Permit pri CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00597
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/16/2007
PARCEL: 2S 111 AC -05700
SITE ADDRESS: 14960 SW 92ND AVE ZONING: R -4.5
SUBDIVISION: LAUNALYNDA PARK LOT: 025 JURISDICTION: TIG
PROJECT: LAMMERS
Project Description: Replace gas furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
LAMMERS, WAYNE P + CHERYL Description Date Amount
14960 SW 92ND AVE
TIGARD, OR 97224 [MECH] Permit Fee 10/16/20C $72.50
[TAX] 8% State Surcha 10/16/20C $5.80
Total $78.30
Phone: 503- 624 -2971
Contractor:
ABLE HEATING & COOLING INC
12420 SW SUMMERCREST DR
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
•
Contact #: PRI 503 -579 -2250
FAX 503 -579 -9104
Reg #: LIC 108535
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 4.2its-G, Permittee Signature: - 0").1
Call 503.639.4175 by 7:00 a.m. for inspections 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.
Oct 16 07 07:46a ABLE HEATING AND COOLING 5035909104 p.1
10'Iechaia Permit d ip ' t ' c� ,t n 4
----.41 y FOR OF F1CF: USE O��I:I`
City of Tigard �f/ Received
Dale/By: �G ermit N 91
Blvd., Tigard, OR 97223
OCT /y7 P n,...„b ?`
13125 5W Hall
Phone: 503.639.4171 Fax: 503.598.1960 ! . 1 6 �oo 41"' Plan Revie
_ . 111 i i I Dt/B
1 Other Permit:
Inspection Line: 503.b39.4175 Date/By:
Internet: Lin i.ti 39.41 CI r _ 1 I • Noti Date Ready /By: Juris: ® See Page 2 for
13 1 DENT
(7,_ I I� LA fied�Method• Supplemental Information
� - T ',- � - ,- 111
TYPE OF i°O {�( V 1 0N COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ® Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
❑ .Demolition performed. Indicate the value (rounded to the nearest dollar) of all •
Other: mechanical materials equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: 3
® 1- and 2- family dwelling [] Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Multi - family Master builder
For special information use checklist.
Other:
i Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: '1 t .qip , a S,.,,._ C'l �e)% Air conditioning or heat pump
_ (requires site plan showing placement) 14.00
City /State/ZIP: C'
. rA ; . M �, C\ 0, 1� 0�' Furnace 100,000 BTU (ducts /vents) ( 14.00 i t
Suite/bldg./apt, no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14
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. 10.00
Subdivision: Lot no.: Flue/vent for any of above 1 10.00 C cat;
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
'tLi� C Gas fireplace 10.00
"'{ �4� t`G Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet Stove 10.00
Wood fireplace/insert 10.00
(A PROPERTY OWNER ❑ TEN�'7 Chimneyiliner /flue/vent 10.00
Name: G Lo, Other: 10.00 .
r� L1 '� + V \r .'- Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment I 10.00
City/State/ZIP: Clothes dryer exhaust , 10.00
Phone; (c1 Single -duct exhaust (bathrooms,
(sa3) `�2 - n 1 Fax: ( ) toilet compartments, utility rooms) 6.80
in APPLICANT ® CONTACT PERSON . Attic/crawlspace fans 10.00
Business name: Able Heating & Cooling, Inc. Other 10.00
Fuel piping
Contact name: Pat Gates $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
City/ State/ZIP:
Gas heat pump
Wall /suspended/unit heater '
Phone: (S03) 997 -4547 Fax: : ( ) Water heater
E-mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: Able Heating & Cooling, Inc. Clothes dryer (gas)
Other:
Address: 12420 Sw. Sum mercrest Dr.
MECHANICAL PERMIT FEES*
City/ State/ZIP: Tigard, OR. 97223 - Subtotal
may: t 7c
Phone: (503) 579 -2250 Fax: (503) 579 -9104 Minimum permit fee (572.50) ;Z, St ?
Plan review (25 %ofpermit fee)
CCB lie.: 108535 - State surcharge (8% of permit fee) 5, 1
TOTAL PERMIT FEE '224,3 a
Authorized signature: This permit application ecpires if a permit is not obtained within 180
days after it has been accepted as complete,
Print name: Pat Gates F Date: • Fee methodology set by Tri - County Building Industry Service Board
i.lau;1diaglpe rnirs'JvBC- eermiLApp.doc 12/03 440.4647T (1 1107/COMJWEa)
CITY OF TIGARD
BUILDING DIVISION r
PERMIT #: !AFC 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2007
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 L
INSPECTION WORKSHEET FOR DATE: 10/25/2007 TIME: 7:01AM PAGE: 63
SITE ADDRESS: 14960 SW 92ND AVE CLASS OF WORK:
SUBDIVISION: LAUNALYNDA PARK LOT #: 025 TYPE OF USE:
PROJECT NAME: L.ANIMERS
DESCRIPTION: Replace gas furnace.
OWNER: LAMMERS, WAYNE P + CHERYL, PHONE #: 503624-2971
CONTRACTOR: ABLE HEATING f, COOLING INC PHONE #: 503-573.2250
Inspection Request Scheduled For: Date: 10/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 058199 -01 503 -997 -4647 N
�
Co r /Comments / Instructions:
0 "
-- 441. U4.1 /L i ;. S -- /Y6 Z 7/ 4-r29 e 11.42,0 r--7
PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL ' CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: /o– ar—o Phone #: (503) 718 - S mac. `