Permit f
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CITY OF TIGARD MECHANICAL PERMIT
"' -1 ' COMMUNITY DEVELOPMENT Permit #. MEC2009 -00295
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 639 4171 Date Issued 06/22/2009
Parcel. 2S103DD04100
Jurisdiction Tigard
Site address: 10740 SW GARDEN PARK PL
Subdivision. Lot. 0
Project: Clark
Project Description: Replace furnace and add heat pump and air handler
Owner FEES
CLARK, LANIE Description Date Amount
10740 SW GARDEN PARK PL
TIGARD, OR 97223 Air Conditioning or Heat Pump 06/22/2009 $14 00
Furnaces < 100K BTU 06/22/2009 $14 00
PHONE Other, Heating /Cooling 06/22/2009 $10 00
12% Slate Surcharge - Mechanical 06/22/2009 $8 70
Contractor: Minimum Fee Adjustment - Mechanical 06/22/2009 $34 50
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• VB
Occupancy Grp R -3
Stories:
Fuel
Fuel Types Electricity
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
or direct questions to OUNC by calling 503 246 6699 or 1 800 332 2344
Issued By: hel V Permittee Signature: i A
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.
, Jur,, 16 09 06:40p ABLE HEATING AND COOLING 5035799104 p.1
f Mechanical Permit A p licatio
/ Q � . ' O ICE USE ONLY t t t . • J 1
wE CEIVED ' _
1111 : City of Tigard Date,By Permit No :
13125 SW Flail Blvd., Tigard OR 97223 yt � L2 �' CX��
Plan Review
'- Phone' 503.639.4171 Fax 503.598.1960 JUN 17 2009 Date By Other Permit
TlG Inspection Line: 503.639 Date Ready /B w ;5
,, Internet: WW ttgard -or.gov y El Set Page 2 for
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CITY OFTIGARD Notiied/Method. Supplemental Information
RUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
1:1 New construction Addition /alterationfreplacement 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, labor, overhead. and profit.
CATEGORY OF CONSTRUCTION Value $
+}�1- a nd 2-family dwelling RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder El Other: Description I Qty. Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: t � �v �' ,3 � (� � Sir conditioning or heat pump \ \ 1 u\.(6' -, ? (re site plan showing placement) ` 14.00
City /State/ZIP: Furnace 100,000 BTU (ducts vents) _ 14.00
Suite/ bldg. /apl. no.: Project name: ` y � ,� Furnace 100,000+ BTU (duets/vents)
Gas heat pump 14.00
Cross streetldirections to job site: Duct work 10.00
Hydronie hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duel, suspended. etc 14.00
Subdivision: Flue/vent for any of above 6
Lot no.:
_Other: 10.00
Tax reap /parcel no.:
Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
R IC / �� Gas fireplace 10.00
�� __ X 1 'ZAl4 Ad / f 5-4A Log ligh p(/ ,7"/"( A JA ,/ Flue vent for water heater or gas
fire
A/a.u.) T FU'C4p. foil) 4 /lj I4JDL l 10.00
Log ghter (gas) 10.00
Woodipellet stove _ 10.00
Wood fireplace/insert 10.00
OPERTY OWNER ❑ TENANT r Chimney/liner,'flue/vent 10 00
Name:
Other: 1000
Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment [ 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Anic /crawlspace fans 10.00 _
Business name: Other: 10.00
Fuel piping
Contact name:
$5.40 for first four; 51,00 for each additional
Address: Furnace. etc
Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
— Range
CONTRACTOR Barbecue
Business name: ,\ 0 — k �` • _ 1... • ` . Clothes dryer (
'� Other
Address:q k �n� `_ \ J `- - b)� MECHANICAL PERMIT FEES*
City /State/ZIP: , ` 1 CA . 1 �� Subtotal
Phone: ( I j T -- At-)5 11 Fax: ( cl - a � - ���
Ma xi Minimum permit fee ($72.5 "1 �5�
� an rev ee
review (5% of permit fee) "I
CCB L'c.: `C L� 0C1i1 ��
‘‘ /'\
State surcharge (12% of permit fee) Ki
__ / q TOTAL PERMIT FEE 80
` ,
Authorized signature: �( This permit application expires if a permit t is not obtained within 180
days after it has been accepted as complete.
Print name: ` ; ' Date: , ' Pee methodology set by Tri County Building Industry Service Beard
RSuildi�tPerrnits\MK -P llt .. doe 01/19/07 440-4617T(I 1,'02?COMN/bB)
' , , Juri 16 09 06:40p ABLE HEATING AND COOLING 5035799104 p.2
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• 3 ° - ABLE HEATING & COOLING Air Conditioning Site Plan
• k "' • 8900 SW Burnham St Suite F5
„ TIGARD, OR 97223
®. "� �• �. : (503) 443 -2058 Fax (503) 620 -3980
CCB #184392 Emaii: ablehvac2 @aol.com
Customer
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