Permit CITY OF TIGARD MECHANICAL PERMIT
1 11 -1 COMMUNITY DEVELOPMENT Permit #: MEC2013 -00366
Date Issued: 07/03/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S103CC08000
Jurisdiction: Tigard
Site address: 13725 SW HATHAWAY TER
Project: Gawaran Subdivision: WHISTLER'S WALK Lot: 27
Project Description: Installation of NC. Placement of NC or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: ABSOLUTE TEMP CONTROL Owner: GAWARAN, DENNIS
2101 NE 387TH AVE 13725 SW HATHAWAY TER
WASHOUGAL, WA 98671 TIGARD, OR 97223
PHONE: 503 - 740 -1333 PHONE: 503 - 590 -4235
FAX: 888 -340 -6548
FEES
Specifics: Description Date Amount
Air Conditioning 07/03/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/03/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/03/2013 $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:
/05/7472.74-4----- Permittee Signature: e , v
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This penult 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.
TO: Page 2 or 3 2013 -07 -03 00:46:05 (GMT) 888 - 340 -6548 From: Absolute Tome Control
Mechanical Permit ADDlicati . / r iu 011• (1 1..st- (NLy
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City of Tigard 4 :
UC g i3 Permit No./16-- .0.0/3 -
D01. •
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13125 SW Hall Blvd., Tigard, OR 97223 plan Review
R . : Phone: 503.718.2439 Fax: 50 2 Q,3 Date/By: Other Permit:
...r..1-6-,;;:kb. ` inspectio Line: 503.639.4175 i i '' I U '+�/ Date Readyar El Sec Page 2 for
• Internet: www.tigatd -0r.gov �J � DIOi ^ /�� Notified/Method: Supplemental Information
TYPE :OF. WORK r - 7R )jt CONiMFRC1A1, FEE* SCHEt)IR E, 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 *, ,-. _
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special infomrmion use checklist.
❑ Multi -family 0 Master builder ❑ Other: Description Qty. I Ea. 1 Total
. JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning I 46.75 4675
Job site address: 13725 SW HATHAWAY TER. Furnace 100,000 BTU (ducts/vents) 46.75
City/ State/ZIP: PORTLAND, OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 61.06
Suite /bldg. /apt. no.: Project name: Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
DESCRIPTION, OF. WORK . Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install New-Air Conditioner fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney/liner /lludvent 23.32
- Other. 23.32
® PROPERTY OWNER . • , _ I , ,' 0 TENANT _ -. Environmental exhaust and ventilation:
Name: GAWARAN, DENNIS Range hood/other kitchen
equipment 33.39
Address: 13725 SW HATHAWAY TER. Clothes dryer exhaust 33.39
City /State/ZIP: PORTLAND, OR 97223 Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: (503)590.4235 Fax: ( ) Attic /crawlspace fans 23.32
0 APPLICANT _ - 2 .0 CONTACT- PERSON Other. 23.32 j
Fuel piping:
Business name: ABSOLUTE TENEP CONTROL
$14.15 for first four; $4.03 for each additional
Contact name: JOHN SANDU Furnace, etc.
Address: 2101 NE 387 AYE Gas heat pump
Wall /suspended/unit heater
City / State/ZIP: WASHOUGAL, WA 98671 Water heater
Phone: (503) 740 -1333 Fax:: (888) 340 -6548 Fireplace
Range
E - mail: sandu.inc @gmail.com Barbecue
. _ CONTRACTOR . . ` Clothes dryer (gas)
Business name: ABSOLUTE TEMP CONTROL Other.
. - .. MECHANICAL PERMIT FEES*
Address:
_____ Subtotal _
City /State /ZIP: Minimum permit fee ($90.00) 90
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
• State surcharge (12% of permit fee) 10.80
CCB lie.: 166011 1/0/0 .------- TO AL PERMIT FEE 100.80 .✓
This permit application expires hilt permit is not obtained within 180
• days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name: JOHN SANDU Date: 7/2/13
1'.\Buitding1Pe nitiMEC_rcruuiApp, 040113. doe 440-4617T(11ro2'COM/NTn) .
To: Page "I of 3 2013 -07_03 06:66:05 (05.17) 888- 340 -6548 From: Aboolute Mr-no Control
FAX COVER SHEET
TO
COMPANY
FAX NUMBER 15035981960
FROM Absolute Temp Control
DATE 2013 -07 -03 06:40:56 GMT
RE Mechanical Permit Application
� C MESSAGE
Please send original permit to owner. Email or Fax copy to us.
Thank you so much!
John Sandu
503 - 740 -1333
sandu.inc @gmail.com
Fax: 888 - 340 -6548
WWW.MYFAX.COM