Permit I
CITY OF TIGARD MECHANICAL PERMIT
11
- 2 DEVELOPMENT Permit #: MEC2009 -00134
Date Issued: 03/30/2009
TI ,A D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S1046D02700
Jurisdiction: Tigard
Site address: 12945-SW-135TH-AVE—
Subdivision: VISTA LAKE Lot: 4
Project: May
Project Description: Replace furnace.
Owner: FEES
MAY, RICK V & Description Date Amount
JULIE F, 12945 SW 135TH AVE Furnaces < 100K BTU 03/30/2009 $14.00
TIGARD, OR 97223 12% State Surcharge - Mechanical 03/30/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 03/30/2009 $58.50
Contractor:
ABLE HEATING & COOLING
8900 SW BURNHAM ST
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 $81.20
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
Issued By: 4glair\J? 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 Applicati m N
City Tigard ma Receive /� /{� C� Permit No.: //� /)Q �j
`J g iJ ate.B. / . (3 . l / - t J ` i ft 6 ZQ c t • 0 � J
311 .
.. 13125 SW Hall Blvd., Tigard, OR 97223 MAR 2 7 2009 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date Sy: Other Permit.
TI G'ARD Inspection Line: 503.639.4175 Dale Ready'Dy: or1 Sec Page 2 for
Internet: www.tigard -or.gov CITY OF TIGARD Not i6 ea/Method: 1 CT) Supplemental Information
_ BUILDING DIVISION 111
.. TYPE OF WORK COMMERCIAL: FEE" SCHEDULE _ USECIIEGKLIST-
#ddition/alteratiow'replacement Mechanical permit fees' are based on the value of the work
❑ New construction performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
.. : CATEGORY OF CONSTRUCTION .
. RESIDENTIAL EQUIPMENT /SYSTEMS FEES* ..
U-t and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
. • . JOB SITE INFORMATION AND LOCATION Heating /coolirmg
^-� Air conditioning or heal pump
I2
Job site address: . Cj'LJ 5 Sw f 3 S Au, (requires site plan showing placement) 14.00
City /StatelZlP: r 6 a ,
' Furnace 100,000 BTU (ducts/vents) ' / 14.00
A � Furnace 100,000+ BTU (dactslveats) 17.90
V 1
Suite /bldg. /apt. no.: Project name: / � Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00 _
Hydronic hot water system 14.00
Residential boiler (radiator or
hvdronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14,00
Flue/vent for any of above 6,80
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
1,.4 racc__ 1 -,erc _ - VZ, (t� C� 67 / � v r Flue vent for water heater or gas
fireplace 10.00
' Log lighter (gas) 10.00
' Wood/ relletstove 10.00
Wood fireplace /insert 10.00
Chimney /liner. /flue /rent I0_00
• PROPERTY. OWNER l 0 TENANT Other: _ 10.00
Name: la, C f c JU,i __ d1 � Environmental exhaust and ventilation
/ A � Range hood, other kitchen
Address: f L L SU-.i f 3 5 .4 (A C— equipment I0.00
City /State /ZIP: -d 6 11 7a 3 Clothes dryer exhaust 10.00 _
S ��4 / r ' ' Single -duct exhaust (bathrooms, ,
Phone: ( 52 - 75 Fax: ( ) toilet compartments, utility rooms) _ 6.80
' • : ❑ APPLICANT . • . • 0 CONTACT PERSON • Attic /crawlspace fans 10.00 j
Other. 10.00 r
Business name: Fuel piping
Contact name: S5A0 for first four; $1.00 for each additional
Furnace, etc.
Address: Gas heat pump
City /State /ZIP: Wall /suspended/unit heater •
Phone: ( ) Fax :: ( ) Water heater
, L Fireplace ,
E -mail: Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: AI, 0o b f>: 1e J r i , C-c- ii. L t . Other
Address: 890o 5j �' /Nt (tavr 5 , - / : . . . . MIECIIANICAL PERMi;f FEES* :. .. •
City /State /ZIP: -- f r7 Subtotal
/ v �2/ 7 � , Minimum permit fee ($72.50) -7i ,5O
Phone: (5 ) e. t/3 - 5-� Fax: (5 G a G - 39 8.., Plan review (25% of permit fee)
/ 1(3 1 State surcharge(12 %of permit fee) ',7()
CCB tic.: TOTAL PERMIT FEE
'S/r .7c"7
Ai This permit application expires if a permit is not obtained within 180
Authorized signature: 1 A days after it has been accepted as complete.
Print name: A /
L /L gr i 6 Date: 3 --Z7 -,p F " Fee methodology set by Tn County Building Industry Service Board
t', Buildinv \PenritswEC- PermitApp.dee 01;947 470 -45i71 (1 i /021COOM/WEB)
Z 170 1 ONI1000 CNV CNILV9H 919V d49 :L0 60 LZ ALAI