Permit CITY OF TIGARD MECHANICAL PERMIT
_ - COMMUNITY DEVELOPMENT Permit #: MEC2013 -00218
T (G AR.I? 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/23/2013
Parcel: 1 S 125DD05200
Jurisdiction: Tigard
Site address: 9780 SW VENTURA CT
Project: Iron -Meads Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 60
Project Description: (1) gas furnace replacement and (1) heat pump Placement of heat pump must comply with manufacturer's
clearance requirements
Contractor: AAA HEATING & COOLING INC Owner: IRON LIVING TRUST
5017 NE GRAND AVE • MEADS, KATHERINE B REV LIV TRUST
PORTLAND, OR 97211 9780 SW VENTURA CT
TIGARD, OR 97223
PHONE: 503 - 284 -2173 PHONE: 503 - 246 -2215
FAX: 503 - 284 -1552
FEES
Specifics: Description Date Amount
Furnaces >= 100K BTU 04/23/2013 $54.91
Type of Use: SF Heat Pump 04/23/2013 $61.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 04/23/2013 $13.92
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $129.89
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: ! , J l5 ] �,^ J Permittee Signature: OM i4 PpLi e tti-n ?A
w
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.
{'^'^ 04/22/2013 15;47 #303 P.002/003
Mechanical Permit Applica bTI TED FOR OFFICE I:SEO\l.1 N
City of Tigard Received
�� �13 Si Pen" t No.: (�� + � 1 - (� / y
; � ii 13125 SW Hall Blvd., Tigard. OR 2 2 2013 y' r J �' ('
• Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit:
Inspection Line: 503.. Date Ready/By: I L; A R D Isec6394175 CITY OF TIGARD Date Ready /By: luris: 0 See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplementallnfonnadoa
R[11.D1NG DIVISION 1�
TYPE OF WORK = . ` :K: COMMERCIAL FEE* SCHEDULE : Ll e >
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 ,mfit.
Value' .S 50.00
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT / SYSTE '
❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use chec .tlist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 9780 SW Ventura Ct. _ Furnace 100,000 BTU (ducts /vents? 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+ BTU (ducts /vents) 1 54.91 54.91
Suite/bldg. /apt. no.: Project name: Iron -Meads Heat pump I 61.06 61.06
Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace insert 3339
• Flue vent for water heater or gas
Remove and replace gas furnace. Add Heatpump fireplace 23.32
• : ii... ter :as 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
is PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: Bill Iron and Kathy Meads Range hood/other kitchen
equipment 33.39
Address: 9780 SW Ventura Ct. Clothes dryer exhaust 33.39
City/ State/ZIP: Tigard, OR 97223 Single-duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: (503)246 -2215 Fax: ( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 2332
Fuel piping:
Business name: AAA Heating & Cooling, Inc.
5I4.15 for first four; 54.03 for each additional
Contact name: Felicia Gomez Furnace, etc.
Address: 5017 NE Grand Ave.. Gas beau pump
Wall/suspended/unit heater
City/State/ZIP: Portland, OR 97211 Water heater
Phone: (503) 501 -5517 Fax: : (503) 284 -1552 Fireplace
Range
E -mail: felicia.gomezcaaaiaq.conr Barbecue
CONTRACTOR Clothes dryer (gas)
Business name: AAA Heating & Cooling, Inc. Other:
MECHANICAL PERMIT FEES* A .'
Address: 5017 NE Grand Ave. Subtotal 115.97
City/State/ZIP: Portland, OR 97211 Minimum permit fee ($90.00) 0.00
Plan review (25% of permit foe) 0.00
Phone: (503) 284 -2173 r Fax: (503) 284 -1552 State surcharge (12% of permit fee) 13.91
CCB lic.: 222 TOTAL PERMIT FEE 129.88
(lir/ This permit application expires if a permit is not obtained within 1M1
days after it has been accepted as complete.
Authorized signa'i • Fee methodology set by Tri - County Building Industry Service Board ii
Print name: Feiici ez Date: 04/22/2013 / an V q
I: Buiiding Pa,oi . • idoc 440 -46171 (I I.02JCOM'WER)
From: 04/22/2013 15:47 #303 P.001 /003
Fax Cover Sheet
AAA Heating & Cooling, Inc.
5017 NE Grand Avenue
Portland, Oregon 97211 -3803
Phone: (503) 284 -2173
Fax: (503) 284 -1552
www.aaaiaq.com
Date: of 172-I i � Pages (Including Cover):
To: ` cXX d Fax: 7- 51& Iii' l0C
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