Permit 741 n CITY OF TIGARD MECHANICAL PERMIT
$ COMMUNITY DEVELOPMENT Permit #: MEC2013 00240
Date Issued: 05/06/2013
T f GATtL�', 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Parcel: 2S1126D08600
Jurisdiction: Tigard
Site address: 7770 SW CORNUTT ST
Project: Brittany Meadows, Lot 22 Subdivision: BRITTANY MEADOWS Lot: 22
Project Description: (1) A/C Placement of A/C unit must comply with manufacturer's clearance requirements
Contractor: PYRAMID HEATING & COOLING Owner: PACIFIC EVERGREEN HOMES LLC
9409 NE COLFAX 7410 SW OLESON RD #133
PORTLAND, OR 97220 PORTLAND, OR 97223
PHONE: 503 - 786 -9522 PHONE:
FAX 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 05/06/2013 $46 75
Type of Use: SF 12% State Surcharge - Mechanical 05/06/2013 $10.80
Class of Work: NEW Type of Const: Minimum Fee Adjustment - Mechanical 05/06/2013 $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.
Issued By: Permittee Signature: OA P/1 cA- n o d f�l JU, Caalll 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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05/06/2013 MON 14:17 FAX 503 786 3432 PYRAMID HEATING a 001/003
Mechanical Permit ApplicationR CEIVE I FOR OFFICE USE ONLY
Cl of Ti and Received
= ° `� g 2013 Date /By: Plan Review
�I �O j Permit No.: pee_ ,30/ 3 -00,4„,710 13125 SW Hall Blvd., Tigard, OR 97223 MAY 0 6
Phone: 503.718.2439 Fax. 503.598.1960 Other Permit:
Date/By:
T I GARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Suns: ® See Page 2 for
Internet: www.tigard or.gov otified/Method 6 Supplemental Information
BUILDING DNISIO ■
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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.
Value: $
V4 1 - and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist
❑ Multi- family ❑ . • Master builder ❑ Other: Description I Qty. I Ea. I Total
' :t : :.i 0 Kr k. t p �1v , e i t o 'e1x R 4I , , i4 Heating/cooing:
sp s R e i Air conditioning ! 46.75 +,rfl•7S
Job site address:1 ' 1 . 7Q St') C o rr u tf St • Furnace 100,000 BTU (ducts/vents) 46.75 i
City/State/ZIP: 1 t n a - f OR Q � 2_Z. Furnace 100,000+ BTU (ducts/vents) 54.91
J Heat pump 61.06 •
Suite/bldg. /apt. no.: Project name: Duct work 23.32
Cross street/directions to job site: 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: m I Lot no.: z2_ Other.
Other fuel appliances: 23.32
Tax map /parcel no.: Water heater 23.32 i
�-" �.� 7� � � -, Gas fireplace/insert 33.39
Hue vent for water heater or gas
fireplace 23.32
A cid A IC- Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23 32
Chimney /liner /flue/vent 23.32
¢�� �p}� Fr Other: 23.32
;: gyp' -d 't - " . !!x' " k 1— `"� = a 1.� " , O
�� " "� Environmental exhaust and ventilation:
Name: pa fi C eve r9 y e of l Range hood/other kitchen
equipment 33 39
Address: 7 q I 0 S(A) 0 lesori Rd
Clothes dryer exhaust 33.39
City / State/ZIP: Par +Ictri d OR Q7223 Single -duct exhaust (bathrooms,
/ toilet compartments, utility rooms) 23.32
Phone: ( ) Fax: ( ) Attic /crawlspace fans 23.32
. : *`:'; r :;: ` 'x - _ p -_ °` O ther. 23.32
Business name: Fuel piping:
Pyramid Ranting ,R Cooling $14.15 for first four; $4.03 for each additional
Contact name: 9409 NE Colfax St. Furnace, etc.
Address: Portland, OR 97220 Gas heat pump
Wall/suspended/unit heater
City /State/ZIP: Water heater
Phone: (C3) 1Q c q SZ 2. I Fax: : (n) �g1 _ ` ? 4 3 2 Fireplace
Range
E-mail: I OO L P iJ 04. . O. it 4 11 - ", III t11* Barbecue
e .• r °uses . u- reilt�
. ,• -•- a � � Clothes diver s
�(_-, +•�•k • •:� _ ... . . -... ,�.1�. �r��. dry (� )
Business name: Other:
Pyramid Heating & Cooling
; t ,.,{ i , . 0::1 ' 0* ESI
Address: 9409 NE Colfax St. Subtotal
City/State /ZIP: Portland OR 97220 Minimum permit fee ($90.00) q 0 —
Phone: (505)1gI , Cj G� Fax: ( _ 3t.i32 Plan review (25% of permit fee)
�Y l Vl (� State surcharge (12% of pemut fee) 1 0 10
CCB lie.: 62 TOTAL PERMIT FEE (Q0 ,o
gab This permit application expires if a permit is not obtained within 180
�[ days after it has been accepted as complete.
Authorized signature: � 5 f T * Fee methodology set by Tri -County Building Industry Service Board
Print name: O ate:5j1 1 13
C :\ Building \ Penn M
its \EC_PermnApp_040113.do c I 440- 4617T(I I /02)COM/WEB)
05/06/2013 MON 14 : 17 FAX 503 786 3432 PYRAMID HEATING a 002/003
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TROXEL'S HOME DES I dicrW ED
1217 N.E. BURNSIDE STE. 303
. . OCT 2 3 2012
GRESHAM, OR. 97030 -
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