Permit •
• n CITY OF TIGARD MECHANICAL PERMIT
to COMMUNITY DEVELOPMENT Permit #: MEC2012 00597
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/20/2012
Parcel: 2S 104CA10600
• Jurisdiction: Tigard
Site address: 13724 SW JENNA CT
Project: Heinze Subdivision: HILLSHIRE Lot: 106
Project Description: (1) vent 6" range 8 ft. - move range gas 6 ft
Contractor: PYRAMID HEATING & COOLING Owner: HEINZE, JEFFREY D
9409 NE COLFAX 13724 SW JENNA CT
PORTLAND, OR 97220 TIGARD, OR 97223
PHONE: 503 - 786 -9522 PHONE: 503 -519 -7626
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Duct Work 11/20/2012 $23.32
Type of Use: SF Range Hood /Other Kitchen 11/20/2012 $33.39
Class of Work: ALT Type of Const: Fuel Piping 11/20/2012 $14.15
Occupancy Grp: 12% State Surcharge - Mechanical 11/20/2012 $10.80
•Stories: • Minimum Fee Adjustment - Mechanical 1 1/20/2012 $19.14
•
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:
A/dal L j .i4 Permlttee Signature: pa r► P�( "�1 [l/
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.
11/19/20.12 MON 9:50 FAX 503 786 3432 PYRAMID HEATING lj002 /002
•
GElV Mechanical Permit Applica • • . i ) . FOR OFFICE u51: OiVi_1'
d
NO 19 2012 Receive
City of Tigard Received l (1 ( S'' 1 Permit Na 4( 6 C0 1 -49 ICI - 0 °51
° 13125 SW Hall Blvd., Tigard, OR 97223
• Plan Review
C Phone: 503.718.2439 Fax: 503.598.19C t A D n D gy. Other Pe^nir
TIGARD
Inspection Line: 503.639 ft7F1111J Date Ready/By: kris: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Ti C Supplemental information
.._._, y w ., _�,.� ,. �. - �. _ �a an;aanma ;a;:- ..'714..-71.‘ � � - t � • : ,u.
fireg't�_t , . ��'".- 1 M7�t - p ' � te r•, = Ir ?v,;; - a t t _ ;it ��axtiLf :
�" 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.
rsr: « r �:u��:.,�,�_M,e�� _ �, -,s� r; as � -_ Value: $
gill :ilri ;, F n h' pgitt: = :k- m ii;g �` a � - f - -- = _ r�,•.,
-- ;,N za ' ,.:,i: t :�:n rf It 0„`_- 2119'ST$ CCCt3 - Irrg. n ,. , l .,
u:<•a_•� y's„�i�,.:....�,.� -:� -. _- -_._. - ��:_. -, _.r =_a� -���. �g _� p ; � _ 3, ` t�i . - � emu:. �a ,c1.
O I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other. Description I Qty. I Ea. I Total
y , z T - =•'s 4 1,3°= ,s�w,h' - � : a � ... • Heating/cooling: - nY ., ^. Air conditioning
Job site address: 13724 SW JENNA CT (requires site plan showing placement) 46.75
City / State/ZIP: TIGARD OR 97223 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldgJapt. no.: Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 1 23.32 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: Lot no.: Flue/vent for any of above 23.32
Other. 23.32
Tax map /parcel no.: Other fuel appliances:
(?!yn _ . - . F A 1 t N=� f ads- : :'s` M P =' Water heater 23.32 .wma
VENT 6" RANGE 8 FT - MOVE RANGE GAS 6FT Gas Flue vent vent for r water fo w a t 33.39
er hwter or gas
fireplace 23.32
Log lighter (gas) 23.32 -
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
- . - i .. [t a�' �: ="` ✓ � Chimaey/liaer /flueivenl 23.32
= ._ s .ti : = r,: - :B 4 '€,: , .. , Other. I 23.32 23.32
Name: JEFF HEINZE Environmental exhaust and ventilation:
•
Address: 13724 SW JENNA CT Range hood/other kitchen 3 3- 3a
equipment 33.39 1
City /State/ZIP: TIGARD OR 97223 Clothes dryer exhaust 33.39
Fax: Single -duct exhaust (bathrooms,
Phone:
(503)519-7626 ( ) toilet compartments, utility moms) 23.32
, i ' w� i f
II :: =' ,,, .._ ==d a_ ;b Attic/crawls a fans 23.32
i_ 1V1 a' � . I,s ltl rGO B SOi�i ,
�• -w p�
Business name: PYRAMID HEATING AND COOLING 23.32
Fuel piping:
Contact name: LISA MILLER $14.15 for first four; $4.03 for each additional
Address: 9409 NE COLFAX Furnace, etc.
Gas heat pump
City/State/ZIP: PORTLAND OR 97220 Wall/suspended/unit heater
Phone: (503) 786 -9522 I Fax: : (503) 786 -3432 Water heater
Fireplace
E -mail: LMILLER @PYRAMIDHEATING.COM Range 1 14.15 14.15
3
t; :. gra .�.z m
..1- ._. _!1'- - . t6A , , . 0�; .i a P . d.. Barbecue •
Business name: SAME AS ABOVE Clothes dryer (gas)
Other.
Address : ; AK ` Y F 57.11 i G sl, t W < i . �k l I ' �ii'�,� , ..
City/State/ZIP: Subtotal 60.79
Minimum permit fee ($90.00) 90.00
Phone: ( ) I Fax: ( ) Plan review (25% of permit fee)
CCB lic.: 59382 State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
Authorized signatur • • � • 4 This permit day it expires
as been accepted as complete.
within 180
Date: 1 \1 • Fee methodology set by Tri- County Building Industry Service Board
t:\BuildinglPermi1 \MEC- PermitApp.due 03/07/12 440 -461n (I I/02/COM/WEB)