Permit CITY OF TIGARD MECHANICAL PERMIT
11/11 COMMUNITY DEVELOPMENT Permit #: MEC2013 00420
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2013
Parcel: 1S133CC70061
Jurisdiction: Tigard
Site address: 14150 SW BARROWS RD 1
Project: Scott Subdivision: SCHOLLS VILLAGE CONDO STAGE 6 Lot: 6 -1
Project Description: Replace gas furnace
Contractor: ABLE HEATING & COOLING LLC Owner: SCOTT, GARY L
16285 SW 85TH AVE #105 14150 SW BARROWS RD #1
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 579 -2250 PHONE: 503 - 720 -8022
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 07/25/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/25/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/25/2013 $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 quest.' o OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: 1 1 Permittee Signature: � ,i f
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 Appli Ili ___ _ QlzorrlcE_LSF rn Ll
City of Tigard 4 Received Perm t No J�f �jl,
Date/By: / � � .3 � t
. • 13125 SW Hall Blvd., Tigard, OR 97223 plan Review
Phone: 503.7182439 Fax: 503.598 /5Mo 2 4 Dai tBy: Other Permit:
TIGARD Inspection Line: 503.639 2013 Date Rcady/Dy runs: RI See Page 2 for
■
- - Internet: www.tigard - or.gov Naifred/Method: Supplemental Information
CITYOFTIGARD .
TV M 'cDIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction rE3 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 Forspedol information use checklist
0 Multi- family ❑ Master builder ❑ Other. Description - I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air condition ins 46.75
Job site address: 14150 SW BARROWS ROAD #1 Furnace 100,000 BT .J (ducts/vents) I 46.75 46.75
City/State/ZIP: TIGARD, OR. 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 6L06
Suite/bldg./apt. no.: Project name: SCOTT Duct work 23.32
Cross street/directions to job site: Hvdronic hot water system 2332
- - - 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 23.32
Other
Subdivision: Lot no.: 23:32
Other fuel appliances: .
Tax map /parcel no.: Water heater 23:32
DESCRIPTION OF WORK Gas fireplace/insert 33:39
Flue vent far - water heater or gas
REPLACE EXISTING GAS FURNACE fireplace 23:32
Log lighter (gas) 2332
Wood/pellet stove 33:39
Wood fireplace /insert 2332
Chimney /Iiner /lue/verit _ 23:32
® PROPERTY OWNER ❑ TENANT Other: 23:32
Environmental exhaust and ventilation:
Name: GARY SCOTT Range hood/other kitchen
equipment ' 3339
Address: 14150 SW BARROWS ROAD #1 Clothes dryer exhaust 3339
City:State/ZIP: TIGARD, OR. 97223 Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23132 i
Phone: (503)720 -8022 Fax: ( ) Attic/crawlspace fans 23132
❑ APPLICANT ❑ CONTACT PERSON Other: 23 :32
Business name: Fuel piping:
$14.15 for first four. 54.03 for each additional
Contact name: Furnace, etc.
Address: Gas heat pump
Wall/suspended/unit heater
CityiStale/LIP: Water heater
•
Fireplace
Phone: ( ) � Fax: : ( ) Fire P
Range
E-mail: Barbecue i _
CONTRACTOR Clothes dryer (gas)
Business name: ABLE HEATING & COOLING LLC Other:
— — _.. MECHANIC4.L PERMIT FEES* .
` Address: 16285 SW 85"' AVE. SUITE 105 Subtotal 46.75
City/State/ZIP: TIGARD, OR. 97224 Minimum permit fee ($90.00) 90.00
Plan review (25% of permit fee)
Phone: (503) 579 -2250 [Fax: (503 -) 620 -3980 _ _ State surcharge (12% of permit feel 10.80
CCB lie.: 184392 TOTAL PERVHT FEE 100.80
7 n expires if a permit is nut ebtaiired within 180
days after it has been accepted as complete.
Authorized signature: • try Tri- C Building Industry Service Board rhi
Print name: KELLY 1 HITS Date: 7
1: 16uiidaylPmnds\.SMEC PermitApp040117,doc 440-4617T(11(02::COMWEB)
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