Permit CITY OF TIGARD MECHANICAL PERMIT
11111 C COMMUNITY DEVELOPMENT Permit#: MEC2013 00622
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/16/2013
Parcel: 2S110DC90292
Jurisdiction: Tigard
Site address: 15525 SW 114TH CT 29
Project: Zitzowitz Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 29
Project Description: Install ductless heat pump,placement of exterior unit must comply with manufacturer's clearance requirements.
Contractor: SUN GLOW INC Owner: ZITZEWITZ,CHARLENE J
2428 SE 105TH 15525 SW 114TH CT#29
PORTLAND, OR 97216 TIGARD,OR 97224
PHONE: 503-253-7789 PHONE: 503-352-4341
FAX: 503-253-7693
FEES
Specifics: Description Date Amount
Heat Pump 10/16/2013 $61.06
Type of Use: SFA 12%State Surcharge-Mechanical 10/16/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 10/16/2013 $28.94
Occupancy Grp:
• Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direc estions to ••NC by calling 503.232.1987 or 1.800.332.2344.
lssu d By: j Permittee Sign.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Oct. 16. 2013 10: 18AM Sun G1 No. 1097 P. 2
Med14inic4l Permit Appli ,t�:l C Il V ED I,O� Ot�I I I IJ'L:ONLN
City of"1'i and
Received
y DatcBy: IO �� 3 Permit No.: it f n.vl �(�(0��
I .a 13125 S\V Hall Blvd.,Tigard,UR 97 2013 Plan Review
«-�1V
Phone: 503.718.2439 Fax: 503.59819M 1 1 Date/By:
Ulher Permit:
;C.1 CiAK1J, inspection Line: 5O .&39 4175 g p�® Date Rcady/Uy: Jwi�: EI See Page 2 for
..: Internet: www.tigarcl-or.gov CI�V ®�' RGL6 Notified/Method: Supplemental Information
BUILD------EG • , -®N :.
•
1., T �. ;:r:. '^ COM.WRcfAI :RF 1 S(HF'DLJLk USb,f-IIt;GKLiS1 "r.
Mechanical permit fees'are bused 011 the value o the\cork
❑New construction ddition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit,
Value:$
.:c. (:Ai't:.ORR' tW C(MINLJ(IK
. RistULI�T;��t,FQlnnrlF��n/ti ti�r,�iti'ha._ _...
....111-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special Ifonnal/an+rrechECIA.
❑Mttlli-liunily ❑Master builder [1 Other: Description I Qty. I..T . I Total_
l lealinlJcoolla);:
T00,S1. -#0Rtt#T10N:01/ (A 110\
• iiAr conditioning 46.75
Job site address
j.) .; ` � i\
� 1-+- �<) — Furnace 100,000131'U duets/yews. 46.75
•
G.-) Funiacc 100.0001-131 U dncIJvenls) 51.91
C:itylShlld7:rP: -r.�r,�.tr'`�. t (�') (�_........ . � )-<3��� .. .. �........
Heat pump 1 61.06 (01.0 L•
Suite/bldg./not.nu Project name: Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydiotnic) 23.32_
I)nil heaters(fuel-type,not electric),
in-wall.in-duct,suspended,etc. 46,75
Flue/vent for any of above 23,32
Subdivision: Other. :.:
Lot no.: —..... .._
_..-. Oilier fuel appliances: _
Tax map/parcel no.: Water heater 23.32,
IIF 5(RIP'i ION C)F WORI{' ' , Gas hrcplacdiuscrt 33.39
Flue vcn(far water heater or gas
T-
„_
- rl •:=aA-,.„. 6_.k,,,.(._k i.-.a_<y) 1._0_,,_...-\.. c7t.<:ti,...Q ,_fireplace 23,32
Lob lighter(gas) 23,32
--- Wood/pellet stove 33,39 _
-Wood fireplace/insert 23.32 _
Chinuney/lincr/tluc/vcnt 23,32 _._
.� other: 2 3.32
N-i0l'>~I('I] QWVN BI( .: fl TC NAI!1T ,; _
'--- . - - , l:nvirmwteutal erhrtust and�•eutllntton: ..
Name: c Kan c mood/Other kitchen
equipment_ 33,39
Address: c:a �_ �. 1l1 (_,,k t: . �- r
1 ;t._> 'jL�i ( r, - 1 Clothes kei exhaust 33,31
Cil)'/St ate/Lll': > --13--,)-(-1- Single-duct cshnast(bnthrtantis,
_�1C'C•,,('<_‘,I 0 c.� q _.-., toilet comparintcnLst utility rooms) 23.32
Phone:( 3) 3..;�7L y 3<I I Pox:( ) Attic/crawlspace fans - 23.37,
N '.1 '
11 c r;
- PPLTCAAT' 13 ('O1CT FRSO�jy a
23.32
huel piping
Business name: SI4.15 for first four;S4.O3 for each additional
SUN GLOW,INC. ___ .
Contact name: 1LUN HEATING&AIR CONDITIONING hinmcC,etc.
Address: LOvV 2428 SE 105th Avenue Ch15 heat pump
„M. Portland,Oregon 97216 Wall/supended/tunit heater
City/StateJLll': (503)253.7789 FAX(603)253.7693 Water heater
._ Fireplace
Fax::( )
1'honc:( ) Range
E-mail: (-L\0. r ∎ y CCU _.t..0 tl e' 1,::)0...) “Ac.,.., . C_<,v-r Barbecue _..... .
(O\IA('i Clothes dryer(gas) --K -
Other:
13tlsinesc name: °'
— a--ti��rr__ c'..."� lc;- r-u., -� .1t1:C1WNICAL':PFIDM∎. Rl Rix
Address: - Snbtntal G1. (1 ,
Cat}'/State/Lll': Minimum Penult fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) Slate surcharge(12%of permit tee) it).'.-/�c)
CC:J3 tic.:
LA 4 1 3 5/ /IS- TOTALPTRNI1TFEE 10i3.:;;�`•
'f1 k permit apptication expires if a permit is not obtained within IRO
Jugs tiler it 11s11 heed necepted as complete.
. L
Authorized signature: l�\�i\"Lyn .•- .-.. .
/ I • Fee methodology set byTri.0 uunlylrtti ldi»gluduallySctviccBoard
Print name: ���"\a-t':�-- c. B._ i..�.._.., I Date:/rtl f 1U f (''i 1
I-\H1ildinat Permitsvo F:(:Permit App.1140111 doc 440.4,171'(11102/KOVAI'nn)
Oct. 16. 2013 10: 18AM Sun Glow Inc No. 1097 P. 1
i1J•' UN Nth
LOW "{
INC
.;.
HEATING&
MR CONDITIONING
To:—TvyA_c1 e..(Z:Cvv∎ i _ From: I\r-t
Fax_ )f1(c71) Date: - )U I I y 113
Phone: Pages:
Re: CC:
Urgent For Review I-'laze Comment Please Reply Please Recycle
Note: r 4)��t.,� 1�c...r•�� ~\ .`:> C�.::3 ,. : _ _. ..7 k, 3
2428 Sty 106°1 Avenue 0 Portland,OR 97216 o Phone:603.253-7709 a Fax;503453.7693 a CCE3#48131