Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00431
Date Issued: 07/30/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S104DA07100
Jurisdiction: Tigard
Site address: 13054 SW RAPTOR PL
Project: Volk Subdivision: QUAIL HOLLOW - WEST Lot: 57
Project Description: Installation of NC. Placement of A/C or heat pump units must comply with the manufacturer's clearance
requirements.
•
Contractor: SUNSET HEATING & COOLING Owner: VOLK, CONNIE L
0607 SW IDAHO ST 13054 SW RAPTOR PL
PORTLAND, OR 97239 TIGARD, OR 97223
PHONE: 503 - 234 -0611 PHONE:
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Air Conditioning 07/30/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/30/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/30/2013 $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: P Perm �
ittee Signature: 0 ,J O�OG /�
,�
O
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.
07/26/2013 06:48 5032340439 ,EDSUNSET HEATING PAGE 02/03
M_eclaanrcal'Per Aptilication JUL 2 9 201 ' FOR OFFICE I,SI:: O �/
i, ,: . City of. Tig eilyd . di,
PcrmltNolyy'. 3 OQ /.3�
� ..�. _, � � �" � � � crrYOla�IC � , �7
n 13125 SW T OR 97223 .
r Phone: 503,639.4171 Fax: 503 .S 98 . 1960 BUILDINGDWISI i j = oilier Permit.
1 =;
,� � �, 4 �" , lns;lcction T.inc; 503.639.4175 Due Ready /By: PI See Pap for
r Supplemental information
k, � �A;F�.;F'�'�t inlr.rllct: www,tigard- nt.gov� Notified/Method;
— . - a k' r a .. l .... ... 1�►�it�A;� ",4•g ,, ,
lacemCnt Mechanical permit fees* arc based on the value of the work
❑ New construction dditioNaltentioNre p performed, Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other; ' . mechanical materials. cq ipment, labor, overhead and profit
Value:
r, , SI EIV„ ,dE T f�1El�'f:h,1�X$7l_ , .S
- and 2- family dwelling El Commercial /industrial ❑ Accessory building For ,penal Information use checklist.
❑ .Multi - family ❑ Master builder . 0 Other: Description I Qty. I Ea, Total
ion STTi: TNr'ORMxt'toN A. , iOc'Ar1(N ",;p.`i' ;:,,,..2:;,';: - t'ienting/cooliii —
-,. ..- Air conditioning
_ Joh SiIC addreSS: r „
— { jY ' (requires gild plan showing placement) / 46.75 _
c �
Furnace 100 BTU Joao/voids 46.75
City/Stale/7R: ^_l Q 6 ?-a3
__ _ -�,.
7 Furnace 100,000+ BTU (duds/vents) 54
Heat pump
Suitc/h1de. /Apt. t10.: Protect rattle: 61,06
Cross strect/direclions to job site: Duct work _ 23.32
--------- jdronic hot water system 23,32
Residential boiler (radiator or
- — - hydronie) 23.32
Unit heaters (fuel -type, not electric),
- -• . in -wall, in- duct, su !ended, ctc• 46.75
Flue/vent for any of above l 23.32
Subdivision: Lot no.: Other 23.32
'tax map /parcel no -: ' llama heater Other fuel a
»�$clll�irT[Cf ::' � +>�: - water neate 23 32
33.39
- '� ��- ,� . k, . , 4 . , A t Gas fireplace
-- _ �saa� ' Flue vent for water heater or gas 23.32
• T-13 li ltcr
. - -._ • - Wood /pellet stove 33.39
— ' - Wood frcplaceTmscrt 23.32 - 23.32
_ cnt
FROPF.RTY' OWNER :: ,. ! I ' I'.; C1,;TLTTAN'T ; 2... 2 cr. Chimney/liner/flue/van
33
Name: _� C l — U ,' , , Environmental exhaust and ventilation
- -- - - -. -•- Range hood /other kitchen
Addre:,4: equp
i ment _ 3339
City /StalcJ7.IP: ��— • Clothes dryer exhaust - 33.39
. - -- •—• Single -duct exhaust (bathrooms,
Phnnc: ( ) Fax:'( ) toilet compartments, utility rooms) 23.32
- - - - - --• -- l N 1 : - Attic /crawl ace fans 2332
I] "Al`FT,tCAN'i ] CO;,P t ; sp
23.32
Business name: ' Fuel piping •
Contact name: $14.15 for firer font; 54.113 for each additional
- -- ._ — . - -- . Furnace, eta
A ddross.. - - - _ Gas heat pump
City /Suite /•7.TP: �� —� Wall /sus ended/unttheater
- -- - — - Water heater
Phone; ( ) Fax; : ( )
Fireplace ,
1 ?. - mail: Range
I
t Ot iIfACtolt Barbecue
Clotho'. dryer (gas)
Business name: Sloe) �L rt i`t,'$l . C.CZ7l l ,
Other.
Address Cac' r Cil 5 UV 1 y1' C ., ,: 'ti'ce - ` :'_ .' gat iciai∎fte* J ;91 Os .; ! : , -. '
CityfState/ZIl': pr :414 A, ..01Z. Oti2 31 Subtotal 1 140,75
Minimum permit fee ($90.00) qo .0
hot*: ('50) 234 -Igo 1'' 1' Thx: (3D_ -) G 31t d 0,q i Plan review (25'30 of permit ice)
CG�F3 lie.: 14,1 G" "(j S tate surcharge (12% of permit fee) ( 0 tt0
. TOTAL PERMIT FEE /d0 , (F0
This permit application expired if a permit is not obtained within 180
Authorim erl 'signature: days after it has been accepted oa complete.
Print flame: • ' pi4irtZ , Date: '1 1 ? , f p r i3 Pec methodology set by Tri- County Building Indaatry Service Board
r• 17l. dtdin.ADnnn; rtUNRI :.PermttAPP.doe'10/01/a9' . ... 440.4617r (II/07/C0MIWR9)