Permit II CITY OF TIGARD MECHANICAL PERMIT
iv
a . COMMUNITY DEVELOPMENT Permit #: MEC2012 -00308
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/07/2012
TIGARD . 9 Parcel: 2S110AD08200
Jurisdiction: Tigard
Site address: 14809 SW 106TH AVE
Project: Phillips Subdivision: LANG HILL NO.2 Lot: 74
Project Description: (1) heat pump install and air handler Must meet minimum 5' side setback and approved rear yard setback
Contractor: OREGON HEATING & AIR CONDITIONING Owner: PHILLIPS, JAMES & ANNE
PO BOX 241 14809 SW 106TH AVE
DUNDEE, OR 97115 TIGARD, OR 97224
PHONE: 503 - 691 -9699 PHONE: 503 - 244 -3420
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Heat Pump 06/07/2012 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 06/07/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/07/2012 $28.94
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. ,Q/� /� I
Issued By: 8/442
Permittee Signature: OA T't'1 1'L1 C�4
• 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.
06/06/2012 11:21 503-691-8556 OREGON HEAT I NG
PAGE 01/03
Mechanical Permit ApplicationaECfr i VE FOR OFFICE IISI' ONLY
V ar-
— . 'zia r *carved
City of Tigard 2- SC Permit 14 90(Etaptael - • 0 03Ce i
e
Ili 13125 SW HHall Blvd., Tigard, OR 97223 JUN 0 6 2012 pi. Date/By: t Rcview
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Pennit:
1 . G A. R. 1 - ) Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadYn3r il dr la See Par2 i tor ,
Internet: vrww.tigard-or.gov BUILDING DIVISIO NotifieellMethod: meobi
I LA Supplel Informobou
. • • , • TYPE OF 'WORK '.. L • :' ' ' • • • . .• : • • • • • .• ..; , COm1ERCiAL FEE*. scRERptE., .1.1sEciEckusr .-
,
ical
Mechan permit fims* are based on the value of the work
0 Now construction IN 6fP---: performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition iD Other: mechanical material l equipment, labor, overhead, ajud noBt.
• ... , : ' . .. .: . .; : .! - ': .. ri:.:..:::::i Value $ ",.f . .1:" . : .,.,,i . ,..;
r . . • • • ''-"-.-.--....-.. . . - C . . . . . ....:. .; EQUIPMENT / SySTElvt5 F 'EFS'`• : :"
1171 and 2-family dwelling 0 Coninicrcial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I W- 1 Es. i To
'• . : .. • . '. ' . . . Jos srrE ingroamATioN.:1Ativ..xticA:noic ''...'-`:.." :' ': ...-.%:' ::.' IleglthWie°°Iing .
• • • • - • . Air conditioning
Job site address! / SW 0.6 4ve (requires site plea showing placement) 46.75
City/State/Z1P: 7; w d c R 37.22y Furnace Furnace 100,000 BTU (duetalvenb) 46.75
., / Furnace 100,000+ BTU (duets/vents) 54.91
Suitc/bIdgJapt. no.: Project nartfi_f11, o p,r_..... L . h .,. E//____ Hem pump r 61.06
.
Cross street/directions to job site: Duct work 23.32 ,
Hydronic hot water system ., 23
• Residential boiler (radiator or
hydronic) 23.32 _
Unit heaters (fuel-type, not electric),
in-wall in-duct, suspended, etc. . 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 2332
Tax map/parcel no.: other fuel appliances .
:: -.',...., :::,. • . :... • ; ..:.; ..'. : ! . . • PESCIURPOt.bt :.:.;',',„. ..:.ii ' . , ,.:.,s,.;.,,i„. Water heater 2332
Gas fireplace ... 3339
-I/151 ARosf pArvr am/ cp /--- _ . Flue vent fbr water heater or gas ,
fireplace 2332
— - Loa lighter (PO 23.32 .
wood/pellet stove 33.39
_
wood fireplace/wen 23.32
- . ,..., . . ..: Chimney/liner/flue/vent 23.32
. : . • ...
PROPERTY li•;
OWNER . •••••••:':- .....,....,.. '• 1 .,. • . 1 1 . 1 .r4104 -..,....:....:'. ' Other __
— 23.32
Name: Tames 4,1ne PAiltips. Environmental exhaust and ventilation
Range hood/other kitchen
Address: /giro? Sl /06 A equipment 33.39
City/StateP1IP r? 01:z 9 12'( clothes diver exhaust 3339
- Single exhaust (bathrooms,
Phone: (S63 ) 2 L - y 0 Fem.( ) . toilet compartments, utility rooms) 23.32
:..;.••••,...1 : :. •••::::Nr:AprtICANT . . ••' .: z...:i: ,..:.:,! .11 :.:.•:,:,:...:,:. Attickraw filIace 32
., . ". • •
• - . ' Other: 23.32j
Business name: 0
reas kient C Irt_lelpiPint
6/
Contact name: I,- e L6 S14.15 for first four; S4.03 for each additional
.Y , .
, Gas heat put 7 Furnace, etc.
Address: PT
IO° Si,/ /fr.z /ire
up ,
City/State/ZIP: 7(1 ag 9 los-2, Wall/suspended/unit heater
Phone: (5 ci
s3' )6 ul Roc : ( ) Water heater
E-mail: . Range _
'..., ' • ''.:...:.. . ' :., ... ::. • ... ::':'....' ': dirtRACTOty:'... ‘. .:."'.., ::!;:: : ,, ., , :: : k : - . - : Barbecue
Clothes dryer (gas)
Business name: 07.rn Na af" .
Other
Address: /1703 ji. firoci Are C: ivfECif4J11C.AL. PERBfrtFEES*. . : • ' ..'" .. ,
City/State/ZIP: 77„,4 117 Subtotal G(- 0‘
Minimum pennit fee (S90.00) 50. --
/hone: (5° ) C/1 1611 Fax! ( ) Plan review (25% of parish fee)
/ CCB liG.: /72126 • State surcharge (12% of pennit fee) _
TOTAL PERMIT FEE iao . zo ,.../
Tins permit application umpires if a permit is not obtained within no
Authorized signature: ' , days after it has been accepted as complete \
_..,
Print name: 7, kr Gii,,,„, ,4 Date: et /2 • Fee methodology set by Tri-Coanty Bmlding Industri service Bca .
06/06/2012 11:21 503 - 691 -8556 OREGON HEATING PAGE 02/03
- 120 . 6 °0002
First Floor
0 -107 cfm
la 107
. 748 cfm
First Floor
10 41_
El 107 dm
10 �
N
El 107dm
Jurisdiction Tigard
SW 146th Ave
Job Oregon Heating & A/C Scale: 118' = �
Performed for: Page 2
Anne Phillips 19300 SW 118th Ave Runt suns Residential
14809 SW 106th Ave Tualatin, OR 970 82 6.0.108 RSR39325
Tigard, OR 97224 Phone: 503- 691 -9699 Fax 503- 691 -8556 2012- Aay -31 13:42:27
phone: 503 - 2443420 14�ta lFolderRedfreec0ortsltmc ..