Permit C ITY OF TIGARD MECHANICAL PERMIT
k DEVELOPMENT SERVICES PERMIT #: MEC2006 -00488
'' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/11 /2006
PARCEL: 1 S134DA -04300
SITE ADDRESS: 10551 SW NORTH DAKOTA ST ZONING: R -12
SUBDIVISION: VENTURA COURT LOT: 008 JURISDICTION: TIG
Project Description: Replace gas furnace and replace AC.
CLASS OF WORK: ALT 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: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
NATE DOUTHIT Description Date Amount
10551 SW NORTH DAKOTA
TIGARD, OR 97223 [MECH] Permit Fee 10/11/20C $72.50
[TAX] 8% State Surcha 10/11/20C $5.80
Total $78.30
Phone: NA
Contractor:
AAA HEATING & COOLING
2915 NE MLK JR BLVD
PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -2173
FAX 503- 284 -1552
Reg #: LIC 222
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: K Permittee Signature: (a
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.
Oct 11 06 02:28p AAA HEATING AND COOLING 503 284 1552 p.1
City of Tigard p Date/By: /1. /1/1 o8 Permit No.: m6c 0t 00.1f1
13125 SW Hall Blvd., Tigard, 0 3 Plan Review/ O w I
, l `
Phone: 501639.4171 Fax: 503.598.1960 � 'iRn^r4 k Dat e/By: OnierPcnnic . �I %,f I / , .' !'
Inspection Line: 503.639.4175 OC i ' 20�y 016 , , 1 L s , Date Ready/By: Ile r• See Page 2 for
Internet: www.ci.tigard.or.us Notiliied/Metttod: �� Supplemental Information
CITY OF TIGAFib
SUILtit all1 t COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction r ,8 Additiotl /aiteration/replaeement Mechanical permit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment. labor, overhead. and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
,211 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family 0 Master builder 0 Other: Description i Qty. , Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Reatiag/cooling
Air conditioning or heat pump w
Job site address: 1055.-/ S+. /� y 0, /cO r 4rc• pi,.. (requires site plan showing placement) 1. 14.00 1 4 1 .11
r,
, .4 AIL C IZ t Z 3
Furnace 100,000 BTU (ducts/vents) 1 14.00 1 4..t,'' '°
City/Siate/ZJP: l 5 c
Furnace (00,000+ BTU (ducls/vcntsj 17.90
Suite/bldg.apt. no.: Project name: 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 1
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended. etc. 10.00
Flue /vent for any of above 10.00
Subdivision: I Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK. • Water heater 10.00 1
Gas fireplace 10.00 !
t%ec..s - F..- .....r... SL/P Fine vent far water heater or gas
fireplace 1 10.00 ( to
f 4/c ( e XI, J '1TheNc) Log lighter (ggas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
ROPERTY OWNER. 0 TENANT Other: 10.00
Name: /Y -4 pt ....I .. -- Environmental exhaust and ventilation
A ..4c. hood/other kitchen
Address: f 05 - 51 St.,_ A.1 De Kod-..._ t4- equipment 10.00 -
4 7 Z 2-1 Clothes drier exhaust 10.00 _
City/State/ZIP: 7 �, Q 6/2- f Single-duet exhaust (bathrooms,
Phone: ( )
Fax: ( ) toilet compartments, utility rooms) 6.80.
Attic /crawlspace fans 10.00
D • APPLICANT • D CONTACT PERSON
Other. 10.00 _
Business name: f Fuel piping
Contact name: ,j L.. , I $5.40 for first four; $1.00 for each additional -
Furnace, etc.
Address: Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Water heater 1
5
Phone: ( ) Fax: : ( ) Fireplace
E -mail: Range
CONTRACTOR
Barbecue •
Clothes dryer (gas) 1
Business name: A.. 4 t e d ir 1 Pup ii>7.7 Other: i
Address: a /5 N / / ("( 7 " L 131 bd / MECHANICAL PERMIT FEES* <
City/State/ZIP: Zile 1i7g112 Subtotal y
2
J Minimum permit fee ($72.50) , n
Phone: (5-63) 1>� ► Fax: ( 5i 2,6 15 Plan review (25% of permit fee)
CCB lie.: State surcharge (8% of permit fee) S
TOTAL PERMIT FEE • '70; -
This permit apoication expires if a permit is not obtained within If
Authorized signature: days after it has been accepted as complete.
Print name: t I Date: V -/ Z-00 • Fee methodology set by Tri- County Building Industry Service Bond
i , .PmmilAlm.Anc 12f113 < �/ .140.4617T(11 /02rCOMJWEB). € () 0 -- 0 (--') C't
si
E f
I !r
..., • . t , ;I,
CO-•
" r: •
CD . 1
CONTRACTOR Ara-HEAT PUMP .--.; UNIT SITE PLAN •
:AAA HEATING & COOLING, INC, .
. 0 re.+4) n
2915 NE MU( JR. BLVD. ar . valowmsoszereispr=tsi
rn PORTLAND OR 07212
CV . . .
1— r.. i .. . . .
■ .
CD . .
, • •
0 i .
. . .
c. . c, ..
, 1 , ... ,
.._ •
r i'
0 , . •
---4
._ • .
i .
, .
... .
. ,
i .
_. ,• ,
1
•, . . •
• .
(
to
( .,. 1 . .
. . ,c .. .
•
li ...
1 . .
, • ,! —31 .
. . 1.. :
,... .: • 10 I V) . .. ..
. . . .
. .
. . .
. . To rrR . I .
. . -
a •
. .
. .
• .
. . .
. . .
' CUSTOMER INFORMATION ,
. ,
*NAME N Ds.v.,...-A-L.4 • ., . . •
. . . . .
. .
.t .
. • '
•
.,.. .
0 .44 6)2 912 i )
PLEAsa WAX APPI-ICAVON wrrii SUB PLAN. .
i -waw.---•-----.. ----,----..._..,—,,, ......
o ,
1.1._ .
. N
. .
_., . . _ ..... .. _ .
_ „