Permit n CITY OF TIGARD MECHANICAL PERMIT
111 11 r C OMMUNITY DEVELOPMENT P ermit #: MEC2013 -00349
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/25/2013
Parcel: 2S112BD06700
Jurisdiction: Tigard
Site address: 14750 SW 80TH AVE
Project: Robinson Subdivision: BRITTANY MEADOWS Lot: 3
Project Description: Installation of NC. Placement of A/C or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: PYRAMID HEATING & COOLING Owner: ROBINSON, TIMOTHY D & CORTNEY T
9409 NE COLFAX 14750 SW 80TH AVE
PORTLAND, OR 97220 TIGARD, OR 97224
PHONE: 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 06/25/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/25/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/25/2013 $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: 449
,e:Tf Permittee Signature: OA/ /97 L „ / e ,y--��•r✓
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.
06/24/2013 MON 12:38 FAX 503 786 3432 PYRAMID HEATING 0 002/002
Mechanical Permit Applic • t.c; EKED FOR OFFICE USE ONLY
City Received / -Maw/
° 131 Hall Blvd., of Tigard Ti Date/By: ' 2 5� . i N o . y E( ' /3 003 .4'
Ill Bard, OR 9722 q 4 2013 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960�UN D D a t e / B y : Other Permit: 6 ,3 _731/
1 I G A R D Inspection Line: 503.639.4175 ® See Page 2 for
Intoner: www.tigatd or.gov C OF Date Ready /By: N Norified/Method: Supplemental Information
,5:''.i` ...m,- *�^ ,r -°!¢ +n- •- , -r'�' .... °_'- s _ . _ n, _ `�o! y r - r..<i. € 0 I' l J .. � -�-- _ -'tA' �,, ,
r � a z �. r a g rrti a' mod'_ v c 1
'ice , =- }, ... + :....,..r !t � - •s r izs?hs:�`�i : �.1. - t au
...t: � _ W!, ti ,. - -',,,L �S � i,� /� f ,^' �.`,< < ��_ �tutS3y '�-_.sw.��-s�.........., -t L
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.
� r s Value: $
y- `} ..7rt-u 4t l�k r i reMt 77 h• � - U �-• „IL SL 1 - m' 7 � . . - ..m, - --- .,-.- -.-, , : -. r` - -
• W }=. , `- yex'' 1.. S -1 11: : :41,::.,.� i ,.::d,h f- ,.....'ra. at r.. :71 ;T: . 4X.. : -. 'x f .,;,,!,.i1co a `@ 0r v i 01 D ! ti 7 'J "
® 1 - and 2- family dwelling ❑ Commercial/iindustrial 0 Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other. Description I Qty. I Ea. I Total .
"" .4F- *-te ° _, s ,z-• ' . n. K a r
�: °-- ?0 `ice... s y :.; iliJ y ; l ' - - --- �� v `c..,...M..� a � . „ . ty t "''.'.I y Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 14750 SW 80`a Ave Furnace 100,000 BTU (ducts/vents) 46.75
City /State/ZIP: Tigard OR 97224 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump 61.06
Duct work 23.32 32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler (radiator or
hydmnic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in- duct, suspended, etc. 46 75
Flue/vent for any of above 23.32
Other. 23.32
Subdivision: I Lot no.: Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
"= ? 5+ff 7l=1, r - �- si �. +,� n.. ...
� �s- ,�.th : _.: r : .: t ..s.':„ er ` ,,, !!, ` 7 ¢= cr -. - , : ,- Flue vent for 33.39
a -n_ Flue vent for water heater or gas
Install of A/C fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32 '
Chimney/liner /flue/vent 23.32 ,
��l1 � ta.1` =1 'e •f - i 'r a �gi Other 23.32
1-4"°::_-7 ' Environmental exhaust and ventilation:
Name: Tim Robinson Range hood/other kitchen
Address: Same as above equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: (503)702 -6705 Fax: ( ) Attic /crawlspace fans 23.32
416 ,",mar. r4L :� Clik. pp��'' `F:? =F - ` - y � , I 'la!:fi a n ^ice`: Other: 2332
�F.,- , ,aia.$T 41.4.. .�at'..:.ir afil!.;r. - i - d r t . tC „y, >..- •'-• M u2u. i{. . s-
Fuel piping:
Business name: Pyramid Heating and Cooling S14.15 for lust four; $4.03 for each additional
Contact name: Lisa Miller Furnace, etc.
Address: 9409 NE Colfax heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland OR 97220 Water heater '
Phone: (503) 786-9522 l Fax: : (503) 786 -3432 Fireplace
Range
E -mail: (miller @pyramidheating.com Barbecue
zz�i� -i.4 r? :-, �'' gggi � r, of 7Wi h iE 6'' E ;4 �� 2. Clothes dryer (gas)
Business name: Same as abov
1.
Address:
Subtotal 46.75
City/State/ZIP: Minimum permit fee ($90.00) 90.00
Phone: ( ) I Fax: ( ) Plan review (25% of permit fee)
State surcharge (12% of permit fee) I0.80
CCB lie.: 59382 , TOTAL PERMIT FEE 100.80
T his permit a pplication expires if a permit is not obtained within 180
d ays after it has been accepted as complete.
Authorized signa 1 / t n n� • Fee methodology set by Tri -County Building Industry Service Board
Print name: j,o co 14,j, lAltAN Date: 10. K&
t.\ Building \Permns\MEC_PermitApp_040113.due 440.4 (11 /02/COM/WEB)