Permit CITY OF TIGARD MECHANICAL PERMIT
'r1 g COMMUNITY DEVELOPMENT Permit#: MEC2013-00035
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TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2013
Parcel: 2S 104DA03800
Jurisdiction: Tigard
Site address: 13499 SW 129TH AVE
Project: Brown Subdivision: QUAIL HOLLOW-WEST Lot: 24
Project Description: (1)gas furnace replacement
Contractor: ABLE HEATING&COOLING LLC Owner: BROWN, BRIDGETTE M
16285 SW 85TH AVE#105 BROWN,MARKEE LAMAR
TIGARD, OR 97224 13499 SW 129TH AVE
• TIGARD,OR 97223
PHONE: 503-579-2250 PHONE: 503-524-4924
FAX: 503-620-3980
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 01/22/2013 $46.75 -
Type of Use: SF 12%State Surcharge-Mechanical 01/22/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 01/22/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
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Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /► be do n Permittee Signature: Dm ,gepoc b4 7-7V4
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Application RECEIVE I Io-.Ui „if_ r t '4: ()\1.\
Ilpl City of Tigard D iv , „ {3 Permit NoMEC A7/3_000 35
• 13125 SW Hall Blvd.,Tigard,OR 97223 JAN 17 2013
Phone: 503.7182439 Fax: 503.598.{960 Pugf Other Permit:
T k t, Inspection Line: 503.639.41'75 CITY OF TIGAR Date Ready!By. 63 see rage 2 fur
Internet www.tigard or.gov BUILDING DIVISI 111 Jiiscd/M«hod: supplemental Information•TYPE OF WORK 1V COMMERCIAL FEE*SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY OF CONSTRUCTION ; I' RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-.and 2-family dwelling ❑CommerciaLrindu atrial ❑Accessory building ForspedaI hef rotation use chechii t
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning •
Job site address:13499 SW 129Th AVE. (requires site plan showing placement) 46.75
City/State/ZIP:TIGARD,OR. 97223 Furnace 100,000 BTU(docts/vents) I 46.75 46.75
Furnace 100,000+BTU(dutxrvents) 54.91
Suite/bldg./apt.no.: Project name:BROWN Heat pump
(requires sue plan showing placement) 61.06
Cross streetldirections to job site: Duct work , 2332
Hydron is hot water system 2332
. Residential boiler(radiator or:
hydronic) 2332
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Subdivision: Lot no= Flue/vent for any of above I 2332
Other. . 23.32
Tax map/pareel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 2332
REPLACE EXISTING GAS FURNACE Gas fireplace/insert ! 33.39
Flue vent for water heater or gas
Ikeplace 23.32
-- -- - i Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood file-place/insert i 23.32
IN PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other. ! 23.32
Name:NIARKEE BROWN Environmental exhaust and Ventilation:
Address:13499 SW 129"AVE. Range hood/other kitchen I
equipment - 33.39
City/State/ZIP:TIGARD,OR. 97223 Clothes dryer exhaust I 33.39
Single-duct exhaust(bathrooms,
Phone:(503)524-4924 Fax:( ) toi+et compartments,utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/cra 81space fans I 2352
Other. I 2332
Business name: —--
Fold piping: I
Contact name: I $1415 for fiat four;$4.03 for each additional
Address: Furnace,etc.
Gale heat pump
City/State/ZIP: Wall/suspended/unit heater I
Phone:( ) Fax::( ) Water heater I
E-mail: Fireplace
Range
CONTRACTOR Barbecue '
Business name:ABLE HEATING&COOLING LLC Clothes dryer(gas)
Other: [ I
Address:16285 SW 55Tr AVE. SUITE 105 MECHANICAL PERMIT FEES'
City/State/ZIP:TIGARD,OR. 97224 Subtotal 46.75
Minimum permit fee($90.00) 90.00
Phone:(503)579-2250 Fax:(503)620-3980 Plan review(25%of permit fee)
CCB lie.:184392 Start surcharge(12%of permit fee) 10.80
TOTAL PERMIT FEE 100.80
C This permit application expires if a permit is not obtained within 1R)
Authorized sigtlattue: days after it has been accepted as complete.
Print name:KELLY LHIITE Date:01-17-13 * Fee methodology set by Tri-County Building Industry Service Board
r.'BuidmgltrniolMEC-PemtitApp.do:C /2 440-4617r(11/22/CQM/4YEB)
l•'d O96£OZ9£09 6uiI000 12 6ul}eeH my d9Z:g0£L L I• ue£