Permit C ITY TIGARD I �� MECHANICAL PERMIT
1'� DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00296
DATE ISSUED: 6/30/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S1 09DA -12600
SITE ADDRESS: 12931 SW KOSTEL LN ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 115 JURISDICTION: TIG
Project Description: Installation of heat pump.
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: 1 DOMES. INCIN:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
HUNG HGUYEN Description Date Amount
12931 SW KOSTEL LN
•
TIGARD, OR 97224 [MECH] Permit Fee 6/30/200€ $72.50
[TAX] 8% State Surcha 6/30/200€ $5.80
Total $78.30
Phone: 503- 841 -0589
Contractor:
PYRAMID HEATING
PO BOX 1502
SANDY, OR 97055 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 826 -0689
PRI 503- 826 -9522
Reg #: LIC 59382
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 - 332 - 2344.
Issued By: 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.
Fr om : PYRAMID_HEATING 5038260689 06/29/2006 13:25 #390 P.002
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Datc/BY: A g - 0, eg- PerciiEN°: 'a , ,. 9(
13125 S1V Rag 131vd., Tigard, OR 97223 ,
Plan Review
Phone: 503.639.4171 Fax 503.598.19601N 2 c) 2o0 . ....,.,,, , ., 4 l b,„,.,,,, •,, Danap Other Pattie:
Inspection Line: 503.639A175 Ju , s 4 i I i''' Date Ready/y ll
- - ...ot.. NM SI See Page 2 ter
Internet: www.oi.tigard.or.us Nontied/Merhod: Sapplamentai Intermallan
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‘-/ - - - •-. rlic iTh.N.
.2,1ye 'fl - ,:ry - PC6ir WORK ' - COMMERCIAL FEE* SCHEDULE - USE crizacurr
0 New construction it Adchticm/alteration/replacement Mechanical permit fees* are based ctu the value ofthe work
performed. indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other mechanical materials, equipment, labor. overhead, and profit.
CATEGORY OF coNsTRucxxoN • Value: $
*
El 1 - and 2 dwelling 0 Commercial/industrial 0 Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES
For special iremnation use chants&
0 Multi-famity 0 Master bnikka 0 Other: _
Description Qpz.1E ... _____IL .... _a_ Total
JOB SITE INF'ORMATION AND LOCATION Heating/confine
Job site address: 1 2..et 3 1 -u.) k Llet - Air conditioning or heat pump
(regains site plan shelving piacereere) 1 14.00 14_40
cityistaterzIP: - 7 1 aarci 012_ l'4=4. , Furnace 100,000 13TU (ducutvoncs) 14.00 ,
i Furnace 100,000+ 13TU (ductatvee _ 17.90
Suitelbldgiapt 710.: I Project name:
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydrouic hot watin system 14_00
- Residential boiler (radiator or
--------
hydrouic) 14.00
Unit heaters (fuel-t)pe,not electric),
in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.:
-.. Other: 10.00
Tax map/parcel no.: Other Seel appliances
-
DESCIRIPITON OF WORK Water heater 10.00
• Clas fireplaoe 10.00
1119Alterh I tsv, „ ac- otke I S2 -- Rueon in cc& Flue vent for water heater ot gas
fireplace 10.00
• P LL/fl e . - Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chinneyainerifludvent 10,00
si ?Ronny ovvivER I 0 TENANT
_ Other.
Name: 1411.14 iflU Environmental exhaust end ennilation
Range hood/other kitchen
Address: I aq 4 1 .
equipment 10.00 ,
City/StaterZIP: - a , 0E ci-4.,, Clothes dryer 10.00
exhaust
Single-duct exhaust (bathrooms,
Phone: (S03 ) tjt i141 - Oti v 9 Fax ( ) .. toilet comparintenta, utility roome) , 6.80
• g APPLICANT 0 CONTACT PERSON Attidorawlapace fans 10.00
• i • - e00
Busiftes9 naniill ..- piwroLyyt. 1 a f-k Othr 10.
t ri ?z et i cit Ottlir) Fuel viubm
Contact name: u Ta-rfut a vx , S5.40 for first four; $1.00 for each addition/it
Address: P-. ECI 1 5/.- _ Pinnace, etc.
Gas heat pump ^ ,
City/State/Z1P: z a.rit i a... 012 .. ci-41is Walliauspendediunit heater
Moue: (g)3 ) lg a _Ci 1 Fax;: ( ) gx Water heater
, Fireplace
0 - j _
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E-mail; iikot.rnit ptAYO-Y1A.Idt in,tail ytg . Co Ifv%. . • Mtge
NONTRACTOR V Barbecue
Business na 1
me: f- R it yo i ri „A (4 eif:01 •
0..19.,.. , L no Clothes dryer (gas)
Other
.
Address: ° T s t TO a•0 MECHANICAL PERMIT FEES*
City/State/ZIP: 1.et il:n OSS Subtotal
Minimum permit fee (S72,50) i l g, 5 0
Phone: ( 5•,-) S, Face ( ) DG -01,08C1 Plan review (25% of permit fee)
CCB U.: Sq sg mate =charge ( 816 aPennit ree) I i .,, 1 ? )
TOTAL PERMIT FEE 1 i- ,
. 1
nal permit application expires lie permit It not obtained within 180
A.utitorized signature: aft•Ne„,(_, k t.. 1
clays weer it her been accepted as complete.
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Fr om:PYRAM I D_ HEAT I NG 5038260689 06/29/2006 13:26 #390 P.003
/lei
PO Box 1502 Pyramid Heating and Cooling
Sandy, OR 97055 Withstanding the Test of Time
(503) 826 -9522 Fax (503) 826 -0689
CCB #59382 WASH #PY'RAMHC964P8
14 IP
LOT LINE:
IRST NAME: VI t ..Y1 LAST NAME: N
DWx SS: 11-c131 KJOth6 L A__ C TY: a j' STATE: 0 R ZIP: Ci
INSTALLATION ADDRESS: (fin sa Virz,44 I vt . CITY: - T a r d STATE: b
PROPERTY LINE
FT:
S I�
FRONT
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PRO ' +M' TY P1'
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Is = OUTSIDE UNIT HOUSE FACES: <-t,