Permit CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00632
T [GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/04/2012
Parcel: 1 S125DD05500
Jurisdiction: Tigard
Site address: 9860 SW VENTURA CT
Project: McLellarn Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 63
Project Description: (1) gas furnace installation. Gas line provided to furnace and tee for future WH
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Contractor: PYRAMID HEATING & COOLING Owner: MCLELLARN, ROBERT W
9409 NE COLFAX 9860 SW VENTURA CT
PORTLAND, OR 97220 PORTLAND, OR 97223
PHONE: 503 - 786 -9522 PHONE: 503 - 481 -8138
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 12/04/2012 $46.75
Type of Use: SF Fuel Piping 12/04/2012 $14.15
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/04/2012 $29.10
Occupancy Grp: 12% State Surcharge - Mechanical 12/04/2012 $10.80
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions) •
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ibLAIeti Ckal- Permittee Signature:
Call 503 ;639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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12/04/2012 TUE 1 5 : 33 FAX 503 786 3432 PYRAMID HEATING g1001 /002
11 • .
Mechanical Permit ApplicartECEI , 1-
IN 1 FOR OFFICE USE ONL1'
City of Tigard
4 11,1i . i Received -.. /
Date/By: bo st,(4?.... Si Permit Nokige40 La -00(0.g ),_,
11N l$ 13125 Review
13125 SW Hall Blvd., Tigard, OR 97223 i . •
- • Phone: 503318.2439 Fax: 503 0 4 ' 1 e
.
Date/13y: Other Permit
Inspection Line: 503.639.4175
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TIGARD Date Ready/By: Avis: El See Page 2 for
Internet: www.figard CITY OF TIGARD Notified/Method: 7 & Supplemental Information
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Mechanical permit fees* are based on the value of the work
0 New construction El Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other mechanical materials, equipment, labor, overhead, and profit.
Value: $
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ar,:i•*--aggfatik-Mtk:'t41,10k1R-4:inq,040-4Y,Th-ZiAtE0.7-4:bat Vi;70,4W5-Itiirltrettaiftlifr7gigg
[g] I- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family El Master builder 0 Other Description I Qty. I Ea. I Total .
'''''■-' ISTIIV-iiiiiitifiVAD142:18X:iteyrt2iLll....7.-'4Via:z.4 Heating/cooling: •
I., . :: . .,.,-,-.4 -........+.......,r,. A i r con •
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Job site address: 9860 SW Ventura Ct (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75 •
City/State/ZIP: Tigard Or 97223
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: Heat pump
(requires site plan showing placement) _ 61.06
Cross street/directions to job site: Duct 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 •
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Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other 23.32
Tax map/parcel no.: Other fuel appliances:
-- „;-...A.,-,--F -, -„.ir,;atqatyodoik- ' ".7-.81_04p,T,E17-,-,,w4 heater 23.32
.. ft. - 7 -- 7: 72 -AMt. ,-.7,13 5.1.'rqs 1 .#, . . • ...„--, ' ' ---1 -•:=1:as.:7.74._ ' .-- ..„,,,--....
W ater eater
Gas fireplace/insert 33.39
Install of Gas Furnace and - Gas line provided to furnace and Tee for future WH
Flue vent for water heater or gas •
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39 •
Wood fireplace/insert 23.32
. .t.... ..t, .. 4;413.
Chimney/liner/flue/vent 23.32 •
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•7!”...• ' hf.x;;;Ii , , , , , • - •61-1 - 7 - 4,.......- '.. . •'44-4-^---., ;
Other 23.32 :
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Name: Bob McLellarn Environmental exhaust and ventilation:
Address: 9860 SW Ventura Ct Range hood/other kitchen
equipment 33.39
City/State/ZIP: Tigard OR 97223 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (503)481-8138 Fax: ( ) toilet compartments, utility rooms) 23.32
• WI is-,
le Attic/crawlspace fans 23.32
-,•:,..-.-::=;,:-_-, ,13P..g:t24.,:z, . •-,,, , . --.1.-„ ,,., 1 ...2..A .
Other 23.32
Business name: Pyramid Heating and Cooling
Fuel piping:
Contact name: Lisa Miller $14.15 for first four; $4.03 for each additional
Address: 9409 NE Colfax Furnace, etc. 1 14.15 14.15
Gas heat pump
City/State/ZIP: Portland OR 97220 Wall/suspended/unit heater
Phone: (503) 786-9522 Fax: : (503) 786-3432 Water heater I 14.15 14.15
Fireplace
E-mail: Imiller®pyramidheating.com
...._. Range
R :1
Barbecue
Business name: Same as above Clothes dryer (gas)
Other:
Address: DIERMITPZIREDMI-123AFRE-ifq .•
City/State/ZIP: Subtotal 75.05
Minimum permit fee ($90.00) 90.00
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
CCB lie.: 59382 State surcharge (12% of permit fee) 10.80
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TOTAL PERMIT FEE 100.80
This permit application expires if a permit is not obtained within 180
Authorized signature: - )II
days after It has been accepted as complete.
Print name: Imumelii by, Date: 12/04/2012 • Fee methodology set by Tri Building Industry Service Board
a. lisi
I: \Buildiniffermits\ MEC-PermitApp.doc 03107/12 44046I7T (11/02/COM/WEB)