Permit 2-21- CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 00357
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/01/2013
Parcel: 2S109DA04900
Jurisdiction: Tigard
Site address: 15316 SW GREENFIELD DR
Project: Weiske Subdivision: SUMMIT RIDGE Lot: 26
Project Description: Replace existing a /c. Placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: ABLE HEATING & COOLING LLC Owner: WIESKE, JAMES M & JEAN A
16285 SW 85TH AVE #105 15316 SW GREENFIELD DR
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503 - 579 -2250 PHONE: 503 - 880 -2607
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Air Conditioning 07/01/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/01/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/01/2013 $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 No . ion - • er. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dire questions to OU C b . = lin. 503.232.1987 or 1.800.332.2344.
Issue By: Permittee Si • . 11111P,-, ,
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.
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City of Tigard Received (Q A M Li /Yf,C Alf -61035 -
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• 13125 SW Hall Blvd., Tigard, OR 9n2W N 2 7 2013
Date illy: /
Dal Permit No.:
- Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit
"r I G A Cr_ Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready;
Internet: www.tigard- or.gov By: r °�� El
Notified/Method: Supplemental Iofurmntion
BUILDING G D v; iO ,;
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Mechanical permit fees' are based on the value of the work
Add ition/alterationieplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
® I - and 2 - family dwelling ❑ Commercial industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES'. ❑ Accessory building For special information use checklist
El Multi ❑ Master builder
❑ Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION HeatiogcoolinR:
Sob site address: /5316 SW GREENFIELD DRIVE Air conditioning 1 46.75 46.75
Furnace 100.000 BTU (duetsivents) 46.75
City: State /ZIP: TIGARD, OR. 97224 Furnace ( 00,000+ I3TU (ducts/vents) 54.91
Suite/bldg./apt. no.: I Project name: WIESKE Heat pump _ 61.06
Duct 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. 46.75
Flue/vent for any of above 23
Subdivision: ) Lot no.: Other: 23.32 _
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32 _
DESCRIPTION OF WORK Gas fireplace/insert 33.39
REPLACE EXISTING A/C CONDENSER 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
Chimney/1 iner /flue /vent 23.32
® PROPERTY OWNER 1 ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: JIM W "1 ESKE Range hood/other kitchen . _
Address: 15316 SW GREENFIELD DRIVE equipment 33.39
Clothes dryer exhaust 33.39
City /State/ZIP: TIGARD,OR 97224 Single -duct exhaust (bathrooms,
toilet comparnnents, utility rooms) 23.32
Phone: (503)880 - 2607 Fax: ( ) Attic/crawlspace fans 2332
❑ APPLICANT ❑ CONTACT PERSON Other.
23.32
Business name: Fuel piping:
$14.15 for first four, $4.03 for each additional
Contact name:
Furnace, plc.
Address: Gas heat pump
City / State/ZIP:
Wall /suspended/unit heater
Water heater
Phone: ( ) F ( ) Fireplace
E -mail: Range
_Barbecue
CONTRACTOR Clothes dryer (gas)
Business name: ABLE HEATI NG & COOLING LLC . _Other
Address: 16285 SW 85 AVE. SUITE 105 MECHANICAL PERMIT FEES"
Subtotal 46.75
City/ State/ZIP: TIGARD, OR 97224 Minimum permit fee ($90.00) 90.00
• Phone: J Fax: (503) 620 - 3980 Plan review (25 %of permit fee)
one: (503) 579 - 2250
Ph �- ....--- ...-._ State surcharge (12 %ofperntit fee) 10.80
CCB tic.: 184392 TOTAL PERMIT FEE 100.80
This permitapplication expires if a permit i9 not obtained within 180
Authorized signature. I r WA MI days after it has been accepted as complete
� . • Fee methodology sct by Tri- County Building Industry Service Board
Print name: KELLY W ii HITE Date: 6 - -
I! BuildingtPermilslh4F .C PennitApp_1401 doe 440 - 46177 (I I /02!COM/wEB)
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