Permit •
CITY OF TIGARD MECHANICAL PERMIT
` + COMMUNITY DEVELOPMENT Permit #: MEC2011 -00029
13125 SW Hall Blvd Tigard OR 97223 503 Date Issued: 01/18/2011
T Parcel: 1S126DC04601
Jurisdiction: Tigard
Site address: 9970 SW GREENBURG RD
Project: Eprint Subdivision: Lot: 0
Project Description: Replacing existing 5 -ton RTU.
Contractor: ANCTIL HEATING & COOLING Owner: O'DAY, SUSIE & BRIAN LIV TRUST
4320 N WILLIAMS AVE BY O'DAY, FRANCIS B /SUSAN A TRS
PORTLAND, OR 97217 9970 SW GREENBURG RD
TIGARD, OR 97223
PHONE: 503 - 281 -0752 PHONE:
FAX: 503 - 282 -5722
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/18/2011 $288.70
Class of Work: ALT Type of Const: Plan Review 01/18/2011 $72.18
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 01/18/2011 $34.64
Stories:
Project Valuation: $7,895.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $395.52
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You nay ob .. a copy of the rules
or direct questions to • by calling 503.232 = .:: ! 332.2 44. /
Issued By: "ermittee Signature:
• _
Call 54 • • . 7:00 a.m. for the next available inspecti. .ate.
This permit card shall be kep in a conspicuous place on the job site until c• pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard �� E iew t II el 13125 SW Hall vdTi ard, OR 97223 Permit No.
Phone: 503.639.4171 Fax: 503.598.1'00 i� Date/By:
Other Permit:
D
TIGARD Inspection Line: 503.639 ' `4 rl \\ Date Ready /By: El See Page 2 for
Internet: www.tigard- or.gov 5 403 Notified /Method: Supplemental Information
L P N p. t• 0
4 Y �.. TYPE OJWORx - ‘,.4 yCi MERCIAL I EWCFIEDULE UwCFTECI IS ,.;
v \ `r., V' Mechanical permit fees* are based on the value of the work
❑ New construction Addition /alteration /rte ttP performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑Other: V��\�\ mechanical materials, equipment, labor, overhead, and profit.
CATEe OF` CO : „ ,,.. Value $ '� r::... 7I
1 - and �a Q a RES �MLNT f SYT)r MS1F g ," '
2-family dwelling Commerc
El 1- g � i a l . / ❑ bu �,x ..� . -.. w . ..._,,. � ,. ,,..... � . , ...��t _ �•.�
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
°' ,,,„ SITE,`INFOKMA"I']ON AI LO,C N ,, e � Heating /cooling
Air conditioning
Job site address: �
�it ? 0 „s'a (0 „Al ek r , l (requires site plan showing placement) 46.75
City /State /ZIP: 77 mew _ r/17-d2 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name: E,€ /Air Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: Lot no.:
Other 23.32
Tax map /parcel no.: Other fuel appliances
3 BESCRIPTION OF oit `. 5 " °' 1'''° Water heater 23.32
T164-4., . ,. , .... . , � 33.39 •
/ Gas fireplace
U-g// O .P, G'��? J — 4 //t / ?e ahi7 Flue vent for water heater or gas
/ fireplace 23.32
(04- 44--A c��"6) Log lighter (gas) 23.32
d Wood /pellet stove 33.39
Wood fireplace /insert 23.32
PROPERT' - OWNER a Chimney/liner/flue/vent
Other: 23.32
Name: e Environmental exhaust and ventilation
Q Range hood /other kitchen
Address:
9/ 24 I'll 4 /5 equipment 33.39
City /State /ZIP: 77 ow e )?-a -3 Clothes dryer exhaust 33.39
, Single -duct exhaust (bathrooms,
Phone: (;3) 6,121.4.1.„Z 79 Fax ( ) toilet compartments, utility rooms) 23.32
l I 'n <4 Attic /crawlspace fans 23.32
� � . � � � �❑ �iPP�GANT � � t kr � ❑ CONTAC P ERS.ON��
/�, ,
Other: 23.32
Business name:
///111 nz...., l�/1437/tie) aUl72 Fuel piping
Contact name: i / 7a4PZ. $14.15 for first four; $4.03 for each additional
Furnace, etc.
�
Address: aao Al WILG /40 ixj_e Gas heat pump
City /State /ZIP: t2L9?A „b 0 , 4 9 d i i 7 Wall /suspended/unit heater
Phone: (/ -� ) / 1 / ...... e - 75 --- d . Fax: : (5 -5,72-d, Water heater
7 / Fireplace
E -mail: V / • ei 2 e . �lrn� Range
' �; : , ¢ COTRA`CT'OR i
,, .� ,. 3 � ,.. . „ �...N
,,.... ,y .� I,:• �.� Barbecue
Business
name' Clothes dryer (gas)
��I. .,4 - - Other:
Address: -. MEC ANJCAL I'ERMITA S* , u ;
City /State /ZIP: Subtotal '-ff. -
Minimum permit fee ($90.00)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) 7,2 , 1 S "
CCB lie.: d'/ / 7 State surcharge (12% of permit fee) 7, el
TOTAL PERMIT FEE ,1 361y „
This permit application expires if a permit is not obta ned within 180
Authorized signature: days after it has been accepted as complete.
/ —// * Fee methodology set by Tri- County Building Industry Service Board
Print name: //�q�f , f l Date: /— �/
I '. \Building \Permits \MEC - Permit App. doc 10/01/09 440 -46t7T (11 /02 /COM/WEB)