Permit • fir^ �� CITY OF TIGARD MECHANICAL PERMIT
". COMMUNITY DEVELOPMENT Permit #: MEC2009 -00434
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/19/2009
I1 CiAR1? g Parcel: 2S 115AA03100
Jurisdiction: Tigard
Site address: 10740 SW KENT ST
Subdivision: Lot: 0
Project: Piatt
Project Description: Installation of A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
KARLA PIATT Description Date Amount
10740 SW KENT ST. Air Conditioning or Heat Pump 08/19/2009 $14.00
TIGARD, OR 97224 12% State Surcharge - Mechanical 08/19/2009 $8.70
PHONE: 503 - 504 -3963 Minimum Fee Adjustment - Mechanical 08/19/2009 $58.50
Contractor:
SKY HEATING & AIR CONDITIONING, INC
1637 SE NEHALEM ST
PORTLAND, OR 97202
PHONE: 503 - 235 -9083
FAX: 503 - 235 -0454
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: e 4 L. / (' /7Uj,
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. •
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
C IVE A } .s
Mechanical Permit Applrca h(ait (►i,,,, a•. t', ONLY •
City of Tigard Received ,
13125 SW Hall Blvd., Tigard, Orgy 97224U G 1 8 2009 uurrt3y; t / !/ 4 Permit No, c �. a C .... C ' I Phone: 503.639.41.71 Fax: 503.598,1960 plan Review Olher Permit:
CITY r Date /By:
i lc i t1 IL i) Inspection Line: 503.639.4175 CI !' L/ OF TIGARD Date Ready/By ' l uiie; � / SvC Puye 2 fur
Internet wow- tigard- or,gov BUILDING DIVISION Notified/Method: '' r�t7 supple,ueuta►luformation 1
: - . ,..,, Nr r CO q. "i , Rr'DU 44713
Q New construction ® Addition/alteration/replacement Mechanical permit fees'" are based on the value the work
performed. Indicate the value (rounded to the nearest dollar) of alt
❑ Demolition ❑ Other; mechanical materials, equipment, labor, overhead, and profit.
(AI°k Y,'O . •CQQfS?fi)R,MP.N .. Value: S
1 1- and 2- family dwelling 0 Commercial /industrial ID Accessory building ' +d'$
[, Multi - family ❑ Master builder 0 Other; For special /.tformclion nets checklist.
Description 1 Qty. l a. I Tata
S a-: 1 "w , p#1 k' LiQ(4 Heating/cooling
Job site address: • 7 « Air conditioning or heat pump _
(requires site plan showing placement) I 14.00
City/State/ZIP: —T a . O t 7 (2,17/ Furnace 100,000 BTU (ducts/vents) 14 -00 _
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.: ,, _ Project name: Gus ht atpump 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: l Lot no,: Other: 10.00
Tax map /parcel no.: Other fuel appliances
10.00
Alt L) Gas fireplace 10.00 gas floe vent for wider heater ar
fireplace 10.00
-- - Log lighter (gas) 10.00
Wood/pellet stove _ 10.00
Wood fireplace/insert 10,00
0
;. 111:,P�1 004 r.1 •'7l"E AN'Y .. O Y tner /fluc/vent
Chimnc /li 10.00
Other: 10.00
Name: —gal L P, � - Environmental exhaust and ventilation
Address. Range hood/other kitchen
equipment 10.00
City /State /ZIP; Clothes dryer exhaust 10 -00
plume: ( )5( Fax: ( ) toilet compartments, (bathrooms, 6.80
GQ1IT4CT , R SQ N ,, Attic /crawlspacetans _ __ 10.00
Other: 10.00
Business name: SEE BELOW -
Fuel piping
Contact name; $5.40 for llrtt four; 51.0(1 for each additiona
Address; Furnace, etc.
this heat pump
City /State/Z1P: Wall/suspended/unit heater _
Phone: ( ) I Fax:: ( ) Water heater .
- . Fireelace
E-mail: •
Range
Business carne: SKY HEATING & AIR CONDITIONING Clothes dryer (gas)
Other: ;-,.—„-
Address: 1635 SE NEIiALEM ST
ALT"
City /Slate/ZIP: PORTLAND OR — Subtotal / ,�
- Minimum permit tee ($72.50) l (1
Phone: (503) 235 -9083 Fax; (503) 235 -0454 7 '�
plan review (25% of permit fee)
CCB lie -: 50244 ' State surcharge (12% of permit f'ee) S /
do , / ��, TOTAL PERMIT FEE �..
y� r' �7 "CJ mi prrutir application ullirel it u permit is not obtained wank. ISO L.
Authorized signature: t� �7 ! deyd alter it tow been accepted au complete.
Ia.:. .",....n is ♦ , r !►OD1T►T % r I1.,a... • Per: methnrinInvv w.1 Is, Trid'nunty Ruiulinv IpA,,atry Re rvinr Rn:ml
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