Permit CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: MEC2013 -00429
Date Issued: 07/30/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 1 S134AC00100
Jurisdiction: Tigard
Site address: 11388 SW IRONWOOD LP
Project: Cope Subdivision: ENGLEWOOD Lot: 30
Project Description: Installation of NC. Placement of A/C or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: ABLE HEATING & COOLING LLC Owner: COPE, SUSAN M & DUANE C
16285 SW 85TH AVE #105 11388 SW IRONWOOD LOOP
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 579 -2250 PHONE: 503 - 579 -9376
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Air Conditioning 07/30/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/30/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/30/2013 $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 questions too O 41:5471 UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 1-3-C Permittee Signature: DN ��c.�� ‘5 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 A t l lica Vii, t U .._ ._. w_a om_c E_L oNi
City of Tigard t ,, .. ® Received /17
Pennit No, i
• 13125 SW Hall Bid., Tigard, OR 97223"" Daae/By 7 3 1 ��C�tli3 DO 9 2
e Phone: 503.718.2439 Fax: 503.598.196W 2 5 2013 Plan
atte/ Other Permit:
T I C A R D Inspection Line: 503.639.417 Date Ready/By.. Sun M See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified:Method: Supplemental Infannation
BUILDING DIUISIOR'
•
TYPE OF WORK CONLMERCIAL FEE• SCHEDULE — USE CHECKLIST
❑ New construction Mechanical permit fees" are based on the value of the work
® Addition/al performed. indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCI'lON Value: $
® 1 -and2 famil dwellin RESIDENT 'IALPQUIPMEN)'!SYSTEMS FEES*
y g ❑ Commercial/industrial ❑ A ccessory building For special information ase checklist.
❑ Multi- family ❑ Master builder
❑ Other. Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Hearing/cooling:
Job site address: 11388 SW IRONWOOD LOOP Air conditioning ! 46.75 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: TIGARD, OR. 97223 Furnace 100.000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: COPE Heal pump 61.06
Duct work 23.32
Cross slreeildirections 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 23.32
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
INSTALL NEW 4/C UNIT Flue vent for water heater or gas
fireplace 23.32
Log lighte ( g as ) 23 .32
Wood/pellet stove 33.39
Wood fireplace/insert ' 23.32
Chimney/liner /flue/vent 23.32
® PROPERTY OWNER I ❑ TENANT usher. 23.32
Environmental exhaust and ventilation:
Name: DUANE AND SUSAN COPE Range hood/other kitchen •
Address: 11388 SW IRONWOOD LOOP • equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: TIGARD, OIL 97223 Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 2332
Phone: (5036)579 -9376 Fax: ( ) Attic /cravdspace fans 23.32 .
❑ APPLICANT ❑ CONTACT PERSON Other
23.32
Business name:
Fuel piping:
S14.I5 for first four: 54.03 for each additional
Contact name: Furnace. etc. '
Address: Gas heat primp
Wall/suspended/unit heater
City / State/ZIP: Water heater
Phone: ( ) Fax: : { ) Fireplace I
Range
E -mail:
Barbecue
CONTRACTOR Clothes dryer (gas)
Business name: ABLE HEATING & COOLING LLC Other:
MECHANICAL PERMIT PEES*
Address: 16285 SW 85" AVE. SUITE 105 Subtotal 46.75
ty! 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 Stare surcharge (I2% of permit fee) 10.80_
CCB lie.: 184392 TOTAL PERMIT FEE r 100.80
1 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Authorized signature: • Fee methodology set by Tri -County Building Industry Service Board
Print name: KELLY L Date: 7-25-2013
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