Permit q CITY OF TIGARD MECHANICAL PERMIT
`° COMMUNITY DEVELOPMENT Permit #: MEC2011 -00261
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/08/2011
Parcel: 2S 104BA 10700
Jurisdiction: Tigard
Site address: 13643 SW LIDEN DR
Project: TEAFF Subdivision: CASTLE HILL NO. 3 Lot: 137
Project Description: Installing vent and gas line for range, and relocating kitchen duct.
Contractor: PYRAMID HEATING & COOLING Owner: TEAFF, JANET
5699 SE INTERNATIONAL WAY STE A 13643 SW LIDEN DR
MILWAUKIE, OR 97222 TIGARD, OR 97223
PHONE: 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432
FEES
•
Specifics: Description Date Amount
Duct Work 06/08/2011 $23.32
Type of Use: SF Range Hood /Other Kitchen 06/08/2011 $33.39
Class of Work: ALT Type of Const: Fuel Piping 06/08/2011 $14.15
Occupancy Grp: 12% State Surcharge - Mechanical 06/08/2011 $10.80
Stories: Minimum Fee Adjustment - Mechanical 06/08/2011 $19.14
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
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 - 0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332 _344. 411.
Issued By: P_ermittee Signature: ' i i
Call .639.4175 by 7:00 a.m. for the next available inspection date.
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.
06/07/2011 TUE 15:37 FAX 503 786 3432 PYRAMID HEATING 2001/002
•
Mechanical Permit Application
rc r f I � FOR OFFICE USE ONLY
City of Tigard �� j R
1 SW Hall Blvd., Tigard, OR 97223 V I - DateBy: / i 1� a — )
� JUN A Phone: 503.718.2439 Fax: 503.598.1960 q Plan Review •
.r I G AR [.) p Other Permit: 1
Inspection Line: 503.639.4175 2 Dat Re
Date ed /Me By: El See Page 2 Information
Internet: www.tigard- or.gov Notified4vtethod:
MI Supplemental [ ntormation
CITY OF TICARD
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p Mechhanic.ipe f uS _:. thew work
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it fees* are based on the value of the work
❑ New construction IR Addition/alteration/re lacement cate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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ue: $
. _,. r� 'SONS +� Val
IM t - and 2-family dwelling Commercial/industrial ..... , .. , , �` ��Q , ..
y g ❑ ial/industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description tion .Qty I Ea. j Total
444:0 ;lr ,;.,, - >- Heating/cooling:
:.... ....... ..:. JQ,B:ISI'fEi =�;OR ,�'�kl'ND >.)%;O'���ION� ;; = � ;�, ;,�,� ;. ; ; �. ; ;:,,,.,: +,.
lob site address:
rr -- ' \ ti ning
1 - 3 1.0 � 3 � L L i d 211 17 r', (requires site plan showing placement) 46.75
City/ State/ZIP: '" and O R. q -7 223 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: T Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work I 23.32 7g.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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
:D
;;a
= ES + LY' Ll�'�
..,,... -:.,: Water heater ,. `.Q.. ;�q'�`.� a ter
,.... 23.32
4...._.4. �i < '
. . ... . . . .:..............< _ ._ .,....,..: --,+ .4444 ..:...:.,.. : 4..
V .fl* `(.tl '..: • Land i ( , . : :. 3 ,. _ t Gas fireplace vent or water heater or gas
lb 33.39
� Flue vent fo
1 � . e. i DGC� 5 "- LO nd fireplace .23,32
Lo_g J (wry, *1 r dark- 1 n C A �^ Wood/pellet dghteet stove 33.32
.
��� 1 [�. ? � . , Wood/pellet stove 3339
Wood fireplace/insert 23.32
hi
C ne Ainer / flue/
-�P vent 23
O x - Y 2332
I' 'u R TY " ``
Other: 21 39 _ __
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 1 33,39 33,1
City /State/ZIP: Clothes dryer exhaust . 33.39
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
x,, toilet compartments, utility rooms) 23.32
:<- ,.Y,,`.Yu '� ;u ;,..,.,, _ "v,.� -� x�4., af> �,i, .t'' � %y .J:, „'t ;�i'' . t:,.:'. o.� . r tt ; , ;
: , ,1 : ! A>yP) 3`Iru1 !P , : ? tea. �a „ ; . I : ? . s,„ Bj G,,+i,e : ' ” ;;- :. :
. .... , , ., „ . ............ . a3;: �� r,; s'_\:; .r;, >>- ,�.- „��:�;;�'� ;a';er�,� ...,_, � l.! I? � ,G�?<,P�RSCSN'•�'�xri'��5;.,4�. Attic /crawlspace fans 2332
Business name:
23.32
Fuel piping: .
Contact name:
$14.15 for first tour; 54.03 for each additional
Address: • Furnace, etc.
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater ,
E -mail: _ Fireplace { C j C
�� W. 4 in >ti?. �-�� =. ;••, - �['�. ° ° S N't '•` a ,”, �.ac ;+a, ; n� . rhiuto-., ;fir:. m ;5f,v a.'x.�d .\;uc�: Ran 1 1 ,14. J
; r' t� ti, t+;: , n# flu v1 , �,,y�, "" c a .r�:., .5�"' et; 2 ^-'a "1
r �„�.,,,..,u. .i•,,,., ,.yr - ,, .. _ ni;,�, tt� MtigO° H ' ,' ' +'"`'$i 4:' i ,.' qK��,' i Barbecue
�� le .. m, « e >. r . ,t(`i +irk , fa�'.?+i�. rr::tt��,.. , lw w
Business name: n i � m; , I ^n ` Clothes dryer (gas)
Address: � lOq� ZY1 ICY10.�1 P�(10.1 W S� Other. ,
City /State /ZIP: °.s i`r`. ; to yw F E 1{ #'- i:; rig U.)au ki � OR. 1 017222 _ ` ot a '
l, . 7 ..::,.:.._ :.
in 1
Subtotal `]0(
Phone: (50 )7% G F ax: (5j)3 )7$&,, 3L1 32 Minimum permit fee permit fee) Q�
p �L J l O J Plan review (25 /n of permit fee)
CCB lie.: 3: 2 State surcharge (12% of permit fee) (0 , go
{ / ,� 1 TOTAL PERMIT FEE ( 0(it n0
• Authorized signature: ` This permit application expires if a permit is not obtained within.180
days after it has been accepted as complete.
Print name: A ik. i 0.11 u , Date: ( 011- j I • Fee methodology set by Tri -County Building Industry Service Board
• 49Building \Permits\MEC- PermitApp,doc 09/09/10 440-4617T (I i /02/COM/WEB)