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Permit CITY OF TIGARD MECHANICAL PERMIT " ° '7 2 COMMUNITY DEVELOPMEN Permit #: MEC2011 -00359 TEGAAD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/02/2011 Parcel: 1 S125DB09700 Jurisdiction: Tigard Site address: 7110 SW LOLA LN Project: KAUFFMAN Subdivision: Lot: Project Description: Replacing air handler and heat pump. Contractor: ABLE HEATING & COOLING Owner: KAUFFMAN, GAYLE I & 16285 SW 85TH AVE #105 FREWING, JOHN L TIGARD, OR 97224 7110 SW LOLA LN TIGARD, OR 97223 PHONE: 503 - 579 -2250 PHONE: FAX: 503 -620 -3980 FEES Specifics: Description Date Amount Furnaces < 100K BTU 08/02/2011 $46.75 Type of Use: SF Heat Pump 08/02/2011 $61.06 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 08/02/2011 $12.94 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $120.75 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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: • Call 503. • •.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 ApplicatioePoril - ,r. FOR OFFIC:E:1 USE ONLY L.a i i, . L - Received - City of Tigard Date;17 7 i Permi lig ■ 13125 SW Hall Blvd., Tigard, OR 97223 AUG 1 2 011 _ 06 � � t Phone: 503.718.2439 Fax: 503.598.1460 Plan Review w Date/By: Other Permit: TI GA RD Inspection Line: 503.639.4175 CITY OF ,.♦ • Internet: www.tigard or.gov i `GA t D Date Ready/By: Janis: ® See Page 2 fo r BUILDING DIVISION Notified/Method: ,! Supplemental Information TYPE OF WORK COMMERCIAL FEE" SCHEDULE — USE CHECKLIST El New construction Mechanical permit fees' are based on the value of the work ® A ddition /alteration/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: $ RESIDENTIAL EQUIPMENT/ SYSTEMS FEES" ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. 1 Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: flu wuw Job site address: 7110 SW LOLA LANE (requires site plan showing placement) 46.75 City /State/ZIP: TIGARD, OR 97223 Furnace 100,000 BTU(ductslvents) 1 46.75 46.75 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: FREWING Heat pump (requires site plan showing placement) 1 61.06 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: I Lot no.: Flueivent for any of above 23.32 Other. 23.32 Tax trap /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater i 23.32 REPLACE. EXISTING AIR HANDLER ADD NEW HEAT PUMP Gas fireplace 33.39 Flue vent for water heater or gas fireplace 23,32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 Chimney /liner /flue/vent 23.32 © PROPERTY OWNER ❑TENANT Name: JOHN AND GAYLE FREWI NG Other 23.32 Environmental exhaust and ventilation: Address: 7110 SW LOLA LANE Range hood/other kitchen equipment 33.39 , City /State/ZIP: TIGARD, OR 97223 Clothes dryer exhaust 33.39 Phone: (503)245-5760 Single -duct exhaust (bathrooms, Fax: ( ) _ _toilet compartments, utility rooms) 23.32 © APPLICANT I L_I CONTACT PERSON Attic /crawispace fans 23.3E . Business name: Other. 1 23.32 I Contact name: Fuel piping: $14.15 for first four; $4.03 for each additional Address: Furnace, etc. City/State/ZIP: Gas heat mime Wall /suspended /unit heater Phone: ( ) Fax :: ( ) Water heater ' E-mail: Fireplace Range CONTRACTOR Barbecue , Business name: ABLE HEATING & COOLING LLC Clothes dryer (gas) ' Address: 16285 SW 85 AVE # 106 Other: MECHANICAL PERMIT FEES" City /State/ZIP: TIGARD, OR 97224 Subtotal 107.81 Phone: (503) 579 -250 ( Fax: (503) 620 -3980 Minimum permit fee ($90.00) Plan review (25% of permit fee) 1 CCB lie.: 184392 State surcharge (12% of permit fee) 12.94 TOTAL PERMIT FEE 120.75 Authorized signature: V 1 This pe r mitap plicntioo expires ifs perm is not obtained within 180 [ t ' • � ' days after it has been accepted as complete. Print name: KELLY WI HITS Date: 08 - 2011 • Fee methodology set by Tri -County Building Industry Service Board 1 : 1 Building' Permits\ \rC PermitApp. 09!09110 e40- 461'7T(1 /OnCOWWF9) 6 O 6£ 6up000 6uileaH algd dOZ:ZI. 1.6 l0 6ny . xtx 16285 SW 85th Ave Suite 105 r Al fi Conditioning Site Plan '' 'I' TIGARD, OR 97224 A (503) 579 -2250 Fax (503) 620 -3980 AUG 0 1 2 011 Hea[ina & Cbo.`ing, LLB Email: info @ableheatingandcooling.com CCB #184392 CITY OF TIGAM BUILDING DIViSily Customer `� Address F\ \ \ N . 10 - us, , 1_ ,,,: , City -- � c Zip C ,- \ 1 �, S 1 r C, E ' r . , . ' '. 1454 . tDLA LN £'d 086£ 6ug000 6ulleeH elQb' dOZ :Zl l L LO End