Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC201300470
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/14/2013
Parcel: 2S 110DD90582
' Jurisdiction: Tigard
Site address: 10840 SW MEADOWBROOK DR 58
Project: Maher Subdivision:SUMMERFIELD BROOKSIDE CONDO Lot: 58
Project Description: Installation of heat pump. Placement of heat pump must comply with manufacturers clearance requirements.
Contractor: FOUR SEASONS HEATING&A/C INC. Owner: MAHER,JOHN K&CHRISTINE M
• 1005 INDUSTRIAL PARKWAY 10840 SW MEADOWBROOK DR
NEWBERG, OR 97132 TIGARD,OR 97224
PHONE: 503-538-1950 PHONE: 971-235-5622
FAX: 503-538-0165
FEES
Specifics: Description Date Amount
Heat Pump 08/14/2013 $61.06
Type of Use: SFA 12%State Surcharge-Mechanical 08/14/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/14/2013 $28.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
11
Issued By: ( Permittee Signature_ , �, 4 I AV
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FROM:Four Seasons Heating TO:503-,ice. I :40:24#8311 P.003/003
Mechanical Permit ApplicationAUG 1 2 2013 Remind III ` I , i, 1 i ! `I\I '1 Remind City of Tigard I�alar/tly: 8 Permit No.:Wee - 00670
' 13125 SW I lull Blvd.,'Tigard,OR 97 !Ty OF TIGARD Plan Review
' Phone: 503.718.2439 Fax: 503.598. poi�ly. Olhor Penult:
i i� !,i, Inspection Line: 503.639,4175 ILDING DIVISION Dote Ready/ny: twit. El See Page 2 for
Intcntct: www.tigard-or,gov N,difrod/ eihwi. Supplementallnform*Uuo '
TYPE OF WORK (x)MMIiJ1CIAL FEE* SCJIEDUWS-• USECHECKUSI'
--- .•..• Meth nie&permit fees*arc based on the value of the work
❑New construction ,Addition/altcra(iun/repIacemcnt performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor.overhead,and profit.
__...___... ....
• . Value:$ __
- - (A.1'4/GORY OF CONSTRUCTION _,-..._._—. RIy.SIREN'17At.EQUIPMENT/SYSTEMS run?
-
I-and 2-litmily dwelling ❑Commercial/industrial 0 Accessory building For wedal Information sae ehedibl
❑Multi-family ❑Master builder 0 Other. Ueseriptiun I Qty. I Ea. I Total -
JOB SITE INFORMATION AND I.Q(:A•IION lleatieg/rnotiag: —__
_._..---_. _._......_._, ....-.-_.___-_—•-- --- Aira►nditioiting 46.75
Job site adds as: 1(a Jy r, `�4J MeC crab r�.:1F,�_ ›� df 5
2 Nume Ilp)<O Mil(d„4rvum - ...___.4G,7$ -
City/State/ZIP: 'T\e C,r U >A ci. .D).-,-1 Purnact.100,000+BTU(dldra/veade) — 54.91
--- -- - Heat 61.06 .U
Snite/hldg./upL no.: Ire•, Project name: M ek�•\C.,r -_ —Dm,work _ 21.32 _
Cross sUect/directionv to job site: _ I lydronie hilt water system_-- 23.32
-- - — Residential boiler(radiator or
jydronic) 23.32
—_•. _-•- Unit heaters(fucl-typc,not ctcclric),
_. . . ..._ :. . .. _. _._.-.._-_... -.__ Io-wdl,In-daa.suspended.ac. 46.75
llue/vent Iilr any of above - 23,32
_....._ ..- triter. 23.32
Subdivision: loot no.: ._...-._-_-
-.-.- --.- ........_ --.. _... Other fuel apdianee,:
'fox map/parcel no.: Water hcatcr 23.32
DESCRfl'TION Ole WORK (ins freplaeo/insert 33.;19
Nlue vent fro water heater or gas _._....- .....
