Permit CITY T I A R 1 ; MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00111
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 2/20/2007
PARCEL: 2S102CA-00225
SITE ADDRESS: 13195 SW ASH AVE ZONING: R -4.5
SUBDIVISION: VIEWCREST TERRRACE LOT: 020 JURISDICTION: TIG
PROJECT: COOPER
Project Description: Replace gas furnace & re -vent.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MICHAEL COOPER Description Date Amount
13195 SW ASH LN
TIGARD, OR 97223 [MECH] Permit Fee 2/20/2007 $72.50
[TAX] 8% State Surcha 2/20/2007 $5.80
Total $78.30
Phone: 503- 639 -1301
Contractor:
AAA HEATING & COOLING
2915 NE MLK JR BLVD
PORTLAND, OR 97212 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -2173
FAX 503- 284 -1552
Reg #: LIC 222
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: `e
Call 503.639.4175 by 7:00 a.m. for inspections 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.
Feb 20 07 09:47a AAA HEATING AND COOLING 503 284 1552 p2
4
lvlecnanical Permit Application FOR OFFICE USE ONLY
City of Tigard , ^ Received a n om/ perm _
13]25 SW Hall Blvd., Tig d; li{ � 3 ■ 1,' DateBy� (r/ 0 7 � 0%_�C.o 2 )U0 7 ()/ 1 J
,1 , i Plan Review v
Phone: 503.639.4171 Fal-• 3 �err
�� :�' p :
Other Permit:
Ins ectionLane: 503.639.4 75'. -- "-- .i.iJ. � y
P NNE t' Date Ready /By: Juris: m Sce Page 2 for
InterneC www.Ci .ti gard .or.u5 2° Notified/McIhod: Supplemental Information
' ' T OF WQ : COMMERCIAL FEE* :SCHEDULE - USE CHECKLIS1
a y' � Mechanical permit fees* are based on the value of the work
El New construction � performed. Indicate the value (rounded to the nearest dollar) of z
❑ Demolition i 1N " r: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: 3
RESIDENTIAL' EQUIPMENT /SYSTEMS FEES*
1 7 .--
- a nd 2 dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklisr.
❑ Multi - family ❑ Master builder ❑ Other:
Description 1 Qty. 1 Ea. 1 Total
. JOB SITE INFORMATION AND 'LOCATION . Heatingicoolini,
Job site address: f i C1(1 s,N A S h , \i, Air conditioning
(requires iti P ing or Itegtp pump
(requires site tan showirt • placement) 14.00
City/State/ZIP: ! ' Ar(� or 9 7 �a� Furnace 100,000 BTU(ductsrvents) 74.00 1 ,
�t
• Furnace 100,000+ BTU (dscts /velti5; 17.90
Suite/bldg./apt. no.: Project name: Ca Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.' Flue /vent for any of above i 10.00 , G7'
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF ' Water heater 1C.00
,^. nn n � ' f I ], Gas fireplace 10.00
ob. i - - • /1 f CA ` 0.,ii Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) :0.00
Wood /pellet stove :0.00
Wood firgalace /insert 10.00
Chimney!liner /flue/vent 10.00
' • PROPERTY OWNER 0,. TENANT
. Other: 10.00
Name: pi ieh At?_ ,Wf Environmental exhaust and ventilation
1 /" , Range hood /other kitchen
Address: V
equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Single -due: exhaust (bathrooms,
Phone:( 3) 1 6 0 I Fax: ( ) toilet compartments, utility rooms) 6.80
' ❑' APPLICANT ❑ CONTACT PERSON Attic/crawlspace tars 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: 55.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range ,
c O NTRACTOR ' ... Barbecue
Business name: QA� o iriq �
f 000 `1� Clothes dryer (gas)
N ! *r` t / Other:
J/
Address: , G3, �5 n E V/J I ale 8P u MECHANICAL PERMIT FEES*
City/State/ZIP: e / /J , , Ole, x1741.1 Subtotal 14 c c
) �Zy f /' Fax: ( b/� Minimum permit fee ($72.50) a'� C
Phone:
�3 oC � 21 ref__ l ��x Plan review (25% of permit fee)
CCB lic.: ji g State surcharge (8% of permit fee) &8'0
TOTAL PERMIT FEE 78.30
Authorized s' Ago
Mu/re: This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
Print name: ' G`( : Date: 2, l (.4._ 7 Fee methodology set by Tri-County Building Industry Service board
is Hui lding1Prrahs \MEC- PermitAp p.doc 12/03 440.4617T (11 /02./COhVVEB)