Permit CITY OF TIGARD MECHANICAL PERMIT
11111 C COMMUNITY DEVELOPMENT Permit #: MEC2013 -00270
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2013
Parcel: 2S109DA03600
Jurisdiction: Tigard
Site address: 15421 SW GREENFIELD DR
Project: Truong Subdivision: SUMMIT RIDGE Lot: 13
Project Description: Installation of A/C. Placement of NC or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: SUNSET HEATING & COOLING Owner: TRUONG, HENRY
0607 SW IDAHO ST 15421 SW GREENFIELD DR
PORTLAND, OR 97239 TIGARD, OR 97224
PHONE: 503 - 234 -0611 PHONE:
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Air Conditioning 05/22/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 05/22/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 05/22/2013 $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.
issued By: Permittee Signature: 4/v /- -6p if---77o/c/
- 70
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.
05/21/2013 06:06 5032340439 Supplemental Information
SUNSET HEATING PAGE 02/03
• •
Mechanica Pelrllx>i�t.A 1' RED FOR OFF ICE USE ONLY
R at e y: Pe rmit No
City: of Tigard,,. UnM 1By: , �r I (EC20 /3 /o? !
j .` 't %'° . (3125 5W Flail BIJd.;'figard„OR 97MAY 21 2013 0 . Plan, Review
• ` ` '- •„' ' :Phone: 503.639,411) • .Fair 503.598. t
Dnta/By; Other Permit:
•
i ,' r :,.: ti r.' �.' Inspection Line: 503.639.4175 ' • , . Date Resdy/By: ' El See Page 2 for
i s �r,'r' :.r1 Internet; www.tigard -or.gov, • B CITY OF TIGARD Natified/Melhad:
• . . ' 'BUILDING DIVISION y }� +� y :
4� y{� { p Pk : �•� `' y�^�}. : .
-•_ �.:,i ^�'�: . r : ".F71/ lJlfY -^l�ti v -g .Far) PPit c.11 1 ,rIO :
• :�'� . .. ,. -y •: •. •-'. �•�V : +r " �._ .� :1; :',,.��;. �, _ e� .•r -,.r r -, ' u.wd r -. :
t ' "�''
Mechanical permit fees" are base on the value of the work
❑ Mew constnlctioli Addition/alteration/replacement p indicate the value (rounded to the nearest dollar) of all
0 n ❑ Qtltcr: . mechanical cn $labor, overhead, and profit
1}cmolitio ' mac materials, equipm a
A :CbkY; :oi CONSTR VCTION ,, I Value • x t
RE g'15 i1l>< t /. tEs"
1- 2- family dwelling El Commercial /industrial' •❑ Accessory building
Multi - fa For special !►�orntntton use checklist.
mily ❑ Master builder Other: Description I Qty. I i.a. J Total
'Jolt . :.Si'�'E O
IN itivie�tii: :._N� . 1 ETA °:Ld ; A'1' `f( 1'Yi'r''• <i ' .;.; Heating/cooling Air conditioning
,lob site address: 15 a I • 5 ... tp • � d.
�- 70 {r (requires site elan showing olneemont) ' 46.75
.City/State/ZIP: "C rn
Fuace 100,000 BTU (duets/vents) 46.75
S �- • Furnace 100,000+ BTU (duets /vents) 54.91
Suite/bldg. /apt nn.: • Project name :. • _ Heat Gump 61.06
Cross street /directions to job site: Duct work _ 23.32.
- -•••• -� - Hydrenic hot water system 23.32 •
' Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fitcl -type, not electric),
• ' in-wall in -due - suspended. etc. 46.75
--- Flue/vent for any of above 23.32
Lot no.: Other:
7.3.32
Tax, map /parcel no.: linncca • - - r
..:. 1PT4C: ttII ""F`iOPY:'�fh` := ;t?VO�>EtiC�' ;
W ater heater III 23 32 Other fuel a
_ 33 39
-" , _ __ Gas Grc.lacc
-_ _ ;I f � ; � . b @� T Flue vent for water heater or gas • fireplace 23.32
•
- •. Log li _hter • as 23.32
Woo ,pe e s ovc mi JJ•»
• • - -- - —" Wood fir ∎lace /insert 23.32
1 ue/Vent 23.32
Chilnncyfl'ncr /(1 23
.0.11DPT11TX t7YNi R :0';i ; TtNANT : :, 'r .....: Other: 2332
Name: ‘ -Ty 1 N Environmental exhaust and ventilation
..... _...,_..._-- V - - = •'. Range hood/other kitchen
Address: equipment _ 3139
Cily /State /ZIP • - - -� Clothes dryer exhaust - 33.39
— __�•,,, .,.__•._� •,, - - Single-duet exhaust (bathrooms,
Phone. ( ) Fax; ( • . ) • toilet compartmenttutility rooms) 23.32 •
---- _.,_,.- - - -- wls'ace fans
2332
. - trF � • ,, .., lei Attic/crawls "r.. J:'
r, 1�, { 1 . f i�,!
.. ,:ANT, " � ''�'� •
-- •--- .....:.,, .... ---- -..,._ �• -• Other,
13ir. incss'rnine: • ,.� Fuel piping
Crit tct name: . . - 514.15 for first four; $4.03 for each additional
.. Furnace, ete. •
•
A rldres..
_ - _ Gas heat . um
City/State/ZIP: Wall /supended/unit heater
•
.._ .. _:_ - ° - Fax: ; ( ) Water heater
.. Fireplace
F. -moil: T Range
- - -- COIY'iWACT(?'1t'? Barbecue
es 1y (gas)
filminess name: C� l Lin `- ? r l 1�%�.N ' '`
i 1 , (,.;.z
ti
Clothes er as
Other
Address: . L tQ Cs 71. 5 i 9 c(Gt i C , ifY`L:ci '' r4117t HM1>t 'Y YtMX7 t C 5{!;
City /State/ZIP!: PC7,114,i,,LGt:: l% ell 7::39 - Subtotal
y Minimum permit fee ($90.00) 90 iv
hone: (6 . 2.3.4...-(3 0 q1 • • ', 'Tax: (kj'-�)3 ) • �- 3tl "o ` t Plan review (25% of permit fat) / _
C •i .� ie.: . 1..C1 ga , ' r . • q / 5/ / State surcharge (12°x6 of permit fee) /I • V
( o - TOTAL PERMIT FEE /00 • ko
This permit application capires if A permit Is not obtained within 180
' Authorized signature: days after it has been accepted as complete.
Print name: • �� , ( 5, I Dam' S1 a(J �,, y • Fee methodology set by I'd-County Building Industry Service Board
r a n.,1146,n\9nrm ir•lnrruC- PermltAno.dav l0701 M ' ' . '440.4617T(11/021COM /W0a)