Permit •
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00357
•
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/20/2009
Parcel: 2S111 DC08700
Jurisdiction: Tigard
Site address: 15755 SW OAKHILL LN
• Subdivision: Lot: 0
Project: Ross
Project Description: Install NC. Must maintain a 3' rear and side yard setback
Owner: FEES
ROSS, WILFRED/MILDRED R Description Date Amount
15755 SW OAKHILL LANE Air Conditioning or Heat Pump 07/20/2009 $14.00
TIGARD, OR 97224 12% State Surcharge - Mechanical 07/20/2009 $8.70
PHONE: HONE. Minimum Fee Adjustment - Mechanical 07/20/2009 $58.50
Contractor: -
SUNSET HEATING & COOLING
0607 SW IDAHO ST
PORTLAND, OR 97239
PHONE: 503 - 234 -0611
FAX: 503 - 234 -0439
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: al Permittee Signature: InL anti I te(
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 Mechanical Permit Appli EKED -
City of Tigard
Date/BY: Pamir No. egoz`t - UO3S�
13125 SW Hall Blvd., Tigard, OR 9q.p
Phone: 503.639.4171 Fox: 503.59 &E950 1 6 2009 Plan Review
other %
I It, \1:1)
Inspection Linc; 503,639.4175
Dam/By:
Imterrtet wwW.tlgard or.gov DS° �Y
CITY OF TIGARD Notified/ S s a l for
�
LD - _
UI ING DIVISION
r : 7. ; I 1 l r N% Y 7 ,T _ r iy. ) ' J r r
; - " a i. .I '_ %'r'I ,
El New construction /_( Addition/alteration/replacement Moelwaical permit fees* are based on the vulue of the work
0 Demolition ❑ Other performed, Indicate the value (rounded to the nearest dollar) of all
c'i , ta mechanical materials, equipment, labor, overhead, and profit.
. h ` -,. ,-::;,-., - ..;' , ...::...i.:•:, 11U T
1 - and 2 family dwelling ❑ Commercial/industrial 0 Accessory building - .. - ' -_, _
Far special Wormat/ort *se checklist
❑ Multi - family ❑ Master builder 0 Other E
..
r 41 4 S"' r ' / I - � { "' - . 4 Description Qty. I Ea. I Total
•'" ` Hea , coa .
Job site address.
15 -15 s j 3 Oa .h11 . Air conditioning or heat pump
(moires site plan showing nt) 1 14.00 1(y .l
City /State/zlp: 'j Gn aaLI Furnace 100,000 BTU (duct ) 14.00 _
Suite/bldgJapt. no.: • Project name: K OSS
Furnace 100,000+ BTU (duct�/vewe) 17.90
Gas heat • 14.00
Cross street/direetions to job site:
Duct work 10.00
Hydrottic 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: I Lot Fl : 10.00
ue/vent for any of above 6.80
Tax map/paroel no.: 1 '
Other fuel apptlauces
r ,•v
t , o.; ., ,_ f _a . ,.....„,,,_-..,.,;:;,n,;; ', c i:.{ .? t Y t J . t1 '`` $a o, 1 i L ! r . , 1 ' l i ` L v e 1 . L. Water heater 10-00
1 - 1 O Gu 6lnpluce • 10.00
-
Flue vent for water heater or gas
fireplace 10.00
i Log lighter (gw) 10.00
•
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
rt W c Or
i L it 1 i . l � �� �� a .. ,' � °':n IrMic fP, 10.01)
wt - t : 1 �,n - e z. Chinrneyniner/0uc/vent
.. • �' c L S_ a �1�� ..�iS ')k a�.�..i�!::,�f'!? �
Name: Ott, 10.00
Environmental exhaust and ventilation
Address: ' 1, r1 Range hood/other kitchen
City /State/ZIP: '-13 a Cn�}a • C othe d er oxhrwt 10.00
Phone: I 2 10.00
(�3) C( Q Fax: ( )
Single-duct exhaust roe
i ,f i ; ! i a ° �r� � , � � z < , toilet comportments. utility rooms) 6.80
',{1 pie' � J rX `J ` � ,h o , f. ,1 r s '�;Z t 41 u a _ y ,•
L..- .- _... ..i ce ,.... r ........-4,4:4./1 fL'. "A . , f r� 4 ' ,,i . Arte/crawts., 10.00 '-
4
Business name: other 10.00
Contact name: Fuel i • i
$5.40 for first four; $1.00 for each additional
Address: Furnace. etc.
City/State/ZIP: Gas heat�mp
WalUstu • ended/eutit heater
Phone: ( ) y I Fax:: ( ) Water heater
E-mail Fare. •
- r` Ran .c
Y T'� 4 ! ✓* z 1 2 7- 1 , , -1 , .,1:r . :7," y . ! r i arbeetie
Business name: Sunset Heating & Cooling Clothes Cr .: )
Address: 0607 Sw Idaho St -� MI=
i t a4riuya�; , ti
City/ Ste, ZIP; Portland OR 97239 '
Phone: (503 — Subtotal (MIN '
2 34 -0611 _ Fax: (503)234-0439 Minimum permit Tee ($72.50) 2 t, -
CCB lie.: 161011S - Plan review(25%ofpermit -fee)
- " - - - - State su (12% of permit See) . 0
AuUwrizedsignaturc: TOTAL PERMIT FEE t3.4 4
Print . ' _ _ . Thin permit smar:Aden emirs if a permit la net obtained within 180 • • •-
name r (' r 111 1 Lo • bate; days after it has been accepted as completes
r:uruildiaac - 1�1 F e e m c th ado10 r set by Tri Cottop� Building ladustry Sorvica Board. -
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A/C & H/P
Sunset Site Plan
HEATING & COOLING
Name:_____Wif
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Address: ,+ _5.
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