Permit •
CITY OF TIGARD 1 MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00360
TI CARD 13125 SW Hall Blvd., Tigard OR 97223 503!718.2439 Date Issued: 08/02/2011
Parcel: 2S110BD06000
Jurisdiction: Tigard
Site address: 11903 SW ASPEN RIDGE DR!
Project: CARUFEL i Subdivision: Lot:
Project Description: Installing (2) air conditioners.
Contractor: ADVANTAGE HEATING & AIR CONDITIONING Owner: CARUFEL, DANIEL J & LISA D
2355 HYACINTH ST SE 11903 SW ASPEN RIDGE DR
SALEM, OR 97301 TIGARD, OR 97224
PHONE: 503 - 393 -5315 PHONE:
FAX: 503 - 393 -2253
FEES
Specifics: Description Date Amount
Air Conditioning 08/02/2011 $93.50
Type of Use: SF 12% State Surcharge - Mechanical 08/02/2011 $11.22
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.3
Issued B� / ii Permittee Signature: ratan
Call 503.639. • 75 by 7:00 a.m. for the next available inspection date.
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.
RPrr
Mechanical Permit Application= L-- u �7 air:e1
11- --Ld FOR OFFICE USE ONLY .
City of Tigard ReCCi
Datefay: 1 D Permit No .: '
'
13125 SW Hall Blvd., Tigard, OR 97223 AUG 1 2011
Plan Review ��� ` _ O
' Phone: 503,718.2439 Fax: 503,598.1�61�0 oF 1GAnD Date/By: Other Permit:
T I c. A R t9 Inspection Line: 503.639.4175 BUILDING I tn- DIVISION Date Reed /By: 1urh: See p urge 2 for
Internet: www.tigard- or.gov �!�!� R Notified/Method: . Supplemental Information
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- Mechanical permit fees"' are based on the value of the work
❑ New construction ® Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ 54,125.00
; r . : CATEGOR .OP'<::CONSTRUCTIOht . :
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® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For spectal information use crieckiist-
❑ Multi - family ❑ Master builder ❑ Other: Description Qty.j Ea. Total
JOB. SITE INFORMATION ANll .t,OI A W,;,i't� s;:., s.' Heating/coolirtg:
• Air conditioning
Job site address: 11903 SW Aspen Ridge Dr • (requires site plan showing placement) 2 46.75 93.50
City /State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (duets/vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: Carufel Heat pump
- ( requiros site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
..Duct
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: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
i :- ? p r , c. Xo Q S s r 01 1�" Water heater I 23.32
Installation of 2 Goodman R -22 Air Conditioners. Gas fireplace 3339
Flue vent for water heater or gas
• fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
� •, �„ . Chimney/lineli u vent 23.32
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Other: 2332
Name: Dan Carufel Environmental exhaust and ventilation:
Address: 11903 SW Aspen Ridge Rd Range hood/other kitchen
equipment 33 -39
City /State/ZIP: Tigard, OR 97224 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)704 -7788 Fax: ( ) toilet compartments, utility rooms) 23.32
: <; , ..:.:: APPh1EAhTI`::.:,; :;i;; >;:t :;: sG'� a/crawlspacef 2332
.. Att't fans 23
:> . l Other: 23.32
Business name: Advantage Heating Sc Air Conditioning -
Fuel piping:
Contact name; Crystal Murray $14.15 for first four; 54.03 for each additional
Address: 2355 Hyacinth St SE Furnace, etc.
Gas heat pump
City /State /ZIP: Salem, OR 97301 Walllsuspended/unit heater Y
Phone: (503 -) 393 -5315 Fax: : (503 -) 393 -2253 Water heater
Fireplace
E -mail: AdvantageHVACQcomcastnet Range
CONTRACTOR Barbecue
Business name: t / J 41C431/9 04- d� /G Clothes dryer (gas)
/ Other.
Address: ;. MECHIAN1CAI: FERMIT- ,EE ' <;:; <:'t: : ;.k.: .
City /State/ZIP: Subtotal 43. 4
- Minimum permit fee ($90.00) --
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB I Ic.; r .7 (p U d r State surcharge (12% of permit fee)
TOTAL PERMIT FEE _ I0y,-7)
Authorized signature: This permit application expires If a permit is not obtained within 150
days off it has been accepted as complete -
Print name; Crystal Murray Bate: S/1/11 ` Fee methodology set by Tri -County Building Industry Service Board
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