Permit •
tl CITY OF TIGARD MECHANICAL PERMIT
- Is - - COMMUNITY DEVELOPMENT Permit #: MEC2013 00062
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/28/2013
Parcel: 1 S135DCO3200
Jurisdiction: Tigard
Site address: 11590 SW 95TH AVE
Project: Winters Subdivision: FIRDALE- UNRECORDED Lot: 2
Project Description: (1) gas furnace replacement
Contractor: AAA HEATING & COOLING INC Owner: WINTERS, JOHN W AND DEBRA
5017 NE GRAND AVE 11590 SW 95TH AVE
PORTLAND, OR 97211 TIGARD, OR 97223
PHONE: 503 - 284 -2173 PHONE: 503 - 939 -0168
FAX: 503 - 284 -1552
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 01/28/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 01/28/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/28/2013 $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 503.232.1987 or 1.800.332.2344. ,/jam , /
Akal Issued By: Permittee Signature: 04i {ter / L /C 4 77C/.L,
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.
From: 01/25/2013 12:43 #156 P.002/003
1echanical Permit Application I °IZ OFFIC F. USE O.NI.\
EEC ,.._
City of Tigard Permit No.i(4Q ,3p 3 -
• 13125 SW Hall Blvd., Tigard OR 97223 JAN 2 8
�� eview
Phone: 503.718.2439 Fax: 503.598.1960 Daffy Other Permit:
T I G A R D Inspection Line: 503.639.4175 CITY TI i ,. ��
ti -0r, ov � dy/ S See Page 2 for
Internet: www.
! g e thod : Supplements] Information
BUILDING DI.
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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 [J Other: mechanical materials, equipment, labor, overhead, and profit.
y : ._,•.
Value: $
_
--
• 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checkllss
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
H!ating'ic?° i tion i ng ng:
:> �( 3B:'SI7'•EIiilFQltM�f�'YOIU= °' °•� _ :��:_
cond
Job site address: 11590 SW 95 Ave • (requires site plan showing placement) 46.75
City /State /ZIP: Tigard OR 97223 Furnace 100,000 BTU ( ducts/vents) I 46.75 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt- no.: Project name: Winters Heat pump
(requires site plan showing placement) 61.06
Cross street /directions to job site: Duct work 23.32
95th Hydronic hot water system 23.32
On 95 Ave near Greenburg Rd. Residential boiler (radiator or
hydronic) 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:
ESl�7',1
Water heater
Remove and replace gas furnace Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
>: •::',:i'.',
Atli* °
Chimney/liner/flue/vent 23.32
PIF OPERTi'r01tYi 1 IL�l',;• : .;;
Other: 23.32
Name: Debra and John Winters Environmental exhaust and ventilation:
Address: 11590 SW 95 Ave Range hood/other kitchen
equipment 33.39
City/State/ZIP: Tigard OR 97223 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)939 -0168 Fax: ( ) toilet compartments, utility rooms) 23.32
A ttic/ is a fans craw p ce
_, .,.... . , ............. .... ._ .., . .... _ ,........ .. ON1T - . ., :." .... .. 23.32
Business name: AAA Heating and Cooling, Inc Other 23.32
Fuel piping:
Contact name: Felicia Gomez $14.15 for first four, $4.03 for each additional
Address: 5017 NE Grand Ave Furnace, etc.
Gas heat pump
City/State/ZIP: Portland, OR 97211 Walt/
suspended/Imit heater
Phone: (503) 501 -5517 Fax: : (503) 284 -1552 Water heater
Fireplace
E -mail: Fellcia.Gomez@aaalaq.com Range
' ' 'C N7YfACTOR "
Q Barbecue
Business name: AAA Heating and Cooling, Inc. Clothes dryer (gas)
Other:
Address: 5017 NE Grand Ave . ;. .. :.....: ..
nf�c>�:�1! �?le>�I►i1[T
City/State /ZIP: Portland OR 97211 Subtotal 46.75
Phone: (503) 284 -2173 Fax: (503) 284 - 1552 Minimum permit fee (590.00) 90.00
Plan review (25% of permit fee) 0.00
CCB lie.: 222 State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
This permit application expires If a permit is not obtained within 180
Authorized signature: ij�� / � )6:161' �P da after It has been accepted as complete.
Print name: Felicia M omez I Date: 1/25/2013 • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permns \MEC- PermitApp.doc 03:07112 440-46171' tIIr02.•COMNIEB)
From: - •01/25/2013 12:43 #156 P.001/003
FAX COVER SHEET
AAA Heating & Cooling, Inc.
5017 N.E. Grand Avenue
Portland, Oregon 97211 -3803
Phone: (503) 284 -2173
Fax: (503) 284-1552
Email: aaacooling @aol.com
1 Website: aaaiaq.com
Date: D t 1 �9- J10-0 k
To: C.l. C - Trrforci
Company: Fax: t,3 I C1 1 0 1(00
From: F - (7)a rne `7 Pages: (cover included)
RE: m eCh(f kC1(ff'vc6\1- Prppi I c
Message:
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
11590 SW 95TH AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
02/28/2013 00:00
MEC2013-00062
PASS - No C of O
Ml 344779
Violation Summary:
Inspector Contractor