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Permit ' � Y 1-, CITY OF TIGARD MECHANICAL PERMIT f p 1 Permit #: MEC2009 -00353 '- COMMUNITY DEVELOPMENT t 41 G ARE; 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171. Date Issued: 07/17/2009 Parcel: 1 S 125DB07300 Jurisdiction: Tigard Site address: 7155 SW SHADY CT Subdivision: Lot: 0 Project: Gaumond Project Description: Replace existing gas furnace. Owner: FEES SOULE, JORDANA & GAUMOND, ETHAN Description Date Amount 7155 SW SHADY CT Furnaces < 100K BTU 07/17/2009 $14.00 TIGARD, OR 97223 12% State Surcharge - Mechanical 07/17/2009 $8.70 PHONE: 503 - 977 -0047 Minimum Fee Adjustment - Mechanical 07/17/2009 $58.50 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 $81.20 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 -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: t 0 42 '�- . Permittee Signature: A / 2P /..../ . e , 9 _, 7 - 70/ \i / 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. ' Jul i4 09 04:40p ABLE HEATING AND COOL - I �� IN �� G 5035799104 p.1 YY p !fi RECEIV EJV tills �t , , !l,yl t ll I` I U s 7r ,Il a l i 1 bl E ttt �,1 1 Mechanical Permit Application 'I �; � � . I �roR loFrlc r l r � o' l �1� 'I��i l �i�l 1" r IM�� 4, II tl311 ar a it � omIP.41;Yl� .t4.. ✓Ei .JMIL�U I. I wl„.:�i,1 :, +� s, i . n� ,i,i�� ,,, ; i;i li. v'�lw'�r + p:ii a, I `�' `' III:4 City of Tigard Received G , _ a 1 4 Dat e 'By: ,7„7/ ©/ �� •crmit No,a>��( 13125 S W Hall Blvd., Tigard, OR 97223 JUL 2009 •' ((�YYI c l OO�S3 Phone: 503.639.4171 Fax: 503.598.1960 l Plan Review DateBy: Other Permit: '/! I A RD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Juris- el Page 2 for r,1 c GIs : Internet: www.tigard-or.gov BUILDING DIVISIO Notified!lcthod: T6- Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees" are based on the value of the work 0 New construction e<trditionialteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ • 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES" For special information use checklial. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. f Ea. 1 Total / / JOB SITE INFORMATION AND LOCATION Heating/cooling J site address: r Air conditioning or heat pump .4 ' 6 - - _ (requires site plan shoeing placement) 14.00 City /State/ZIP.T 9 oir�` 1 u'A c\_.-\a,_ : `` Furnace 100,000 BTU (duct /vents) 14.00 Suite/bldg. /apt. no. Project name: Furnace 100,0001- BTU (ducts'vents) \ 17.90 l VAuOY1k- - Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or ' hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duet, suspended, etc. 1 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 • - , .. A. ` s• ` ► - _ _ Flue vent for water heater or gas 4 41 ■ fireplace 10,00 Log lighter (gas) _ 10.00 - _ Wood /pellet stove 10.00 Wood fireplace /insert 10.00 PROPERTY OWNER ❑ TENANT Chi nney /linetiflue /vent 10.00 �^ Other: 10.00 Name. `tor L. oirvA 9: • Environmental exhaust and ventilation Address: Range hood/other kitchen ' `� u3 • �� e equipment 10.00 City /State/Z1P: ` • f (�.Q G Cl othes dryer exhaust l 0.00 d�.� p ►l v _ 1 ) Single -duct exhaust (bathrooms, Phone: (SO 1 1 '-" Do t1/4..0 \ Fax: _ ( ) toilet compartments, utility rooms) ' 6.80 ❑ APPLICANT ❑ CONTACT PERSON Atticicrawlspace fans j 10.00 Business name: Other: I 10.00 Fuel piping Contact name: $5.40 for first four; SLIM for each additional Address: Furnace, etc. - Gas heat pump City /State/ZIP: Wall /suspended/unit heater j Phone: ( ) Fax:: ( ) Water heater_ Fireplace E -mail: _ Range CONTRACTOR Barbecue 1 Business name: 1\i Clothes dryer (gas) Other: Address. • ' a ` - ... MECHANICAL PERMIT FEES* �. , City /State/ZIP: • ru., ll s �(14 , t pt, r\ �� - Subtotal Phone: (� ..... ¢ ''+� Fax: ( t• t ool 1 D -a fl - c c�p a Minimum permit fee ($72.50) fi a,5� ��bhJ7 d t Plan review (25% of permit fee) .4 CCB tic.: State surcharge (12% of permit fee) I $ • INO / J TOTAL PERMIT FEE Qu �?�C Authorized signature: Y I VLJt 1 / 1 1 / This permit application expires if a permit is not obtained within 180 d >� days after it has been accepted as complete. I Print name: �` 1 l t - Date: — ` — a • • Fe: methodology se: by Tri- County Building Industry Service Board ::51111Jdi7glPermifeN C- Permit: •doc 01)1 /07 440 -4617T (11/02/COMM'Ln)