Permit CITY OF TIGARD MECHANICAL PERMIT
II I COMMUNITY DEVELOPMENT Permit #: MEC2012 -00102
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/23/2012
Parcel: 1 S 134BD01600
Jurisdiction: Tigard
Site address: 11715 SW HAZELWOOD LP
Project: Beatty Subdivision: ENGLEWOOD NO.2 Lot: 104
Project Description: Replace air handler and add heat pump.
Contractor: ABLE HEATING & COOLING Owner: BEATTY, STEVE E
16285 SW 85TH AVE #105 11715 SW HAZELWOOD LOOP
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 579 -2250 PHONE: 503 - 547 -4747
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 02/23/2012 $46.75
Type of Use: SF Heat Pump 02/23/2012 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/23/2012 $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 " ^o uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N. ication 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 direc questions to OUNC -Ili 503.232.1987 or 1.800.332.234.4.
/
Issued . y: Permittee Sign- �f
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 Application 1.012 01;110E I SI: ONLY
City of Tigard " ° � / � /� Permit Na: ��D��?- C�' /4�,
Ptah Revi
74 `
a 13125 SW Hall Blvd., Tigard, OR 97223 ,
Phone: 500 3.7181439 Fax: 503.5 8 Other Permit:
Inspection Line: 503.6 DateRe
T I G ,\ R D 39.4175 r1 �L Date Ready/By: tans: See Page 2 for
Internet uvrw.tigard il !. O Notified/Method: Supplementallaformation
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CF6 f4 c/P� A
I TYPE OF WORK 0 �U COMMERCIAL FEE• SCHEDULE - USE CHECKLIST
❑ New connstruction ®Addition /altetati r �' Ni M echanical permit fees' are based on the value of the work
Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑
❑ Other: tel mechanical materials, equipment, Tabor, overhead, and profit
CATEGORY OF CONSTRUCTION
Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building For speciarinformation ase checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heatlny/000lirtg:
Air conditioning
Job site address: 11715 SW HAZELWOOD LOOP (requires site plan showing placement) 46.75
City/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/bldgJapt. no.: I Project name: BEATTY Heat pump
(requires siteplan showing placement) I 61.06 61.06 _
Cross stmt/directions to job site: _Ductwork 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, etc. 46.75
Subdivision: I Lot no.: 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 AIR HANDLER AND ADD NEW HEAT PUMP Gm fireplace 33.39
W'
Flue vent for water heater or gas
fireplace 23.32
Log lifer (gas) 23.32 _
Wood/pellet stove ! 33.39 _
Wood fireplace/inse t 2332
IS PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 2332 _
Name: STEVE BEATTY Environmental exhaust and ventilation:
Address: 11715 SW HAZELWOOD LOOP Range hood/other kitchen
equipment 33.39
City /State/ZIP: TIGARD, OR 97223 Clothes dryer exhaust 33.39
Phone: (503)547-4747 Fax: ( ) Single -duct exhaust (bathrooms. -
toilet compartments. utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
•
Business name: Other 23.32
Fuel piping:
Contact name: $14.15 for Lim four, $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State.2IP: W albs
trspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
E-mail: Fi replace
Range
CONTRACTOR Barbecue
Business name: ABLE HEATING & COOLING LLC Clothes dryer (gas) _
Address: 16285 SW 85 " AVE. SUITE 105 Other:
MECHANICAL PERMIT FEES"'
City/StateJZIP: TIGARD, OR. 97223 Subtotal 107.81
Phone: (503) 579-2250 I Fax: (503) 620 -3980 Minimum permit fee ($90.00)
CCB tic. 184392 Plan review (25% of permit fee)
State surcharge (12% of permit Ede) 12.94
r TOTAL PERMIT FEE 120.75
Authorized signature This permit application expires if a permit is not obtained within 1811
days after it has been accepted as complete
Print name: K '� l TE Date: 02 - 22 - 12 • Fee methodology set by Tri County Budding Industry Service Board
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Air Conditioning Site Plan
gir TAII ABLE 16285 SVV 85 Ave. Suite 105
Tigard, OR 97224
(503)579 -2250 Fax(503)620 -3980
L'.0 Email: info rQableheatingandcooling. corn
CCB#184392
Customer.
Address: 41ft. k ;_ C I Zr •: - - -
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Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9775 SW PEMBROOK ST, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
02/21/2013 00:00
MEC2013-00102
PASS - No C of O
Violation Summary:
Inspector Contractor