Permit CITY OF TIGARD MECHANICAL PERMIT
11 1 1 1 COMMUNITY DEVELOPMENT Permit #: MEC2012 00390
13125 SW H all Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2012
TIGARD Parcel: 2S110BC10700
Jurisdiction: Tigard
Site address: 12059 SW STRINGER LN
Project: Bronson Subdivision: BULL MOUNTAIN VIEW ESTATES Lot: 5
Project Description: Install A/C. Unit must meet 5' minimum side yard and applicable rear yard setbacks.
Contractor: PYRAMID HEATING & COOLING Owner: BRONSON, STEPHEN D & DAWNMARIE
9409 NE COLFAX 12059 SW STRINGER LN
PORTLAND, OR 97220 TIGARD, OR 97224
PHONE: 503 - 786 -9522 PHONE: 503 - 941 -5138
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 07/25/2012 $46.75
Type of Use: SF 12% State.Surcharge - Mechanical 07/25/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/25/2012 $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.
Permittee Signature: /
Issued By: / 9 Q/I/ ff/ L�G/9 7'_Z�N
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.
07/24/2012 TUE 12:56 FAX.503 786 3432 PYRAMID HEATING a001/002
Mechanical Permit Applicatio FOR OFFICE USE ONLY
City of Tigard � i i as 42,--„fir r Permit NoH 2 )// _ no
13125 SW Hall Blvd., Tigard, OR 97223
JUL 11 Phone: 503.718.2439 Fax: 503.598.1960 J U L 2 4 : , - Date/By: Other Permit;
I
TIGARD Inspection Line: 503.639.4175 Date Ready/By Luria ®See Page 2 for
Internet www.tigarcl-or.gov CITY OFTIGARD Notified/Method: Supplemental information
_ 1 I�t I It.
w a _ r,. L ' :-- Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteration/replacement performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment labor, overhead, and profit.
:51 r _ - , re .- �.•� Value: $
_ 7. . Y om.- ' *- �.�...II :7t Y 5 �s,TAVi1. ' ' ' " rji ' r :sr-_�:1E -' -' �.cx• t •ac... ,..,.............4.- . ^t�..ir�
® 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi- family ❑ Master builder . ❑ Other Description I Qty. I Ea. j Total
;�!���; f•- �r�!'"��!�r�� r � - � �„••'� � r�•I?� :: r� :G. �� stinoolinQ:
. ,'r := a� a._ y !`� "y N CbL 41t :.. !' 4,7--'- E4'4j�mm;m Air He con
Job site address: 12059 SW STRINGER LANE (requires site plan showing placement) 1 46.75 46.75
City/ State/ZIP: TIGARD OR 97224 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldgJapt. no.: I Project name: 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: I Lot no.: Flue/vent for any of above 23.32
Other. 23.32
Tax map /parcel no.: Other fuel appliances:
aL " -v°„a+�' _ rye#;`'. ..._, , ,- _,._..�� --- r
. " � " _- :t . N- 1;: ' 014 . �o . Water heater 2332
INSTALL OF A/C Gas fireplace/insert 33.39
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
f.;.� i W r,, _ _ •s Chimney/liner/flue/vent 23.32
v.. . Idl t f; i =S V 4 ',z fih't
......: r. �L�3.' �. k'. `�.:s'`�'�- '.��'a$. 'S�- .ci.�. �.Mi+L•["icii-• OlhCr:
23.32
Name: STEPHEN BRONSON Environmental exhaust and ventilation:
Address: 12059 SW STRINGER LANE Range hood /other kitchen
equipment 33.39
City/State/ZIP: TIGARD OR 97224 • Clothes dryer exhaust 33.39
Phone: (503)941-5138 Fax: ( ) Single-duct exhaust (bathrooms,
toilet compartments, utility moms) 23.32
:.d > a __ ... ..: :77_:':.' _ .:: t .'�*s �, y a r y a �, e .
r 7i; ri ate . r:.• a F e 1 :- Attidcraw ce fans 2332
.. ' 9�.:F: ur3' _]r 1... >.,Cc...n3:�••- .•� o° � ' -L r- �..
Business name: PYRAMID HEATING AND COOLING Outer 23.32
Fuel piping:
Contact name: LISA MILLER $14.15 for first four; $4.03 for each additional
Address: 9409 NE COLFAX Furnace, etc.
Gas heat pump
City/ State/ZIP: PORTLAND OR 97220 Wail/suspended/unit heater
Phone: (503) 786 -7522 I Fax: : (503) 786 -3432 Water heater
Fireplace •
E -mail: Imiller@a pyramidheating.com
-r��.. : c1P'' u'tn�: s':r- c�-•,.'T.,� •,j;n:� ;*.c�Ti`=•i` - Fsa.. �?�:s_-¢.••. -- - nr, xs;':�4.�� .-r .. o. Range
- � .._ ':j .._..._.... - r v f; �u'�.�e,= �....., .1�- 14� � 1'�•v�c':,k�1•,1;� �• '�. �;:i�c, -. Barbecue
Business name: SAME AS ABOVE Clothes dryer (gas)
Other.
Address:
City/ State/ZIP: Subtotal
Minimum permit fee ($90.00) 90.00
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lit.: 59382 . State surcharge (12% of permit fee) 10.80 •
n ^ TOTAL PERMIT FEE 100.80 f/
Authorized signa . 1 ♦ !v `. This permit application expires if a permit is not obtained within 180
�
i I ILL IA days after it has been accepted as eompkte.
■ Print name: ` 1 `� 1 Date: 07/24/2012 • Fee methodology set by Tri-County Building Industry Service Board
1: 1BuildisgTamita \MEC•PennitApp.doc 03/07/12 440•4617T(11/02/COM/WEB)
07/24/2012 TUE 13:04 FAX 503 786 3432 PYRAMID HEATING 0)001 /002
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