Permit ,[a - i T T
I IGARD
• .� C I 1 OF MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00502
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/22/2007
PARCEL: 1 S133DA -05600
SITE ADDRESS: 12910 SW GLACIER LILY CIR ZONING: R -7
SUBDIVISION: AMART SUMMERLAKE LOT: 078 JURISDICTION: TIG
PROJECT: HERNDOBLER
Project Description: Install a /c, furnace and vent.
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: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
HERNDOBLER, ALLAN R + SUE Description Date Amount
12910 SW GLACIER LILY CIR
TIGARD, OR 97223 [MECH] Permit Fee 8/22/2007 $72.50
[TAX] 8% State Surcha 8/22/2007 $5.80
Phone:
Total $78.30
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
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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:
40 41 iji/ / .. // Permittee Signature: 1/4 A-pp licA.,-h Ur)
Call 503.639.4175 by 7 :00 a.m. for inspections that business day.
is 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.
Aug 13 07 02:47p ABLE HEATING AND COOLING 5035909104 p.1
Mechanical Permit Application, FOR 0l+'l• F L 0_NI. ,
City of Tigard hetitIV EDA Received // / ' A I M0- - -0050 .
DatelSy: 14/5/6/— S(�" QermttNo.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone. 503.639.4171 Fax: 503.598.1960 1 3 2007 ' y Other Permit.
AUG I far,` I .?; DataB :
Inspection Line: 503.639.4175 II'. DateReadyBy: suite 0 See Page 2for
ct.F
Internet: www -tt ard.or.us CITY gy���ITif Y A�� Oa J fl g., � �e ' ' Notified/Method: 776- Supplemental Information
B1.iJLt..711lie DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 0 Addition/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: $
1- and 2- family dwelling ❑ Commercial/industrial [] Accessory building
Multi - family ❑ RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
Master builder ❑ Other Description or special information use checklist. L Qty Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: -7 !j l y Air condi • in or heat pump
I ,1y1 �� �(� 1(i ; s - L l ! � f f regimes site plan owing placement) 14.00 1 a
Ci /S4te/ZIP: J JO( r
/ i ' d 1 q 17 BTU (ductsvmits) 14.00
V C Furnace 100,000+BTIT(ductv'vents) 17.90 ' I��
Suite/bldg. /apt. no.: I Project name y / e - ) p t Gas heat pump 14,00
I Iv
Gross street/directions to job site: Duct work 14 00
Hydromc hot water system 14.00
Residential boiler (radiator or
hydronlc) 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 10.00 / 6.,40
Other, 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
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
PROPERTY OWNER 1 S ❑ TENANT Chimneyiliner /flue /vent 10.00
a Other: 10.00
Name: fl G G e i/ r 6 b f er< Environmental exhaust and ventilation
C Range hood/other kitchen J
U
Address. fly) .( equipment I 10.00
City /State/ZIP: / Clothes dryer exhaust I 10 00
J J Single -duct exhaust (bathrooms,
Phone: (FY) L/2-1 1 Fax: ( ) toilet compartments, ,rtility rooms) 6.80
/// ❑ APPLICANT ❑ CONTACT PERSON Atuc/crawlspace fans 10 00
b Other: 10.00
Business name �. /l Pa. �/-, ',�?d11 / ,, { Fuel piping ___
Contact name: 4---7- 55.40 for first four; 51.00 for each additional
Address: // -
Furnace, etc.
2 . . I 1 f o S ? Gas heat pump
City /State/ZIP/ i �� 46 f ?7Z2� Wall/suspended/unit heater
7 ��• /G Water heater
Phone: (�� l ^` „z..50 Fax:: � 1 � /�� J`�
Fireplace
E-mail: Range i
CONTRACTOR 1 Barbecue
Clothes dryer (gas)
Business name: Other:
Address: v r MECHANICAL PERMIT FEES*
City /State/ZIP: Subtotal IC /D
Phone: ( ) Fax. ( ) Minimum permit fee ($72 50) -7
Plan review (25% of permit fee)
CCB lic.: , State surcharge (8% of permit fee) .Sv
TOTAL PERMIT FEE 36
Authorized si tur / r This permit application expires if a permit is not obtained within 1811
! � • 1 -.41. days after it has been accepted as complete.
Print name: e ` 1 Date. ” jig/ • Fee methodology set by Tri County Budding Industry Service Board
W
,:\Bua. tc PermitApp.doc 12/63 411.4617r (11roSCOwWE3)
Aug 13 07 02:47p ABLE HEATING AND COOLING 5035909104 p.3
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: IvIEC2007-00502
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8
Phone: (503) 639-4171 - .*
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Inspection Requests (24 Hrs.): (503) 639-4175 J. —...
INSPECTION WORKSHEET FOR DATE: 8031/2007 TIME: 7:00AM PAGE: 4a
SITE ADDRESS: 12910 SW GLACIER LILY CIR CLASS OF WORK:
SUBDIVISION: AMART SUMMERLAKE LOT #: 07 8 TYPE OF USE:
,
PROJECT NAME: HERNDOBLER
DESCRIPTION: Install a/c, furnace and vent.
OWNER: HERNDOBLER, ALLAN R + SUE, PHONE #:
CONTRACTOR: ABLE HEATING & COOLING INC S — PHONE #: 503
i Inspection Request Scheduled For: Date: 8/31/2007 Pour Time:
' Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 054923-01 503-579-226,0 Y
Corrections/Comments/Instructions:
AA ii- l a'L -, ; : f( S
LAbk,t,
Ca.re, ri 2.- 4' Lei fr
X PASS PARTIAL APPROVAL I I CANCEL I I NO ACCESS
—
FAIL EI CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
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Inspector: , aTh VI isit.,) t 1 U- 4 .--.42_ Date: ii I 1°7 Phone #: (503) 718-
CITY OF TIGARD
...
BUILDING DIVISION PERMIT #: MEC2007-00502
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2007
Phone: (503) 639-4171 "timilit.
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/24/2007 TIME: 7:00AM PAGE: 65
SITE ADDRESS: 12910 SW GLACIER LILY CIR CLASS OF WORK:
SUBDIVISION: AMAFT SUMMERLAKE LOT #: 078 TYPE OF USE:
PROJECT NAME: HERNDOBLER
DESCRIPTION: Install a/c, furnace and vent.
OWNER: HERNDOBLER, ALLAN R + SUE, PHONE #:
CONTRACTOR: ABLE HEATING & COOLING INC PHONE #: 503-579-2250
Inspection Request Scheduled For: Date: 8/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 054585-01 503-997-4547 N
Corrections/Comments/Instructions:
/ CA-1.-- ‘- ,7" eA /4.--t/"e/e----
I PASS -- 1 I PARTIAL APPROVAL I I CANCEL 1 I NO ACCESS
FAIL
A H CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: --
Date: r )5 7 — Phone #: (503) 718- ‘.•
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