Permit CITY OF TIGARD MECHANICAL PERMIT
111 n
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00092
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/16/2012
Parcel: 2S101 DCO2400
Jurisdiction: Tigard
Site address: 7630 SW CHERRY DR
Project: MEMOVICH Subdivision: ROLLING HILLS NO.2 Lot: 32
Project Description: Gas furnace replacement.
Contractor: ABLE HEATING & COOLING Owner: MEMOVICH, BARBARA J TR
16285 SW 85TH AVE #105 7630 SW CHERRY DR
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 579 -2250 PHONE: 503 - 639 -5884
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 02/16/2012 $46.75
Type of Use: SF Minimum Fee Adjustment - Mechanical 02/16/2012 $43.25
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/16/2012 $10.80
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
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 1.8m.
Issued By: Permittee Signature:
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.
Feb 16 12 03:40p Able Heating & Cooling 5036203980 p.1
Mechanical Permit Applicati (1 i FOR OFFICE l SE ONLY '
... Ci of Tigard Received
13125 SW Hall Blvd., Tigard, OR 97223 FEB 6 2012 Date /By /M ( /6 PcmtA No.: -7 C— 1 , L _fir` —
Phone: 503.718.2439 Fax: 503.598.1960 D Review
Daie/By: Other Permit:
T 1 GA RD
inspection Line: 503.639.417 CITY OF TI r � Date Ready/By: turfs:
Internet: www.tigard- or.gov t 3 G See Page 2 for
BUILDING DIVISIOJ NotifiedRvtatimd: Supp lementallaforaaalion
®V Ll DIVISION V
TYPE OF WORK COhLYIERCIAL FEE* SCHEDULE — USE CHECKLIST
El New construction Mechanical permit fees" are based on the value of the work
® Additionialteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION - Value: $
RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
® 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For
ID Multi- family special information use checklist. Master builder ❑ Other: Description
Qty. + Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 7630 SW CHERRY DRIVE (requires site plan showing placement) 46.75
Cit}'State /ZIP: TIGARD, OR. 97223 Furnace 100,000 BTU (ducts/vents) 1 46,75 46.75
Furnace 100,000+ BTU {ducts /vents) 54.91
Suite/bldg. /apt no.: Project name: MEMOVICH : Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hvdronic 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: no . Flue/vent for any of above 23
Other: 23.32
Tax map /parcel no.: Other fuel appliances: r
DESCRIPTION OF WORK Water heater r 23.32
REPLACE EXISTING GAS FURNACE Gas fireplace I 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
® PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: BARBARA MLMOVICEI Environmental exhaust and ventilation:
Address: 7630 SW CHERRY DRIVE Range hood/other kitchen
equipment 33.39
City/ State/ZIP: TIGARD, OR. 97223 Clothes dryer exhaust 33.39
Phone: (503)639 - 5884 Fax: ( ) Single duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
0 APPLICANT 0 CONTACT PERSON Atticicrawispace fans 23.32
Business name: Other: 23.32
Fuel piping:
Contact name:
$14,15 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
E -mail: Fireplace
' I Rang
CONTRACTOR Barbecue •
Business name: ABLE HEATING & COOLING LLC Clothes dryer (gas)
Address: 16285 SW 85 AVE, SUITE 105
Other:
MECHANICAL PERMIT FEES*
City/State/ZIP: TIGARD, OR. 97224 Subtotal
•
Phone: 5413 5 79 - 2250 Minimum permit fee ($90.00) 90.00
(503) Fax: (503) 620 -3980 J
Plan review (25% of permit fee)
CCB lie.: 184392 State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
AuIhorized Signature - Thi permit a pplication expires if a permit is not obtained within 180
clays after it has been accepted as complete.
Print rtarne: KELLY WI 1TE Date: 02 ' Fee methodology set byTri- Courtly Building industry Service Board
L\ Buitdisg 'PennitslNIEC- PermitApp.doe 09 /09 /le 440- 617T(I1 /a2ICOWNEB)