Permit ;•„ CITY OF TIGARD MECHANICAL PERMIT
ip
6 :.` ' COMMUNITY DEVELOPMENT Permit #: MEC2013 00060
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/28/2013
Parcel: 2S114BA07000
Jurisdiction: Tigard
Site address: 9780 SW COOK CT
Project: Shafer Subdivision: COPPER CREEK Lot: 12
Project Description: Replace gas furnace
Contractor: ABLE HEATING & COOLING LLC Owner: SHAFER, BRIAN MARCUS &
16285 SW 85TH AVE #105 LENORE ALVA
TIGARD, OR 97224 9780 SW COOK CT
TIGARD, OR 97224
PHONE: 503 - 579 -2250 PHONE: 503 - 887 -7705
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 01/28/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 01/28/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/28/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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 - . • ork will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan -, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili'• Notification Center. Thos es are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or . irect questions to OUNC e • (ling 513 2.1987 or 1.800.332.2344. /
I sued By: P ermittee Si. lature: /,)
/ _ /'— ice. �....
Call 503.639.4175 by 7:00 a.m. for the next available insp•c ion 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.
Jan 2513 03:58p Able Heating & Cooling 5036203980 p.2
Mechanical Permit Application FOR OFFICE USE ONL1
City of Tigard R ECEIVE D Din& Bod DntdB}: ! Permit No.:
Blvd., 9 /' .4 l - ��
13I25SWHallB
2 . - Phone: 503.718.2439 Fax 503398.1960 Date/By: :
T I G.1 RI) Line: 503.639.4175 JAN 8 Date By Other Permit:
Internet www.tigard -or gov JAN v 2 O Date Readyar ® See Page 2 for
Notified/Method
C ITY OF TIGARD Supplemental Information
TYPE OF MNIG DIVISION I COMMERCIAL FEE• SCHEDULE - USE CHECKLIST
❑ New construction ® Additiotu 'alterationireplacement Mechanical permit fees" are based on the `ante of the work
❑ NDemolition construction performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other: _ mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial industrial 0 Accessory building For special information use dteckflsr.
❑ Multi - family ❑ Master builder
El Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Aeating/eooliteg:
Air conditioning
Job site address: 9780 SW Cook Court (requires site plan showing placement) 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (duets/vents) 1 46.75
Furnace 100,0004- BTU (ducts/vents) , 54.91
Suite/bldg./apt. no.: Project name: SHAFER Heat pump
(requires site plan showing placement) 61.06 •
Cross street/directions to job site: Ductwork 23.32
J
Hydronic hot water system 3.32
i
Residential boiler (radiator or
hydronic) 2332
Unit heaters (fuel -type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Subdivision I no : Flueivent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 2332
replace existing gas furnace Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 2132
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 2332
® PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent
Other 23.32
Name: Brian Shafer
2332
Environmental exhaust and ventilation:
Address: 9780 SW Cook Court Range hood/other kitchen
equipment 33.39
City /State/ZIP: Tigard, OR 97224 Clothes dryer 33.39
Phone: (503)887 -7705 Fax: ( ) Single duct exhaust (bathrooms,
toilet compartments, utility rooms) _ 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawispacc fans 2332 '
Business name: Other. 23.32
Fuel piping:
Contact name:
514.15 for first four, $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Phone: ( ) Fa :: ( ) Water heater
E -mail:
_Fireplace
• Range
CONTRACTOR Barbecue •
Business name: Able Heating & Cooling, LLC Clothes dryer (gas)
•
Address: 16285 SW 85` Avenue Other.
_ MECHANICAL PERMIT FEES*
City /StateTZlP: Tigard, OR 97224 Subtotal
Phone: (503) 579 -V,50 / Fax: (503) 620 -3980 Minimum permit fee ($90.00) 90.00
Plan review (25%ofpermit fee)
CCB lie.: 184392 State surchar (12% of permit fee) 10.80
r TOTAL PERMIT FEE 100.80
Authorized signature: "ibis permit application expires if a permit is not obtained within 190
days after it has been accepted as complete.
Print name: Kelly Wilhite • Date: 01 -25 -13 I • Fee me set by Tri county Building industry Sen.iec Board
L•1BuildinglPenmisi .b C- Pemdtppp.dec 03/07/12 440-46171' (11/02/COMI/WEB)