Permit '' CITY OF TIGARD IT
MECHANICAL PERM
ipti COMMUNITY DEVELOPMENT Permit #: MEC2009-00570
Date Issued: 10/27/2009
T1GARDa 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S134ACO2652
Jurisdiction: Tigard
Site address: 11150 SW COTTONWOOD LN
Subdivision: Lot: 0
Project: Hunter
Project Description: Replace existing gas furnace and heat pump. Unit must meet 3' minimum rear and side yard
setbacks.
Owner: FEES
HUNTER, JOHN Description Date Amount
11150 SW COTTON WOOD LN Furnaces < LOOK BTU 10/27/2009 $46.75
TIGARD, OR 97223
Heat Pump 10/27/2009 $61.06
PHONE: 503 - 590 -5832 12% State Surcharge - Mechanical 10/27/2009 $12.94
Contractor:
ABLE HEATING & COOLING
12420 SW SUMMER CREST DR
TIGARD, OR 97223
PHONE: 503 - 443 -2058
FAX: 503- 620 -3980
Type of Use: SF .
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $120.75
Required Item's 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 snot 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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: o/if t'j el} 7�0
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Mechaaical Permit Applicati0; ;,�`, l
° rci y c �,ErJih�1;�,,y�;'s .
RECEIVED
Received
vw ; * ,City of Ti E ED - ..t/ _ / Perm No €f 0l� � CEO S7t� .
vi '° 13125 SW .6 3 9. lvd:, Tigard, OR 97223 Re
a t ' fl Phone 503.639.4171 Fax: 503.598 1960 6' L e/B ��9 y Ot6erPermit:
J Pla Revi
, 4 O C T 2 Da -
T in specti on Line: 503 639 41 Date _ _ d}.: u^ 61 See Page 2 for
4 5 ✓,. ^''.P'. .Internet. W\YW tigard or.gov Notified/Methud: Supplemental loformatian
1 �'" CITY OF TIGARD — •
WADING t
TYP OF 1DING1)1VISION COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
I: New construction Addition/altcration /replacement Mechanical permit fees* are -based on the value of the work .
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*
t d 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use check( ist.
❑ Multi- family ❑ Master builder ❑ Other. Description Qty. f Ea. 1 Total
JOB SITE INFORMATION AND. LOCATION Heating/cooling
l Air conditioning or heat pump
Job site address: \\\(' . ) .0.5. 4
q. r‘ ,., : , 1(3 . 1„ ,),... t ,,,p (re plan showing placementi / 14.00 64 017
Cit /State /ZIP:7 C • A -',- Furnace t00,000,BTU (duetsvents) / , 14.00 1 /6,75'
` �'' Furnace- 100,000 BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: P roject name: m.-�- Gas heat pump 14.00
Cross street/directions to job site: Ductwork 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00 .
. Unit heaters (fuel - type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any or above 6.80
Subdivision: 1 Lot no.: Other: 10.00
Tax map /pareel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Cr
t as fireplace .10.00
�1-. 1s F) \" N 9 C-- u . Y3e_t Flue vent for' water heater or gas fireplace 10.00
N.. :AL r ... - Log lighter. (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney/liner/flue/vent
i 0:00
t.ericC OWNER • ❑ TENANT Other: 10.00
..---`
Name: ` Environmental exhaust and ventilation
`,,
°Q�t1 "" --4 �� Range hood/other kitchen
.4ddtess. r equipment ! 30.00
\k\"�C) . u ti
City /StatetZIP ies;dner exhaust 10.00
1 \ A k \ ' e � Cl ot h Single -duct exhaust (bathrooms,
Phone :.(5 . I°\ .-,- J Fax: ( ) toilet compartrtients, utility rooms] 6.80
°❑ APPLICANT ,E) CONTACT PERSON Attiercrawlspace fans 10
. Other: 10.00
Business name : Fuel piping
' Contact name:. $5,40 for first four; SLOG for each additional
, Furnace, etc.
address'. Gar heat pump
City/State /ZIP! Wall/suspended/unit heater
Water heater
Phone: ( ) Fax: : ( ) Fireplace
E -mail: Range .
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: >\` ' x = .1 w t ■ - • * ` . . Other.
Address: p \ D1 4i1/4` �-- S MECHANICAL PERMIT FEES*
U U.111� 'Fv"^ / d i El
Subtotal
CilyfStateJZIP: �–\ C �,, ' gk , Ao�DN' Minimum permit fee ($72:50)
(CJ Q6' k - ;Fax: �ua� r"� o ' ° P J
Phone: ( Plan revi (25 of permit fee)
/GCB lic.: G 1, State surcharge (12 %ofpermit fee) /a2 , 9'
� 0 \ ,. TOTAL:PER�1 IT FEE /An , /5 ;/'
This permit application expires ifapermit is not obtained within ISO
Authorized signature: '2 ,� / days after it has been accepted as complete.
Print name: ��� = .�1 ` ! �
"' I JIJ ck" 1E: Date: Ok"O * Fee raethodolobry set by Tri-Ceunry Building Indus r1/ Service Hoard
W. .Buikian1Perniits1MEe•PennittIdec DUI 9!07 440WE177 (.t /O2/COM!WE8)
Z'd 17OL6 6LS£09' 01\11 ONV DNI1V3H 218V dZg :CO 60 9Z 100
nrviez sccR C)05 0
-Acot ABLE HEATING & COOLING Air Conditioning Site,Plan
8900 5Vki Burnham St Suite F5
1 40 1 TIGARD, OR 97223
*' (503) 443-2058 Fax (505) 620-3980
40011100010•*
Ca P284392 Email: ablehvac2@aol.corn
Customer HUA-CfrEL
Address 1/1° $id Colfoxe CtiODP ZAi City 'it' ev Zip 91 - 2/ 2 3
• •
M A-4709
c d 170 l,66L9E09 • ONI1000 CINV ONI1V3H 31EIV dZ9 CO 60 9Z 100