Permit CITY OF TIGARD MECHANICAL PERMIT
iyq COMMUNITY DEVELOPMENT Permit #: MEC2013 -00267
'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2013
Parcel: 2S104BB12800
Jurisdiction: Tigard
Site address: 14108 SW WALNUT CREEK WAY
Project: Choudry Subdivision: WALNUT CREEK Lot: 45
Project Description: Installation of A/C. Placement of A/C or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: SANDU INC Owner: CHOUDRY, TAUSEEF I
2101 NE 387TH AVE 14108 SW WALNUT CREEK WAY
WASHOUGAL, WA 98671 TIGARD, OR 97223
PHONE: 503 - 740 -1333 PHONE: 971- 205 -8801
FAX: 888 - 340 -6548
FEES
Specifics: Description Date Amount
Air Conditioning 05/22/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/22/2013 $10.80 •
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 05/22/2013 $43.25
Occupancy Grp:
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:
Permittee Signature: �N /9; 4
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.
May 20 13 06:45a ABSOLUTE TEMP CONTROL 8883406548 p.1
Mechanical Permit Applica CEIVED FOR OFFICE LSE ONLY
City of Tigard 2MAY 2 2013 Received „5- .U '� a0.3 �10a
.,� f PertnitN � • 13125 SW Hall Blvd., Tigard, OR 97 Plan R view
- ' - Phone: 503.7L8.2439 Fax: 503.598.1960 DateBy: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD nate Ready/By: El See Page: for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/method: i n Supplemental Information
TYPE OF WORK COMMERCIAL FEE` SCHEDULE — USE CHECKLIST
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.
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES
® 1- and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
lob site address: 14108 SW WALIVITf CREEK WAY (requires site plan showing placmnenr) I 46.75 46.75
City /State/ZIP: TIGARD, OR 97223 Furnace 100,000 BTU (duets/vents) 46,75 •
Furnace 100,000+ BTU (ducts vents) 54.91
Suitelbldg.iapt. no.: Project name: Heal pump
(requires size plan showing plate :ear) 61.06
Cross street/directions to job site: Ductwork 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -dept, 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:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
NEW A/f UNIT 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
® PROPERTY RTY OWNER ❑ TENANT Chimneyfliner/flue /vent
Other: 23.32
23.32
Name: ASAD CHOUDRY Environmental exhaust and ventilation:
Address: 14108 SW WALNUT CREEK WAY Range hood/other kitchen
equipment 33.39
City/State'ZTP: TIGARD, OR 97223 Clothes dryer exhaust , 33.39
' fsBGl I Single-duct exhaust (bathrooms,
Phone: l�7I'2G_i ' ) ) toilet compartments, utility rooms) 23.32
® APPLICANT I Fes: ( ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Business name: SANDU INC. Other: 23.32
Fuel piping:
Contact name: JOHN SANDU 514.15 for first four, $4.03 for each additional
Address: 2101 NE 387 AVE Furnace, etc. 1 I 1
Gas heat pump
CityiState/Z[P: WASIHOUGAL, WA 98671 Wall /suspended/unit heater
Phone: (503) 740 -1333 Fax: : (888) 340 -6548 Water heater
Fireplace
E -mail: sandu.inc ®gmaiLcom Range
CONTRACTOR Barbecue
Business name: SANDU INC. Clothes dryer (gas)
Other:
Address: (same as above) MECHANICAL PERMIT FEES*
CityiState/ZIP: Subtotal 1
•
M6timum permit fee ($90.00) 90
4 ,,,--,„„e:, ) ` Fax:( )
Plan review (25% of permit fee)
CCB tic -: 166011 State surcharge (12% of permit fee) 10.8
TOTAL PERMIT FEE 100.80
Authorized signature: The pe rmit a expires if a permit is not obtained within 180
` days after it has been accepted as complete
Print name: John Sandra I Date: 5/20/13 • Fcc methodology set byTri- County Building Industry Service Board
I: diuitdiapnPermits \MEC- PermitApp 09J09110 440-0eI7n(1