Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00283
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/04/2012
Parcel: 2S109AB13200
Jurisdiction: Tigard
Site address: 14274 SW STELLER'S JAY LN
Project: Chen Subdivision: ALPINE VIEW Lot: 13
Project Description: Install NC Must meet minimum 5 side yard setback and approved rear yard setback
Contractor: PYRAMID HEATING & COOLING Owner: CHEN, ANGIE C
9409 NE COLFAX 14274 SW STELLER'S JAY LN
PORTLAND, OR 97220 TIGARD, OR 97224
PHONE: 503 - 786 -9522 PHONE: 503 - 997 -8996
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 06/04/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/04/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/04/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
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. /�
Issued By: j// Permittee Signature: Du /4P/"LC,4_77 2 �y
.L
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.
'05/30/2012 WED 8 :55 FAX 503 PYRAMID HEATING Q001/003
S
Mechanical Permit Applica 1 i ro12 OFFICI'. USE ON LY
City Ti /
y o and ;��: END Rec /�
IN ° 13125 SW Hall B1vd., Tigard OR 97223 �[' 4 �� y Permit No� I j,,� O(,� '
� '
Phone: 503.7182439 Fax: 503.598.19m' A? 3 2012 Plan Review 2 Date/By: other Permit •
Inspiiiiiin Line: 503.639.4175
T 1 G A R b . Internet - .www.tigard - or.gov CITY Date Ready /By li/ See Page 2 for
O � � a � fl oti6ed/Me - • Supplemental lnfoi matte..
LL , 1 * k �n+r - 1 a : o- t 1 r .. � ,� �t . 4 IP. lei ?'d rL l�� 1 c Lo
d �'.. -,•, _sue-`-#- t r - h n 1 .CJ r .h� -..- - -- w f ees• are based on the value of the work ■
❑ Addition/alteration/replacement _i 1 :
New construction r/ M ec h an i ca l permit f performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition • Other mechanical materials, equipment, labor, overhead, and profit.
_.;'u . ^^>9- .zar ! r ^u'�r,`s' : _x - : er ;� e'ci8 vT m a:: _ • : : _ _r... _ Value: $
1- .4 : i t E : tf; ,r,J∎S∎,r3 , tt[ `N.A , i E =i t, ( .1. , r •'_ V' £ ` � 7 s � a ., ; ." . --, -
}} 1 c
E4- .,,' :._�.Lu -. . : :>_. ..... - ,.:,.....r....m 4.•r -. ",'",1 , a4 , -- , . t �_N.a_� LL
._,. . _ -.._,_ , I`I t 4 1 v,, U t U ' , „, . .i ",,,
•. 5, �_.._ a ... G,., .... .:. ..,.. ...L. is_ ..�. .
3. ^ -. _..... J�
` 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For speciallujormmion use ch y L
❑ Multi- family ❑ Master builder ❑ Other. Description Qty. I Ea. I Total
re. htlif�°I` g.r - ,'L--_''`[!:t`y+....,y�., 11 - 00 ._.. -" �:e- : -ti -' ,EArt... : r :-; _: ; . -.,_. 74,-,,„ ,1- , Heating/cooling:
coolie
ift :P: - . -,, - ';�'t,: :.'4-1 t�. Ilelrlik.l P .l v fR!(GJs 10 rice 2 " h'T __ a 1�=t7 A
.._� ,- �._e�......� -s� r ._...1 n::,:.wt ,2.,.- --- -�... �.xv.._ :�, r,::.. Air conditioni ng
Job site address: , . '7 '.1Wab (requires site Plan showing placement) I 46.75 pr e
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 46.75
�• a_ Furnace 100,000+ BTU (ducts/vents) - 54.91
Suite/bldg. /apt no.: Project name: 1 i ,' Heat pump
( requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in- wall,' in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other. 23.32
Tax map/parcel no.: Other fuel appliances:
..... �,•. .' f..� 1._.._pa -�: `: ins.,. -. .•..
