Permit U CITY OF TIGARD MECHANICAL PERMIT
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t:: COMMUNITY DEVELOPMENT Permit #: MEC2009 -00309
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/25/2009
Parcel: 2S109AB03400
Jurisdiction: Tigard
Site address: 13438 SW MOUNTAIN RIDGE CT
Subdivision: Lot: 0
Project: Brems
Project Description: Replace two existing gas furnaces with new gas furnaces and heat pumps. Maintain 3' rear and
side yard setbacks.
Owner: • FEES
BREMS, JON E AND ILENE Description Date Amount
13438 SW MTN RIDGE CT Air Conditioning or Heat Pump 06/25/2009 $28.00
TIGARD, OR 97224
Furnaces < 100K BTU 06/25/2009 $28.00
PHONE: Minimum Fee Adjustment - Mechanical 06/25/2009 $16.50
12% State Surcharge - Mechanical 06/25/2009 $8.70
Contractor:
ABLE HEATING & COOLING
8900 SW BURNHAM ST
TIGARD, OR 97223
PHONE: 503 -443 -2058
FAX: 503 - 620 -3980
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Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $81.20
Required Items and Reports (Conditions)
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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: 5VL/AilLf akeri • Permittee Signature: Q, 1er, JG
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.
Jun 24 09 06:43p ABLE HEATING AND COOLING 5035799104 p.1
i. Mechanical Permit Applica ! , 1 , FOR OFFICE. USE ONLY
City of Tigard II CEIVED Received
• 13125 SW Hall Blvd., Tigard, OR 9 i t
DateB I Permit No.:,W OQ - 00 3 9
Plan Review
Phone: 503.639.4171 Fax: 503.598. i96q J 1 `N 2 ` 2009 � DateB�^ ()that Permit:
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TIGARD Inspection Line: 503.639 Date Ready.By: curia; 10 See Page 2 for
Internet: www.tigard- or.gov
CITY OF TIGARD Notified/Method: Sopplemeatal lafarmntion
TYPE of SING DIVtSION
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Addition /alteration /replacement Mechanical pY it fees* are based on the value of the work
❑ Demolition ❑Other: performed indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
,�/ RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
t- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
El • ❑ Master builder ❑ Other: fjor special information use checklist.
Description I I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /coolie g
Job site address: ` ,, C �C� ��� � Air condition in'or heat pump :.0 t) (requires the la showing-placement) a. 14.00 g
City /State//ZIP :� ` Ckr AAA 100,0 0 BTU (dnar/vettts) 14.00 $
Suite/bldg./apt. 'r Furnace 100,000+ 1 BTU(ducrsvents) 17.90
g. apt. no.: P jest name: n
�-Gki` Gas heat pump I 14.00
Cross street/directions to job site: Duct work I 10.00 _
Hydronic hot v ater system 14.00
Residential boiler (radiator or
hydronic) I 14.00
. ! Unit heaters (fuel -type. not electric),
in -wall, in -duct! suspended, etc. 14.00
Subdivision: Lot no.: FlurJvent for any of above _ 6,80
Other: I 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater I 10.00
'PLACE % t 9i 5T /N4 GA C rr Gas fireplace ent I 10.00
W �4�t�/ T Flue vent for water heater or gas
fireplace i 10
rJ r77/ A/ At.) GA s r ?"- <Ler hey )) /AT / Pr
Log lighter (Qru) 10.00
Wood/pellet stove 10.00
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Wood fircplacefnsert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner/due/vent
-
10.00
Other: 10.00 -
Name: 737 j /f,,i 5 a Environmentail exhaust and ventilation
Address: I �(,J 3'r/t/ /N acirj! A/� t� l I)(' ] •= C Range other kitchen
T . equipment I 10.00
City/State/LiP: ( e� / - F G,� � n / (� 2- Clothes dryer e>�liau 10.00
Single -duct exbaust (bathrooms,
Phone: (s) 3 ) s( _. 77, 3 Fax: ( ) toilet companments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attidcrawispacd fans : 10.00
Business name: _Other: 10.00
Fuel piping I
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump I
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater I
E-mail: Fireplace I
Range I
CONTRACTOR Barbecue I
Business name: 0 :�� 000‘. , I , . t_, Clothes dryer (gas) I
Address: Q Q
Other: 11
O O laQ r• MECHANICAL PERMIT FEES'
City/State/LIP ' r b l G` r1 1 I Subtotal ara
Phone: ( ._ �nSR Fax: (SON , ZC> C i O I Minimum permit fee r 50 `' .J `R I Plan review (25% of permitt fee ) ee)
� ®�
CCB lie.: V , b
O1/O
State surcharge (1 2% of permit fee)
I TOTAL PERMIT FEE. 5,'.
Authorized signature: : . �/� Thi p ermit applibi�niots expires If is permit is not obtained within 180
/� / /}- dayslafter it has been accepted as complete.
Print name: � k ('J[ ( 1 Date: C. -G1 / - c " I ' Fee methodology set by T - Couruy Building Industry Service Board
1 :1nuildi gWermiuMEC Pem itA 01/19/07 440 - 461 TT (I Il02/COWWEB)
Jun 24 09 06:43p ABLE HEATING AND COOLING 5035799104 p.3
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• ABLE HEATING & COOLING Air Conditioning Site Plan
• • 8900 SW Burnham St Suite F5
• : TIGARD, OR 97223
• ; (503) 443 -2058 Fax (503) 620 -3980
CCB #184392 Email: abiehvac2 @aoi.com
Customer " 1 BRE/IA.5
Address / 3 F 5,0 14 7 4 /n1 Ri C7 city T 64 J3 Zip 77 z,2_
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