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Permit ip � CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2009 -00451 Date Issued: 08/26/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S111CC10300 Jurisdiction: Tigard Site address: 15810 SW GREENS WAY Subdivision: Lot: 0 Project: Schulze Project Description: Replace existing gas furnace and A/C. A/C unit must meet 3' minimum rear and side yard setbacks. Owner: FEES SCHULZE, GUNTHER Description Date Amount 15810 SW GREENS WAY TIGARD, OR 97224 Air Conditioning or Heat Pump 08/26/2009 $14.00 12% State Surcharge - Mechanical 08/26/2009 $8.70 PHONE: 503- 684 -2905 Minimum Fee Adjustment - Mechanical 08/26/2009 $44.50 Contractor: ABLE HEATING & COOLING, LLC 12420 SW SUMMER CREST DR TIGARD, OR 97223 PHONE: 503 - 443 -2058 FAX: 503 - 620 -3980 Type of Use: MF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: Total $67.20 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. � Issued By: ��� c { I�� -- Permittee Signature: 674/- "h j p L% '6 / Call 503.639.4175 by 7:00 a.m. for an inspection 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. Aug 24 09 07:40p ABLE HEATING AND COOLING 5035799104 p2 Mechanical Permit Applicati , ECEIVE i t ' FOR Op.. I': 1:5E: ONLY City of Tigard Received Date/By: .com Permit No.: IIN 13125 SW Flan Blvd., Tigard, OR 97223 AU(' 2 2009 �r Phone. 503.639.4171 Fax: 503.598.1960 01 , / _ /j/ "kevozoo • - 00 y 1 LG i�R t7 Inspection Line: 503.639 Plan Rev; w CITY Internet: w w. tigard- or.gov E' OF TIGARD reteBy Other Permit: BUILDING DIVISION Date Ready,By: ® la See Page 2 for Notifedivtethad: �© Supplemental Information OF WORK Printnamc: ❑ New construction Addition /alteration /replacement COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ Demolition ❑ Other: Mechanical permit fees* arc 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 - f and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Value: $ ❑ Multi - family ❑Master builder ❑Other: RESIDENTIAL EQUIPMENT / SYSTEMS FEES" JOB SITE INFORMATION AND LOCATION For special information use checklist. Description 1 Qty. Ea Total Job site address: \ \(Z `0 tz;%• i 0 . c).siks- EA Heating/cooling City /State /ZIlr l 1 'VA AA Air conditioning or heat pump 1 (requires site plan showing placement) J 14.00 Suite /bldg.'apt no.: I V Project namei s I Furnace 100,000 BTU (ductsivents) : / 14.00 v ' \ Furnace 100,000+ BTU (ducts/vents) 17.90 Cross street/directions to job site: Gas heat pump 14.00 Duct work [0.00 Hydronic hot water system 14.00 Residential boiler (radiator or _hydronic) 14 Unit heaters (fuel -type, not electric), Subdivision: Lot no.: in-wall, in -duct. suspended, etc. 14.00 Tax map /parcel no.: Flue /vent for any of above 6.80 Other: 10.00 DESCRIPTION OF WORK Other fuel appliances _ R r PL4 c f � , . - 1 7 ^ f ( 643 r L4 Water heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10 Log lighter (gas) 10.00 �,,,_, ���� Wood /pellet stove 10.00 Ltali OPERTY OWNER ❑ TENANT Wood fireplace /insert 10.00 Name: l 1 43 � h� f � Ot Chimney/liner/flue/vent 10 .00 cssi ,� . Other: I Address: • 10.00 �-- • . l • • _ t _ Environmental exhaust and ventilation lState/ZTP: t r -� Range hood /other kitchen Ci tY K • � l -I A,‘ equipment 10.00 Phone: I �Cj kizw,41,3 � q () G Fax: ( ) Clothes dryer exhaust 10.00 ID APPLICANT Single -duct exhaust (bathrooms, ❑ CONTACT PERSON toilet compartments, utility rooms) 6.80 Business name: Attie/crawlspacc fans ' 10.00 Contact name: Other: I 10.00 Fuel piping Address: $5.40 for first four; $1.00 for each additional City/State/ZIP: . Furnace, etc. Gas heat pump ' Phone: ( ) Fax :: ( ) Wall /suspended /unit heater E -mail: Water heater Fireplace CONTRACTOR Range Business name: z i \ ...;., fl\NIN ( , 1,...00 , L� 1� lathe d Address:' < ) O . . 3 ��� * Clothes dryer (gas) c: Other: City /State/ZIP: , 1 1 fa • c\n ,A MECHANICAL PERMIT FEES' Phone: (S _a Fax: (56,V l� `` ►►JJ a r -i Subtotal CCB lie.: `��G� -a .....) 'J Minimum permit fze ($72.50) �2 ir Plan review (25% of permit fee) State surcharge (12% of permit fee) V•7e) Authorized signature& / al IQ,.20 -✓ ilk idirgtPbtnitalMMEC•PermitApp as g (I 9.07 440-4611T (I I i02/f_OMAVE61 Aug 24 09 07:40p ABLE HEATING AND COOLING 5035799104 p.3 ABLE HEATING & COOLll' G Air Conditioning Site Plan . + 8900 SW Burnham St Suite F5 TIGARD, OR 97223 • o (503) 443 -2058 fax (503) 620 -3980 CCB4184392 Email: ablehvac2 @aoi.com Customer L... uiik Address \ 1 t1 ,Z .'1/4.0 . " kiN City —r \ (�tt 4 * Zip CA 1 4 • , _ 1#'4k. ,, . _ _ , . .. 7 . _ _ 0 _ _ _ _ • } f f i ( -tR.E- S (,LJ 7 I