c=.__.• -_. x: �_ _- i • ;Nv6 1 0.;» : ° t .:, ;' ` = ;=I'_: e _
..1.._x1. • -,.... _..- � :.__ ... ti p•�'� .._.,...:. r "•-;' =?r Water heater 23.32 :_ •
t•.. ® '�
' =., '. =�.: ... s1.::. _r. : s�s:.:c'_:s_.v_:r_ °�raw::.a ^Fix: :__'S'
Gras fireplace/insert 33.39
_ �i / _ Flue vent for water heater or gas
' fireplace 23.32
. Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
n .;',r :.: :,_ :, r. - ::. - °:w ''<, : - "" ,+Y;s< -sf Cbitnn /liner /flue vent 23.32
.a. II
_(.�Ik Y ` Y 'i',u!A --,Y �l � ti .tb k 7 - - - ,J ti.. ' '
..d`t-E'� Y _ t;r
s, ......., ,;., :T - ....., : ... --. -• ,.._ .. -� _ . � .mo - - -,-- . - ..-- - - -- _� _ - _ 722_•' Other. 23.32
ME j °E r ,, Environmental exhaust and ventilation:
Address: laii1111M4TIIEMMERIZAIM Range hood/other kitchen
equipment 33.39
ma e ei
it.. IAMI Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone:
02) 77. J �r , Fax: ( ) toilet compartments, utility rooms) 23.32
4:, i75:, "" 7,1177 ::1 :.r y ir °.! -Y i!;: •'.'� l g � l:F- .-_. .; _4 ; . s' 65 i• A .l .
a 5 , a TL4� ` I k t�cl�o- c e- ,. i,p ,,J,
Other: , L,, a Attic/crawlspacefans 2332
1 / a ! r- 23.32
Business name: I is r'' _.► L.
Fuel
Contact name: piping: 1
S1415 for first tour; $4.03 for each additional
Address: O . N a t f s Furnace, etc.
� Gas heat pump
City /State/ZIP: e i g Wall/suspended/unit heater
Phone: hi) . , i `, �� IMIMIRMIIINZ Water heater
Fireplace
,7111:1117 I1/ . Range
2 ;-a. t l - .. .._... :.a. Jt , `IAVO.0 4 i'':i' :0 Z J _4r . : v.� k:'; ... ' -_ „ "tom; : Barbecue
• Business name: Clothes dryer (gas) • Address: >� f C jI Other
f r sr 4 . v �i bc , ;,-.4).
City/State/ZIP. : sominuffiairamiim Subtotal , •
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) ' D
Plan review (25% of permit fee)
y i State surcharge (12% of permit fee) /Q / 9 v
TOTAL PERMIT FEE /(gyp.. ti)
Authorized signature: ' - Thls permit application expires If a permit is not obtained within 180
44& 1 / days after It has been accepted as complete.
Print name: J/ \ ( �/ Li /t,5 p' I Date: 5/300 i a k • Fee methodology set by TriCounty Building Industry Service Board
1 :\Buildmg\Pe \ M
mituEC-PermilAp p..dot 03 1Ci 440.46171 (I 1/02/COM/WEB)
•
05/30/2012 WED 8:56 FAX 503 786 3432 PYRAMID HEATING Cj002 /003
•
1 1 I _ _ ' vY _ 9409 NE Colfax Street, Portland, OR 97220
HEAT! G i' & COOLING
t y , office 503.7869522 fax 503.786.3432
wvrw.pyramidheating.com
:iii:
withstanding the test of time
OR CUB: 59382 WA CC: PYRAMNC964P8
Address: 14274 SW Stoners Jay Terrace (Department) Call type: 0
City Tigard State OR Zip 97224 (Problem) Job type: Job -Repo
County.
Jobs? 17664
Estimator. Dave Salholm
Mechanical Site Plan
Please Note: Direction - Gas meter location - Vent termination location - ODU loeeio Street name
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