Permit if✓
CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2009 -00296
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/22/2009
Parcel: 2S 103DCO2400
Jurisdiction: Tigard
Site address: 11330 SW VIEWMOUNT CT
Subdivision: Lot: 0
Project: Watkins
Project Description: Install A/C
Owner: FEES
WATKINS, KEVIN M AND GAIL C Description Date Amount
11330 SW VIEWMOUNT CT Air Conditioning or Heat Pump 06/22/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 06/22/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 06/22/2009 $58.50
Contractor:
PIONEER GAS FURNACE
2636 NE SANDY BLVD
PORTLAND, OR 97232
PHONE: 503 - 249 -5000
FAX: 503 - 249 -8260
Type of Use: SF
Class of Work: ALT Type of Const: VB
Occupancy Grp: R -3
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: ,Ai` \, Permittee Signature: 50k A
F r
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.
•
f . T _ Jun 17 2009 12: 26PM HP LRSRECEW ED p . 1
Mechanical Permit Application JUN 1 7 2009 FOR OFFICE 1.SF ONLY
City Ti and Received
131 Hall Blvd., Tigard, OR 97223 Date/By: Permit No.:, ��, , _ 0U ,246
III • Phone: 503.639.4171 Fact: 503.598.1960 CITY OF TIGARD Plan Review Other Permit:
Inspection Line: 503.639.4175 BUILDING DIVISI @ ;`' teB y :
T I tl I; I ! P s : to Ready/By: Aria: la S e e P 2 for
Internet: www.ti and -or. ov a �
g g Notified/Method: Supplemental Information
-., y� u gg# .•, d �. q , ' ? F t'4, W i , = -f = ta�a)yq>. j , r it y 5, � i"'"' :. . - , ,,._,°, .
.,..'t.s �.. ., .....,a..m's•.vx.X•t; .,.t,%{ «.i.,,r1°S!,i
. ::�. �c+;.�m, ,'�!!,' `",7r..s(..� -. ..: ?C'���.��t�:p_;1..p -: �({ .y�'.�',LV ,_ -. .. -
:.,.. _. :_-. ,. .�E.S4»UUI: ,
E] New construction 4ddidon/alteration / replacement Mechanical permit fees" are based on the value of the work
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other. mechanical materials, equipment, labor, overhead, and profit
�,: . t Y +t �•�' ''rCATGORY• - O O . (°flO nt': Vii= ;wu z?;'; „ ,
L
������ :v= �::,c':`�...�,���.,... _ ,,�1��, ���.: �''�'-r���u >4 -a> -- �;�:," Value: $
, EA 0 FFE "'':�
0.1 -and 2-family y dwelling ❑ ❑ Accessory building ID 1 Y z
El Multi-fami ly El Master builder ❑ Other: For special information use checklist
_ Description I Qty. I Ea. I Total
a'P�T •• 35:f:1•:.-�3;.i" Q . i '-fi :i".- _a jl''::r`g•;. =.
Heating/cooling
w M4''- .i'! •'J B , , R1 Ac .1 AI 0 jY .» tt-
�i1, ;��- <;�;:•. . ,, �.: Q)!t%. , LOCATIA .',;__ � fal�w-
Job site address: ,� Air conditioning or heat pump
(requires site plan showing placement) ` 14,00 14 --
City/State/ZIP: V \ f CAL. ` � O 2 -)-. 3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended, etc. 14.00
Subdivision: Flue /vent for any of above 6.80
Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
*(sv M3u DESCRI�PTUNIFOId WORIC`c "" W ater heater 10.00
. - .. _:r , �:: r, -.... c„ p......,., a :. _. �. v,_.�,I. !! ". y„f.r,.,
1^ 5 ��� 1 � Gas fireplace 10 00
1 1 ` C am" c n G 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
`` s' r• ; 'I=:, •. -a;a: sl• -'� •..-:: Chimney/liner /fluc/vent 10.00
_
10.00
+ .c; i yt �', �� TX'OW1t1ER r'^ 'l' ���:�Y ,/ QTEl1TAIV'I ^>��' #" -` ; �
c c: . Other:
Name: 1 ti ¢.`l, N c 1/4 G. \ Om k;, ns Environmental exhaust and ventilation
Address: `� �' W 1AX \ Range hood /other kitchen
�e.) 1M C ;1 equipment 10.00
City/State/ZIP: \ ti vck�p tl[1 � C a a 3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (50$ ( Q o Fax: ( ) toilet compartments, utility rooms) 6.80
W414 I4' t: - , , :101;e:.';. ®, , O A >P �;�}`- Attic/crawls ace fans
, ,L? ! Y!. . , �r. ;� :i' N _ -... ,. ' ' •'• "• p 10.00
�` Other: 10.00 _
Business name: Q t 011` a C-�5 " `-� „Cr' Fuel piping
l-
Contact name: 1re1ik C n 55.40 for first four; $1.00 for each additional
Address: Ike f - 5 eA t g` Lid,
Furnace, etc.
011/4.0 C Gas heat pump
City/State/ZIP: - pc ir- Liek..eA c O -- t Jn_ Wall/suspended/unit heater
Phone: (50•23 2 , _ 5 I Fax:: (56) .24 e . z ate o Water heater
E -mail: `I q Fireplace
r'i.bu�•r�sar, i a'. k ' �,.. ;�1 "y:i•L:::" Range
_c 'ore '�e?;,,1 rf',d '�.` -r, ;'.r” " �°�Tsti g { yA; °" _ :00 *itlO,OA G;YiaitV7 is - z v R 4 , u-' *ct ' *' .Z Barbecue
Business name: .5.1\.a /� �S 04 ,0 J Clothes [fryer (gas)
JP�� Other:
Address: ; : w •
? t >:„ 4?r a 11 .ECHAIVI,CAI PERM1T*ti ;' . ;: ;
City / State/ZIP: Subtotal i LI
Phone: Minimum permit fee ($72.50)
( ) Fax: ( ) Plan review (25% of permit fee)
CCB tic.: 1 State surcharge (12% of permit fee)
TOTAL PERMIT FEE `d') ,
Authorized Signature: _ / This permit application expires ifs permit is not obtained within 180
t. At QQ days after it has been accepted as complete.
I Print name: `" t.,‘ eft ( fir\ Date: ij • 17. 0 ? • Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Pamila\MEC- PernlitApp.do 01(19,07 440 (11 /07/COM/WEB)
• JL1 17 2009 12:26PM HP LRSERJET FAX p.2
6 01leer
j ;r
A ! ! 1 ems` 7 I I � � . - —•• WE'RE THE ONES!
NC Site Plan for the address of:
\v JO. 5 tx k e k t -. C i 'z►r41 °ri 2,-.)
•
Customer Name and Phone #: ,
11.-1 e �2k\jAnS 505• to PO Oust
f
63
•
HOUSE
f
2 Or
4,
• STREET
PHONE 503 249 5000 • FAX 503 249 8260 • OREGON CC #36102
3615 NORTHEAST BROADWAY • PORTLAND, OREGON 97232