Permit CITY OF TIGARD MECHANICAL PERMIT
• 1111 s s COMMUNITY DEVELOPMENT Permit #: MEC2013 -00355
Date Issued: 06/27/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S 27/201 3000
Jurisdiction: Tigard
Site address: 13564 SW HILLSHIRE DR
Project: Griffith Subdivision: HILLSHIRE ESTATES Lot: 30
Project Description: Replace existing gas furnace and NC. Placement of NC or heat pump units must comply with the manufacturer's
clearance requirements.
Contractor: ABLE HEATING & COOLING LLC Owner: GRIFFITH, WILLIAM
16285 SW 85TH AVE #105 13564 SW HILLSHIRE DR
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 579 -2250 PHONE: 503 - 579 -3037
FAX: 503 -620 -3980
FEES
Specifics: Description Date Amount
Air Conditioning 06/27/2013 $46.75
Type of Use: SF Furnaces < 100K BTU 06/27/2013 $46.75
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 06/27/2013 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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: /M11 111 j — Permittee Signature: €,'j /970,,/
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 A t f 1
ECEIV
FOR OFFICE LSE ONLY -
111 City of Tigard Received
+ 13125 6 Date/By. h /� tmrt N. '� 1
1312 SW Hall Blvd ,Tigard, OR 97223 JUN 2 6 2013 a /-3 �I - �o-Oi3 �o3s
Phone. 503.718.2439 Fax: 503.598.1960 Pla Review
i ion Line: 503.639.4] 75 DateiBy: Other Permit.
TIGARD peCt CITY OF TIGARD Date Ready/By: h ex
Internet: www.tigard -or.gov E ScePaYe2for
BUILDING DIVISION N °ulied/Method 7 ' " Sipplementar Infonantioo
TYPE OF WORK COMMERCIAL FEE'S SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based o 1 the value of the work
❑ New construction ® Addition /alterationfreplacement
performed. Indicate the value (round:d to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. •
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMEN" / SYSTEMS FEES"
® 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Fors crain information use checklist
❑ Multi- family ❑ Master builder F.
D Description
Qty. Fz, Total
JOB SITE INFORMATION AND LOCATION Heating/Cooling:
Job site address: 13564 SW HILLSIIIRE DRIVE Air conditioning 1 46.75 46.75
Furnace 100,0110 BTU (dactsivents) _ 1 46.75 46.75
City/State/ZIP: TIGARD, OR. 97223 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: I Project name: GRIFFITH Heat pump 61 06
Duct wort: 23.32
Cross street/directions to job site: Hdronic hot water system 23 32
Residential boiler (radiator or
hydronic) 1 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: I Lot no.: Other: 1 23.32 l
Tax map/parcel no.:
Other fuel appliances:
Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
REPLACE EXISTING GAS FURNACE AND A/C UNIT Flue vent for water heater or gas
fireplace 1 23.32 _
Log lighter (gas) I 23.32
Wood/pellet stove 33 39
Wood fireplace/insert 23.32
Chimney/liner /flue /vent 23 32
® PROPERTY OWNER 1 ❑ TENANT Other: 23.32 f
Name: BILL GRIFFITH Environmental exhaust and ventilati n:
Range hood/other kitchen
Address: 13564 SW IIILLSHIRE DRIVE equipment 33.39
Clothes dryer exhaust 3339
City /State/ZIP: TIGARD, OR. 97223 Single -duct exhaust (bathrooms,
Phone: (503)579 - 3037 Fax: toilet compartments, utility rooms) 23.32
( ) Attic/crawispace fans 1 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
Contact name:
$14.15 for first four, $4.03 fo each a' ■ Modal
Furnace, etc.
Address: Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Water heater
Phone: ( ) I Fax :: ( ) Fireplace
E -mail: Range
Barbecue
CONTRACTOR Clothes dryer (gas)
Business name: ABLE HEATING & COOLING LLC Otilcr,
Address: 16285 SW 85 AVE. SUITE 105 MECHANICAL PERM 'FEE.
Sight. al 93.50
City/State/ZIP: TIGARD, OR. 97224 Minimum permit • ($90 t0)
Phone: (503) 579 -2250 I Fax: (503) 620 -3980 Plan review (25% of rmit :e)
State surcharge (12% of p rmit f.) 11.22
L CCB tic.: 184392 TOTAL PE • 3 104.72
This permit application expires if a permit s not a rained within 180
Authorized signature: /1,,,e-.2e,06 days after it has been accepted as coin . lete,
' Fee methodology set by 7n Counry Builds ]ndus Service Hoard
Print name: KELLY I Date: 6-26-13
t.lnuild neernuis \MEC_PermnApp_040113 doe 440-4617r (11/02/COM/WEB)
L 086£0Z9£09 6up000 v 6ui ;eeH eigv d80 :Z0 £ . 9Z unr