Permit (,•
406 n CITY OF RGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00250
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/16/2008
PARCEL: 2S 102BA -02800
SITE ADDRESS: 09801 SW JOHNSON ST ZONING: R -12
SUBDIVISION: JOHNSON /GRANT MLP LOT: 004 JURISDICTION: TIG
PROJECT: ARNDT
Project Description: Replace gas furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
LOUISE ARNDT Description Date Amount
9801 SW JOHNSON
TIGARD, OR 97223 [MECH] Permit Fee 5/16/200E $72.50
[TAX] 12% State Surch 5/16/200E $8.70
Total $81.20
Phone: 503- 639 -2656
Contractor:
PYRAMID HEATING
PO BOX 1502
SANDY, OR 97055 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 786 -9522
FAX 503- 786 -3432
Reg #: LIC 59382
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee e Signature: / , 'PG / e/4
Call 503.639.4175 by 7:00 a.m. for inspections 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.
1 "' From:PYRAMID_HEATING - I,, 5037863432 05/16/2008 08:28 #942 P.002
Mechanical Permit AAAhca i CEIVED F0-m. (*FR c15r. ()NIA: • , '
City of Tigard Received �`
Permit No 4 at ji r E�WO? �Qav
NI :
• g 13125 SW Hall Blvd., Tigard, OR 972 MAY 1 6 2008 Plan Review
Phone; 503.639.4171 Fax: 503.598.1 76 Date/Br Other Permit:
l.I i i a Ft t) Inspection Line: 503.639.4175
$ g CI OF TIGARD Date Ready /By: � lur s: 51 See Page 2 for
Internet; Www,ti and -Ol'. ov Notified Method: / / 6— Supplemental Information
BUILDING DIVISION
. • TYPE OF WORK • '. COMMERCIAL; FEE* ..
SCHEDULE'= aJSE::GFIEC, .' JfT,.
❑ New construction E Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other; mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION . . .. Value; $
.RESIDENTIAL EQUIPMENT./ SYSTEMS FEESt;;'.','
® 1- and 2- family dwelling LI Commercial/industrial ❑ Accessory building
❑ Multi family ❑ Master builder For special information use checklist.
❑ Other: Description I Qty. I Ea. Total
• JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 9801 SW John ®0n St.
Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97223 Furnace I00,000 BTU (ducts /vents) 1 14.00 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Arndt (}as heat pump 14.00
Cross street/directions to job site: Duct work 10.00
— liydronic 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
Subdivision: Lot no_: Flue /vent for any of above 6.80 ,
Other: 10.00 —
Tax map /parcel no.: Other fuel appliances
• AESCRIPTION OF WORK...
. , Water heater 10.00
•
Gas fireplace 10,00
Replace as furnace Flue vent for water heater or gas
fireplace _ 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
® PROPERTY OWNER ❑TENANT Cttimne / liner /flue /vent 10.00
Other; _ 10.00
Name: Louise Arndt Environmental exhaust and ventilation
Address: 9801 SW Johnson St. - Range hood/other kitchen
equipment 10.00
City /State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)639 - 2656 Fax: ( ) toilet compartments, u tility rooms) 6.80
APPLICANT Attic /crawls ace fhns 10.00
• ❑ CONTACT PERSON p
Business name: Pyramid Heating and Cooling Other, 10.00
Fuel piping__
Contact name: Tami Hageman 55.40 for first four; 51,00 for each additional
Address: PO Box 1502 Furnace, etc.
Gas heat pump
City /State /ZIP: Sandy, OR 97055 Wall/suspended/unit heater
Phone: (503) 786 -9522 Fax; ; (503) 786-3432 Water heater
Fireplace
E - mail: thagemangpyramidheating.c °m -
Range
. . . CONTRACTOR . Barbecue
Business name: Pyramid Heating and Cooling Clothes dryer (gas)
Other:
Address: PO Box 1502 '. ' . MECHANICAL PERMIT FEES'''. :
City /State /ZIP: Sandy, OR 97055 Subtotal ' 14.00_
Phone: (503) 786-9522 Fax: (503 -) 786432 Minimum permit fee ($72.50) 72.50
Plan review (25% of pennit fee)
CCB lie.: 59382 State surcharge (12% of permit fcc) 8.70
i
TOTAL PERMIT FEE 81.20
Authorized signature: �/V\M� This permit application expires if a permit is not obtained within I80
days after It has been accepted as complete.
Print name: Tami Hageman Date: 5 /16/08 * Pee methodology set by Tri County Building Industry Service .Board
I:\ Building \Permits \MPC•PermitApp.doe 01)9)67 440-46: YT(11 /o2/COM/tiTB)
,
CITY OF TIGARD , r
BUILDING DIVISION PERMIT #: ilFC2008 -01: 50
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2008 Phone: (503) 639 -4171 A �r�uilp��it i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1012/008 TIME: 7:00AM PAGE:
SITE ADDRESS: Og801 JOHNSON ST
CLASS OF WORK:
SUBDIVISION: , JOHNSON /GRANT 'ALP LOT #: 004 TYPE OF USE:
PROJECT NAME: ARNDT
DESCRIPTION: Replace gas furnace.
OWNER: ARNDT, LOUISE PHONE #: 603,639,266G
CONTRACTOR:
PYRAMID HEATING PHONE #: 503-786-95W.
Inspection Request Scheduled For: Date:
10/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 076121 -01 503 -630 -2656 N
Corrections /Comments /Instructions:
C6 - �, c.s,\
t r . PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: /-3 S Date: 213c -� Cie Phone #: (503) 718- 2923