Permit - CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2013 -00025
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/14/2013
Parcel: 1 S 134AC00100
• Jurisdiction: Tigard
Site address: 11388 SW IRONWOOD LP
Project: Cope Subdivision: ENGLEWOOD Lot: 30
Project Description: (1) gas furnace replacement of existing
Contractor: ABLE HEATING & COOLING LLC Owner: COPE, SUSAN M & DUANE C
16285 SW 85TH AVE #105 11388 SW IRONWOOD LOOP
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 579 -2250 PHONE: 503 - 579 -2250
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100KBTU 01/14/2013 $46.75
Type of Use: SF 12 %'State Surcharge,- Mechanical-- 01/14/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mech 01/14/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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 questions to OUNC by calling 503.232.1987 or q i7 1.8 800.332.2344.
Issued By: aa" /1 . U Perm ittee Signature: A-PP 4-- D�
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 Applicatio C EIVED FOR OFFICE 11SF. ONLY
City of Tigard JP11.6,w 11.6,w , "' li �ar3 O(�( -�
.�J 14 2013 Date/By; ■ M. Permit No,
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13125 SW Hall BIvd., Tigard, OR 97223 Plan Review
a Phone: 503.7182439 Fax: 503.598.196 J OF TIGARD Date. By: Other Permit
r 1 c :� Rl� Inspection Line: 503.639 ( Dale Rrady /By. Ed See Page 2 for
In0e7net www-°gard-or BUILDING DIVISION Nntibed/Mer : Snpptemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition / alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES"
® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special Information use dreclfi$L
❑ Multi- family ❑ Master builder ❑ Other: Description , Qty. I En. I Total
JOB SITE INFORMATION AND LOCATION
Heating/cooling:
Air conditioning
Job site address: 11388 SW IRONWOOD LOOP (requires site plan show,ng placement) 46.75
Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
City/State/ZIP: TIGARD, OR, 97223
Furnace 100.0004 BTI (ducts'venta) 54.91
Suite/bldgJapl. no.: I Project name: COPE Heat pump
(requires site plan showing placement) 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 map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas f vent f for w ale 33.39
REPLA CE EXISTING GAS FURNACE
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
® PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 2332
Other. 23.32
Name: DUANE AND SUSAN COPE Environmental exhaust and ventilation:
Address: 11388 SW IRONWOOD LOOP Range hood/other kitchen
equipment 33.39
City /State/ZIP: TIGARD, OR. 97223 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)579 -9376 Fax: ( ) toilet compartments, utility rooms) 1 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspacc fans 23.32
Business name:
Other. 23.32
Fuel piping:
Contact name: $14.15 for first four: $4.03 for each additional
Address:
Furnace, etc.
Gas heat pump .
City/State/ZIP: ',Pall /suspended/unit heater '
Phone: ( ) I Fax: : ( ) Water heater
E -mail: Fireplace
Range
•
CONTRACTOR Barbecue
Business name: ABLE HEATING AND COOLING LLC Clothes dryer (gas)
Other:
Address: 16285 SW 85 AVE. SUITE 105 MECHANICAL PERMIT FEES*
City /State/ZIP: TIGARD, OR. 97224 Subtotal 46.75
Minimum permit fee ($90.00) 90.00
Phone: (503) 579 -2250 Fax: (503) 620-3980 Plan review (25% of permit fee)
CCB lie.: 284392 State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80 '
Authorized sign This p ermit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Print name: KELL VILIIITE I Date: 01 -11 -13 • Fee methodology set by Tri -County Building Industry Service Board
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