Permit 1 111 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00111
Date Issued: 02/21/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Parcel: 1 S 136CA03700
Jurisdiction: Tigard
Site address: 11260 SW 79TH AVE
Project: Craughan Subdivision: FRIENDLY ACRES Lot: 11
Project Description: Replace gas furnace
Contractor: ABLE HEATING & COOLING LLC Owner: CRAUGHAN, MICHAEL J & MARCHETA R
16285 SW 85TH AVE #105 11260 SW 79TH AVE
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 579 -2250 PHONE. 503 - 579 -2250
FAX 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 02/21/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 02/21/2013 $10 80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/21/2013 $43 25
Occupancy Grp:
Stories:
Fuel
Fuel Types' Natural Gas
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
Issued By: ` Permittee Signature: & j(/ e-7-70,\/
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 Applicat CEIVED FOR OFFICE USE ONLY
City of Tigard FEB 21 2013 Dat 020 /3 1 - Ftn"itNo 'leCe:20/3 —00 11
:I e ' 13125 SW Hall Blvd, Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503598.1960 Date/By: Other Permit:
I C `` h n Inspection Line: 503.639.4175 CITY OF TIGARD Daze Ready/By: Jeri' I8 See Page 2 for
Internet: www.tigardor.gov BUILDING DIVISION Notified/Method: ` 77776.— ns
SupplecatatInformation
TYPE OF WORK 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
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑Commercial /industrial Accessory building For special information use cheotila.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Healing/cooling:
Air conditioning
Job site address: 11260 SW79TH AVE. (requires site plan showing placement) _ I 46.75
Furnace 100,000 BTU (ducts/yents) 1 1 46.75 46.75
City/State/ZIP: TIGARD, OR. 97223 Furnace 100,000+ BTU (ducts/vents) I
54.91
SuitelbldgJapt_ no.: Project name: CRAUGHAN Heat pump
(requires site plan showing placement) 61 06
Cross street/directions to job site: Duct work . 23 32
Hydronic hot water system 23 32
Residential boiler (radiator or
hydronic) 2332
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended. etc. 46 75 I
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other. I 23.32 '
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater • 23.32 t
Gas fireplace/insert w ale 33.39
REPLACE EXISTING GAS FURNACE
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
® PROPERTY OWNER I 0 TENANT Chimney/liner /flue/vent 23.32
Other: _ 23.32
Name: MARCY CRAUGHAN Environmental exhaust and ventilation:
Address: 11260 SW 79 AVE. Range hood /other kitchen
equipment 33.39
City /State/ZIP: TIGARD, OR. 97223 Clothes dryer exhaust 33.39
503 79 -2250 Fax:
Single-duct compartments, (bathrooms,
r
Phone: 2
( � ( ) toilet compartments, utiliq• rooms) 23.32 I
❑ APPLICANT ❑ CONTACT PERSON Atticicrawlspace fans 2332
Business name: Other: 23.32
Fuel piping:
Contact name: $14.15 for first four, $4.03 for each additional_
Address: Furnace, etc
Gas heat pump ,
City/State/Z P: Wall/suspended /unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace !
E -mail: Range I
CONTRACTOR Barbecue
Business name: ABLE HEATING & COOLING LLC Clothes dryer (gas)
Other: '
Address: 16285 SW 85 AVE. SUITE 105 MECHANICAL PERMIT FEES*
City /State/ZIP: TIGARD, OR. 97224 Subtotal _ 46.75
Phone: (503) 579 -2250 I Fax: (503) 620 -3980 Ivfmiroum permit fee ($90.00) 90.00
Plan review (25% of permit fee)
CCB lie.: 184392 State surcharge (12% of permit fee) 10.80 7
_ TOTAL PERMIT FEE 100.80 ,
' totolutleAC; T his permit application expires if a permit is not obtained within ISO
Authorized Signature: days after it has been accepted as complete.
Print name: KELLY 1it11(IJTE I Date: 02 - - Fee methodology set by Tri- Comity Buildmrg Industry Service Board
1: 1Bw1Eug \Permits\MEC -PermitAppdddoc 03/07/12 440- 7617r(It/02/COAI
l. 096£0Z9£09 6ulloo3 +g 6u13eeH elgV d£0 :£0 £ 6 2 qed
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
11260 SW 79TH AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
02/28/2013 00:00
MEC2013-00111
PASS - No C of O
Violation Summary:
Inspector Contractor