{ N`. u lL_._..i t.E'g.+ 1` L. Y r% _.. _..__...__ fireplace 23.32
I.ug lighter(gas).___ _ 2:3.32
__. _....._. __.......__ Wrnx1/pellct.suore 33.3)
Wood lircplacc/inscrt _ 23.32
(:hinutcy/liner/nue event 23.32 .-_-_
-.. _.. .. __.....: ... - (filar: __-..__._...._ .. 23.32
,�/PKOPERTY OWNEK ❑ TENANT _.... --•-•--...-.._._
4111 �-- ---�--....__.— Environmental exhaust and ventilation:
Nmllu: ' Range huod/othcr kitchen -- _._...39
��o1vn r._ch►',. nod rna-ti�.Y..
._.--.. - __._... txlt 3 i 19
Sc'S,1-4o SW Orle_c.4 ,C.14..))2r,:)u_k ()Y' 4 ISg
_.__........ . ....., Ctruhe:tdrylxe:xhalul 33.39
('ity/statcfzir: 0(2� CI-r Singloduc4exhaust(belllrawna,
`t (C r f -..-_—.._. . ..._... `I...._._. toilet toompanmets utility rooms) 23.32 -.,.
911 c�3 5- S(o Fax:( ) Attie/crnwtvp�cx:.!an^ -_... 23.32 -_...
Iola(:( ► ._..--
APPLICANT ❑ (:ON't'A(:'I PERSON „Other: _-. 23.32
livaine�ti ti- - Fuel piping
F our-Seasens•Heating•-----_ --....._...... .. 114.15 for neat four,54 03 for each additional _ -
Contucl none: L' Air Conditioninc Inc Furnace.ctc.
Addntis: 1005 Industrial f kwy (1t►eatpunro__._.. .. ..
-.. .__ --Newberg;OR-97'132 -- Willususpunded/unit heater
(7 ity/SIatn//.II': Water heater - --
Phone:l f�7?) C t I W l ) r r• - I•uaplaao -
1 Range
I'-muil: a C ,,:,I'u.h(' .A r ..`G,nSY1t'DJ A'.Y-- W m !hobecw.
CONTRACTOR Clothes divas(gas)
Ilusincss tame: Four Seasons HeatinCg (
- &Ail Cnnditioning,.inr"' --- -. `_.._.-........ Mr.CIJANI(:AL PERMIT FEES*
Addrss: __....__._. 1005 Industrial Pkwy
— SuMItW (.U
('ily/StateIIJl': Newberg. OR`17131 _ __ _ Minimum permnil tee(590.00) cI o Q0_I----- -... . .... .................. . ._.._.........._ Plan revie (25%of permit f ) ...
Phalle:(C-•7 ) ... I ax:( V?1
w
5 -__�. .�`2 ._.... ... 5 . .........._�'..._...:._ I(J State surcharge(12%ofpevmil fix:) I O:$O
cc I3 tic.: C� l,� — TOTAL PERMIT FEE 1 p
This permit e
pplkalbn neplree U a permit u not ohleineA aitbin{tiU�
Authorized si run:: , days aver it has been accepted as complete
--.......:.!J!!!-....._.�.(� () _.-..---•- p 1 • I'ae mcthodobiiv let br rti-t:umdy Ifuilding Induary Service Ron,J
Print name: ),,1,,aY1 l ,a(_p.......__-•--.. Date: _Sc`_�uZ_..13._- ...t
l:aluildi,ryrlrw nannAKe:IYrmitnpp WWI I.I.dx 4411-401/1 r l l/e7/I:e1MM/w1Ur1
FROM:Four Seasons Heating TO:5035981960 08/12/2013 10:40:08#8311 P.001/003
Ilit FOUR
v6—SEASONS
•7;; {30N�`
FAX
DATE: - 1 - 1 TIME: 1 O L1 O rtirw-d
TO: City of Ti!ard
ATTN: Permits
RE: Please issue and fax issue and fax co y of Permit as soon as possible.
NUMBER OF PAGES (including cover): 3
FROM: Four Seasons !leafing & Air Conditioning
1005 industrial Parkway
Newberg, OR 97132
Phone: 503-538-1950
Fax: 503-538-0165
Sent By: Deborah
E-Mail: deborah(ajourseasonsheatair.com •