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Permit w ^ 1 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2010-00028 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/20/2010 Parcel: 2S112BC12500 Jurisdiction: Tigard Site address: 14698 SW 83RD CT Subdivision: STARLING'S CROSSING Lot: 6 Project: Mayes Project Description: Replace gas furnace. Owner: FEES MAYES, ROGER & MELISSA SABINA Description Date Amount 14698 SW 83RD CT Minimum Fee Adjustment - Mechanical 01/20/2010 $43.25 TIGARD, OR 97224 Furnaces < 100K BTU 01/20/2010 $46.75 PHONE: 12% State Surcharge - Mechanical 01/20/2010 $10.80 Contractor: ABLE HEATING & COOLING 8900 SW BURNHAM F-5 TIGARD, OR 97223 PHONE: 503-579-2250 FAX: 503-620-3980 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas 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 direcCqui o OUNC by calling 503.246.6699 or 1.800.332.2344. Issued 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 A lie i EIVED City of Tigard Received Date/8y: PermirNo.: N-si-7 13125 SW Hall Blvd., Tigard, OR 97223 plan Reviev Phone: 503.639-4171 Fax: 503.599ASAN 1 9 201 OitrerPermit: Date/By: Inspection Line: 593.639.4175 Date Ready~y: JUTS: 0 See Page 2 for Internet: www,tigard-or-gov CITY OFTIGARD NotiSiedMtethod: SuppiementalInformation VqWE3 T TYPE COMMERCLAL'FEE* SCHEDULE - USE CHECKLIST © New construction ~ r t dition/alterationlreplacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all © Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ J215 'and 2-famil RESIDENTIAL EQUIPMENT/ SYSTEMS FEES* y dwelling ❑ Commercial/industrial ❑ Accessory building ❑ LluIti-family ❑ Master builder For special injorrnarion use c3iecklrst. ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling c Y'L~ Air conditioning Job site address: (requires site plan shawi❑ placement) 46.75 CityiState/ZIP: Furnace 100,000 BTU (d=isfvents 46.75 t Furnace 100,000+ BTU {ducts/vents) 54.91 Suite bldg.lapt, no.: Project name: Heat um 61.06 Cross street/directions to job site: 4 Duct work 23.32 Hvdronic hot waters stem 23.32 Residential boiler (radiator or h dronic 23.32 Unit heaters (fuel-type, not electric), in-wall, in-duct, sas ended, etc. 46.75 Flue/vent for an of aba_ ve 23.32 Subdivision: Lot no.: Other: 23.32 1 Tax map/parcel no.: Other fuels fiances DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 33.39 E~ k~t~a L~1v{~ ' T Flue vent for vv'ater heater or gas fireplace 23.32 Lo lighter (gas) _ 23.32 Wood/ ellet stove 33.39 Wood fire lace insert 23.32 Chimne Ilinerlflue/vent 23.32 La-IR-OPERTY OWNER ❑ TENANT Other: 23.32 Name: Environmental exhaust and ventilation Address: Range hoodlother kitchen C Squui ment 33.39 City/State!ZIP: r r,L Clothes dryer exhaust 33.39 Single-duct exhaust (bathrooms, Phone: Fax: ( ) toilet compartments, utility rooms 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attickrawls ace faro 23.32 other: 23.32 Business name: Fuel i 'n Contact name: _ 514.15 for first four; 54.03 for each additional Furnace, etc. Address: Gas heat um City/StateIZIP: Wall/sus cnded/unitheater Phone: ( } Fax:: ( ) Water heater Fireplace E-mail: Range CONTRACTOR Barbecue Business name: _ Clothes dryer (gas) Other: Address: - J MECHANICAL PEI211UT FEES* City/StateiZIP: O'Vw C► Subtotal Minimum permit fee ($90.00) - Phone: ( ti Fax: (~'(j ` ! Plan review (25% of permit fee) CCBIic.: State surcharge(12%ofpermitfee) (j TOTAL PERNi nT FEE L' n a d r This permit application expires if a permit is not obtained within 180 Authorized signature: 1 i days after it has been accepted as complete. Print name: - v Date: Fee methodology set by Tri-County Building industry Semite Board 1; BuildngtPersitslNlGPem dac 1001/09 4404617T(It/01_X0M1WEO) L'd VM6L9£09 ON11000 aNV ONUV3H 3~OV dLb:ZL O6 6L U2('