Permit ri
CITY OF TIGARD MECHANICAL PERMIT
-• COMMUNITY DEVELOPMENT Permit #: MEC2009 -00395
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/04/2009
TIGAFLD Parcel: 2S109AB02300
Jurisdiction: Tigard
Site address: 14341 SW 134TH DR
Subdivision: THREE MOUNTAINS ESTATES Lot: 6
Project: Caveny
Project Description: Replace furnace and install A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
CAVENY, CAROL ANN Description Date Amount
14341 SW 134TH DR Air Conditioning or Heat Pump 08/04/2009 $14.00
TIGARD, OR 97224
Furnaces < 100K BTU 08/04/2009 $14.00
PHONE. 503-681-9890 12% State Surcharge - Mechanical 08/04/2009 $8.70
Minimum Fee Adjustment - Mechanical 08/04/2009 $44.50
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO ST
PORTLAND, OR 97239
PHONE: 503 - 234 -0611
FAX: 503 - 234 -0439
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
Required Items and Reports (Conditions)
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: / _ / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
. a i �CTM.� t,7
Mechanical Permit Application 1.(ir (,,11 l( °i t st. ■ ) \ r.a
City of 1 "igard 0 2009 Received J 0 - / � C' o
J UG 3 , I /I:I 1'rrr u itNo.: ZOO --do ' I
13125 S W Hall Blvd., 'J igtud, OR 977 Othe 1'ur t-
it
Phone: 503.639.4171 Fax 503.598. 6Y O
f'I t {,� R 1)
Inspection Lino: 503.639..4175 BUILDIN D�VTIGARD �SjO Date Reudy/By: Id See t'aec 2 fur
Internet' wvny.ti and -OY. OV " NotitiaQ/Mothod: , Suppll;menbll Information
, 1 r V � �. C rw :1Yr>J7' ^ � 4: ' 1. �� 134111,��C�. Y7a2:7',nY41C1! �. - - I:�d ".. ". 1 u "i1
'n,.,7 ..,,i.: M4'1
.� k^Mf
ind ..,n, ggv., t 5 .•CP A �1 (r3{., .t•'fS •c a,- ,vr , 8 1'tU sf Y IY 1 .._(. :l
v ei AJ' r� . �s ,,,��
v',:;, . r _ A.1} ., w 4 11it.� :-...n d' ,, ,...-.,
. . . ° d,,l.�.�..a.;au
Ft°.,,edlr- .....a'_ :i:fl�:.'::,. ?. t �,.:3in:,L - o:a. dt ° °.,u,.�li''" ' . %., �,,.: .T.�.e:l� . ^. .. " ' ` ... � . _: ...
❑ New construction addition /alteration/replaeernent M rform i d, permit £ecs° are based de the the of nearest wok
performed, Indicate the value (rounded to the nearest dollaar) of all
Cf Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
7 .p ,.r \ti ec" Irk'„ v;r g ..p,,5t�r„a- r �q ^3,. '�'�,, . ? K'�'fi:< rcY}n ; $
P, ,. �Crl „ -w ilt. . - i 1. : r:91.1j - 6 q . Y F t , ju V 01 `M'• i 0,1 '; . } t ::' ±- 1 u„A 6`A �J;::,'sri_' . i
°' •11 ! 1i �:.�„ :s 3 l�J° - •o« 1 �az1 • az„ �" rT:' ..._ :1- - :'e�ti� ta , YalU r o
1;;...d.:::; r'�e':i: `'._ "`:" y tWr, 2r•p� b. �fYN 3 {1a i . ' i i h . !. grv;
.�' �1,; >„p J nly � r - ,, ; l w 3 haaaicr7.1'_..., ,.,. _._ s .... ..... .._ ,
g,1 1- and 2- family dwelling D Commercial/industrial D Accessory building For .special information use checklist.
