Permit CITY OF TIGARD MECHANICAL PERMIT
11111 ' COMMUNITY DEVELOPMENT Permit#: MEC2013 00607
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/14/2013
Parcel: 2S 104DA08900
Jurisdiction: Tigard
Site address: 13173 SW RAPTOR PL
Project: Davies Subdivision: QUAIL HOLLOW-WEST Lot: 75
Project Description: Install ductless heat pump system
Contractor: ABLE HEATING&COOLING LLC Owner: DAVIES,JANE C
16285 SW 85TH AVE#105 13173 SW RAPTOR PL
TIGARD, OR 97224 TIGARD,OR 97223
PHONE: 503-579-2250 PHONE: 503-816-7084
FAX: 503-620-3980
• FEES
Specifics: Description Date Amount
Heat Pump 10/14/2013 $61.06
Type of Use: SF 12%State Surcharge-Mechanical 10/14/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 10/14/2013 $28.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Noti - -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire •uestions to O C by -fling 503.232.1987 or 1.800.332.2344.
•
Iss ed By: ArlitL A = Permittee Signatur �
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Oct 10 13 04:24p Able Heating&Cooling 503-620-3980 p.1 '
Mechanical Permit Applicatio '•! IV ' FOIL OFFICE t tiIi ONLY
City of Ti and Received / Permit g 0 C T 10 2 013 DatG$y: /a /4/ /3 tiFtido(5.06 407
Ifill 13125 SW Hall Blvd-,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960
Other Pernit
aey:
Inspection Line: 503.639.4175 CITY OF TICARD
T I G A:D Date Ready/By: i��s:
®See Page 2 for
Internet www.tigard-or.gov BUILDING f'1,1V1SIO\protit;ed`method: Supplemental Information
TYPE OF WORK BUILDING LJ f COMMERCIAL FEE° SCHEDULE— USE CHECKLIST
Mechanical permit fees"are based on the value of the work
❑New construction ®Addit ion/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY OF CONSTRUCTION • RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial./industrial ❑Accessory building For special information use duddlst:
❑ Multi-family ❑Master builder ❑Other: Description I Qty. I_ Ea I Total
JOB SITE INFORMATION AND LOCATION Heatinp./cooling:
1 J Air conditioning 46.75
Job site address: 13173 SW Raptor PI. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(duels/vents) 54.91
Suite/bldg./apt.no.: Project name: Heat pump 1 61.06 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 2332
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flueivent for any of above 23.32
Subdivision: Lot no.: Other 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 2132
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install Ductless Heat Pump system fireplace 23.32 _
Log lighter(gas) 2.3.32
Wood/pellel stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32 .
® PROPERTY OWNER ❑ TENANT Other. j 23.32
1 Environmental exhaust and ventilation:
Name:Jane Davies Range hood/other kitchen
equipment 33.39
Address: 13173 SW Raptor Pt, Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)816-7084 Fax:( ) Attic/crawlspacc fans 23.32
® APPLICANT :® CONTACT PERSON Other: _ 23.32
Fuel piping:
Business name:Able Heating&Cooling LLC
$14.15 for first four,$4.03 for each additional
Contact name:Kelly Wilhite Furnace,etc.
Address:16285 SW 85th Ave,Suite 105 Gas heat pump
Wall/suspended/unit heater
City/StatefZIP:Tigard,OR 97224 Water heater
Phone:(503)579-2250 Fax::(503)620-3980 Fireplace
Range
E-mail:info @ableheatingaodcooling.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Able Heating&Cooling LLC Other:
MECHANICAL PERMIT FEES"
-p/ /Address:16285 SW 85°'Ave,Suite 105 Subtotal ' 61.06
(At/
City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00) 90.00
Plan review(25%of permit fee)
Phone:(503)579-2250 Fax:(503)620-3980
State surcharge(12%of permit fee) 10.80 1_
CCB tic.:184392 TOTAL PERMIT FEE 100.80 ' p�"Q/
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: " Fee methodology set by Tri-County Building tndu;try Service Board
IPrint name:Kelly Wilhite Date:10/10/13
1:lauildirglPnmitslMEC_Pe mitApp_040113 dot 440.4617r(11/02/COM/WEB)