Permit CITY OF TIGARD MECHANICAL PERMIT
1111 'g . . COMMUNITY DEVELOPMENT Permit #: MEC2011 -00428
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Date Issued: 09/27/2011
Parcel: 1 S 134DC06000
Jurisdiction: Tigard
Site address: 11880 SW 113TH PL
Project: Sanders Subdivision: MUTTLEY'S ADDITION Lot: 15
Project Description: Replace existing furnace and heat pump Placement of heat pump must meet 5' side and rear yard setbacks.
Contractor: ABLE HEATING & COOLING Owner: SANDERS, LEONARD J
16285 SW 85TH AVE #105 11880 SW 113TH PL
TIGARD, OR 97224 TIGARD, OR 97223
PHONE• 503 - 579 -2250 PHONE 503 - 352 -9833
FAX• 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 09/27/2011 $46 75
Type of Use: SF Heat Pump 09/27/2011 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 09/27/2011 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure.
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 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 N ation e ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules
or dire questions to 0 C • ailing 503 232 1987 or 1.800.332.2344
Issu By: I 462_ Permittee Signat re: .` 5 ff ;ag i>!r
Call 503.639.4175 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.
Mechanical Permit Applic .1.,. o of Tigard
q 13125 S W Hall Blvd Tigard, OR EIVED FOR O F F I C E . i SE o L
City V R eceBy: �1
1111
D nnRe 9 .0TN�� Permit No : `y _ O
= v ,gar, 92 -- e
Phone, 503 718.2439 Fax: 503 598.lS p 2 7 2011 P1anReview
Dale /By Other Permit.
TIGARD. Date Line' 503.639 B DateRcad Ju ris
Internet: www.tigard- or.gov Y y' E11 See Page2for
CITY OF TIGARD Notified/Method, Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
0 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: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
27 I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Hea tinglcooling:
0.1 Air conditioning
Job site address: 11880 SW 113 PLACE (requires site plan showing placement) 46.75
City/State/ZIP: TIGARD, OIL 97223
Furnace 100,000 BTU (duels /vets) I 46.75 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suitelbldg. /apL no.: Project name: SANDERS Heat pump
(requires site plan shm placement) 1 61.06 61.06
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, me. 46.75
Subdivision: Lot no.: i Flue /vent for any of above 23 32
Other 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
REPLACE EXISTING GAS FURNACE ADD HEAT PUMP Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
ED PROPERTY OWNER 0 TENANT Chimney /linerlflue /vent 2132
Other: o 23.32
Name: LEONARD SANDERS Environmental exhaust and ventilation:
Address; 11880 SW 113 PLACE Range hood /other kitchen
equipment 33.39
City /State /ZIP: TIGARD, OR. 97223 Clothes dryer exhaust 33.39
Phone: (503)352-9833 F ax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
C] APPLICANT ❑ CONTACT PERSON Atric!crawlspace fans 23.32
Business name: Other' 23.32
Fuel piping:
Contact name:
514.15 for first four; 54.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
oii
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: ABLE BEATING Sc COOLING LLC Clothes dryer (gas)
Other
MECHANICAL PERMIT FEES"
Address: 16285 SW 85 AVE. SUITE 105
City/State/ZIP: TIGARD, OR. 97224 Subtotal 107.81
' Phone: (503) 579 -2250 , Fax: (503) 620 -3980 -
Minimum permit fee ($90.00)
Plan review (25:/0 of permit fee)
CCB lie.: 184392 State surcharge (12% of permit fee) 12.94
TOTAL PERMIT FEE 120.75
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: KELLY E 1 Date: 09 - 26 - 2011
• Fee methodology set by Trt - County Building Industry Service Board
LiBeildinelPamitsMEC -Permi,.4ppdue 09:09/10 440- 4617T(iI /]2/COM/WEB)
I, ' d 096£029£09 6uyoo3' 6ui}eeH env eZZ :.1. l, I. LZ daS
L6285
RD SW OR 85th Ave 97224 Su 105 Air COndltlona
xe` TI GA, g Site Plan
& ' (503) 579 -2250 Fax (503) 620 -3980
cleat %rg& GooDna, LLC Email: info@ableheatingandcooling.com
CCB #124392
Customer
Address
\\ (, ZS() � P`po F City \ ^,). Zip C VA
�( 3 ff1 a
E 086E0Z9E09 6ull0oo' 6ul}eeH eldV eZZ • L L L LZ des