Permit CITY OF TIGARD
MECHANICAL PERMIT
PERMIT #: MEC2007 -00009
, �6 COMMUNITY DEVELOPMENT DATE ISSUED: 1/5/2007
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DC
SITE ADDRESS: 11555 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: "//, j6 j Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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.
Jan 04 07 01:56p s�.� %- p.4
► ( t � 4 fi . .
NI' echaftical Permit Application FOR 01 - I.: 1 SE ()NIA . •
City of Tigard • t; 200 P lan By: - Permit NO G . A..1 '1-0 p
13125 SW Hall Blvd., Tigard, OR 97223 .1h1 Date/B- `/ �� C1 �' ,
Phonc: 503.639.4171 Fax: 503.598.1960 u..- ri,�� 1 iA Date/By: Other Permit:
Inspection Line: 503.639.4175 ell * Ij, 7 ....... J ( . Ready/ y: i uis ® See Page 2 for
Internet: wuw.ci.tigard.or.us
BUTITYPqn -M „ .: . ethod: Supplemental Information
��.�, *F:a�`?:;�._ "r t r �:��3; a 4 � i � c�.a 1st ��`"�'���'' -;.: •��” r !Ml�! 1 � +C HE. CK7.I SI
- 1!4.1. ."x�± n wi:lr�`s ,o�re�,a: -. Sa te. ++ x,- Pil3 i3�.. �'. '�:a�zrt•:a �^t * ,. ,n,.....
Mechanical permit fees* are based on the value of the work
❑ New construction ®Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. equipment, labor, overhead, and profit.
,f C:4410j SOB, : 1 M [1 ( ��Yitkir 1F4s x'yl 0 M , Value $
' ..�i. ,.� r ... AI ,- .,�i. .._ 'Z.-- Fd.���4445 ,��""F" -r� �.'S�SG- t�'f�'� � T t '_d * � Co mmercial /industrial . $ESI I� .FQ_ ., ... C ( . MS FEES• . .
1_ and 2 dwelling ❑ ❑ Ac cessory building ""
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description
Qty. I Ea. I Total
.f re.JOB SLTE. . 01.00ATIODi ..1 _u. Heating/cooling ,
- :";.1 - ::,. 1 Air conditioning or heat pump
Job site address
f ° c, � SiA C - 11 - 'cv ►�.ti-j PA (requires site plan showing placement) 14.00
Cit■/State /ZIP: f 'Lrzl VW-. g 77 2 -- Furnace 100.000 BTU (duets/vents) 1 14.00 14
Furnace 100,000+ BTU (ducts'vents) 17.90
Suite/bldg. /apt. no.: Project name: /- .)- 1(iL� /, Gas heat pump 14.00 Cross streeUdirections to job site: .. J 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
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF .WORK Water heater 10.00
Gas fireplace 10.00
ta put �.i_,• f -.1,1•YIO.,, Flue vent for water heater or gas
fireplace 10 00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney/liner/flue/vent 10.00
- PROPERTY. OWNER ' ''`_' - ❑ TENANT _ _ '
��� t Other 10. 00
Name: J11.. _ ) )& _j t• i Environmental exhaust and ventilation
Address: 1C1 ) 0 S L 1 �( b-. 1 •� - tj•� qu i p C hood/other kitchen
� - e mcnt 10.00
City!Statc /ZIP: Ve ) 1 ‘11 Le ( I, -:>) Clothes dryer exhaust 10 00
Singlc -duct exhaust (bathrooms,
Phone: (', 4:4) ) (D O y - 12-g (.‘.., Fax: ( ) toilet compartments. utility rooms) . 6.80
❑APPLICANT, , i 1 ' -0 CONTACT PERSON Attidcrawlspacc fans 10.00
Business name: Other: 10.00 _
Fuel piping
Contact name: S5.40 for first four; 51.00 for each additional
Address: Furnace, etc.
Gas heat pump i
City/State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
tern J ti t•t� a• 1 4 ti . d
,.:'� s: ._ .- z + » .-` ._:.4 t lwl's ni_F ri sa w_r rialits�i 7:. Barbecue
Business name: Sunset Heating and Cooling Clothes dryer (gas)
Other:
Address: 0607 SW Idaho Street g?s,r _
City /State/ZIP: Portland, OR 97239 Subtotal 11.4 —
Minimum permit fce (372.50) 1a Sv
Phone: (503) 234 -0611 Fax: (503) 234-0439 Plan review (25% of permit fee)
CCB Iic.: 16108 State surcharge (8% of permit fee) 5 < ISO
C TOTAL PERMIT FEE 1i U
Authorized signature:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Shauna D'Ambrosia I Date: I l 4-1 o-i • Fee methodology set by Tri-County Building Industry Scr ice Board
i V3uilding\Pcrmits\MEC- PmnitApp doe 12/03 440 -461Tr (1 VW/COM/WEB)