D Multi - family D Master builder D Other: Description [ Qty- L Ea, 1 Total
iii �, gd . K .. „„ it • �-0; .;:k
1 .„
. ".:' i":'6 a .1" � 1. a a r c i J u 1 wit J 3H 7' ,,L,,��v a : Y , . �` �,), 11 On' cooll
ul' i�. YV�S�^' ��u931�' t�•,' aenln, lYf�riSltr !nidih�l� ? / iryy WJ r Nr' IitatiWriuu �fA ' % ':�ni.me,L�.i3inxn1l��1�9d1, lf��
. � I Air conditioning or heat pump
Job site address: 1/au 1 434A S � �' 1' con •uires silo ni n>o towin. he .LuxJUOnt 1 14.00 ISI
City /State/Z1P: 01-1 " Furnace 100,000 BTU (duets/vents) 14.00
Furnace 100 000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no_: Project name: ' lei Gas heat - um 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, sat ended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.: Other 10.00
Tax map /parcel no.: Other fuel appliances
n r g 1 1 Y e � r r 1J a7' ��p, i 3 it xi.r a i�, jC��. !��,n��aae,,i Water heater 10.00
�3o,, c.. n' f W t�- /Fit, ,Ig�� t.,. h lh h
u Gas fire .lace 10.00
' . r l ./ 1 i l l__. Flue vent for water heater or gas 1111
� i , � , - fireplace 10.00
Lo. Lo- li;htcr -as) MIN
Wood/pellet stove MIN 10 -00 EMI
Wood tire .lacc /insert 10.00
f zttr i xtxew 'ti �'1l + „ ^, kr,�1 'aq _ , r �p�F�,',' + ';lt ,�" {t'' }�v� EMI
, Chirimey /liner /flue /vent NM 10.00
fi � �!4»Y,..i, ,,,•r.:liealar� I° �. . 1 j1'- , �dt 4,:i! -'' 'itlkiV"'. Other: 10.00 • u1 SsY4 t w
Name: &AO Lea Envirouniental exhaust and ventilation
-- 9 Range hood/other kitchen
Address: pi 4 3 q 1) 1, 14.. c -ui - meet 10.00
City /State /ZIP: 11 C )-?-t Clothes dt cr exhaust iii 10.00 Mil
Single -duct exhaust (bathrooms,
Phone: ( ) , i I Fax: ( ) toilet cornrartments. u ill rooms) 6.80
� w t 10.00
v , r ', " u A nicicra Is a ce fans
a L a zy " I�, ,, A.-, l o ^ :If ver a s h `rl 1 , ,h G' J n N 0 , w. , •, lad
Other .00
r:
Business name: _ Fuel i iu_
Contact name: $5,40 for first tour; $1.00 for each additional
Address:
Millillillia�
City /State /ZIP: Wall /sus ended/unit heater
Phone: ( ) Fax; : ( )
figiiiimuli
E -mail: _M �
"Ii. !!i ''T � ar, N ,-� 7/,� r , ". u ,,J, lie• ■�
'J: `Iii,, i m ' 1�t ` aJ i R 404 ( , , ' SA Y, ,.,, C , 11' ¢ t . x,1 .1 "'xi 1 Barbecue
+ �' ° .W!`a:r;'�v.: ) 1';?S� . ~,al v r �R;Nrt,',M' ,. a a r,Y .� , ,• �ti:.slc.1-C:1xn:, , .,
Clothes dryer (gas)
Business name: Sunset kleatiug & Cooling
Other: � ..
06 07 Sw Idaho St , y�� ` :' : a ?l;:r.,A'iI y „ x .�' l �r : ? " ' N r_t I'
Address ", J a! 7 d V 1 / . , a. J , v r rr: P la 1baa
City /State/ZIP: Portland OR 97239 - Subtotal c.c
. --' Minimum permit fee ($72.50) '..-
Phone: (503) 234 - 0611. Fax: (503) 233 -0439 Plan review (25% of permit fee)
CCB lie,: 161085 1 A K State surcharge (12% of permit fee) li,, , .t)
TOTAL PERMIT FEE 'RI . '
ThIs permit applicatiuu e*piriN if a permit is not obtalued within 180
Authorized signature: bah 0 days after it has been accepted as complete..
1-Print name:, 44ti
, 1t1',� �,1 ?) . Date: ` /' , Fee methodology sat by Tri-C County Building Industry ScMce D
- oad '
Y1.�' +1iIV
CJ00Jding 1•.m,:1,Apc• 4on 01/10/01 dd0.46ITT 01/02JCOM/wha)
E0 /Z0 3Dt/d 9NIlt/ 13SNf1S 6ENT2EZE09 L2:90 6002/IE/L0
f
•
A/C & HlP
��IIII- w
Sunset Site Plan
HEATING & COOLING
Name: Cc�v Ci r'oi Ar n
Address: 143 4( w F r +I
,4
Go I
Go r5)
HOUSE
E(3/60 3Jbd SNI1d3H 13SNf1S 6EVOVEZE0S LZ:90 6002/IE/L0