Permit CITY OF TIGARD MECHANICAL PERMIT
- COMMUNITY DEVELOPMENT Permit #: MEC2013 -00275
Date Issued: 05/23/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S133CA05500
Jurisdiction: Tigard
Site address: 11353 SW HALLMARK TER
Project: Cole Subdivision: BARROWS ROAD ESTATES Lot: 4
Project Description: Installation of A/C. Placement of NC or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: SUN GLOW INC Owner: COLE, CANDRA
2428 SE 105TH 11353 SW HALLMARK TER
PORTLAND, OR 97216 TIGARD, OR 97223
PHONE: 503 - 253 -7789 PHONE: 503 - 984 -3358
FAX: 503 - 253 -7693
FEES
Specifics: Description Date Amount
Air Conditioning 05/23/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/23/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 05/23/2013 $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: 0 / --
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.
May. 22. 2013 2:13PM Sun Glow Inc No. 0253 P. 1
Mechanical Permit A ii ripivFD FOIL OFFICE USE ONLY
City of Tigard Received
omeny: . 5' .2.5 AK Pennit No/ice_ o , 3 -
1,11 ., 13125sw.lall Blvd., Tigard, OR 971,AAY 2 2 2013 Plan Review
II. Phone: 503.718.2439 Fax: 503.598.1960 DaiotRy: Other Permit:
Inspection Line: 503.639.4175 hin El See Page 2 for
T I C. AR I-) CITY OFT/GARD Dale Ready/By:
Internet: www.tigard Noiified/Melhod: Supplemental Information
:WILDING DIVISION
„nun.- : ... : ::.-: kt,i : :: ; : 0ot. iotWit i 4:igg.":04*KilSt.::
:.•":0r.:::::.' :, .,:c":rj•:':;':•: : 4::: L'F,• : , • : •:::? .' : .:::„- :.•
Meehanical permit fees° arc based on the value of the work
D New construction gaddition/alteration/replacernent performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition El Other; mechanical materials, eq9ipment, labor, overhead, and profit.
V .i.:N4W Value: $
`;
''': •. : ,,,:::::. r ',' . PAITCORY :0.: coNsmum9,., ,Y.,■;`1.:11,:. ::', S ' '.: " 3 30 1DEN r I A L: tql4 *OA :!::':
and 2-family dwelling El Commercial/industrial 0 Accessory building For special Infonnailon ose checklist
0 Multi-family Ei Master builder 0 Other: Description I Qv- I Ea- I Total
:::::.::., ,-,...:,:•:,:.:,: , • ,,,,...,-, ' ,,,..,..,..,: ,,,,,,,,,, .. ,, : : ; .:,.. : ,::co.: , -::: Heating/cooling:
:.I '4 I Z " V WYt.R . " I Ply,k.N:ctot,!-.•::.-----'ziofe,4 . ".:::: Air con I _ 46.75 4405
lob site address: 1 i 5 3 s u j -\,,,,AX yy\o v4, •-ri2,-( Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: al / o R q -) Furnace 100.000+ BTU (dueismnis) 54.91
Heat purnp 61.06
Suite/bldg./apt. no.: Project name: Duct work 23.32
Cross street/direetions to job site: Hydronio 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
Other: 23.32
Subdivision: I Lot no.:
Other fuel appliances: _
Tex map/parcel no.: 2 3.32
Water heater
Gas fire lace/insert
-0.iscairribk OP' Nii64( A' j ; "S' ' D 33.39
,4:.'.: '.: - _ z - . ......`;,.,..- ., : . :- • - • . , -.,.., , " 1 " ''' ' - ''' Flue vent for water heater or gas
• ,.. . t" Ic_. fireplace _ 23.32
Log lighter 23.32
- Wood/pellet stove ., 33.39
Wood fireplace/insert 23.32
Chininey/liner/flue/vent 23.32
,..: 1 . fr .. 0 : m : 41tcs..v ‘ , ,;, 23 32
.
,4. ROiEltP r Oc.Ort .'.::::. I .::::':4`24. fl ' 1 ‘'' 74. q 14:4 i -:0 ; :: !. ' ::: ':A Environmental exhaust and ventilation: -
Name: C .,. ( -. 1 6 e_&2_0_, Range hood/other kitchen
equipment 33.39
Address: 1 i 3 s 3 3 Q ‘-‘.c,.. t \ v -, ja - Var( ci,_.., 33.39
- Clothes dryer exhaust
Single-duct exhaust (bathrooms,
City/State/ZIP: -1--
toilet compartments. utilityrooms) 23.32
Phone: (50 ) qc ._ 53 6 ‹ Fax: ( ) Attickrawlspace fans 23.32
„..: _
-
Apr - re - 4
i;407t: ::;-. „ .4,0 13 , ONTACif„ 4 ,f , . : . ..'i:-'1'1,:k. Other I 2332
, _ . .. -,,
Fuel piping:
Business name: SUN GLOW, INC. SI4.15 for first four: 54.03 for each additional
Contact name: S UN HEATING & AIR CONDITIONING Furnace, etc. I
2428 SE 105th Avenue _ Gas heat pump _
Address: (-: OW Portland, Oregon 97216 Wall/suspended/unit heater
(503) 2537789 FAX (503) 253-7693
City/State/ZIP: Water heater .
Fireplace
Phone: ( ) I Fax: : ( ) Firep
Range
E ND c ... s cum la 1 Barbecue _
'' r '; :-- .' ,. " :':.',.'• . . :, C0*A : :.'; ,■ . : :::: Clothes dryer (gas)
_ Other;
Business name:
SUN GLOW, INC. ::,.5,:YE. ; .`i:::40FIANIC/L1.;:.t*RMIT.#0,:: 7 .: . :
Address: 441.UN HEATING & AIR CONDITIONING Subtotal 1 46,16
City/State/ZIP: 4..LOW 2428 SE 105th Avenue Minimum permit fee ($90.00)
om Portland, Oregon 97216 Plan review (25% of permit fee)
Phone: ( ) (503) 253.7789 FAX (503) 253.7693
State surcharge (12% of permit fee) /0 . 8 b
CCB lic .: (4 2, V 3 1 / -
TOTAL PERMIT FEE J 00 . 70
This permit application expires Ira permit is not obtained within 1.80
days after it has been accepted as complete.
Authorized signature: (I V-- Za-S2-C2-- ' Fee methodology set by Tri-County Building Industry Service Board
Print name: C Daie;5 i'D
. . ... . . ...... .