Permit WOLV:41 CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00011
DATE ISSUED: 1/5/2007
TIG'ARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S135DC -03001
SITE ADDRESS: 11557 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: .4 a °� Permittee Signature: C3
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 :57p P • G
:
•
Mechanical Permit Application , / 0
' • FoR orEicE 1
. .
4 , Received
City of Tigard ,;_;,,,,7,-)\
Date/By: 5 7 ,,. - .,., Permit No NliN 9 ( Jo —
I - 0110 ) )
Phone: 503.639.4171 Fax: 503.598.1960
13125 SW Hall Blvd., Tigard, OR 97223 -; ic ..,' Plan Review
- 2.,....., ) II Other Permit:
. „ -0 :
v -- ,, c , Dte/By:
k :A..0 , ,,, v o 1 ',,
Inspection Line: 503.639.4175 4. *1 11 D R /B • 0 ee
(4- ,-''•' t . ...„ 7 . ...!..._. ate eady y. . lurit See 2 for
Internet: www.ci.tigard.or.us --... Notified/Method: Supplemental Information
04r*i,ist1:
,.....____6,,,,,sy., -.$6.6-00- v.,........re.,....-- u: . .......
0 New construction Addition/a1aVOInhw ___A , - • ment Mechanical permit fees' arc based on the value of the work
Z 4r e
--)> V4" performed. indicate the value (rounded to the nearest dollar) of all
D Demolition 0 Other: ' mechanical materials, equipment. labor, overhead, and profit.
Value
: .!... _ ;,..„. ArLITAMI''..P0 : -• - • — , - . •-•,-- . - ,,- - . • •
004# pl
4te wortoliry*s t4§...
lig 1_ and 2-family dwelling 0 Commercial/industrial 0 Accessory building *
For special information use checklist.
0 Multi-family D Master builder 0 Other: Description I Qty. Ea. 1 Total
' --'• - 2 --:,-- .....:"..,4013, 'SITE INFIAMATIOlir.;AND. HeatinWcooling
Air conditioning or heat pump
Job site address: H c:)c:.; - 1 Stk) Clrecri I-Dui P-A (requires site plan showing placement) 14.00
Cit2./StatelZIP: 7 I .1 -. )-- it fir-- g 7 22 -3 Furnacc 100.000 BTU (ducts/vents) 1 14.00 1‘1 —
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: 1. Gas heat pump 14.00
Cross street/directions to job site: . Duct work 14 00
ilydronic 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
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
22 Water heater 1
10.00 ,
Gas fireplace 10.00
2f.pti 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 1
Chimnev/liner/flue/vent 10.00
r. a PROPERTy: OWNER. ' '...,,,., ,.
Other: 10.00
Name: 7 (:,. _ ).--i-vie 1-11,,' Environmental exhaust and ventilation
Range hood/other kitchen
Address: icl) 0 5; E - 1 I t I 'h., 11<i'f-- equipment 10.00
City/State/ZIP: \;( r i( t f el i c; '---; Clothes dryer exhaust 10 00
Single-duct exhaust (bathrooms,
Phone: (1.Ct.) ) (004 — 1 2 . 1: \ ..1 Fax: ( ) toilet compartments. utility rooms) 6.80
• . . ,...: --, 0 APPLICANT,:....:.i. .1 '....:.,;: CONTACT .PR.S_ 0(0 ':?;'.Y:': Anic/crawlspace fans 10.00 1
Other: 10.00 1
Business name:
1 piping
Contact name: S5.40 for first four; S1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace 1
E-mail: Range
?3 ,..- ' ..'Itlie-11" - •AliAiA r iVe4qt 4 ,-Mil.attti÷-1, Barbecue
(g
Business name: Sunset Heating and Cooling Clothes dryer as)
Other: J
Address: 0607 SW Idaho Street -___At-..'i.4'.; ,:;,-•=.....,,
.4wavi.,5 .•, . , - - • .„....,,,, -.,:•. . . -.I. -"-+:.'. i: ',-:., i"
City/State./ZIP: Portland, OR 97239 Subtotal 1 q —
, S
Phone: (503) 234 Fax: (503) 234 Minimum permit fee (S72.50) — 1? 1
Plan review (25% of pemnt fee)
CCB lic.: 161085 State surcharge (8% of permit fee) 5.O
Authorized signature:
, TOTAL PERMIT FEE
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 Date: I / 4-1 vl • Fee methodology set by Tri-County Building Industry Service Board
, \ Budd ingkPcrrogli \MEC-PermitApp doc 12/03 440-4617T (11/02JCOWWEB)
- .