Permit M 8�� �� ! MECHANICAL PERMIT
• PERMIT #: MEC2008 -00148 D
`� °��' � '` COMMUNITY DEVELOPMENT
DATE ISSUED: 3/21/2008
, TIGARD` 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104BD - 09700
SITE ADDRESS: 13585 SW WALNUT LN ZONING: R -
SUBDIVISION: SULLIVAN MLP2000 - 00004 LOT: 001 JURISDICTION: TIG
PROJECT: HORTON
Project Description: Replacing gas furnace and adding heat pump.
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
DWIGHT HORTON Description Date Amount
13585 SW WALNUT LN
TIGARD, OR 97223 [MECH] Permit Fee 3/21/200E $72.50
[TAX] 12% State Surch 3/21/200E $8.70
Total $81.20
Phone: 503- 786 -0579
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST.
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: g G r ��� - � ,{ ji/
Permittee Signature:
Call 503. • 39.4175 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.
, _...
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' Michanicall Permit Application I 01: Hi 1 it I 1 ,I ( , \I
- ,--,----, --------- .
. . City of Tigard - - 11 t _, Received . r ,
_ r I C - Date/By: ' '0' ( i .0/
0 . . .--- - ' a INo.: ,-- , ", .__ ii /I-e
1
L 13125 SW Hall Blvd., Tigard, ONT . Plan Review
• . Phone: 503.639.4171 Fax: 503. : ' ,.t Dale/By: Other Permit:
t • "" .
1 1 c. ; AIt ii . Inspection Line: 503.639.4175 ''.■ r A_, c.; Date Fteady/By: Jun,: 8 See Page 2 for
• .: Internet: www.tigard-or.gov , - - 7,, IS. 1 -
'' Notified/Method: Supplemental Information
' .......: .17 '• . ' `E'....ilil.A.2.Q41:iii -i.. ; .. i.. - .•.; ;.;. ; ,..-,-Yr
• - - ..,-., - : , ,, , _. ,. Mechanical permit fees* are based on the value of the work
0 New construction Addition/a!?) ■ t' .' %tent performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. ,
Value: $
1q; It' :T.' ::. r : :': , ..;:r2.s.'.: ,•:,:r.;v.;:-:-'.:r,-: i - • . ' • • . • . ,:-.
,S •-:4;:ii.3 . . - ."•.,:,••'::.
0,1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building . ,:.
For special information use checklist.
0 Multi-family 0 Master builder El Other: Description I Qty. 1 Ea. l Total
,„_.,,...." .t..z.+W t...T-V
4 . - - 47 . 11MiratatlIVOMtioikl.iliakzik4t,t.441,61.'-wv...s.4i.i.:illA.,' , 414 . . , ..... - ...‘ , .'r. , -4U HeatinWcw
Air conditioning or heat pump ILI.
Job site address: ,:-.)'.:_:, '6 _::- ---)( ..k,__ ; .?, J 0 \ , 1 .q A ,,--- ( ,:i (requires site plan showing placement) t 14.00
...) ;
. 3 .2 2 - ,....,_ Furnace 100,000 BTU (ducts/vents) a 14.00 ( i 'l
City/State/ZIP: --1. 1 c \ (,),.., „ ( , r 1 ,___ „ ...i L.-- - __-• '
. Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: '---) 1 Project name: f.-1 c:',., . \- C in Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Flue/vent for any of above 6.80
Subdivision: I.ot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
..-.:ni.,.. ,.,...wei,ii,.4- Water heater 10.00
, ,. ' . . , . - ',...=• 3.vt rit; 3 1 . 1'4 -
Gas fireplace 10.00
Flue vent for water heater or gas
•i? , ; , , • , ,) , ,,, , - fireplace 10,00
L. . , l.7 (:):. ,-\: 'CI. . V C.. ... ,/k_ li n. , -4,- V; ,, f , . Log lighter (gas)
10.00
t .
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
: - mow i. : Chimney/liner/flue/vent
.' :''''A '':;',-1--,. -.'': 10.00 - .'17./.4*Atier . -Iii .'''''''''''"".1" 10.00
Name: :j,) • , \- v -- • \--- ,;,-,, Environmental exhaust and ventilation
i ; ‘,-- r •
Range hood/other kitchen
Address: ; ., -_-_-_ ( ,,,, ; ,.,,, 0 ; ,,,, L , .,._‘...._ 1.....,,I,7. equipment 10.00
City/State/Z1P: -- 1 - 1( - - , „, .-• A - -- \ r. 6 '' - ?_2 -• -.7:- Clothes drier exhaust , 10.00
, , Y" L.. , , -.-2 . ' Single-duct exhaust (bathrooms,
ti 7 _.> .
Phone: k7- - - -- ( ,/,--i Fax: ( )
() --- - '-- ' toilet compartments, utility rooms) 6.80
0 ; Et: co taittet: itlifr40 .r;,,V.:.. Anic/erawlspace fans 10.00
Other 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace. etc.
Address:
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater ,
Phone: ( ) Fax: : ( ) Water heater
Fireplace ,
E-mail: Range
1 ,: - ',.. ' 't l ',' , :f f' `` I ''Ht ' e " 0 , . ' ',V•IriNr - t ,1 4.$A . 7 4 4;,ti:tijd ' ' '' 4.01, 3 ,it I `' 14ft.. Barbccue
Clothes dryer (gas)
Business name: Sunset Heating & Cooling ._ .
Other:
Address: 0607 Sw Idaho St , fre 41
City/State/ZIP: Portland OR 97239 Subtotal
Minimum permit fee (S72.50) / 2.-
Phone: (503) 234-0611 Fax: (503) 234-0439 Plan review (25% of pennit fee)
CCB lic.: 161085 State surcharge (1r/. of pennit fee) 4 .- - -6' ,1 0
, ,.. .
• ,/ TOTAL PERMIT FEE
---, -
Authorized signature:
This permit application expires if a permit is not obtained within 180 . -..-,-..-, .- .,..-:-"_. 4.------
,---2. days after it has been accepted as complete.
L...- _.
Print name: Casey Wiser ,„..---% Date: ----, 1 ., ( 1 • Fee methodology set by Tti-County Building Industry Service Board
1ABui Idineermit 1 N. MEC-PermnApp.doc 01/19/07 440.4617T (11/02/COM/WEB)
a•d ea0:60 so Ta Jew
Mar 21 08 09;02a p.3
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