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Permit � CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00454 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/5/2008 PARCEL: 2S 115AD -04500 SITE ADDRESS: 16652 SW 108TH AVE ZONING: R -4.5 SUBDIVISION: DOVER LANDING LOT: 028 JURISDICTION: TIG PROJECT: PIERCE Project Description: Replacing gas furnace and adding heat pump. 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: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES DANA & CAROL PIERCE Description Date Amount 16652 SW 108TH AVE TIGARD, OR 97224 [MECH] Permit Fee 9/5/2008 $72.50 [TAX] 12% State Surch 9/5/2008 $8.70 Total $81.20 Phone: 503- 684 -6093 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: = Permittee Signature:;' Ca •39.4175 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. Sep 05 08 07:57a ABLE HEATING AND COOLING 5035799104 p.1 Mechanical Permit Application ® FOR ciNr OFFICE i sr cir;� city of Ti and Re � g Date(By 6 / i Per No - L Air 0 I1 1J , I. a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' Permit . 503.639.4171 Fax: 503.598.19 �� Date/By: Other Perit TIC;ARD I ns ` L � pection Line: 503.639 -4175 ® ':;te Ready/13y. .o ;Bv, S ee Pa t t r - ' Internet: www.tigard- or.gov ® 1 `� i' �@ ► a ` 1 NotifiedNethod: Supplementallnformaliun 4 q ‘ TYPE OF WORK � (I, cl. COMMERCIAL FEE* SCHEDULE - USE CHECKLIST It New construction El Addition/alterationlrj 1 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. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 21 1- and 2- family dwelling ❑ Commercial industrial ❑ Accessory building ----- ❑ Multi- family ❑ Master builder For special information use checklise. ❑ Other: Description p I Qty. Ea I Total JOB SITE INFORMATION AND LOCATION Head np/cooling Job site address 1146) Air conditioning or heat pump y y , c .-.- )(? f��%� (requires site plan showing placement) M t 14.00 _ 1 City /StatelZIP: 1.64,\ o {t ` C? ,-- ,iJ Furnace 100.000 BTU (duets/vents) 1 14.00 l l Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: t�ru , Gas heat pump 14.00 Cross street/directions to job site: kie, t ,‘y..., tvti Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (feel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 , .r Other. 10.00 _ Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 ROACR . (3ClA/S g rVk - C t� Flue vent for water heater or gas v fireplace 10.00 Log lighter (gas) 10.00 ■'ooelipellet stove 10.00 Wood fireplace/insert 10.00 ID PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: j� r\{� Lcvz ) ` �� •! � (� Environmental exhaust and ventilation Address: Range hood /other kitchen equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 �`� Single -duct exhaust (bathrooms, Phone: 4' ) (�C''y _6: `—'. Fax: ( ) toilet compartments, utility rooms) 6.811 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Business name: Other: 19,00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additiona Address: Furnace, etc. Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( l Water heater E -mail: Fireplace Range CONTRACTOR Barbecue . Business name: Nw ,,,i,_,, Clothes dryer (gas) _ �o� 1.1t?� ���X'� Other: � Address: \cif c Lc , J ✓ �, p S v " ,1-,� MECHANICAL PERMIT FEES* City/State/ZIP: u/`1 k C C O 9Y Subtotal 39, _ t Phone: (303) _5') _�_S 0 Fax: ( j3) S'`' C\c e 1 Minimum permit fee ($72.50) `72 S I Plan review (25% of permit fee) + CCB lie.: i . S State surcharge (12% of permit fee TOTAL PERMIT FEE _a t lG Authorized signature: I F f - This permit application expires if a permit is not obtained within ISO r days after it has been accepted as complete. Print name: 1�\ C - o © . Date: -5- oS j • Fee methodology set by Tri- County Building Industry Service Board 1 :\Building\Permia\MEC- PermitApp .doe 01/19/0/01 440 - 4617T (I Il02/COMWWE5I Sep 05 08 07:58a ABLE HEATING AND COOLING 5035799104 p.2 • a • � • • ABLE HEATING & COOLING Air Conditioning Site Plan •' . . 12420 SW SUMMER CREST DR. TIGARD, OR 97223 • • (503) 579 -2250 Fax (503) 579 -9104 .••....o• cca #108535 Email: ablehvac2 @aol.com Customer MJA f CARD !, PIErS'Cr. Address C 2_ 5v,.f 1 6 c Ti? A +/1?' City -(GP D Zip 77 'I A 4c I 4bl? : e.�tinr, Ccolir 1;; JS CITY OF TIGARD •, . :. BUILDING DIVISION A PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DA MEC2008 TE ISSUED: 9/5/20013 Phone: (503) 639-4171 aro lilt\ Inspection Requests (24 Hrs.): (503) 639-4175 s. .... INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/16/2008 7:01,4/1 36 SITE ADDRESS: 16652 SW 108TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: DOVER LANDING 028 PROJECT NAME: PIERCE DESCRIPTION: Replacing gas furnace and adding heat pump. . OWNER: PIERCE, DANA & CAROL PHONE If - # : 603-684-6093 CONTRACTOR: ABLE HEATING & COOLING INC PHONE #: 503-579-2250 Inspection Request Scheduled For: Date: 10/16/2008 Pour Time: t Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 076705-01 503-579-2250 Y Corrections/Comments/Instructions: riVo- 0 r 1--- be,1 EL s /3 528 o1,50 6 /ecits'c • C C CA. M PASS 0 PARTIAL APPROVAL III CANCEL fl NO ACCESS El FAIL El CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: OS Date: & 0c708 Phone #: (503) 718- 2c/23 I