Permit •
CITY OF TIGARD MECHANICAL PERMIT
n
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00586
T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/13/2012
Parcel: 2S111AD01100
• Jurisdiction: Tigard
Site address: 14585 SW 87TH AVE
Project: Thompson Subdivision: PINEBROOK TERRACE Lot: 8
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Project Description: (1) heat pump installation
Contractor: PYRAMID HEATING & COOLING Owner: THOMPSON, HEATHER R
9409 NE COLFAX 14585 SW 87TH AVE
PORTLAND, OR 97220 TIGARD, OR 97224
PHONE: 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432
,FEES
Specifics: Description , Date Amount
Heat Pump 11/13/2012 $61.06
Type of Use: SF 12% State Surcharge - Mechanical 11/13/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 11/13/2012 $28.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
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Total $100.80
Required Items and Reports (Conditions)
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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: Permittee Signature: OA! 4-p1"L l�► j 0 J
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.
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1 1 /09/ 201 2 FRI 11 : 06 FAX 503 786 3432 PYRAMID HEATING g1002/003
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Mechanical Permit A' 1 I.i,i,:, . 1 FOR OFFICE USE ONLY
City of Tigard Received
Datemy: 1 ( ( 13 ( 17 ...0- Permit Noabe a. 01 9 . 5g -
1 q 13125 SW Hall Blvd., Tigard, OR 9 1 1 4BV 1 3 2012 Plan Review
: 41 Phone: 503.7182439 Fax: 503.598.1960 Date/By. Other Pe ,.. ..... )01 .1.- 00 6"4 ,
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD
Date Ready/By: Eil El See Page 2 for
Internet: www.tigard BUILDING DIVISION
gov Notified/Method: Supplemental Information -
:TA. ..,,:, ril;4_,,,,,,,,,__.._ • --r•-,,, . .. TFEFX, e•gi , %
Mechanical permit fees* are based on the value of the work
0 New construction (81 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
1 ;Iiiggl-A II KI L L I VI05 -2 ,WiNgaiartleiittridaMitgatiVAMTII-jir'' -&40.g1 - ,.. .. ' ..rt, ' '-' '''.,"" .-4m- ' Iii=ism .t. - "PPX. , =•." 4 FP.... , :i4W,N-7,,5
Re.:4!IPA MR rap., ..'4 Ai 31 : .... 11: 5 :1' ., L :_: 4
El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information sae checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
N2'.
'41',44-7.. ... ..,. .0.. Heating/cooling:
. - Li Air conditioning
Job site address: 14585 SW 87 AVE (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: TIGARD OR 97224
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt no.: I Project name: Heat pump
(requires site plan showing placement) 1 61.06 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
Flue/vent for any of above 23.32
Subdivision: I Lot no.:
Other 23.32
Tax map/parcel no.: Other fuel appliances:
WiTaNiTari6W1 - Aga. MiL - 2. -, 47 - Mj . . ,V,W;r.X)
-..,- Water heater 23.32
....p....._: -7.5,4-‘5.111.4.----- :
Gas fireplace/insert 33.39
INSTALL OF DUCTLESS MINI SPLIT HEAT PUMP
Flue vent for vmter heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insett 23.32
PX:' ' -- ' ChinineYninerifluelvent 2332 •
4 -= ,, ' ''''7 other 23.32 .:
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Name: HEATHER THOMPSON Environmental exhaust and ventilation:
e hood/other kitchen
Address: 14585 SW 87 AVE Range
equipment 33.39
City/State/ZIP: TIGARD OR 97224 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (503)505-4516 Fax: ( ) toilet cornpartmeats, utility rooms) 23.32
ELARWAidit_Warfri..N.WanoWAVAROMMI Attic/cmwlspace fans 23.32
Business name: PYRAMID HEATING AND COOLING Other. 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: 97220 Wall/suspended/unit heater
Phone: (503) 786-9522 Fax: : (503) 786-3432 Water heater
Fireplace
E-mail: LMILLER@PYRAMIDHEATING.COM
. Range
Barbecue
Nrt , - . .rspigWR. , :w.. , '.37.xiisinmi
Business name: SAME AS ABOVE Clothes dryer (gas)
Other
Address: '"----" " ' ■1"-'- IV II
argalfratiatata***Pta
City/State/ZIP: Subtotal 61.06
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) 90.00
CCB lic.: 59382
Plan review (25% of permit fee)
i■
c .."4 State surcharge (12% of permit fee) 10.80
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Authorized signa r • - f (73 \\&...}\.., il TOTAL PERMIT FEE 100.80
This permit application eaplres If a permit Is Oct obtained within 180
days after It has been accepted as complete.
Print name: UC''''' \ \ ... A i- I Date: 11/09/2012
• Fee methodology set by Tri-County Building Industry Service Board
I:\Buiidisg\Pcrmits\MEC.PamitApp.doc 03/07/12 440-4617T (11/02/COMIWEB)
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