Permit CITY OF TIGARD MECHANICAL PERMIT
11 1 ' ' COMMUNITY DEVELOPMEN Permit #: MEC2013 00339
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/19/2013
Parcel: 2S112BA11400
Jurisdiction: Tigard
Site address: 7905 SW PICKLEWEED LN
Project: Smith Subdivision: BONITA TOWNHOMES Lot: 50
Project Description: Replace existing a/c unit. Placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: ABLE HEATING & COOLING LLC Owner: SMITH, SEAN M
16285 SW 85TH AVE #105 7905 SW PICKLEWEED LN
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503 - 579 -2250 PHONE:
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Air Conditioning 06/19/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/19/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/19/2013 $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 que- ons • OUNC by calling 503.232.1987 or 1.800.332.2344. ,
Issued By: , Permittee Signature` � _ eJZ ./.
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'l-ii FOR OFFI€'E.I S.E ONLY
City f Tigard neee;ved
a g DateB &mar Permit No.: r , Q `3 -oo33
.. , 1312 S W Hall Blvd., Tigard, OR 97223 1 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 'UN I 8 2 013 D Other Permit:
f r,G A > o Inspection Line: 503.639
Date Ready/By: lurk FE Sec Page 2 for
internet: www.tigard or.gov CITY OFTIGARD Natitcd/Method: Sup pfementaLInformation
RILINN(; DIVISION
W
TYPE OF WORK COMMERCIAL FEE" SCHEDULE — USE CHECKLIST
Mechanical permit fees' are based on the value of the work
New construction
❑ ® A ddition/alterationireplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, lahor, overhead, and profit.
Value: S i
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT / SYSTEMS FEES''
® I -and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description . Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address: 7905 SW PICKLEVVEED LANE Furnace 100,000 8TU (duos +vents) 46.75
City /State/ZIP: TIGARD, OR. 97224 Furnace 100,000+ BTU (duats/vents) 54.91
Heat pump 61.06
Suite/bldg. /apt. no.: Project name: SMITH Dui work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct suspended, etc. i 46.75
Flue/vent for any of above 23.32
Subdivision: 1 Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33
Flue vent for water heater or gas
REPLACE EXISTING A/C CONDENSING UNIT fireplace 23.32
Log liOlter (gas) i 2332
Wood /pellet stove 33.39 -
Wood fireplace/insert 23.32
Chimney/liner /flue/vent . 23.32
®
I Other:
PROPERTY OWNER
0 TENANT Environmental exhaust and ventilation: 23.32
Name SEAN SMITH Range hood/other kitchen
equipment 33.39
Address: 7905 SW PICKLEWEED LANE Clothes dryer exhaust 33.39
City /State/ZIP: TIGARD, OR. 97224 Single -duct exhaust (bathrooms.
toilet compartments, utility rooms) 23.32
Phone: (503)706 -3920 Fax: ( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:
Fuel piping:
$14.15 for first your: 54,03 for each additional
Contact name: Furnace. etc.
Address: Gas heat pump
Walt/suspended/unit heater
_ City /SlateJZIP: Water heater
Phone: ( ) Fax: : ( ) Fireplace
E -mail:
Range
Barbecue
CONTRACTOR Clothes dryer (gas) .
Business name: ABLE HEATING & COOLING LLCM E
MECHANICAL PERMIT FEES"
Address: 16285 SW 85 AVE. SUITE 105 Subtotal 46.75
City /State/ZIP: TIGARD, OR. 97224 Minimum permit fee (590.00) 90.00
Plan review (25% of permit fee)
Phone: (503) 579 -2250 [ Fax: ( 503 ) 620 -3980 -
I State surcharge (12% of permit fee) 10.80
CCB lic.: 184392 TOTAL PERMIT FEE i 100.80
� This permit application expires if a permit is not obtained within
A /� days after it has been accepted as complete
Authorized signature: , ` i ' Fee methodology set by Tri- County Building Industry Service Be
Print name: KELLY i ' - F11TE Date: 6-18 -I3
1 T uildingTermitsMEC _PermirApp_0401 I1 doe 440 -4617r (I1 /a2/C01L'WEB)
L 096E0Z9£09 6u!Ioo3 fig 6uneeH elgb' e99 :01 £6 9l. unf