Permit .'f
a CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: MEC2013 -00244
13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Date Issued: 05/09/2013
Tic, AlYO' g Parcel: 2S109AB15600
Jurisdiction: Tigard
Site address: 14143 SW ALPINE CREST WAY
Project: Zarrabi Subdivision: ALPINE VIEW Lot: 37
Project Description: (1) NC installation Placement of A/C unit must be in compliance with manufacturer's clearance requirements
Contractor: PYRAMID HEATING & COOLING Owner: ZARRABI, MEHRDAD
9409 NE COLFAX 14143 SW ALPINE CREST WAY
PORTLAND, OR 97220 TIGARD, OR 97224
PHONE: 503 - 786 -9522 PHONE: 503 - 705 -7878
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 05/09/2013 $46 75
Type of Use: SF 12% State Surcharge - Mechanical 05/09/2013 $10 80
Class of Work: OTR Type of Const: Minimum'Fee Adjustment - Mechanical 05/09/2013 $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: V LJ Permittee Signature: D/t i4 PPL/ C (4 i ) 04
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.
05/08/2013 WED 8:35 FAX 503 786 3432 PYRAMID HEATING E1 002/003
Mechanical Permit ApplictECEJ V ED FOR OFFICE USE ONLY
Rece ived
Ci of Tigard St Permit � g Date/By. Sig 1 a — C a01 5 - GY,b 7 `{ 4
4 q 13125 SW Hall Blvd., Tigard, OR 972 A 0 g 2013 Plan Review
Phone: 503.718.2439 Fax: 503.598.1 6 Date/By: Other Permit:
TI GA RD Inspection Line: 503.639 Date Ready /By: ru<h 21 See Page 2 for
Internet: www.tigard- or.gov CITY OFTIGARD Notified/Method , Co Supplemental Information
BUILDING DIVISION _
-t! . ti „ ::::1 or;. ,n.a r yam , S ham— ° 1 "''' '.� f
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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.
" w.y1.._v r _ =5 �.� Value: $
.+ :. 1 "_ `". -r.. y ``rt S.� ;ia ?C e.ny.r 3', „I ,sx:..ar a.a..w- `{,
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder El O ther: Description 1 Qty. 1 Ea. I Total
li ':i ce � ” t AIIM K 01 O 41, � t , ;,;& Heating/cooling:
46.75
Job site address: 14143 SW Alpine Crest Way Air conditioning 1 46.75
City/State /ZIP: Tigard OR 97224 Furnace 100,000 BTU (ducts/vents) 46 75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: I Project name: Heat pump 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:
_-u_.a ��.,• Water heater 23.32
--" -` " ° - ---'-- � = d z: l r; - Gas fireplace/insert 33 39
Install of A/C Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39 '
Wood fireplace/insert 23.32
, W r ,,,„ Chime iner /flue/vent 23.32
:
7 $ P , 111 ' ;14 >t . - i i ' IF j - =�, Other. 23.32
Name: Mehrdad Zarrabi Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 14143 SW Alpine Crest Way equipment 33.39
City/State/ZIP: Tigard OR 97224 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)705 -7878 Fax: ( ) toilet compartments, utility rooms) 23.32
.,emu �. � iq^ ,,.�: yy .,,- a_h,� ��.�,� Attic/crawlspace fans 2332
�,..;a `Irit .1?� ,4 "', itt��A4y►AC PER50N�'"
��S+i(4,• ��s;:: Other:
23.32
Business name: Pyramid Heating and Cooling Fuel piping:
Contact name: Lisa Miller $14.15 for first four; $4.03 for each additional
Furnace, etc. .
Address: 9409 NE Colfax Gas heat pump
City/State/ZIP: Portland OR 97220 Wall/suspended/unit heater
Water heater
Phone: (503) 786 -9522 I Fax: : (503) 786 -3432 Fireplace
E -mail: lmiller @pyramidheating.com Range
tr, :I' .1,. s :. y .sa `�„ ',"L 4 " Barbecue
`- Clothes dryer (gas)
Business name: Same
Other:
Address : ` •IP O r tt-,- f�f tal n
Subtotal 46.75
City / State/ZIP: Minimum permit fee ($90.00) 90.00
Phone: ( ) I Fax: ) Plan review (25% of permit fee)
CCB lie.: 59382 State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
This permit application expires if a permit is not obtained within 180
Authorized signatu e' days after it has been accepted as complete.
c i * Fee methodology set by Tn -County Building Industry Service Board
Print name: \t
, Date: 05/08/2013
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