Permit CITY OF TIGARD MECHANICAL PERMIT
1111 E COMMUNITY DEVELOPMENT Permit#: MEC2013 00718
-F f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/27/2013
Parcel: 1S136CA90591
Jurisdiction: Tigard
Site address: 10900 SW 76TH PL 59
Project: Watkins Subdivision:GARD WOODS,A CONDO COMMUNI1 Lot: 59
Project Description: Replace furnace
Contractor: PYRAMID HEATING&COOLING Owner: CAROL WATKINS
9409 NE COLFAX 10900 SW 76TH AVE UNIT#59
PORTLAND, OR 97220 TIGARD, OR 97223
PHONE: 503-786-9522 PHONE:
FAX: 503-786-3432
( FEES
Specifics: 1 Description Date Amount
Furnaces<100K BTU 11/27/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 11/27/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 11/27/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility i ication ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or "ect questions to O - .y 'ailing 503.232.1987 or 1.800.332.2344.
I sued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspec'= date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
..
11/22/ O13 FRI 7: 17 FAX RECEIVE ;11 [2002/002
Mechanical Permit Application 1.014 011.1(1: IISI.'()NIA
IN Cit of Tid Received
Date/By arirgal Permil No.: 5-676 2/g
--q 13125 y SW Hall Blvgar01t' 32..Tigard.0 I32 5 2 013
Plan Review
' . Phone: 503 718 2439 Fax: 503 5911.1960 Date/By: Other Permit:
l•I(,,-\It 1) Inspection Linc: 503,639.417EITY OF TIGARD Onto Ready/By Juni. HI See Pap 2 for
Internet www.tigard-orgo.y.,_ Notified/method :n
Suppleen:at information
BuiLDING DIVISION
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.1,,,...„-,,,,siiivpoiqw,,,.miiwy4:wg5.,;',,,Foo 4 0-8) \At,)0 .16., ‘'1 i;1'V63.!"{4,111',4", ,'" ,',./4 s."-- - •'. -I-c-
64.3144.:'*.92‘11';':.‘'''14'.6 A I'l'''.-..'4J'''''E 1'''''2.'''"'"‘'.'' ''''''''''''"1'''''4.....''''".5"'."'-'2'."-".'".''.(-"'.--. '--' Mechanical permit fees*are based on the value of the wor
['New construction El Addition/alteration/replacement performed.Indicate thc value(rounded to the nearest dollar)of all
0 Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit,
Value:$
"774r''',)!..',1.. it.I,,::i,",'''PiLt'',1ff,:,ut:,TI-LAVV.,;1.1L,''yi',Lat''''o'19'''ML,'Tt,■gf'JnLtt,,..Lul.?_rt,tttlt-,L'„rtV
CEI 1-and 2-family dwelling CI Commercial/industrial 111 Accessory building For special Information use checklist.
El Multi-family CI Master builder 0 Other: Description I Qty. I Ea. I Total
r-reei-,imic;:,,,,,ri,A5.-0,,vii.oppotTii.oisi,v6,i.;;Tr:,,,,,s4,,;;.:7,1,7,,,774-7,1,..7,.,7 licating/coollim:
-
46.75
Job site address;10900 SW 76th Place#59 Furnace 100,000 BTU(duets/vents) 1 46.75 46,75
City/State/ZIP:'figard 011 97223 Furnace 100,000+BTU(duers/verno) 549!
Heat pump 61.06
Suite/bldg./apt.no.: I Project name: Duct work 23.32
Crass street/directions to job site: Hydronic hot water system 23.32 _
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fhel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75 .
Flue/vent for ony of above 23.32
Other 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/pared l no.: Water heater _ 23.32
lace/insert fi
Gas rep
33.39
:t4,'.'nkli,:(4_t2:522.s2,4';'-`:Iiii-...rELli.4. ii.:e,1:!:,..,,L...t.2s.:,..,1..1%.!, '2 L!..,.1,-./..L...LAJA.,,,d.M.S......2.1.,,..:P.'..h.,4 .T.,..,..•.:..1-. Flue vent ror water heater or gas
Replace of Furnace fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
'
- Wood fireplace/insert 23.32
..
