Permit •
•
• p CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00143
T 1 G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/18/2013
Parcel: 2S109AB15100
Jurisdiction: Tigard
•
Site address: 14261 SW ALPINE CREST WAY
Project: Smith Subdivision: ALPINE VIEW Lot: 32
Project Description: (1) NC installation Must maintain 5' side yard setback and approved rear yard setback
Contractor: PYRAMID HEATING & COOLING Owner: SMITH, RICHARD W
9409 NE COLFAX 14261 SW ALPINE CREST WAY
PORTLAND, OR 97220 TIGARD, OR 97224 •
PHONE: '503- 786 -9522 PHONE: 503 - 590 -0271
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 03/18/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/18/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/18/2013 $43.25
Occupancy Grp:
Stories:
Fuel
r.
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 (1at
.800.332.2344.
Issued By: �{ I // JLf /i f Permittee Signature: ► \ PU CA-170a'
///yyy+++ Call 503 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.
03/18/2013 MON 10:00 FAX 503 786 3432 PYRAMID HEATING R1002/003
I
Mechanical Permit A 1p.pAREC EDED FOR OFFICE USE ONLY
City of Tigard /� Received f e
Date/By P ermit No ` t ,
W 13125 SW Hall Blvd., Tigard, OR 97223 MAR 1 n � / • � �� I v ��`' J 1
Plan Review
C ' Phone: 503.718.2439 Fax: 503.598.1960 J i3 Date/By: Other Permit:, 57 . d o (9 J
T I G ARD Inspection Line: 503.639.4175 CITY (*TIGARD Date Ready /By: HI See Page 2 for `
Internet: www.tigard - or.gov Notified/Method: Supplementallnformatlon '
BUILDING DIVISION Ell
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r ' ' K Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteration/replacement lacement performed. Indicate the value (rounded to the nearest dollar) of all I
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit.
x- ; •:_•.• .: , :• : _, _�- Value: $
sue- = �- ,.,,�. -t• =x . _..•_; �: ;. � �i5 r�,i_ �-,�� F: i - - - - - - -
„:.w: : , ;14 n*14iaY„:,,-, ;,>;,, -- -2 : .G�E`EG : � .. .` ONSTit :'tON:,3 = t;, ; 14•= _ s ,:i _, - -
® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other. Description Qty. I Ea. I Total
,
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u:::,::: ,'.• a a:0 �B: _ D. I " _ ,; a; rig:
._ <- ,::: spa „z �_!�:.::� ??:31�•,.ca:':: -:: $:,: �., ;_:� _- :_:::::r_.,.::..Q�' ,;.. •� r _ :- 4'i4��alii:':I '" °' -
-' -'° "• ��� -'- ° "' " "' ' ' "'' -" Airconditioning 4 6,75
Job site address: 14261 SW Alpine Crest Way (requires site plan showing placement) 1 46.75
City/ State/ZIP: Tigard OR 97224
Furnace 100,000 BTU ( ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump
i
(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), I
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32 I
Tax map /parcel no.: Other: 23.32
Other fuel appliances: . ances:
:.� „ -.r -:: :, • - ,,:.: IIFSRii!TCI'OE'V 1' O = = = - - : zT', =`•= 'A Water heater 23.32
Install of A/C Gas fireplace/insert 33.39
Flue vent for water heater or gas I
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32 1
T- �_:�I�b i £y`,' ss `n- s L;,- j ;L ' Chimney/finer/flue/vent 23.32
_,,�,.. . -. ._:. ....._ - .. C'-_ 03 -'" �_' v" onc•:• irc �,: 7 '':: ^; ._._.� -..,. ,zer.:i- nuor.�: �E = '
Name: Richard Smith Other. 23.32
Environmental exhaust and ventilation:
Address: 14261 SW Alpine Crest Way Range hood/other kitchen
equipment 33.39 � .
City/State/ZIP: Tigard OR 97224 Clothes dryer exhaust 33.39
Phone: (503)590 -0271 Fax: ( ) Single -duct exhaust (bathrooms, I -
toilet compartments, utility moms) 23.32
.___.._._�_- __.�,__ 'a. �_- .. _ zrn :_Sw o.- ?7iie:7: :,a __ _ __ c.•r, �•,i L:� ,.•
- _ - = z== u: +''��P��C� . � �.ii_• _ _'�;_: - -- .. - ��"�bPEi - = =: ^TM+�� Anic%raw ace fans 23.32 I
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Business name: Pyramid Heating & Cooling Other. 23.32
Fuel piping: I
Contact name: Lisa Miller $14.15 for first four; $4.03 for each additional I
Address: 9409 NE Colfax Furnace, etc. V
Gas City/State /ZIP: Portland OR 97t20 s
Wail/suspended/unit heater s I
Phone: (503) 786 -9522 Fax: : (503) 786 -3432 Water heater
E -mail: !miller @pyramidheating.com Fireplace
?� 1_ c.- :c3 ��' :.'�'•,x!i F:•= ::r.a: .. i• i �riiifl,si`.ii� 1i' r' �h i:ifi �Hiti.iiz -� %i s
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:,.:.-,,-. a..... M:. F= �,. �,. �tit�: U��. YS, �x-: �_- !��:�:i4:= :s'I:�;r.,:•.,� = Barbecue
Business name: Same as above Clothes dryer (gas)
Other.
Address: Eg?F gai c= ` IECWIC B RM :40 .41 j - ° „ 1
City/ State/ZIP: 46.75 '
Subtotal
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Phone: ( ) Fax: ( ) Minimum permit fee (590.00) 90.00 !
CCB lie.: 59382 Plan review (25% of permit fee)
State surcharge (12% of permit fee) 10.80
i i TOTAL PERMIT FEE 100.80 l
Authorized signature: _
� � a, This permit application expires If a permit is not obtained within 180 I
Print name: , L Date: .3 days after it has been accepted C ; 'r3 p as complete.
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