Permit •
CITY OF TIGARD MECHANICAL PERMIT
• , . COMMUNITY DEVELOPMENT Permit #: MEC2011 -00358
Date Issued: 08/11/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S133DA01100
Jurisdiction: Tigard
Site address: 11120 SW SUMMER LAKE DR
Project: BARBER Subdivision: Lot:
Project Description: Replacing A/C and gas furnace. Replacement a/c unit must maintain minimum 3 side and rear yard setback.
Contractor: AAA HEATING & COOLING Owner: BARBER, TOM C/VLASTA N
5017 NE GRAND AVENUE 11120 SW SUMMER LAKE DRIVE
PORTLAND, OR 97211 TIGARD, OR 97223
PHONE: 503 - 284 -2173 PHONE:
FAX: 503 - 284 -1552
FEES
Specifics: Description Date Amount
Air Conditioning 08/11/2011 $46.75
Type of Use: SF Furnaces < 100K BTU 08/11/2011 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 08/11/2011 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $104.72
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 Notificat'on 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 q stions to UNC by calling 503.232.1987 or 1.800.332.2344,
Issued y: Permittee Signat n . /l'
Call 503.639.4175 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.
From: 07/29/2011 10:16 #419 P.001/003
Mechanical Permit ApplicationFt ,,, N'pr-7...,:::.;..•:..;.:...:.:::::.::.:::.:.,,.::);.:.,:.,::::::;::.:.:;:i::::::.i:::::::4,
:..,...::: City of Tigard A Date/By: -7 i Permit No.: L ... ...._ • i __ . - ,..;-:
!p • • 13125 SW Hall Blvd., Tigard, OR 97223 9 2
: 2 • Phone: 503.639.4171 Fax: 503.598.1960 JUL 2 I Plan Review
Other Permit
Date/By:
Inspection Line: 503.639.4175
. 1. I GAR 1) 7
-ri rs A ) f i Date Ready/lily:
...-: : , Internet: www.tigard-orgov CITY OF 1 ium i.. ofifiedimethod: F rii: P : 1 1,1 f ll Inform
0% lli niNG DIVIS1
giESERAMEREEVag'itt*ACWii:RXTATMEMTEMENSEZ 0:47::bw.:*.0430.*Tfilsciki***1-314:1:0*O.W5!
Mechanical permit fees* are based on the value of the wotic
O New construction Er
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other mechanical materials, equipment, labor, overhead, and profit
lia,,...-tartagenien;AirEG-04nrialq.C9lentlaCTIONEPSEMERREP Value: $
igtii
al 1_ and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder CI Other:
Description ! Qty. I Ea. I Total
; - i Beating/cooling
Job site address: 1 ( I ),C;) Su) Sk,k_tik tikirr lit,...V.-e.. 1-....' Air conditioning
(requires site plan showing placement) ,_ 46.75
City/State/ZIP: - 1 - 1 C‘OLA S N___, ot--0 Furnace 100,000 BTU (ducts/vents) _ 46.75 itt C
Furnace 100,000+ BTU (ducts/vents) ' 54.91
Suite'bldg./apt.no.: LI Project name: 1 60 1/4. 11,kleA_
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
Subdivision: Lot no.:
Flue/vent for any of above 4
_--.1--24,32,--a6-4a-
Other: 23.32
Tax map/parcel no.: Other fuel appliances
InitUFINIMESTIOCKET:7,:rot*KiWOUSIMMTIENE Water heater 2332
Gas fireplace _ 33.39 '
Vq FV-AiNCt../U. k V-VAti Flue vent for water heater or gas
J 1
23.32
4- c:\r Airlabo-i, DA' We fireplace
Log lighter (gas) 23.32
&k2 ge "NU • ,
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
,F,,Km 0 ri ,--, Chimney/liner/flue/vent 23.32
23.32
Name: TM * V I Cr P)01. r \PO( ". Environmental exhaust and ventilation
Address: t(Ap ao, iLtAxuAl,_.6k,ii.c, tt-- 6 : Range hood/other kitchen
equiPmellt 33.39
City/State/ZIP: - II ou D2 c‘--70,3‘. Clothes dryer exhaust 33.39
•
Single-duct exhaust (bathrooms,
Phone: (VD171) ,3,.i4__...3 U_Lk... Fax: ( ) toilet compartments, utility moms) 2332 ,
SiroaleNtro AttielerawlaPaee fans 2332
Other: 23.32
Business name: AAA HEATING & COOLING INC.
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) . Water heater
Fireplace -
E-mail:
Range
:,,amanneiggiwaybig,4yktisilikettato:MvaT:45iMRORT;;Prgi Barb . .
Business name: AAA HEATING & COOLING INC. Clothes dryer (gas)
Other:
Address: 5017 NE GRAND AVE Niallikt _D4W-XIIII*WIFMAtaegeM .,,
City/State/ZIP: PORTLAND OR 97211„ , 00
S90
permit f
m permee (.) Subtotal: 43 :5-0
Minimum ••-,----
Phone: (503) 284-2173 Fax: (503) 284 Min
Plan review (25% of permit fee) --- .....
CCB lic.: 000222 State surcharge (12% of permit fee) i lit pa.
- TOTAL PERMIT FEE
Authorized signature: ., This permit application expires if a permit is not ob.U15d within 180
days after it has been accepted as complete.
Print name: VICTORIA ALLEN Date: - 7 , t9C1 I ( ° Fee methodology set by Tri-County Building Industry Service Board
IABuilding.Wennits ) MEC-PermitApp.dos 10/01/09 440-46 7T (11/02 COM/WEB)
II IR
Building Division
Development Code Provision Review
TIGARD Residential Projects
Building Permit No: / ' o\cc1(-00? 5 F
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Y.✓
Routed Plans:
Original Plan Submittal Date: // -7
1st Revision Submittal Date: ❑ Site Plan Only
2 Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked ( •) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along eft only • approved. kr(Sh Plann ing Review (contact i �' at 503 -718- 2.1,52 or 4) @tigard- or.gov)
Land Use Case No Name
EVZoning PD
Setbacks f 1/
Front /� PO -3 Side 3 Street Side 0 Garage /t' /•
❑ Maximum Building Height Actual Building Height
❑ Visual Clearance
❑ Easements
❑ Sensitive Lands Type:
Notes: rit 12211.4.4' UelotA.4 •
Original Plan: Approved Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope:
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved El Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard- or.gov)
❑ Street Trees
❑ Protected Trees
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date.Sent to Applicant
Okay to Issue Permit: Yes ❑ No ❑
Date Routed to Building: •
Page 2 of 2
From: 07/29/2011 10:16 #419 P.002/003
.. . .. ....... .... .
Air Conditioner /Heat -Pum p Site Plan
AAA Heating & Cooling
5 017 NE Grand Ave
Portland,. OR 97211
Jobsite Address: U 1:2o &k4 _, [AVE'
Project Name:
North
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47 Zti va 4 Z -
West
East
South
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