Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT 111: n COMMUNITY DEVELOPMENT Permit #: MEC2009 -00222 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/22/2009 TIGARD Rp Parcel: 2S109AD11100 Jurisdiction: Tigard Site address: 14828 SW LOOKOUT DR Subdivision: � Lot: 0 Project: Nguyen Project Description: Install heat pump. Owner: FEES NGUYEN, TAM MINH Description Date Amount 14828 SW LOOKOUT DR TIGARD, OR 97224 Air Conditioning or Heat Pump 05/22/2009 $14.00 12% State Surcharge - Mechanical 05/22/2009 $8.70 PHONE. Minimum Fee Adjustment - Mechanical 05/22/2009 $58.50 Contractor: FOUR SEASONS HEATING & A/C INC. 1005 INDUSTRIAL PARKWAY NEWBERG, OR 97132 PHONE: 503 - 538 -1950 FAX: 503- 538 -0165 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: Total $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: �.• w , I Permittee Signature: 1 Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 , , -. Mechanical Permit 11Upl I ' l , 1 si w ►k I I(. I l a 0,1 l i 1 ':r City of Tigard Y: Permit No.: i • 13125 SW Hall Blvd., Tigard, OR 97223 MAY 1$ 2009 Plan Review " - / 66 022 ta ' . .a Phone: 503.639.4171 Fax: 503.598.1960 " D gy: Other Permit: :`( , c, f.i Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: 55 see Page 2far Internet: www.tigard- or'.gov BUILDING DIVISION B � Supplemental Information TdtRg 4> WORK 2.. :',.y« .,1,. , qAL FEES SC 3LE - U alEfOICIAST . 12 New construction 1: Addition /altcration/repkacentetlt Mechanical permit fas are based on the value of t c work performed, Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ■ Other: mechanical materials. equipment, labor, overhead, and profit. ATECM, iCQ IFIRV QN ''.:`•:`.'' Value: $ - and 2 - Family dwelling D Commereial/industrial ❑ Accessory building • For speciel information use checklist. Multi - family ❑ Master builder ❑ Other: Description Qty, Ea. Total Job si" • 41rt4l T: ik ' Beaker/cooling or heat pump g site address: f L 0 2 O ) �^ ) �,,, ,fe Air ct I ' (requires silo (an showing placement) 14.00 , y City /State/ZIP: I k- I , i �� 0 It 0 12_, Furnace 100.000 BTU (duc($1vent9) 14.00 Fume= 100,000+ BTU (ducts/veins) 17 -90 Suite/bldg. /apt. no.: Project name: Jt r (�� Gas heat pure 1400 Cross street/directions to job site: ! V Duct work 10.00 Hydronic hot water system 14.00 _ .. Residential boiler (radiator or — hydronic) 14.00 Unit heaters (titel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: .. l Lot no.: Flue/vent for any of above 6,80 Other: 10.00 - Tax map/pareel no.: I Other fuel a , , (lances �, -"' Water heater . 10.00 Gas s fireplace 10.00 >, ra Ell - • C I _ Flue vent for water heater or gas fireplace 10.00 --- Lo- li y tar ?,• 10 - 00 Wood/pellet stove _ 10.00 Wood fireplace/insert 10.00 10.00 pi1,Q ' CP,Pia ,. .: , >: ` w other ey mer /flue/vent 10.00 n Name: I. 1 , ` # 1 A Environmental exhaust and ventilation '' \\ Range hood/other kitchen Address: • W I.I.Z1i711 4 , equipment 10.00 City/State/ZIP: \ , '� Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet com . artments, utili rooms 6.80 --- , t . . 'A ' crawlsacc fans ` , � � Attic/ w °f j 'AlR�2PkA p Other: 10.00 Business name: F • R • • 1. - . 1 1 1, it Fuel piping 1 P ' . O IONING, INC. 55.40 for first four; 51.00 fur each additional • Contact name: 0 ; • :. " ' - M_— furnace etc. . Address: NEWBERG. OR 97132 -_ Gas heat pump City/State/ZIP: p� Wag /suspended/unit heater P h o n e : ( 5 6 3 5 e / c () Fax:: (S 3 c] ©C iron F F heater E-mail: I Ran MIMI ' CQ,NTRA R '' i r, : Barbeb cue � �t M �r� `,� Clothes dryer (fins) Business name: II'V� � H V�a� HE ATING Other. Address: ING, INC. >t ►P11CAi,ra y.aw hit ■ . _ _ - • .:, - City/State/ZIP: NEWBERG OR 9713,2 Subtotal • Minimum permit fee ($ _ as Phone: ( ) i Fax: ( ) Plan review (25% of permit fee) �y CCa lie.: 1 �1 5 2 1 I - state surcharge (12% of permit fee) p - 7f TOTAL PERMIT FEE R'I , i ( - 44 'v' � This permit application expires if 1 permit is not obtained within 1. i Authorized signature: days alter It has been accepted as commies Date: D r ` fee methodology sal by In Building Industry Service Board Print name: - ta A 1A&rildiagu•QmbaMEC- ParmitA4 .doc 01/19/07 • , • • 1 (1 l/UZ/COM/WEB) V00/170012 XVJ 9C:bl 600Z/81./90 .i . A/C PUMP---UNIT SITE PLAN • . op- -,-,-) .............•..----............ . . FEET TO BACK OF PROP' -' TY LINE 14 4 11P S . o . • ..... • . W _ ,. ....... .... .„.. ,...... .....,,......„ , . . 0 .. . ,., . . . .. 7: FEET TO SIDE PROPERTY LINE • . . . , • CAM ' • ift: c z- -- / 1 f -g.L- . - : • . — g'-+---- - i . . ./ ' . • . . . to . . FEET TO FRONT PROPERTY LINE . _ -. . . . • DP1EtSS- 5ULli is ..iii. 41 g-D- . , . PLEASE REFAX APPLICATIpN 141T11 SITE PLAN • _ • • FOUR SEASONS HEATING a . . - AND AIR CONDITIONING, INC. , . . . , . • • • - 1005 INDUSTRIAL PKWY . NEWBERG, 09 971a2 . s - ,.- . • c, ...-• . -„'' . •.• . . .. , -