Permit CITY OF TIGARD MECHANICAL PERMIT
• • -- ; • COMMUNITY DEVELOPMENT Permit #: MEC2010 -00024
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/19/2010
Ti G` Parcel: 2S 111 CA02700
Jurisdiction: Tigard
•
Site address: 15466 SW SUMMERFIELD LN
Subdivision: Lot: 0
Project: Trachsel
Project Description: Replace air handler and heat pump.
Owner: FEES
TRACHSEL, MERNA I Description Date Amount
15466 SW SUMMERFIELD LN Air Conditioning 01/19/2010 $46.75
TIGARD, OR 97223 Heat Pump 01/19/2010 $61.06
PHONE: 12% State Surcharge - Mechanical 01/19/2010 $12.94
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:
Gas Pressue:
Total $120.75
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 wilt 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: z v \,I 1111 I1 /1 (� 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 Applia ne IEI Y ,ED ' ; / ,;;r te , ~g"; 5 , 7 ,T1 - x. ,,F �. x qr r e - � , • . : ;t ti .„„ T Ol t ()I'.,! f!(:1!:;',11 ,N I)N0_, -17 . r cYi at 7;10A-Z. .;
City of Tigard Received .
i
° 1 SW Hall Blvd., Tigard, OR Da:e/By 1 • ��
e a1 1 2010 ''�
1 Phone: 503.639.4171 Fax: 503.598.1960 P tah Review
Date/By: O her Permit:
l`t" c'i Inspection 'Line: 503.639.4175 w q
1-I Gi11 U
CITY OF TIGARD Date Ready/13y: B See Page 2 for
�' ' , Entemet: wsvw.tigard or.gov
BUILDING DIVISION Notified/Method: MN Supplemental Information
• TYPE OF WORK COMMERCIAL FEE* SCHEDULE. - USE CHEECKLIST''
❑ New construction i.2 ddition/alteratioa"replacement 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 overhead, and profit.
CATEGORY OF CONSTRUCTION i Value: $
I -and 2-family dwelling
RESIDENTIAL EQUIP
t
y g ❑ Commercial/industrial Li t Accessory building
❑ Multi family ❑Master builder For special information use checklist
❑ Other: Description Qty. I Ea. 1 Total
. JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 1 �y '1 Air showing placemenr) t I 46.75
` � ` v v+} vh�I 1 \�� I���II (requires site pia.,
City /State/ZIP: C<<� �r'1 a � ' Furnace 100,000 BTU (ducts /vents) 45.75 •
Furnace 100,000- BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: • Project name:77,1\ otf. L� >n 1 Heat um
y- pump k 61.06 , �t _(1(•:,
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: Flue /vent for any of above 23.32
Lot no.:
Other: 23_32 I
Taxtnap /parcel no.: Other fuel appliances
• . DESCRIPTION OF WORK Water heater 23.32
tt Gas fireplace 33.39
('-. t. iy(y i- E-1 _ \_S`�lp\ c'3 l t:. )(N.A. ` z ' ' Flue vent for water heater or gas
` fireplace 23.32
,L \,. , �',IS Y
�t •p ( = -I �v ,.� Llighter(g�) 23.32 t
J
Wood/pellet stove 33.39
• Wood fireplace/insert 2332 •
��� : Chimney/liner/flue/vent 23.32
t-E1 lOPERTY OWNER ❑ TENANT
Name: yy
Other: j 23,32
M E- k-_, Environmental .exhaust and ventilation
Address: '' \\ c r, Rangehood/other kitchen
\l`t� �P • �� .. 1�` i�� ► ~C` i f l .� !,• .1 equipment 33.39
CityrStatc/ZTP: -T; . t ,-.1..._ ) (' Q o, �� Clothes dryer exhaust 33,39
', Single -duct exhaust (bathrooms,
Phone: (a v _ hc , k Fax: ( ) toilet'compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Aiticicraw]space fans 23.32
Business name:
Other: 23.32
Fuer piping
Contact name: 5I4.15 for first four; 54,03 for each additional
Address: Fumace, etc.
Gas heat pump
•
CityiState/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
^
Business name: : `i ;, Clothes dryer (gas)
} Other:
Address: `1 C. D �-, • R o . ,.. -v I '-/ • MECHANICAL PERMIT FEES"
City/State /ZIP: \ ^ f k , � C\r\;-)3 subtotal '( 01. g
na Minimum permit fee (590.00) ( „ ,
Phone: ( ` \ .Q.,4-,0 Fax: ) t,X` ' C Plan review (25% of permit fee) c
CCB Iic.: ( o \ State surcharge (12 %of Permit fee)
TOTAL PERMIT FE> la n(� I •
Authorized signature ` ' This permit application expires if a permit is not obtain i 160r , Q ,
:Vt. " vV (, �'� ` . ; days after it has been accepted as complete. �
Print'name: 47-- ll // 1 '12 " ', i--\ , Date: `- • Foe methodology sea by Tri- County Building Industry Service Board
I \Buildiat\Permia\hEC- Pennith dcc 10/01 /09 44C 4617T (11 /02/COWWEB)
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v ABLE ECEATECG Si COOLING Air Conditioning •Site Plan
8900 SW Burnham St Suite F5
T/GA RD, OR 9772R
• P'''* • (503) 443-2058 Fax (503) 620-3980
000001200
CCS#184392 Email: ablehvac2Paol.com
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