Permit CITY OF TIGARD MECHANICAL PERMIT
°. COMMUNITY DEVELOPMENT Permit #: MEC2013 -00335
T FG AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/18/2013
Parcel: 2S102BA02800
Jurisdiction: Tigard
Site address: 9801 SW JOHNSON ST
Project: Arndt Subdivision: JOHNSON & GRANT Lot: 4
Project Description: Installation of A/C. Placement of NC or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: PYRAMID HEATING & COOLING Owner: ARNDT, LOUISE S
9409 NE COLFAX 9801 SW JOHNSON ST
PORTLAND, OR 97220 TIGARD, OR 97223
PHONE: 503 - 786 -9522 PHONE: 503 - 318 -8847
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Air Conditioning 06/18/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/18/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/18/2013 $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.
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Issued By: Permittee Signature: ON ( 97 0 , G /e' -7—j
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.
06/14/2013 FRI 10:45 FAX 503 786 3432 PYRAMID HEATING a002 /002
Mechanical Pe . j J'.t,, il '` FOR OFFICE USE ON'L1'
Cl Of Tigard Received G /Ifs P �itNo.: /�
City g Date/By: /J /3 •v, groat) /3 - 233
IN e 13125 SW Hall Blvd., Tigard, qR 20s Plan Review
Phone: 503.7182439 Fax: 503.598.1960 Date/By Other Permit:
Inspection Line: 503.6 9ot/G A RD Irate Read /B HI See Page 2 for
"I - IGA RD Cl Ready /By: S
Internet: www• O p t Notified/Method: Supplemental Information
�: ,�- �T- �:�ILDIN�GDNISI l`s a: :� � ?',::. �•r?c.'�4T.� - - � �.., y: -- _ - ..j : • a - :r :. 51=
- _. _ , , .,� ,.::.,� _
_.4. .fit. ,T. 51 56 ( a} , 27 C�•'_�;�b t s , 7,-- "+ _ : i t el t�lr �I Yry tati T kfe VA Ert
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: .R. � ��dd'°LJL" %e: ..,.'." ' .::; �.ss •.a'.s = 1.:.RVt:.- r._:__ ': 1 -i 's•= �':w. .:fi= :1- `r _ her � r _ - • .. �...
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
F
Value:
: rt 3 - L . at ' s e . o e : E ca ( r
3 . .E risa; e: , r . =--- r - r:r -
i ,,. .s.3.r. .L' .�F.>ilSuir' - :m`t`is. ii; 4 r ..'r( ej - .. ,y: V ai�1'i'.�.;:i;r +s itr
® I- 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 •
a.- •:. : 1- , ..: � ..
`: r` i =?c . ;w",e. ;`' - a u'' ;72-1 . • --- '.. e `'r- 6 ' t 4 (o t. `r:Ii..rf rua ,a
, ` ^ ,� .:� .--.4-=,---t-. f'� + _ a s L- i, :.a � i . Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 9801 SW Johnson St Furnace 100,000 BTU (ducts/vents) 46.75
City/State /ZIP: Tigard OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 61.06
Suite/bldg. /apt. no.: I 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
�, - 41 ... t om j � 11 /"T'`. 3 �': 2 ' ' ,e Wiz'. Fluev e ntfor 33.39
Flue vent for water heater or gas
Install of A/C _ ........%-skiliaffrti 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney /liner/flue/vent 23.32
_ �..., q -r� ~ . ` C Other: 23.32
` , ' gipp;;-. ' � - n - o o -' Y4 .- r '• "
i "" �l�u 1' ti r ''r Environmental exhaust and ventilation:
Name: Louise Arndt Range hood/other kitchen
equipment 33.39
Address: Same as above Clothes dryer exhaust 33.39
City/State /ZIP: Single -duct exhaust (bathrooms,
toilet compartments, utility moms) 23.32
Phone: (503)318 -8847 Fax: ( ) Attic /crawlspace fans 23.32
g u,. .... �..,...... .ry ,. r 725 - • '�1'*�' 'y
"` St - \ 1 r l �V , I 'w' _-' Other
, >� .�"`t`'� r 1 L � rE � (6 ti es a 23.32
: i�]- �,( -,� -5. ;sr?i.�'...,� :!::.t.;.�i . �?71.�F9:..., �ca.3 Est 1u ��- F3�-'� - .� .... ...._ r..'I,.
Business name: P ramid Heating and Cooling Fuel piping:
514.15 for first four; 54.03 for each additional
Contact name: Lisa Miller Furnace, etc.
Address: 9409 NE Colfax Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland OR 97220 Water heater
Phone: (503) 786 -9522 I Fax: : (503) 786 -3432 Fireplace
Range
E -mail: Imller ®pyramidheating.com Barbecue
iivi:�e, Ir iA.'4 r B s . 'f E" •tl t, f444 M .21 a w as s t o - .�..
s t nr h �: r: i .. r 4.I .� h ''L e c , r,, Clothes dryer (gas)
:W� - :esrs._.. �. 3. n. �.,,, L ti3- i."..:.. �:._„- �v'' rS,•, ': ec_....: �ue. := �::..:....u.��:.2.= :,.:_�:t5.
Business name: Same as above Other:
E:hY'-�' ti:7�f �G a i� li a1�,
`,s..�.,_ti,�r� rl. .,L/�£� � - •'ter••. >:;�:�?
Address: •�....�+.�. ._,�- _'- --
Subtotal 46.75
City/ State/ZIP: Minimum permit fee ($90.00) 90.00
Phone: ( ) I Fax: ( ) Plan review (25% of permit fee)
State surcharge (12/0 of permit fee) 10.80
CCB lie.: 59382 TOTAL PERMIT FEE 100.80
((��VV This permit application expires if a permit Is not obtained within 180
days after It has been accepted as complete. I
Authorized signa * 4 • Fee methodology set by Tri Building Industry Service Board
Print name: LL6c...J \ I Date: 06 /14/13
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I:\Bm7ding\Permits \MEC PcrmitApp_040113.doc 440- 4611T(11/02/COM/WEB)