Permit .y'
MECHANICAL PERMIT
11111 CITY OF TIGARD
Permit #: MEC2009 -00598
a COMMUNITY DEVELOPMENT
Date Issued: 11/10/2009
T [ G ARD 13 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S110BD00400
Jurisdiction: Tigard
Site address: 11750 SW WILDWOOD ST
Subdivision: Lot: 0
Project: Beck
Project Description: Install heat pump. Unit must meet 3' minimum rear and side yard setbacks.
Owner FEES
r.
BECK, JOHN R Description Date Amount
11750 SW WILDWOOD ST Heat Pump 11/10/2009 $61.06 •
TIGARD, OR 97224 12% State Surcharge - Mechanical 11/10/2009 $10.80
PHONE: 503 - 349 - 9734 Minimum Fee Adjustment - Mechanical 11/10/2009 $28.94
Contractor:
ABLE HEATING & COOLING
8900 SW BURNHAM F -5
TIGARD, OR 97223
PHONE: 503-443 -2058
FAX: 503 -620 -3980 •
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: •
Gas Pressue: •
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
issued By: 4 ( ,� z 7-p? Permittee Signature: ,N / 9L/9/01 .. / e6Z-7-7 O!�
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.
RECEIVED
Mechanical Permit Application 9 2009
F FOR OFFICE list, riiNt,1'
. City of Tigard CITY OF TIGAIRD Received
Revi ew / �, ' �.
ii. - Permit No.•
i 13125 SW HaU Blvd,Tigard, ING /FNGIl EERIR� E 005
71 1 P hone: 503.639.4171 Fax: 503.598.1960
Ti c:,� i n Inspection Line: 503.639.4175 Ihte/BY: Other Permit:
Date Ready/By: luris: Ea See Page 2 for
Internet www.tigard- or.gov Notified/Method: il /'/ Supplemental nformation _
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -. USE CHECKLIST
� ���
❑ New construction Mechanical permit fees* are based on the value of the work
❑ Demolition 0 Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
�, CATEGORY OF CONSTRUCTION Value: S
•
and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building SIDENTIAL EQUIPMENT FEES*
"1-
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: \ VA W . Air conditioning
(requires the plan showing placement) 46.75
CityiState/ZIP ` ok P,() C\r • a Furnace 100,000 BTU (ductsivents) 46.75
Suite/bld ./ apt. no.: Project Furnace 100,000+ BTU (duets/vents) 54.91
g oject nae: � Heat pump 1 y
mp � , 61.06 (It ! • [1,p
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, is - duct, suspended, etc. 46.75
Subdivision: I Lot no.: - Flue/vent for any of above 23.32
I Other: 2332
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater ' 23,32 • � 1 ',� � Gas fireplace 33.39
` M �.� ` ' `l (= L-
ika - �— y -` €-. Flue vent for water heater or gas
1. 1 fireplace 2332
Log lighter (gas) 2332
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
1-0'PhOP£RTY OWNER I ❑ TENANT •, Chimney/liner /flue/vent 23.32
Name: 1- n �^ / �``Qther: ! 23.32
"� . Eilvironmenlal exhaust and ventilation
Address: `I " I - �. u t . q A L k ' Range hood /other kitchen
1 t u ,.,„,,,,t equipment 3339
Cit /State/21P: ; A�� O1ra� Clothes dryer exhaust 33.39
Phone: ( p� 7 Fax: Single-duet exhaust (bathrooms,
Cy r \ ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Anic/crawlspace fans
23.32
Business name:
1 23.32
Fuel piping
Contact name: S14.15 for first four; S4.03 for each additional
i / Address: Furnace, etc.
Gas heat pump
City /State/ZIP: Wall /suspended/unit heater
Phone: ( ) I Fast: : ( ) Water heater
E-mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: s"df.) � *% . 14 ,..," p ( +l Clothes dryer (gas)
Address: . Other:
• %,C‘ r3 4 0� � W0. \\ .J 4 F-`J MECHANICAL PERMIT FEES*
City /StaterZIP:� 1 A, EA . ° V - 1 AN Subtotal
P one: ( , Fax: (mob ?� _ _ Minimum permit fee ($90.00) �t r, •(
� Plan review (25% of permit fee)
1 CCB lie.: l(� `T`� 3._, State surcharge (12% of permit fee) 1L , O r✓
t ;i ' , TOTAL PERMIT IrEE � r c..
Authorized signature: r ` This permit application expires if a permit is not obtain within 180
Prim name: i >" .--..1 dare after It has been accepted as complete.
ti • > ' Date: `} 71 • Fee methodology set by Tri County Building Industry Service Board
FiltuildingWermitsMIEC -Perri • • doe 1W01/09 e40-46l?T(tbrat OMIweg) •
I, 'd POl•66L9£09 ONI1000 aNbr JNllV3H 3 d£0 :1.0 60 60 AoN
• ABLE HEATING & COOLING Air Conditioning Site Plan
• • 8900 Burnham St Suite. F5
TI GAR SW D, OR 97 223
•
• • (503) 443 -2058 Fax (503) 620 -3980
CCEMS4392 Ernali: ablehvac2 @aol.corn
Customer 16^j
Address 1,150 5u h. 0-) City zip 722 c
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1
6
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L'd VOL66L9£09 ONI1000 aNd ONI1d3H 3184 c 60 60 AoN