Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2013 00231
T (GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/30/2013
Parcel: 25111 DC01700
Jurisdiction: Tigard
Site address: 15945 SW ALDERBROOK CIR
Project: Denney Subdivision: SUMMERFIELD NO.8 Lot: J
Project Description: (1) A/C and (1) gas furnace replacements A/C unit placement must comply with manufacturer's clearance
requirements
Contractor: ABLE HEATING & COOLING LLC Owner: DENNEY, OLGA M
16285 SW 85TH AVE #105 15945 SW ALDERBROOK CIR
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503 - 579 -2250 PHONE: 503 - 620 -5040
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Air Conditioning 04/30/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 04/30/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 04/30/2013 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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: � _ I 1i, n /� 7 Permittee Signature: Qk1 fo9U 6 ,/� l f /
od
Call 503.539.4175 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 AnP1icatI QEIVE j FOR OFFICE LSE ONLY
City of Tigard Received
` Permit
] 3125 SW Hall Blvd., Tigard, OR 97223t !� 2 9 20 13 Plan Revi
R 1 30 ) ��e / 3 - 00°x'
- Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Other Permit:
TIGARD Inspection Line: 503.639 CITYpF Date Ready/By: Iuria: ®e. s Page 2 tor
Internet: www.tigard- or.gov �G D Notificd,Method: /_ SapplementalInformation
BUILDINGDNisON
TYPE OF WORK COSEMERCIAL 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. I
Value: $ 1
CATEGORY OF CONSTRUCTION .
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
® I - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi - family 0 Master builder ❑ Other: Description f Qty. E Ea. I Taal
JOB SITE INFORMATION AND LOCATION Heating/cooling;
Air ctmditioninp j 1 46.75 46.75
Job site address: 15945 SW ALDERBROOK CIRCLE Furnace 100,000 BTU (ducts/vents) ? 1 46.75 4635
City/State/ZIP: TIGARD, OR. 97224 Furnace 100,000+ BTU (doca/vents) 54.91
Suite /bldg. /apt. no.: Project name: DENNEY Heat pump 2 61.06 3.32
Duct work 2
Cross street/directions to job site: Hydronic hot water system I 2.3.32
Residential boiler (radiator or
hydronic) , 2.3.32
1 Unit heaters (fuel -type, not electric), 1
in -wall, in -duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivisions Lot no.: Other: 23.32
Other fuel appliances:
Tax map parcel no.: j Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
REPLACE EXISTING GAS FURANCE AND A/C UNIT fireplace 23.32
Log lighter (gas) 2332
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: OLLIE DENNEY Range hood/other kitchen
equipment 33.39
Address: 15945 SW ALDERBROOK CIRCLE Clothes dryer exhaust 33.39
City /State/ZIP: TIGARD, OR. 97224 Single -duct exhaust (bathrooms,
toilet compartments, utility moms) 23.32 .
Phone: (503)620 -5040 Fax: ( ) Attic'crawlspace fans 23.32
0 APPLICANT ❑ CONTACT PERSON Other 2132 _
Business name:
Fuel piping:
S14.15 for first four, $4.03 for each additional
Contact name: Furnace, etc.
Address: Gas heat pump
-
Wall/suspended/unit heater
City /State/ZIP: Water heater
Phone: ( ) Faxc : ( ) Fireplace
Range
E Barbecue
CONTRACTOR Clothes dryer (gas)
Business name: ABLE HEATING & COOLING LLC
MECHANICAL PERMIT FEES"
Address: 16285 SW 85 AVE. SUITE 105 Subtotal ' 93.50
City /State/ZIP: TIGARD, OR. 97224 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
Phone: (503) 579 -2250 Fax: (503) 620 -3980 State surcharge (12%ofpermit fee) 11.22
CCB lic.: 184392 TOTAL PERMIT FEE 104.72
. This permit application expires ira permit is not obtained within 150
days after it has been accepted as complete.
Authorized signature: lliffilws • Fee methodology set by Tri- County Building Industry Service Board
Print name: KELLY W 1TE Date: 4-29-13
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Air Conditioning Site Plan
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Tigard, CR 97224
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Wi'.. " 4'1 ( 503)579 -2250 Fax (503)520 -3980
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CP34184392
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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
15945 SW ALDERBROOK CIR, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
05/20/2013 00:00
MEC2013-00231
PASS - No C of O
Minor label 361000
Violation Summary:
Inspector Contractor