Permit s ,
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00378
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/24/2009
Parcel: 1S133CC80174
Jurisdiction: Tigard
Site address: 14166 SW BARROWS RD 4
Subdivision: SCHOLLS VILLAGE CONDOMINIUMS Lot: 17
Project: Mancino
Project Description: Replace A/C north side of home Must maintain a 3' rrear and side yard setback
Owner: FEES
MANCINO, ELIZABETH C Description Date Amount
•
14166 SW BARROWS RD #4 Air Conditioning or Heat Pump 07/24/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 07/24/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 07/24/2009 $58.50
Contractor:
AAA HEATING & COOLING
5017 NE GRAND AVENUE
PORTLAND, OR 97211
PHONE: 503 - 501 -5509
FAX: 503 - 284 -1552
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: AjUA Li/ t' l.0 air • Permittee Signature: ti ` ltL
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.
i
/ . From: 07/23/2009 10:37 #387 P.001/003
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Mechanical Permit Apphc : !! , • cFNIED :::,,
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Received -
'.::.• . City of Tigard Permit Nyttg 03
, , ' a l ., Tigard, OR 97223 lin 2 3 Z009
Plan Revew
1111 13125 SW Hall Blvd Date/By:
i
''-
I ., Phone: 503.639.4171 Fax: 503.598.1960 ' Date/By:
" Other Permit:
. , t .46 i k 6 Inspection Line: 503.639.4175 Atria
Date Ready/By: FO See Page 2 for
.. ,. : - • Internet: www.tigard CITY OF TIGARD
Notified/Method: Supplemental Informadon
1301I DING DIVISION
VgfililifiitiialgRgfaiViii!:i..:7,ttOLCS*kgggRatia-EiEiiSig;EifE 54):.:2:;:4* *it:
[]New construction itiontalteration/replacenient
, Mechanical permit fees* are based on the value of the work
Add
performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition El Other: mechanical materials, equipment, labor, overhead, and profit.
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gail.S...SWENAREEKatt.00,**10,40„*.i!#:,C011010Mgargeeigig , ,-- - Y — - — - , -
hififi**::1F4
. El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder IDother: LOIAce c, Description I Q. I Ea. I Total
Ffi , HeatiaRicoollaR
Air conditioning or heat pump
Job site address: \ 4 t LpL S „,, .. _ 1 .4
(requires site plan showing placement) k 14.00 i 4
City/State/ZIP: — rt sao __ at r? et 1 -L.-z_ Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: t--A eACAY1.C:, 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: Lot no.: -
Other: 10.00
Tax Map/parcel no.: Other fuel appliances
, T 2 fg,liiN.II.FXPRRIVAMjj:Ead 14 .I0*C*5iBigrigiFENRKTEP Water heater 10.00
Gas fireplace 10,00
1 e— V . 0 .I Q. V) t3Y‘"Yt S . 1.1--Q O‘e Flue vent for water heater or gas .
VONK.k. fireplace 10.00
Lag lighter (gas) • laoo
Wood/pellet stove 10.00
Wood fireplace/insert
10.00
Chimney/liner/flue/vent 10.00
rifiligit.R*( 9 illitiflenfillt other: .
• 10.00
Nam t Cl\r-e. 1\-iik_AA.0--)(LC, Environmental exhaust and ventilation
Address: 1 41 Let St Ii.:( \ cp_ 4 LA.. Range hoodVother kitchen
equipment 10.00
City/State/ZIP: - T - Ic.k.y / i of__ ot 1 2_2 ClotheS dryer exhaust 10.00
Single-duct exhaust (bathrooms, •
Phone: 0) sv 5 —11(1 Fax: ( ) toilet compartments, utility rooms) 6.80
natiar,1[6:****0110eng RegRitagt*409**NMERE Attic/crawisPace fans 10.00
Other:
Business name: AAA HEATING & COOLING INC •
Fuel pipi . 10.00
ng .
Contact name: . $5.40 for first four; $1.00 for each additional
I .
Furnace, etc. •
Address: • F
Gas heat pump .
City/State/ZIP: Wall/suspended/unit heater •
Phone: ( ) • I Fax: : ( ) Water heater
Fireplace .
E-mail: . Range . .
1: gEiniiiiiiMal l iatiAIMRSEK0***010CESSENairO:Nn i AR%.10,figi, Barbecue • .
•
Business name: AAA HEATING & COOLING INC Clothes dryer (gas)
Other:
Address: 5017 NE GRAND AVE a-,,,.,,,,.i."-,'''BIECKAINICALTERMITFTEES*,,4,...,.,,,,,,,?'-',,
• .',:' ...i....;„ , t., ..:=.
City/State/ZIP: PORTLAND OR 97211 Subtotal i it
Minim — •
Phone: (503) 501-5509 Fax: (503) 284-1552 um permit fee ($72.50) - /Zt ,, D
Plan review (25% of permit fee) •
CCB lic.: 000222 State surcharge (12% of permit fee) g.
. 1 ._ • .
TOTAL PERMIT FEE 4 e 1 "1
Authorized signature: A-----_ This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Print name: VICTORIA ALLEN Date: I D . 41 Fee methodology set by Tri-County Building Industry Service Board
IABuilding \Perrnits \ MEOPermitApp.doc 01/19/07 44 I 7T (I I/ /COM/WEB) •
From: 07/23/2009 10:37 11387 P.002 /003
Air Conditioner/Heat -Pump Site Plan
AAA Heating & Cooling
5017 NE Grand Ave
Portland.,. OR 97211
Jobsite Address: !LN s„ w. cza( 4- V
Project Name: Nick,, c
North
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West `
East
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South