Permit CITY OF TIGARD
MECHANICAL PERMIT
;' 1 COMMUNITY DEVELOPMENT Permit#: MEC2013 00528
• TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2013
Parcel: 2S110AD05500
Jurisdiction: Tigard
Site address: 14868 SW 106TH AVE
Project: McNeely Subdivision: LANG HILL NO.2 Lot: 48
Project Description: Replace gas furnace with like kind;
Contractor: AAA HEATING&COOLING INC Owner: JIM MCNEELY REAL ESTATE
5017 NE GRAND AVE 1519 SW MARLOW AVE
PORTLAND, OR 97211 PORTLAND, OR 97225
PHONE: 503-284-2173 PHONE: 503-292-8125
FAX: 503-284-1552
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 09/18/2013 $46 75
Type of Use: SFA 12%State Surcharge-Mechanical 09/18/2013 $10 80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/18/2013 $43 25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure.
Total $100 80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questio UNC by calling 503.232.1987 or 1.800.332.2344
Issued By: CG2%2%��f Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
From: 09/16/2013 15:57 #422 P.002/003
Mechanical Permit Application FOR OFFICE LSE ONLY
City of Tigard Re"' CifiAtilrMA. • Permit No. ie, ,/,...e6 5:q g.
Date/By:
1312 5 SW Hall Blvd d.Tigard,OR 97223 ire:..1'..4.Ct,38'0
III Plan Review
• I Phone: 503.718.2439 Fax: 503.598. :.1 . Date/By: Other Permit:
. .
.1 lc;A R 0 Inspection Line: 503.639.4175 17 -, 1^... r Date Ready/By. 1 uns. 91 See Page 2 for
,., ,
Internet. www.tigard-or.gov Noulled/Method: Supplemental Information
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w.0131V-AfW,04■S\VVZ-14-f-kg:14;0;; 'z'i'A,01%ThiPPAPIONS.A.PAPIPAJA-J1K,f4W.P.PW.,--,,,
Mechanical permit fees are based on the value of the work
0 New construction El Addition/alterat i. • . : •-,• performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition 0 Other
iS
'O".' mechanical materials,equipment,labor,overhead,and profit.
V Value:$
-46130.-'re,. '10,..:,'-'1„-' '4,' ';.;
-_-_,.,...-.-, ..; ,,,,,,,„., .,,„
*.F.R.,1!...%PtY. ..3,1eVA.F.Imattx.P44tiq:?-,-...;;,-,r,-,
Ei I-and 2-family dwelling El Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. 1 Ea. 1 Total
1013"iiiiifigii5ilitigildiiriejtitio14Mer'71- HeatinWth"ling:
Air conditioning 46.75
Job site address:14868 SW 106th Ave.
Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg/apt,no.: Project name:McNeely-46912
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 32
Other 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
0*Pliiiftkizt-cif:,#.#06:if:f!:;.i,i2,-i,7,-,*,,,,,p;,..;.-:,,,z,,;,,y;,-....,,,,,,,;: Gas fireplace/insert 33.39
Flue vent for water heater or gas
Remove&replace like-for-like gas furnace, fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent . 23 32
14
'" :1-
1 23.32
Environmental exhaust and ventilation:
Name:Jim McNeeley Real Estate Range hood/other kitchen
equipment 33.39
Address: 1519 SW Marlow Ave.
Clothes dryer exhaust 33.39
City/State/ZIP:Portland,OR 97225 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)292-8125 Fax.( ) Attic/crawlspace fans 23 32
, P i C A-N T ,,- -•-. ,;--.7: - c'S-N-,T--A;•,M'.'gS9 l,e:-.-:,.'-",,,.. °ther 23.32
Fuel piping:
Business name:AAA Heating&Cooling,Inc.
$14.15 for first four;$4.03 for each additional
Contact name:Andrea Lilly Furnace.etc.
Address:5017 NE Grand Ave Gas heat pump
Wall/suspended/unit heater -
City/State/ZIP:Portland,OR 97211 Water heater
Phone:(503)501-5517 Fax::(503)284-1552 Fireplace
Range
E-mail:andrea@attalaq.com Barbecue
t'Y, s-- -..',91.1111!..?t9VAr::,:t.--..L:-:-.`,_,....,:;,-_,..-.,:-.z.-:-. _:-=',-;§---,-.-- -/, Clothes dryer(gas)
Other.
Business name:AAA Heating&Cooling,Inc.
!"..-
Address:5017 NE Grand Ave.
Subtotal 46.75
City/State/ZIP:Portland,OR 97211 Minimum permit fee($90.00) 90.00
Plan review(25%of permit fee) N/A
Phone:(503)284-2173 Fax:(503)284-1552 -
State surcharge(12%of permit fee) 10.80
CCB lic.:222 TOTAL PERMIT FEE 100.80
Authonzed signatur . „,3,,/,
el This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Fee methodology set by Tn-County Building Industry Service Board
Print name:Andr ly Date:9/16/2013
ei-4.....
hatildtn5Terrnos.ACEC_PermilApp_0401 I 3 dot 440-46171(I 1(02/COM/WEB)
From: 08/18/2013 15:57 #422 P.001 /003
FAX COVER SHEET
MA Heating & Cooling, Inc.
5017 N.E. Grand Avenue
Portland, Oregon 97211-3803
•
Phone: (503) 284-2173
Fax: (503) 284-1552 •
Email: aaacooling @aol.com
Website: aaalaq.com
Date: V/ (f1 /( 3
To: r , w
Company: Re,--,14 !, Fax: S O?) •S q8 IQ (aQ
Pages: (cover included)
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