Chimney/liner/flue/vent 23.32
23.32
;$41e;:,•.;ia:...i2..4.,..i....,..e,ii,.„,;,.....,,,,,,,,,',/,‘...,,,,,..,m,.;:iff-koc,.,ti,t.x..,,,,,q1q,,,,i,.:1,/,..,:.,..;,1,.. Other:„,,,,,,, , ,,,,,,
211' iiMqq4,".1.5.4'?..t4ii:Ziltd':igige•V:ii,l'iD.1101; P:::1,W,I..0'21filli1.1.1L'e;ALti,,:.: Environmental"lama and„maim
Name:Carol Watkins Range hood/other kitchen
equipment 33.39
Address:Same As Above ,Clothes dryer exhaust 33.39
City/State/ZI I': Single-duet exhaust(bathrooms,
toilet compartments,utifity rooms) 23.32 _
Phone:( ) Fax:( ) Altickrawlspace fans 23.32
--'-^t,',,,"'-r:7:7tViiMPP;11:F.77,7115.":-T-1".'t cl-'7■P;I:4:9,,K,T6,,,,,,,,,s,,,,.,,,t; Other: 2312
7c-*,77.7.7iT7,,,,,,717-7,7"n 7,?1,'ii'l'',i-'ili.,'Mo: , :::1 '•-
• '.4t. ' ''' I'',' '-` .,' ,_12i14,,t, ,-,it„. nolo 0.0.1,,,914.),,. L4,,,,„,,,..,.,
1,,i'T.3,4;:,,n,,,,,,,,,,,ihul.,L,„2,,...... Z.LILsr.Lthin 'I,., OAILL,r,,,f ...■I'Ll•A,...t.t r...1.r.....,..,-1.1....7:..7,tai,..,.. 'Z..,. Fuel mow
Business name:Pyramid Heating and Cooling
$14.15 for first four;$4.03 for each additional
Contact name;Lisa Miller Furnace,etc, I
Gag heat pump
Address:9409 NE Colfax
Wall/suspended/unit heater
City/State/ZIP:Portland OR 922o Water heater _
Phone:(503)786-9522
I Fax::(503)786-3432 Fireplace
Range
E-mail:Imillor@pyramidheating.com /...- Barbecue
iri-4,;:x; ',:::ity,Fiie,T,,,if,
'S'-'71W:ICi°7(`3111779R::41.‘:; 7''''''''1Pi,af'f10`&1#0;1/'terit,V.%:Vd1/0!'.0:),W,icii,;;0,,Ati4 iii,,,.i Clothes dryer(gas)
,-&..,.. .,..L.,t,,.,.: ..s.g.....,,1. ,.,:t..-",.,.„II:. otticr
' Business name:Same As Above
7',./TiiiiiViiTIMM:INITrq tr,idiq:4101r,ir,t:i ilg,:f.,,:tcp,
Address: Subtotal 46.75
City/State/ZIP: Minimum permit fcc($90.00) 90.00
,
Plan review(25%of permit fee)
Phone:( ) I Fax:( / State surcharge(12%of permit&c) 10.80
CCB lie.:5938
A , TOTAL PERMIT FEE 100.80
' This permit opplicshou elpiree if s permit is not obtained within 180
■. 'MOP. dnye otter it nes been accepted as complete.
Authorized in: atom. ii, 4 -
/8'1 . Nye inelliodology se:by Tri-County Building industry Service Board
Print name: )S:--Ar L44-I,(-4,10 Date: i
IMitilding1PermiLAMEC_PeradiApp1140i 13 doe 440-4017T(11/021COMAYEB)