Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: MEC2013-00034
T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718 2439 Date Issued: 01/22/2013
Parcel: 2S 115AD04000
Jurisdiction: Tigard
Site address: 10867 SW DOVER CT
Project: Morrison Subdivision: DOVER LANDING Lot: 23
Project Description: (1)replacement of existing gas furnace and(1)heat pump
Contractor: ABLE HEATING&COOLING LLC Owner: MORRISON, DAVID W&JANET L
16285 SW 85TH AVE#105 10867 SW DOVER CT
TIGARD,OR 97224 TIGARD,OR 97224
PHONE: 503-579-2250 PHONE. 503-639-7721
FAX: 503-620-3980
FEES
Specifics: Description Date Amount
Furnaces< 100K BTU 01/22/2013 $46 75
Type of Use: SF Heat Pump 01/22/2013 $61 06
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/22/2013 $12 94
Occupancy Grp:
Stories:
Fuel
Fuel Types.
Gas Pressure
Total $120.75
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332 2344
Issued By: LID Permittee Signature: 06 A PPLrc4 To id
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application RECEIV i i of 01-11 c l l s1 u\l.I
City of Tigard o i a�. 3 Penmit.,#1LCapl3—c-7�U3
lig
13125 SW Hall Blvd.,Tigard,OR 97223 1 7 20 Rev ew Received
r Phone: 503.718 2439 Fax 503.598.1960 P Other Permit:
Date/By:
Inspection line: 503.639.4175 CITY OF TIGA t R°�
-1 I{;A e l) ylBg: ]uric BJ See Page 2 for
Internet: www.tigardor.00► BUILDING DNIS olniedltviethed: -n Cj Supplemental information
TYPE OF WORK COMMERCIAL FEE" SCHEDULE -USE CHECKLIST
Mechanical permit fees'are bused on the value of the work
0 new construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES"
®I-and 2-family dwelling Q Commercial/industrial ❑Accessory building For apedal information aae cheddist
❑Multi-family 0 Master builder []Other: Description [ Qty. I Ea. I Total
JOB SITE INFOMATION AND LOCATION Beating/coding:
R
Air conditioning
Job site address:10867 SW DOVER COURT (requires see plan stowing placement) 4675
City/State/ZIP:TIGARD,OR 97224 Furnace 100,000 BTU(dnclsJvenrs) 1 46.75 46.75
Furnace 100.000+BTU(ducts vacs) 54.91
Suite/bldgJapt.no.: Project name:MORRISON Heat pump
(requires site plan showing placement) 1 61.06 46.75
Cross street/directions to job site: Duct work 23.32
Hydroaic hot water system 23.32
Residential boiler(radiator or i
hydronic) I 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Subdivision: 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 i
REPLACE EXISTING GAS FURNACE AND HEAT PUMP
Gas Flue vent vent fcefinsert 33.39
for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pelkt stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER I 0 TENANT Chimney/liner/flue/vent 23.32
Other. 23.32
Name:DAVID MORRISON Environmental exhaust and ventilation:
Address:10867 SW DOVER COURT Range hood/other kitchen
equipment 33.39
City/State/ZTP:TIGARD,OR. 97224 Clothes dryer exhaust 3339
Single-duct exhaust(bathrooms,
Phone:(503)639-7721 Fax:( ) toilet compartments,utility rooms) 2332
0 APPLICArT ❑ CONTACT PERSON Attic/crawispace fans 23.32 '
Business name: � _ 23.32 _
Fuel piping.
Contact name: $14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax::( ) Water heater
Fireplace
E-mail: '
Range
CONTRACTOR Barbecue .
Business name:ABLE BEATING&COOLING LLC Clothes dryer(gas)
Other:
Address:16285 SW 85TH AVE. SUITE 105 MECHANICAL PERMIT FEES*
City/State/ZIP:TIGARD,OR. 97224 Subtotal 93.50
Phone:(503)579-2250 Fax:(503)620-3980 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lie.:184392 State surcharge(12%of permit fee) 1 1.22
TOTAL PERMIT FEE 104.72 '
Authorized sign. This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
IPrint name:KELLY/ L r r I Date:01-16-13 • Fee methodology set by Tri-County Building hides Service Board
l:1Duidiag'Ptmi1 aGArmiApp.,. 03147172 440-4617T(I 1/02iCOM/WED) 1 c1 . 1
l'd 086£0Z9£09 6ulloo3' 6ulleeH elgd d9£:£0 Cl.Lt. uer