Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00263
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/21/2012
Parcel: 2S104AB09600
Jurisdiction: Tigard
Site address: 12345 SW 131ST AVE
Project: Stoner Subdivision: MORNING HILL NO.6 Lot: 125
Project Description: Install gas furnace, NC and gas water heater. Must meet minimum 5' side yard setback and approved rear yard
setback
Contractor: SUNSET HEATING & COOLING Owner: STONER, JONATHAN C & DEBRA S
0607 SW IDAHO ST 12345 SW 131ST AVE
PORTLAND, OR 97239 TIGARD, OR 97223
PHONE: 503 - 234 -0611 PHONE:
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Air Conditioning 05/21/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 05/21/2012 $46.75
Class of Work: ALT Type of Const: Water Heater 05/21/2012 $23.32
Occupancy Grp: 12% State Surcharge - Mechanical 05/21/2012 $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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 4 / �' r /
Issued By: t►d'(., Permittee Signature: D1 f PPLI C 4 T` i'&C
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.
05/18/2012 07:58 5032340439 SUNSET HEATING PAGE 02/03 c l-- -
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etr--
Mechanical PermitApplicatt ir , : 1 1 FOR oFficL USE ONLY ,
City of Tigard OR 972 Eli • it7iBl 5 a 2 sc Pcr "`" 4° .. e-4: A-oc1.143
.:11 13125 SW Hall Blvd., Tigaid, 3 1 - Firm Review
,1:, ,i • :•,:,,,, Phone: 503.639.4171 :Fra; 503.598.1960 mAy i 8 2012 Dateffir Other P t
ermi
Inspection Line: 503:639A175 Date Ready/By. ht l / El See Pogo 1 for
CITY OF TIGAD
•: -4 [ - ' . Internet: www.figard-or.gov ' Naed/meihed: VP Sopplementol Intormation •
R
• .
' i ',.,:........ .'4:'.. ,u,„eipitSitittae4„*.4.t.ra„Ng.M.-R,i.:% IP , :..01.804;4clliF c.fm.cvAst.:
- - — '''''-'-"••• ------- ' .-- .' -.• --- '''..-. •••" '••• ' ' • * meth - f perm it fees me based on the value of the work
0 New construction , ddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demblition . 0 Other: mechanical material&equipment. labor, overhead, and profit
value: $
; *‘; " ti4 ,■• • ; , .,:: 1 ::.# 8 .,, .. .M.
01 and 2 dwelling 0 Commercial/industrial . 0 Accessory building
For special information use checklist.
0 Multi 0 Master builder . 1:1 Other: Description ] Qty. I Ea. 'Total
. . "..••:•:',' ..''' VON: ..-- 1:K.:7!.% Heat___ j —
Air conditioning
Job site address: L23__5 A ,.. 1 5- Affr(... (requires site plan allowing placement) i _ 46.75
City/StateTZTP:-.3 Furnace 100,000 BTU (ducWvcnts) / 46.75
PUMilet 100,000+ BThillactatvents) 54.91
Suite/bldg./apt. no.: . ProjeCt name: • . Heat pump 61.06
Cromyairectidirectiona to job site: • Duct work 23.32
. ' Hydronic hot wntcrystcm 23.32
• .
Residential boiler (radiator or
• • hydronic) 23.32
• • .
— • Unit heaters (filet-type, not eleCITIC),
•
• ' • in-wall, in-duct, suspended 46.75 .
. — Flue/vent for any of above 23.32
Suhdivision: I.,ot no.:
• _ Other: 23.32
Tax map/parcel no.: • • Other foci appliances
...: ' Water heater /
23.32
• '. -- ::': '', :',', •••••••,'.1•1:•;•iVr.VF•Wirk:§diaittrOsifi*Wit::;.1.,R;:i,;2•4,11,.......,:.F.-,,,ri:',:. _
•• • , :,. • •”..... -,:.:.• 12.: :..r.--.1;n7'0.,..„„. ,, -2 . , - ;',', .1 .3' g. •••:.-• ;V. 6 : ,, ,: ,, :. .... ,...‘ 4,,.,..,-,..
Ore Prcplacc 33.39
-4" 14 -5 4- C4-44 cp5 , Gancta. 4 -le% Lq45 ____ Flue vent for water heater or gas
fireplace 23.32
iveakr, . Loaliehter (gas) - 23.32.
• Wood/pellet stove 33.39
• Wood Emplace/insert 23.32
• • 23.32 _
• .:. :' • -- „i$:` ,. ..'ft-'•''''.•,104` .. .: Chotiii:rncrifhtelvent _
23.32
--....i.: -
Name: . Environmental almost and ventilation
. ... _
Range hood/other kitchen
Address: equipment 33.39
-
City/State/ZIP: ' • • Clothes dryer exhaust 33.39
• • - Single-chid exhaust (bathrooms, .•
Phone: ( . ) ' . . . ' Fax: ( ) toilet compartments, utility rooms) 23.32
• - •%'.•-"" W : cAftinIn Attickrawlsnace fa' 2332
23.32
Rosiness nnmc:
____ ____________________ _________ _________ , Fuel piping
Contact name: . $14.15 fly first foot.; $4.03 for each addition I
Furnace. etc. .
Address: ' . • • .
.
Gas heat pump
C i i y/State/ZTP: I Wall/suspended/unit heater
Phone: ( ) . . I Fax: : ( ) Water heater
Fi atm
E-mail: • . ' ' • Range
nagg.Og r' Bubecue
, Clothes dryer (gas)
Business name: SW/ Se 1-4e4c,ftritto) • C,zry ID ‘5
Other:
Address: 0‘,/ oi 5 vo I d 0 ..t . ...;''',.::'411f..!,1/4.?:.1,N.4,4,0410-
,
Cit pryna trZ .• 47Z.3 • Subtotal J
Minimum permit fee ($90.00)
Phone:. (50) Z344....tip 111 • " Pax: (5D3 ) - I 3t.1 -0439 -
Plan review (25% of permit fee)
/C/3 lie.: • IAA 0 gs 0 t - -,. • State surcharge (IVA of permit fee) jg (y
, •
-
TOTAL PERMIT FEE
•
• • , This permit application mires if a permit le not obtained within ISO
Authorized signature: ..,.. , days after It hne been accepted as snmplefr-
I Print•name: "
' C„....6 6,4N . pe . • I Date:5/1134X I * Fee methodology net by Tri-County Bvikling indusny Service Board
05/18/2012 07:58 5032340439 SUNSET HEATING PAGE 03/03
NC & l.'u'II
SUNSET Site Plan
Fuel Company
DIRECTION
Name & Address:
Gn.2
0 70(k
(fir l oc\
HOUSE