Permit CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit #: MEC2013 00419
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2013
Parcel: 1 S133AD05400
Jurisdiction: Tigard
Site address: 12955 SW HAWKS BEARD ST
Project: Mueller Subdivision: AMART SUMMER LAKE Lot: 98
Project Description: Install a/c unit. Placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: ABLE HEATING & COOLING LLC Owner: MUELLER, JAN L
16285 SW 85TH AVE #105 12955 SW HAWKS BEARD ST
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503 - 579 -2250 PHONE: 503 - 338 -9442
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Air Conditioning 07/25/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/25/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/25/2013 $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 \ O \ UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By , ) 6f Permittee Signature: ,
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.
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Mechanical Permit Appli �; '� e ; . . , _ .. .
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F(lRS?FFICF IO \1 l -
City of Tigard I Received
.11 • 13125 S W Hall BIs d., Tigard, OR 97229 U L 2 4 2 013 Date/By_ 7/a Pcnnt No. e C � /Yj _ dU [// Q
C ' Phone: 503.718.2439 Fax: 503. Plan Review T
rtG A xT? InspeetionLine: 503.639.4175
C Date/By: Other rerntir:
" . Internet: www•ti and -or. b roe Dare ReodyiBy: kris. QI See Page 2 for
BUILDING DIVISION
NotifiedlMcthod: Supprementat information
I
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE HECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /altcration/replaccrnent
performed_ Indicate the value (rounded to the neaiest dollar) of all
❑ Demoiition ❑ Other: mechanical materials, equipment, labor, overhead and profit.
r
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For
special Information use dredrhsk
❑ Multi- family ❑Master builder
❑ Other. , Description
Qty. Ea. I Total
SOS SITE INFORMATION AND LOCATION Heating/cooling:
0 Job site address: 12955 SW HAWKS BEARD ST. tit conditioning I 46.75 46.75
Furnace 100,000 BTU (duets/vents) q 1
.75
, City /State/ZIP: TIGARD, OR. 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: I Project name: MUELLER Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler (radiator or - 7
I hydrunic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue/vent for arty of above 23132
Subdivision: I lot no.: Other. 23132
Other fuel appliances:
Tax map /parcel no.: Water heater I
23,32
DESCRIPTION OF WORK Gas fireplace/insert 33139
INSTALL NEW A/C UNIT Flue vent for water heater or gas
fireplace i 23132 1
L li te as) _ 23132
Wood/pellet stove 33.139
Wood fireplace /insert 23.132
Chimney /liner /flue/vent 1 23132
fEl PROPERTY OWNER 0 TENANT Other 23 32
Name: JAN MUELLER Range hood/other Environmental exhaust and ventilation:
Range h kitchen
Address: 12955 SW HAWKS BEARD ST. equipment 33 ry
Clothes dryer exhaust 33.139
City /State/ZIP: TIGARD, OR. 97223 Single -duct exhaust (bathrooms,
Phone: (503)338-9442 Fax: toilet compartments, utility rooms) 23.32
x: ( )
Attic /craw)space fans 23.32 _
0 APPLICANT ❑ CONTACT PERSON Other. 23.32
Business name: Fuel piping: -
$14.15 for first four; $4.03 for each additional
Contact name:
Furnace, etc.
Address: Gas heat pump
City /State/L1Y: Wall/suspended/unit heater
Water heater
Phone: ( ) I Fax: : ( ) Fireplace
E -mail: Range I
Barbecue
CONTRACTOR Clothes dryer (gas)
Business name: ABLE HEATING & COOLING LLC Outer:
Address: 16285 S W AYE, SUITE 105 MECHANICAL PERMIT FEES*
Subtotal 46,75 i
City/State/ZIP: TIGARD, OR. 97224 Minimum permit fee ($90.00) 90.00
Phone: (503) 579 -2250 I Fax: (503) 620 -3980 Plan review (25% of pennit fee)
(-en A tr. • 11rs1o1 --- -_ _ State surcharge 02% of permit fee) 10.80
l'd 086£OZ9E09 64000 +g 6uileeH env dLE7,•b -0 -f-A