Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00462
T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/11/2012
Parcel: 2S110BC01900
Jurisdiction: Tigard
Site address: 11981 SW ASPEN RIDGE DR
Project: Fowler Subdivision: ASPEN RIDGE Lot: 31
Project Description: (1)A/C replacement - reuse furnace, ductwork and controls Must maintain 5' side yard setback and approved rear
yard setback
Contractor: ARROW MECHANICAL Owner: FOWLER, ROBERT
10330 SW TUALATIN RD 11981 SW ASPEN RIDGE DR
TUALATIN, OR 97062 TIGARD, OR 97224
PHONE: 503 - 692 -1565 PHONE:
FAX: 503 - 691 -1879
FEES
Specifics: Description Date Amount
Air Conditioning 09/11/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 09/11/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 09/11/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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 503.2 o 1.800.332.2344. p
Issued By: I di3 J Permittee Signature: OM 1 F e/41 0 ,
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.
09/07/2012 14:21 5036911879 ARROW MECHANICAL PAGE 02/03
Mechanical Permit Application 1:(.)R o
City of Tigard . , Received . Permit N".: ii data. s
131 a , _
25 SW Hall Blvd,, Tigard, Ott. 9 1-
DatriB Rovicre i
Ns Phone: S03.718.2A39 Fret: 503.598.1 ''.. VED D : Other PermitEl..t.Abi 0.57 I
t
TIGARD Inspection Line: 503.639.4175 Date Ready/El kris: el See Page 2 tbr
y.
Internet www.tigard.or.gov SEP 1 0 2012 Nomad il G Supplemental latbrination
13 OF Vti g i . fr I '0111 COMMEIKUt SP sontotmt.. list
0 New construction til . ddibo c altenalUgagngtV IStOW Mechanical pctmit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials, equipment. labor, overhead, and profit
Value: S
CATECOltle . .OF cOrisnmerton Rrstogrm,u,squrennolottrods PEEP
193 1- and 2-family dwelling 0 Commercial/industrial Cl Accessory building For tpecial Inform'' on use thecklft
0 Multi-family 0 Master builder 0 Other. Description I Qty. I Pa. _ Total
Bcating/ceellags
41011. SITE 110ORATION AND • LOCA710 Air conditioning
1 461
Job site address: III SI 6,4 A6 pot ('?.u4, ' trim 10,..howitt Mecm 46.75
- Furnace 100,000 BTU (ducts/wad 46.75
City/State/ZIP: 71A-to gal C 177:0 Furnace 100,000+ BTU (duos/veal) 54.91
SuitehldgJapt. no.: I Project name; f410_ AI, obvi..6 Heat pump
(tequilas site plan showier placement) _ 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 beaters (fuel-typo, not electric),
in-wall in-duct. - , - dell, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 2332
Other _ 2332
Tax map/parcel no.: Other fuel appliances:
:::..;::.; , ... , : .:. • . . . . ...PASOWA:P : L..: ...: '. :.: : - , Water heater 2332
Gas fireplace 33.39
-rse.p4 at ..- leg _ is-_ farm/614 Flue vent for water heater or gas
fireplace 2332
‚t14. * C.cpstent
...W - 23.32
Wood/pellet stove 3339
_.,
Wood fireplace/insert 23.32
.'-• - . ' .. : . ..111%rtgrilrOtitStir:•••' ..::.... allil'•::.....•..: • • • .. : Chimncy/lincriflue/vent 23.32
" .. Other: 23.32
Nome: 13 p B _ f Environmental exhaust and ventilatiorc ,
Address: 1 I. 1 ed 6 ,#.4) Afdia•J g4c),9‘ Ran bood/other kitchen
_equipment 33.39
CiteStote/ZIP:3 i - 7-- ii Clothes dryer exhaust 33,39
Single-duct exhaust (bathrooms.
Phone: (9j3) 55 7, 3 Fax: ( ) toilet compartments, trtft moms) 23.32
1:.: . .,: .. , ' ::: . •::.:10P. ; 4,WO,M . i...,..: 7 J.t4AN : k . 4 ' `:.t . i0:: . 4.M.0: 1 0.1X.,#: ? ,0 4 00. 1 ",; .: .V: rr AteleicrawisPace fans 2332
Other: 23.32
Business name: A i t t p_ ou. , tut ir 4 i
Fad piping:
Contact Z Y . F F „r S14.15 for find fowl $4.03 for each odditionn
Address: i Cs 336 6,04 ~rvni,A gd, Furnace, etc.
City/State/ZIP: 011/4 I ,A., oe. cl7o Z. Wall/suspcndcd/enit heater •,
Phone: (03) (47_,.-15 Fax: : (503 ) C is7q Water ticob:r
Fin:place
E-mail: .
it.-2a,42..1% Barbecac .
Business name: A&10 .. 4_.• Cloth e (...01 AAN, e..A I .
Other:
Address: t C1330 6 -r- I RA, r •• A..-.11Y4
Cit -ri (a-,,,,. OA. 3701z Subtotal elL.76 ,
Minimumpermit fee (S90.00) 10- co •
Phone: (*3) Ct. 4 12- -16 Fax: ( ;e5) 4ou 7.1r Plan review (25% of permit fcc)
CCB tic.: § 3 State surcharge (12% of permit lbe) kb s_50
r TOTAL PERMIT FEE ‘00 SO
Authorized signature: b perish expires if a permit isnot obtained within tan
,el""e-L..- Th days after it lies beim accepted so compute.
D EWS12. L1 I "--(1/6- 1 • 'Po, mohnrIninpv red hv TrLentrftiv Ritildinft inibultry Servie.n limn,
09/07/2012 14:21 5036911879 ARROW MECHANICAL PAGE 03/03
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