Permit (3) 71 a CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit ii: MEC201000415
T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/20/2010
Parcel: 2S101AB02704
Jurisdiction: Tigard
Site address: 7410 SW BEVELAND RD
Subdivision: HERMOSO PARK Lot: 28
Project: James Shook CPA
Project Description: Replace existing 5 -ton heat pump and air handler.
Owner: FEES
TRIANGLE PROPERTIES OF TIGARD LL Description Date Amount
7410 SW BEVELAND RD
TIGARD, OR 97223 Permit Fee 08/20/2010 $336.47
Plan Review 08/20/2010 $84.12
PHONE: 12% State Surcharge - Mechanical 08/20/2010 $40.38
Contractor:
ABLE HEATING & COOLING
8900 SW BURNHAM F -5
TIGARD, OR 97223
PHONE: 503 - 579 -2250
FAX: 503 - 620 -3980
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 1
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump: 1
Appliances
Vent Fans: Vent Systems: Total $460.97
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1 = ! e. . -:4.
Issued By: -< / J --- r Permittee Signature: '
—
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Mechanical Permit Applica '' � l 0R O l ICE U O NL ' •
11111 - . Cl of Tigard Received r7, /� permit No
a 131 Hall lvd., Tigard, OR 9722 n Date/By: O /0 .I,� ftC �/ /1 _0t� 7 �j �
bI G 1 9 2[ I 0 Plan Revie
� Phone: 503.639.4171 Fax: 503.598.1 Date/By: r 8 20 ( (a ,„ Other Permit:
T I G A R u Inspection Line: 503.639.4175 Date Ready/By: la See Page 2 for
Internet: www.tigard CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
• TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New constructiondition /alteration / replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • CATE ORY OF CONSTRUCTION Value: $ 9s75 OD
_ RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building
❑ For special information use checklist.
Multi- family Master builder 0
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
� '\ i p ` ,) Q0/ O Air conditioning
Job site address: - ` W �
� (requires plan uires site plan showinK placement) 46.75
City/State /ZIP: \ �r � �"] Furnace 100,000 BTU ( ducts/vents) 46.75 Pik 1 "1`y Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt: no.: Project name: IZg:) 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
Subdivision: I Lot no.:
Flue /vent for any of above 23.32
Other: _ 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK - Water heater 23.32
Gas fireplace 33.39
G(I STI/v i'FQ/ /J. 1 4 k ' L) Flue vent for water heater or gas
AIR_ N AvDLe 7—O i7 fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
PROPERTY OWNER I ❑ TENANT. • • Chimney /liner /flue /vent 23.32
Other: 23.32
Name: r , J as Sl (* 3 ( c pA Environmental exhaust and ventilation
lf" �� r I Range hood/other kitchen
Address: 7q I ) / V 86/644„,d1 equipment 33.39
City /State /ZIP: -7-i GA?, p C I` 7 Z Z3 Clothes dryer exhaust 33.39
/ Single -duct exhaust (bathrooms,
Phone: (5)&670..... ems Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address:
Furnace, etc.
Gas heat pump •
City /State /ZIP: Walllsuspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name khn C `A`� n \� I i �0 , Clothes dryer (gas)
a Other:
Address: 0C z `0 ^p _ 5 MECHANICAL PERMIT FEES*
city/State/ZIP: \ \,,,.... £ . c s Subtotal
1 Fax: ( Minimum permit fee ($90.00)
Phone: ( )
typ, - aNc \$ (1 Plan review (25% of permit fee)
CCB lic.: `% . 0, , State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
/ 1 days after it has been accepted as complete.
Print name: .` 1\ t E Date: % — 4C \ — 0 • Fee methodology set by Tri-County Building Industry Service Board
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1 8900 SW Burnham St Suite F5
TIGARD, OR 97223 Air Conditioning Site Plan
620-3980
VIM i Heating & Cooltng, LLC Email: ablehvac2@aol.com
CCB #184392 C) I I 1 ( 1 L
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CITY OF TIGARD
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See Letter to: Follow f l ACC
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Permit Number: ii_--tt _ —Oil - 4 4
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Address: ,- 6 tiarraMit%: /..j■ EA) D Or
By: 416 Date: li Mil 41 1 ' 8 a) 6-
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