Permit a CITY OF TIGARD MECHANICAL PERMIT
.1111 COMMUNITY DEVELOPMENT Permit #: MEC201300215
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/22/2013
Parcel: 1 S126DB06100
Jurisdiction: Tigard
Site address: 9185 SW MONTAGE LN
Project: Marjama Subdivision: MONTAGE Lot: 32
Project Description: (1) NC installation Placement of NC must comply with manufacturer's clearance requirements
Contractor: AIR PRO HEATING & A/C INC. Owner: MARJAMA, CINDY
7405 SE POWELL BLVD. 9185 SW MONTAGE LN
PORTLAND, OR 97206 TIGARD, OR 97223
PHONE: 503 - 771 -7871 PHONE: 971 - 235 -6258
FAX: 503 - 771 -5579
FEES
Specifics: Description Date Amount
Air Conditioning 04 /22/2013 $46.75
Type of Use: SFA 12% State Surcharge - Mechanical 04 /22/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 04/22/2013 $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. i
Issued By: 41.ea:r Permittee Signature: �4PPLI C y1 *' Tto ill
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.
04/22/2013 12:37 5037715579 AIR PRO HTG PAGE 01
1!Icchanical Permit A, ii CEIVED FOR OFFICE USE ONLY
City of Tigard RcccivMl S.1( Penntt No.. M aol 3 - do -1 `.
114 onre/By: ' - 1 ( 00 7 I i 3
- rt 13125 SW Hell Blvd., Tigard, OR 97223/' DD 2 2 2013 pion Review Other Permit:
Phone: 503.718.2439 Fax: 503,598.1960 Dnle/8
TIGARD Inspection Line: 503.639,4175 Date Randy/13y' 1uris: la See Pagel ror
Internet: ww,tigard- or.gov CITY OFTIGAR Nniificd/Mcthod: TA � Supplemental lnforma
BUILDING DIVISION
l+ ip a ° Ia,? si ' aft; d v�L,., 4 f ;;;' ,i�° " Re:,60,*610, COI►IMERC1AL F8'T�"i5CIY,L►Li015 ``!tTii $. , 4 '_;
, Gi,' ,af�l, r , . ..., � , ' . .. -''
Mechanical permit fees• are based on the value of the work
❑ New construction ,Additi /alteration /replacement T performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit. _
Value :1 2. 6 ` `�
� � r��, N f na R I A .. 1�i� v. Y l ' +
l � ' I { q ,� 1�7, r �,, y� y .,�, o r 6 l( a .l
,` `.Ni X13'' A n ✓21,d',00, ISI;' T' :attm t.., a IL i '',,t,111{( ,l,tl''u'it'i, r �('�?! _ `(Vl ' e,''.
X 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use eltrcklLrr.
❑ Multi family ❑ Master builder ❑ Other: Description Qty. I Fa. Total
�� � riK t � {; � � ; ;xi - HcatinpJcootin
l r * ��,,, ' n " II�MI 11tMi,C,l {r j ,; i '� i ,�;�!, I b i4 i17f!�¢; 6
f. ' ' I � ;.�.,,,. : '''' Air conditioning I 46.75
Job site address: 9 1 g. ?�' /44 0 r, f G (' G _ L r, Furnace 1 00.000 BTU (duere/vents) 46.75
City /State j a/C Z22,.. Z.3 _ Furnace 100,000+ BTU (duels/veils) _ 54.91 _
Heat pump 61,06
Suitc/bldgiapt. no.; Project name; .
Duct work _ _ 23.32
Cross street/directions to job site: Hydrnnic 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
Fluc /vent for any of above 23.32 _
T Other, 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map /parcel no.: 23,32
I NOW, , Water heater 1 � '; µ•(f,� � LEn i " ;'y ''.� a �° ` e ," 1'' u , �if:flrr?"� tl � u ;4: t lI � r ' 4 .-gf ;. Gas firePlacc /insert 33,39 _
:1;{,. ,�.YW ?s!}..W�sf„�:'.1. I.. r as .. ,.. , '� ,: .. ; G7,.a� f 1,
�+d / _ Flue vent for water heater or gas
#2,r1_1 7 l r C .H -: / G , , [v G i �/ O ,ac / fireplace _ 23.32
Log lighter (gas) 23.32
T ,_ — - Wood /pellet stove 33.39
Wood fireplace /insert 23.32
Chimney/liner /fluc/vcnt 23.32 _
I'll r e o � s m s, tl•,� � Other, 23,32
rll I' r > 5 i ` " ' r r +}?! S 1 i i i n'' r;f igxotoogio °rr' �
"� '
lea � ^ ^, r nvironmenra exhaust and ventilation:
Name: Range hood/other kitchen
/ " equipment 33.39
Address: 9 t? 5•� / • _ L ,, _ Clothes dryer exhaust 33.39
City /State/ZIP: .p Single -duct exhaust (bathrooms,
7/ 5 i r toiler compartments, utility rooms) 23.32
Phone: (5'7/ ) _ ftS 6 Fax: ( ) Attic /crawispace fans 23.32
I r l ,. *�1 !It1'J 4's1 e PAC' ,j e r , I ,y,,,,��y�y .yy , t tl l �': ,ss r Other; her; 23.32
1 4 �M ,' .t ' i�' 1i ..11:,';',i;".. . ;Ili' �1'r 1 � �, f� �,� ,p i t r ,�,t � , {. 'Ii,1 l i i i!A
/. i t �+� . I �I-,,, Fuel t io
Business name: a , G f p p g
_ _ - _ 514.15 for first four; 54.03 for each additional
Contact name: Furnace, etc.
Address: eras heat pump
Wail /suspended /unit heater
City /State/ZIP: Water heater
--
Phone: ( ) Fax:: ( ) Fireplace
. - Rango
E -mail: la v rl _ - p Barbecue
O il' i' i t a ✓11!.� �1�1 l /aura { i, 1 i rIt , i , � { N rt I Clothes dryer (g
tis 1 r o v �4 a e -, l J - Ia fl � - "'1i 1 :I as
- roar( ilyA: n� � � T.. �' , 1 , � t.e, � � hKr I t. �, r. �1�, . �� �. )
Business name:
Other; , r es
Address: Subtotal
City /Statc/ZiP: 4 Zb . Minimum permit fcc ($90.00)
Plan review (25% of permit fee)
Phone:. 03 ) ; / Fax: (' — ,_?___ State surcharge (12% of permit fcc) �}
CC8 lic.: 72.08 G TOTAL PERMIT FF..F f 'i L�J
This permit application expires if a permit n not obtained within 180
days after it has been accepted as complete.
Authorized signature: - ..� • Fee methodology set by Tri- County Building Industry Service l3onrd
Print name: y _ — *w.^ / r Date: 4 ,- Z Z _ /3
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9185 SW MONTAGE LN, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
06/18/2013 00:00
MEC2013-00215
PASS - No C of O
Previous corrections have been completed
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9185 SW MONTAGE LN, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
06/18/2013 00:00
MEC2013-00215
PASS - No C of O
Previous corrections have been completed
Violation Summary:
Inspector Contractor