Permit } `a CITY OF TIGARD
MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00007
DATE ISSUED: 1/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S135DC -03001
SITE ADDRESS: 11553 SW GREENBURG RD ZONING: R -4.5
SUBDIVISION: FIRDALE APARTMENTS LOT: JURISDICTION: TIG
Project Description: Replace furnace.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
JIA -HWAY HUANG Description Date Amount
1910 SE TALTON AVE
VANCOUVER, WA 98683 [MECH] Permit Fee 1/5/2007 $72.50
[TAX] 8% State Surcha 1/5/2007 $5.80
Total $78.30
Phone: 360 - 604 -1280
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0611
FAX 503- 234 -0439
Reg #: LIC 161085
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: �� a, Permittee Signature:
CaII 503.639.4175 by 7:00 a.m. for inspections that business d�).
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.
:.an 04 07 01:56p p.2
M e c hanical Permit Applicati _ ' "
City of Tigard Date/By: 7 (-_ -1(- PermitNa.. �� q
13125 SW Hall Blvd., Tigard, OR 97223 Deceive / t� �! � �� ®Y
Phone: 503.639.4171 Fax: 503.598.1960 ►, Plan Review
1i q • v q Date/By: Other Permit:
Inspection Line: 503.639.4175 J. t 1 . '' Date Rea /B S_
Internet: www.ci.ti ard.or.u " i
g o[ tuRd: ) S upplemeotnfnr
Page llnformarian
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Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/altelti. replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment. labor, overhead, and profit.
/+,� ^J {� �f � _,.. . � f ��r�Y r-t i� ��yT'� �,,�pyt
Value: S
^ s f .: .' r SY r. 4f� ** :0-i.. =,.. w...�i.. 000 `4E/;L...: �X6fig' +'°f•O�• t IS , A
1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building L `f '� .Q U S 1� EMS 1FTs
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. Total
- "JOB SITE • !NFORMATTON-AND J.00ATIQN 7 r : t 4 r Y . Heatinpfcooling
\ �� Air conditioning or heat pump
Job site address:
y- SIA. L'^) )• ec el ht U9 Pet (requires site plan showing placement) 14.00
Cit. /State /ZIP: ---r :1` nt VW_ 'T 72.2" � Furnace 100,000 BTU (ducts/vents) ( 14.00 l `{
e
Furnace 100.000+ BTU (ducts'venis) 17.90
Suite/bldg. /apt. no.: Project name: 1 ,..h tai J
Gas heat pump 14.00
Cross street/directions to job site: .. Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type. not electric),
in- wall, in -duct. suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdi■ision: Lot no.:
Other: 10 00
fax map /parcel no.: Other fuel appliances
. DESCR IPTION OF �l'ORK Water heater 1 10.00
�� Gas fireplace 10.00
IC.L: OA `St_.,• {1.1 -13 `; Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insen 10.00
(�- PROPERTY OWNER... : ',.1 ..0..'mMT ... Ot h e r:
Chimney/liner/flue/vent 10.00
' - Other: I 10.00
Name: 71 l., _ }-hoLt �{ i- �' • Environmental exhaust and ventilation
Address: F 0 Si:. 1 a In-) - 'C Range hood other kitchen
- equipment 10.00
City /State /ZIP: \'': yl/ 1,C11 L (t' S, '7> Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms,
Phone: ('S(CO ) ( - 1 2 <y Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT 0 CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00 3
Business name:
Fuel piping
Contact name: 55.40 for first four; $2.00 for each additional
Address: Fumacc, etc. 1 1
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
. . _ 4=7 y e :[t'4 i+ 1+i& t ' « .". F:Bi� itrftl'�a .-�rs`� }+tos' - - riA.- r- .'`t8= Barbecue
Clothes dryer (gas)
Business name: Sunset Heating and Cooling •
Other:
Address: 0607 Sys' Idaho Street WrOl"Mig. ryNq Vt f.
City /State/ZIP: Portland, OR 97239 Subtotal I q -
Minimum permit fee ($72.50) 1? SA)
Phone: (503) 234 -0611 Fax: (503) 234-0439
Plan review (25% of permit fee)
CCB lic.: 161085 State surcharge (8% of permit fee) 5 < l)
TOTAL PERMIT FEE - 1 3U
This pe rmit application expires if a permit is not obtained within 180
Authorized signature:
d ays after it has been accepted as complete.
Print name: Shauna D'Ambrosia Date: 1 / 4.- Ui • Fee methodology set by Tri-County Building industry Service Board
i \Building Pcrmfl MEC- PermiiApp doc 12103 440-1617T (11 /02/COM/WEB)
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