Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00120
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/07/2012
Parcel: 1 S125DB03300
Jurisdiction: Tigard
Site address: 9380 SW 74TH AVE
Project: Settle Subdivision: BOULEVARD HEIGHTS Lot: 15
Project Description: Installation of central heating system. Placement of a/c unit must maintain a minimum 5' rear and side yard
setback.
Contractor: SUNSET HEATING & COOLING Owner: SETTLE, TERRY & SALLIE A
0607 SW IDAHO ST 9380 SW 74TH AVE
PORTLAND, OR 97239 TIGARD, OR 97223
PHONE: 503 - 234 -0611 PHONE:
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Air Conditioning 03/07/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 03/07/2012 $46.75
Class of Work: ALT Type of Const: FlueNent For Any of Above 03/07/2012 $23.32
Occupancy Grp: 12% State Surcharge - Mechanical 03/07/2012 $14.02
Stories:
• Fuel
Fuel Types:
Gas Pressure:
• Total • $130.84
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 -0090. You may obtain a copy of the rules
or direct ques • -• UNC by calling 503.232.1987 or 1.800.332.2344.
Issued B : / , 062-444A-A-4 Permittee Signature: / ,A,�07r
•
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.
•
03/06/2012 09:14 5032340439 SUNSET HEATING PAGE 02/02
Mechanical Permit Application I FOR OFFICE USE ONLY
City of Tigalyd Day: !Q Permit �Llo�o %? -d4 4020 13125 SW Wall Blvd„ Tigard, OR 97223 Plan Review other Permit:
m ' Phone: 503,639.4171 Fax: 503.5 r1 0 �`1, Datc/By:
inspection Linc: 503.639,4175 1 f,',0 Nosircd/Method; Date Ready/By: hu4, RI See Page 2 far
T i - Aift, Internet: vuWW.tiRard- ot.�+(ty Qv Supplemental lnfnrmation
.. ,, + ,S ,..
� �`Cl�� �. G� AU1ts t v .Y
:US ` IS'I',
. ` ' ; - ` .`, . , . ' • „' :^ ' ,Q. v Mechanical permit ftes'" are based on the value of the work
❑ New construction ddition /altcratio � l � ' eat performed. indicate the value (rounded to the nearest dollar) dal!
0 Demolition ❑ Other: mechanical materials, equipment, labor. overhead. an j rofit,
Value: $
: ' kieti ,bi!i tiettON, ; : . .. ', 'i ..:..A.•:,,' >f.r.y.. EM5'FEESa.
.... . .. C .... r, -' ; ' • Lr.*, 1? T , F���1� J7 iAIrL�
- and 2- family dwelling ❑ Commercial /industrial 0 Accessory building For special information use checklist.
❑ Multi- family 0 Master builder ❑ Other: Description "Qty. I E. 1 Total
- • J1,) 13; SL7E., 11! 1�01>; ��_ 2?[ ON': �1; I _ :.� : : •;,; : :, `;`�; ^;
''; = Heatinf!/eoolinR
• 44-4-1 - ""``' Air conditioning I 46.75 • ��
Job site address: q / 6 (,� • ulres site .lam shewin i • Ineemont,
City/State/ 00 A 0 r i 0e q •7; -Z
Furnace 100 000 BTU ducta/venta 46.75
Furnace 100,000+ BTU (duerNvents) 54.91
Suite/bldg. /apt no,: Project name: tLTre- — Heat .um` 61.06
cross strccthlirCCtlons to job she: Duct 23.32 23.32
,.__...,�_. - _Hydronie hot water system
Residential boiler (radiator or
..,_ hydronic) 23.32
Unit heaters (fucl•typc, not electric),
in -wall in -du su ended ctc 46.75
Flue/ven for arty of above ( 23, 32 '2 ,!. .-
Subdivision; Lot no.: Other: —
. Tax map/parcel no.: Other fuel appliances
- •, , Water heater r _ 23.32
s' : "' Gas fircylace 33,39
, �� 1 Flue vent for water heater or gas
��� :'.'a ill, frcplace 23,32
— Lo li tr ier 23.32
Wood/. cllct stove 33.39
Wood fireplace/insert 23.32
/fluelvc 23 . _
`PROY!)Ei.#. L1WN1r10 .. _. •• 1':` .. • . • Other 23.32,
Hiner
Name: Environmental exhaust and ventilation
Range hood /other kitchen
Address: equipment 33,39
City/State/ZIP: Clothes dryer exhaust __ • 33.39
4' _ _ single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility mom s) 23,32
h ;>:, , Attidcrawls fans 2332
0 A 3?1'•1rICe�Nil' ' ... .,. ;;? E ; ` T " 1` 1 1 J 23.32
, _ ... GOSAC Other. ,
Business name: Fuel piping
Contact name: w _ $14.15 for first tour) $4.03 for each additional
Furnace, etc
Address: Gas heat • um.
City /State/ZIP: Wall /suspended/unit heater _
--- Water heater _ _
,
Phone: ( ) Fax: : ( ) Fi place .
E -mail: Range
:ii':..tbi 7 ; ' .. Barbecue
,.. Clothes dryer (gas)
Business name: s'l .n Se* Weed -oc `v crt)lit - Other:
Address: C(00I Ski) I dai.tiC 'tree" _ ::,.' 1V11 NfC ) g11117I1' *E . :' / :
(Sty /State/VP: P -lAAwl. 0 4i7 2..1 subtotal We . rd-
Minimum permit fee ($90.00)
Phone: ( 7) 234 .-Gig i l Fax: (515 ) Z Li rC 431 9 Plan review (25 %ofpermit lbc)
CCB lie.: f IN I CI ,T5 „ .,� . 2 �' State surcharg p ermit fee) . o y 4 /
TOTAL PERMIT FEE 136 • t1Ni/
This permit application expires if o permit it not obtained within Pi0
Authori?ed signature: days after it has been accepter a. cemetery.
y ~ /f Date: 3 /, • Fee teethodolor,Y set by Tri•Coimty Building Tnduslry Service Board
Print name: ti � ,V1C. p�,(�Q� .
" J Ann.Iae?r ii1miroMW5D
03/07/2012 07:10 5032340439 SUNSET HEATING PAGE 02/02
- d, A/C & , ,„„
SIP
SUNSET
Site Plan
�1 Company
DIRECTION
Name & Address:
HOUSE•
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