Permit CITY OF TIGARD
MECHANICAL PERMIT
iii III
I:: - COMMUNITY DEVELOPMENT Permit #: MEC2009 -00263
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/05/2009
Parcel: 2S 111 CA02300
Jurisdiction: Tigard
Site address: 15461 SW SUMMERFIELD LN
Subdivision: Lot: 0
Project: Moench
Project Description: Replace furnace, install A/C
Owner: FEES
MOENCH, HARRIET Description Date Amount
15461 SW SUMMERFIELD LN Air Conditioning or Heat Pump 06/05/2009 $14.00
TIGARD, OR 97224 Furnaces < 100K BTU 06/05/2009 $14.00
PHONE: 503 - 639 -4263 12% State Surcharge - Mechanical 06/05/2009 $8.70
Minimum Fee Adjustment - Mechanical 06/05/2009 $44.50
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: Permittee Signature: dA/ /--ID/JG i eg977a , V
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.
06/02/2009 14:22 5032340439 SUNSET HEATING PAGE 02/03
Mechanical- Permit APplicatio (RECEIVED l i „i f I' l e 1.l 1
City of Tigard Datemy: 0 s , 4 A Permit No EC ' . / i
,� .-/ , .. . 4
II 1312S SW Hail Blvd., Tigard, OR 97223 JUN 0 2 2009 Pan R
Phone: 503.639.4171 Fax: 503.598.1960 Datdsx Permit
t I , t Inspection Linc: 503.639.4175 Date Beady/By: f8 See Page 2 for
Internet. www,tigard.or.gov CITY OF TIGARD NodAodlMethod: I. Supplemental Infornimion
- BUILD r ►
Mechanical permit fees* are based on the value of the work
❑ New construction IX Addition/alteration/replacement . pa weed_ Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profiL
19 1 and 2- firmly dwelling 0 Commercial/industrial ❑ Accessory building Forspectal bJtrrntoHon rsecheckllsr. .
0 Multi - family Q Master builder 0 Other. Des p � En, Total
Job site address: Air conditioning or heat pomp
c S U�v1teyvue-p-�i g (requires site elan Showing Placement) 1 14.00 1
City/State/ZIP: 11 /} r " l o ' a q Furnace 100,000 BTU (duct eats) , 14.00 (/ r
Furnace 100,000+ BTU (ducts/tents) 17.90
Suite/bldgfapt. no.: Project name: . u', . A A Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
— Hydronic hot water system _ - 140
Residential boiler (radiator or
hydronic) - 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: ao . Flue/vent for any of above 6.80,
— Other l_ 1 10.00 _
Tax map/parcel no.: Other faetappliances
ii, Y ,.. ? ',, e0 7 , - ltl F� � ;2 i fai ; rz 1 7 /.,;:-..'
a , y . 5 , i V r Waterheater 10.00
,.0.;...1,1., .., Gas fireplace 10.00
/ n.... , f i _40r/, r ' Flue vent for water heater or gas
fireplace 10,00
Log lighter (gas) • 10.00 ,
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
C , I y Y r 1 , ., 7 - t 3 - y, , r ,-, r ar 1 ,,„: i rl, , „1 i IZr x u — �'' v , Chirrney/liner /flue/vent 10.00
,,L,„„ Nr d', R
s r , . y '+.,.•.) .: .-
!t .,M,'.' . `3 .4: I1 - ,i .b ,ti :k. s!1 r.'a•
. .,,. _ r ; s
. . :,,:.'.L other: 10,00 J
Ntmte: wet .i rn (V I. Environmental exhaust and ventilation
dress � J Range hood/other kitchen
A
_ 1_5 • I • _ 41 ill /t„�a Pr` -��1 e 10.00
City/State/ZIP: > / i'l era. [/ Clothes dryer exhaust _ 10.00
Single -duet exhaust (bathrooms.
Phone: it. 3) ( 3 .. if.a(03 ere: ( ) toilet comjaranents, utility r000rns) 6.80
, Y'„' .'•.._y- ."7^..• 1'..'l
JI' r r h. v { 1 !. k" hn eL od v� li r r d 7 n t, '` � 1` ALIIC/CraWl5paCe fans 10A0
R ,. ., f r., ?Lw ,.,a. ... , L.i. x .1;4.:.. �, S,i!tit > , s , r 5. 10.00
Crth►er
Feelpiping -
Contact name: ., $5.40 for first four; $1.00 for each additional ,
Address: Furnace, etc. , -I L .
Gas heat pump
City /StateiZlP: Wall/suspended /unit heater I iliTil Water heater
Phone: ( ) Fireplace
E- mail: Range
1 ,'. . r : i.T '.7 t� .F7"f i , lip ' 1) ', r , f 1
• Barbecue •
ate., .. . . ... .. ,, ., r �.. J,. ,, ,,.. �' .: , Ir10.,. r. cr .- .t~�Xa L t �q.4r..f. ;,.. ,: ,': , .i, '' , . - ' ��1.6 n
Business name: Sunset Heating & Cooling Clothes dryer (gas) Other
- Address: 0607 Sw Idabo St I' , t 1 • :
City/State/ZIP: Portland OR 97239 . . Subtotal -'
Minimum permit (be ($72.50) i,2' ) V
Phone: (503) 234 -0611 Fax: (S03)234
• Plan review (25% of permit flee)
CCB lie.: - 161085 , - . _ -State surcharge (12% permit fee)
TOTAL PERMIT FEE t .( •
Authorized signature: i'�� This permit spoliation crofret if a permit is not obtained within 150,
day■ afkc it has been accepted as complete
1 Print flame: Ot A i `�' Pce methodology set T -Coo Building Industry ScnAee Bomd
.� r wNd V1Gti 1 Le �b' • Date: lP 0 ' . • �r ty -
trtauudtaatorrmit sincreroiunpp 01/10,07 - . 440-461/T(11 /MI M/WEB) - •
. 06/02/2009 14:22 5032340439 SUNSET HEATING PAGE 03/03
A/C & H/P
Site Plan
Sunset
HEATING & COOLING
Name:
Address: i5-i LL
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HOUSE