , ..-,,,,,FAL.,?:: :! r,
1005 INDUSTRIAL PKWY
City/State/ZIP: NEWBERG, OR 97132 Subtotal
Phone: (SeZ) Sy6 1 Otc0 Fax: co3) g3% C11 (03 Minitnum permit the ($72.50) 7z.s
Plan review (25% of permit fee)
CCB lie.: 1-71 0 v State surcharge (12% of permit fee) 4 3 , 70
Authorized si -. ' -- : Ala!
if TOTAL PERMIT FEE €.1.2.0 i.,/
This permit application expires If. permit is not obtained within 180
days after it bee been accepted ma complete.
Ill=rillinatfi, ; Date: imi . Fee methodology set by Tn-County Building Industry Service Board
t tailIdlna■PerailoAmcx-pewcitApp doe 01/19/07 44 0-461 77 (11/02/COWWFB)
'08/24/2009 15:53 FAX
• Z003/004
1 ,
. .
. .
. . .
. . . .
• ?...: . . . .
FOUR SEASONS . .
AND AS cm prrl pKve . .
1005 INDUSTRIAL . ,.
N EwBE 9.7132 FIG, OR
. .
. •
. . .
. .
;........ • .. .
. {=. ' ...
t . . . ,.. . ,. ..• • a . • . • .
• .
■ 1V......
,- . . ■••
. . ,
. ,
. , - . - • .
• .
Z . .' . 11 '' ir a '. • • .
.s .
.,j
. j
. . ,
... ...,.......]: . • i
c
F..., i .
. • le., .,i, t _ ,.
...,... . .
. .
.4 . .:,r Ci
.. ... ,.;: :..,:
. . ..
•
„ ...... . .
• . • :
:,.
•
.•
. . . .:
. ;I)... ,,• t
,...,
•
. . p
..• _
-d •
. ....
.-:•:. -44)
f • .
.
. - aginIMEMMORM 11111M62."...51411MIMIWIIMIMIIIMIIIMil .. i .
, • , ' l''
. ..i
5 ..
. . .
. .
. ...
, . .
. . g...
-- .
•
, . • .
„.•
, .
. Z
. •
. . 1 .
. .
, .
, - -•:',.:-
. .
m
. . .
. . .
. .
. .
. . .. -
• , . .- • ;
. . .,. . . ,
. . . .
, •
. •
. ,•,;:l
. .
'08/24/2009 15 52 FAX Z001/004
Y
RECE
AUG 2 4 2009
FAX CITY -FGQRD
PLAT °erf' Vii,, NnNEFRh G
� /0 j / DATE: TIME: '
TO: C.-: 4r 1- Tasar-0 1 (
ATTN: Av1,tk l yUA ova
RE: AA �•U►1 GEt11�c� h`vhli'J'
"I • be iA •
k OtYLIZS
NUMBER OF PAGES (including cover): Li-
FROM: Four Seasons Heating and Mr Conditioning
1005 Industrial Pkwy
Newberg, OR 97132
Phone: 503- 538 -1950
ax: 503- 538 -0165
Sent By: NaN),
E -Mail: , @fourseasonsheatair.com