Permit . _ f w
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit a: MEC2009 -00185
Date Issued: 04/30/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S109DA04200
Jurisdiction: Tigard
Site address: 12798 SW WILLOW POINT LN
Subdivision: Lot: 0
Project: Nasser
Project Description: Install new a /c.
Owner: FEES
NASSER, MICHAEL S & Description Date Amount
KIMARIE I C, 12798 SW WILLOW POINT LN Air Conditioning or Heat Pump 04 /30/2009 $14 00
TIGARD, OR 97224 12% State Surcharge - Mechanical 04 /30/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 04 /30/2009 $58.50
Contractor:
PYRAMID HEATING & COOLING
5699 SE INTERNATIONAL WAY STE A
MILWAUKIE, OR 97222
PHONE: 503 - 786 -9522
FAX: 503 - 786 -3432
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 Not a ion - -r. Ti. • rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Y. may obtain a copy of the rules
Issued y: • / 4 � / / Permittee S , = 4,4
/
Call 503.639.4175 by 7:00 a.m. for an inspection that busines = jay.
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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. . .- -From:PYRAMID_HEATING 5037863432 04/27/2009 14:25 #100 P.001/003
Mechanical Permit AvolicatialECEIVED E01; 4,1."(1- 1 si- iNi 1
City of Tigard Received
D y 47 ay AV s H /g
1 „... 13125 SW Hall Blvd., Tigard, OR 97223 APR 2 7 2009 Penit No.:
Plea Review
• V Phone: 503.639.4171 Fax. 503.598.1960 Date/By: Other Petit.
1 . 1 , ; ,, ,, i , Inspection Line 503.639.4175
CITY OF Tiri ARD
. __ Date Ready/By: re-- El sup ....... See Page 2 for
Internet: www.tigard-or.gov /a ....
BUILDING DIVISION N°11fiediMethod.
. .
' '. " - . • . • TYRE OF #,01,11(:. . . - . - , . '.-:.." ..- -: ; ',,cO,N0-1ER04.F.Et,,,,scHROLE -1:-IFE-C.4.040.:.('
0 New construction IEddition/alteration/replaceMent Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials. - ti men labor overhead. and .rofit
Value. S
. : CAI/EooR OP , CONSTIADdneks,V. - ,' *; - . . ,, :, .. -. = : ''
*
-- S,
tr1 and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special Worn:Won use checklist.
0 Multi-family 0 Master builder 0 Other:
Description Qty. Ea. Total
. _ .
''; ': • ' , , :•
JOB SITE - ThrPORMATIONL. : ATO : ' LOCATION - , Head . • tooli ..:
Job site address: 1 g St) (Ai I - HOW Point Ln . Air COntittioning or heat p . ump
.. titres site • Ian shov•in • lacereent 14.00
City/State/ZIP: -7 1 - ii an t ok q-7;:L(( Furnace 100 000 BTU (ducts/vents 14.00
Furnace 100.0001- BTU ducts/vents) 17.90
Suiteibldg./apt•no.: ' Project name:
Gas hem 4um. 14.00
Cross street/directions to job site: Duct work 10.00
dronic hot water s . em 14,00
Residential boiler (radiator or
hydronic 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct. sus. - nd -4 etc 14.00
Flue/veni for an of above 6.80
Subdivision: Lot no.:
Other. . 10.00
Tax map/parcel no.: Other fuel a . dlances
. . ,',.,"';,. ,:!'"..,',,,',:r".'• ,;',..,. ; :•‘.: .::'',.-. ';'• .',. ...'s':.•; Water heatef 10.00
Gas 0 -tlaCe 10.00
TerlabILLOILLaA IC .- h `e Xi - ti (19 Flue vent for water heater or gas
f dace 10.00
• . I.._ \ r - ... 9. _.." ' • .. at a. ..,
• _ . i I. 1 1111Milill....7.- A & • Wood/. Bet stove I 10.00
Wood • •1ace/insert 10.00
Chinin: niner/fluthent 10.00
. . '. 0 -.TENANT , • - . ' ., • :.
Other: 10.00
Name: t■AicheLe_1 Klasser Environmental exhaust and ventilation
Addr Range hood/other kitchen
e35; I a. cl 9) st..) AZ■110c) Poo-1i Lin. R ang 10.00
City/State/ZIP: -ri ,..1 DR Gil D.aLk Clothes d er exhaust 10 00
" 4 Single-duct exhaust (bathrooms.
Phone: ( ) Fax: ( ) toilet coin • artmcnts unli rooms) 6.80
- 121 . 'iAPPIICANT ..-. ' a 'CONTACT PERSON . . • , • Mk:trawls 'ace fans 10.00
ter. 1 0.00
Business name: Pyramid Heating and Cooling
Fuel 4
Contact name: is, pri i j ensexl ss.40 for first four $1.00 for each additional
Furnace etc.
Address: 50 qq se ni ("nal L.Jat. ste . A
Gas heat .uni.
City/State/ZIP: tYl • twat.) ki e. OP. • 221 Wall/sus • nded/unit heater
Phone: (503) 786-9522 Fax: : (503-) 786-3432 Water hearer
Fire . lace
E-mail: thageman®pyramidheating.com
Ran:e
CONTRACTOR . ' . " ' • '' '‘ . ' - Barbecue
,
3usiness name: Pyramid Heating and Cooling Clothes d er
Other: 1.111
kddress: S (4o c i C i SE. Tinker i on al U..) (144 Sit . A ., MECHAI\TICAL RENIFITT FEES*;:y,. '
',.. '
-itY/Stale/ZIP: :- r( i lu)auki e 1 OR cii 221 Subtotal —
-- • .
'hone: (503) 786-9522 Fax: (503) 786-3432 Minimum permit fcc ($72.50) 7 . ;
Plan review (25% of permit fee)
:CB lic.: 59382 Stine surcharge (12% of permit fee) f. - .
TOTAL PERMIT FEE •
iuthorized sig,nature:
21)..a Tide permit application expires If a permit i not obtained within 180
days after it bas been accepted as complete.
rint name: ilimetliteamop Apo 1 ■ .e.,nsen Date: C4 1 1;1 i( CI * Fee methodology set by Tn-County Building Industry Service Board
euudingTerintanafisC-Pennitapp doe 01119107 449-4617T (11102/COMIWR91
From:PYRAMID_HEATING 5037863432 04/27/2009 14:25 #100 P.003/003
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FIRST NAME: LAST NAME:
ADDRESS: CITY: STATE: ZIP:
12
INSTALLATION ADDRESS: CITY: STATE:
PROPERTY LINE
2a' FT:
FT:
FT: �r
I
(`j FT:
PROPETY LINE
E 3 TsIoE UNIT HOUSE FACES: )■ (cr
P.O. Box 1502, Sandy, OR 97055 Office (503) 786 -9522 Fax (503) 786 -3432
OR CCB #59382 WA #PYRAMHC964P8
www.pyramidheating.com