Permit q CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00136
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/30/2011
Parcel: 2S104AB08200
Jurisdiction: Tigard
Site address: 13147 SW CHIMNEY RIDGE ST
Project: Weibel Subdivision: MORNING HILL NO. 4 Lot: 111
Project Description: Replace gas furnace.
Contractor: ABLE HEATING & COOLING Owner: WEIBEL, JOHN & JENNIFER
8900 SW BURNHAM F -5 13147 SW CHIMNEY RIDGE ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 579 -2250 PHONE: 503 - 735 -5112
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 03/30/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/30/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/30/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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 que •UNC b ailing 503.232.1987 or 1.800.332.2344.
Issued B j `n Permittee Signatur 42—
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 Application FOR OFFICE USE ONLY
City of Tigard
_ ,.�
Date/By: )
• 13125 SW Hall Blvd, Tigard, £ +t � l d ► �/' �� ntt No.: r/�r�� .?
ax: OR 97223 t. 1 Pl Review
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Phone: 503.718.2434 Fax: 503.598- y= OtherPermit -
TrGARD Inspection Line: 503. 639.4175 \ ++ DatlBy:
Internet: wWW.tigard_or.go " t �11 Date Ready /By: Juris H Sec Page 2 for
d (� 1 NotifiedlMethod: Supplemental Information
�� Print name: I
TYPE OF WO - 3 c o , , L
[J New construction ® Addition/alteration/replacement COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ Demolition Other. Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
CATEGORY OF CONSTRUCTION mechanical materials, equipment, labor. overhead, and profit.
Value:
®
1- and 2- family dwelling ❑ Commercial industrial ❑ Accessory building QUIP $
O Multi- family ❑ Master builder RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ Othu: F0rspedet information use checklist
JOE SITE INFORMATION AND LOCATION Description Qty - I Ea. I Total
Job site address: 13147 SW Chimney Ridge St Heating/cooling:
Air conditioning
City /State/ZIP: Tigard, OR. 97223 (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
Suite/bldg. /apt no.: Project name: Weibel
Furnace 100,000+ BTU (dngshents) 54.91
Cross street/directions to job site: Heat pump f
(requires sne plan showing placement) 01.00
Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) i 23.32
Unit heaters (fuel-type, not electric),
v
Tax map/parce) no -: Flua vent for any of above I 23.32
Other: 23.32
DESCRIPTION OF WORK Other fuel appliances:
Replace existing Gas Furnace Water heater 1 23.32
Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 2332
Wood/pellet stove 3339
IN PROPERTY OWNER I ❑ TENANT Wood fireplace /insert 2332
•
Name: John and Jennifer Weibel Chimney/liner/flue/vent 2332
Address: 13147 SW Chimney Ridge St. Other: 2332
Environmental exhaust and ventilation: _
Range hood /other kitchen
City /State/ZIP: Tigard, OR. 97223 equipment 33.39
Phone: (503)73&5112 Fax: ( ) Clothes dryer exhaust 33.39
- .. -- -- 5112 Single -duct exhaust (bathrooms,
El APPLICANT — CI CONTACT PERSON — toile compartments, utility rooms) , 23.32
Business name: Atticttxawlspacefons 2332
Other: 23.32
Contact name: Fuel i I
pPnk:
Address: MI5 for first fear, S4.03 for each additional_
Furnace, cte.
City/State/Z Gas heat pump
Phone: ( ) Fax: : ( ) Wallisuspended /unit heater
E-mail: heater
Fireplace
CONTRACTOR Range
Business name: Able Heating & Cooling, LLC. Barbecue
Clothes dryer (gas)
Address: 8900 SW Burnham #F -5 Other:
City /State/ZIP: Tigard, OR. 97223 MECHANICAL PERMIT FEES*
Subtotal 46.75
1 Phenol (503) S7'9-2250 Fax: (503 -) 620 -3980 Minimum permit me (190.00) 90.00
CCB tic.: 284392 Wan review (25% of permit fee)
e State surcharge (12% of permit fee) 10.80
Authorized signature: TOTAL PERMIT FEE 100.80
—� This permit application expires if a permit is not obtained within 180 n
days after it been accepted as camplele.
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