Permit CITY OF TIGARD MECHANICAL PERMIT
114 t3 , • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00376
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/10/2013
Parcel: 2S102CC04900
Jurisdiction: Tigard
Site address: 13615 SW STEVEN CT
Project: Mefford Subdivision: BEREA Lot: 10
Project Description: Replace a/c unit. Placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: ABLE HEATING & COOLING LLC Owner: MEFFORD, MICHAEL J & F LOUISE
16285 SW 85TH AVE #105 23585 NW JACOBSON RD #61
TIGARD, OR 97224 HILLSBORO, OR 97124
PHONE: 503 - 579 -2250 PHONE: 503 - 729 -2135
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Air Conditioning 07/10/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/10/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/10/2013 $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 No' - ion : uter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direc' questions to OU ' • , (ling 503.232.1987 or 1.800.332.2344.
Issued 7.y: _ / Permittee Si.. : ture: /I/
Call 503.639.4175 by 7:00 a.m. for the next available inspe 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.
Mechanical Permit Applic ii t . 'i " FOR OI fIC L l Sl O \Ll' i r;�. v�o - _, 7 Ci of Ti and ' EIVEll " Re ceived / Permit Nn.:
13 125 SW lfall Blvd., Tigard, OR 97223_ Plus Review
7 / � £�
. • II ll '''' 8 2013 Dal Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1 94 Da1aBy:
'f I GAR D Inspection Line: 503.639.4175 Dale Readv /By: tar 21 Sec Page 2 for
Internet: www.ti der. vv
g CIT Notified/Method: Supplemental Information
TYPE OF WORK IS O COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
•
Mechanical permit fees° are based on the value of the work
❑ New construction ® Additi on/ alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ['Other: mechanical materials, equipment, labor, overhead, and profit.
Value: S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT F SYSTEMS FEES*
® I- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building For special lnfornration use rherJdisx
C] Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total
JOB SITE INFORMATION AND LOCATION Beating/cooling:
Air conditioning, 1 46.75. 36.75
Job site address: 13615 SW STEVEN COURT Furnace 100.000 BTU (ducts/vents) 46.75
City/ State/ZIP: TIGARD, OR. 97223 Furnace 100,000+ BTU (ductsvents) 54.91
Heat pump 61.06
Suite/bldgJapt. no.: I Project name: MEFFORD 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 -dud, 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 33.39
Flue vent for water heater or gas
REPLACE EXISTING A/C UNIT fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert j 23.32
Chimney/liner/flue/vent ' I 23.32
® PROPERTY OWNER J ❑ TENANT Other: I , 23.32
Environmental exhaust and ventilation:
Name: TOM MEFFORD Range hood /other kitchen
equipment 33.39
Address: 13615 SW STEVEN COURT Clothes dryer exhaust 33.39
City / State/Z1P: TIGARD, OR. 97223 Single -duct e (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: (503)729 -2135 Fax: ( ) Attie/crawlspace fans , 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: —
$14.15 for first four, $4.03 for each additional
Contact name: Furnace. etc.
Address:
Gas heat pump
Wall /suspended/unit heater
City /State/ZIP: Water heater IMill-
Phone: ( ) Fax: : ( ) Fireplace
Range
E -mail:
Barbecue
CONTRACTOR dryer (gas)
Business name: ABLE HEATING & COOLING LLC Other:
-- ---- - - - - -- -- -- ---- ----- - - - - -- -- MECHANICAL PERMIT FEES"
Address: 16285 SW 85 AVE. SUITE 105
i Subtotal 46.75
City / State/ZIP: TIGARD, OR. 97224 - Minimum permit fee ($90.00) 90.00
Phone: (503) 579 -2250 I Fax_ (303) 620980 Plan review (25% of permit fee)
State surcharge (12% of permit fee) 10.80
CCB lie.: 184392 • TOTAL PERMIT FEE 100.80 s — i This permit application expires ifs permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature
ignatu e ' 09 • Fee methodology set by Tri -County Building Industry Service Board
I Print name: KELLY FATE Date: 07 -05-13
I .aui ding/PenniteNEC_PermirApp - 0401 I3.doc 440-4617r (11/02/COM/WFB)
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