Permit ip CITY TIGARD MECHANICAL PERMIT
''` COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00302
!,T.IGAR■ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/13/2008
PARCEL: 1 S133CD -16600
SITE ADDRESS: 13857 SW ASHBURY LN ZONING: R -25
SUBDIVISION: PEBBLECREEK NO. 3 LOT: 056 JURISDICTION: TIG
PROJECT: SANCHEZ
Project Description: Replacing water heater and 4 inch vent, and installing gas piping for water heater.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
DEAN & ANDREA SANCHEZ Description Date Amount
13857 SW ASHBURY LN
TIGARD, OR 97223 [MECH] Permit Fee 6/13/200E $72.50
[TAX] 12% State Surch 6/13/200E $8.70
Total $81.20
Phone: .
Contractor:
FAST WATER HEATER COMPANY
12601 132ND AVE NE
KIRKLAND, WA 98034 REQUIRED ITEMS AND REPORTS
Contact #: PRI 1- 800 - 454 -8955
FAX 425- 814 -9516
Reg #: LIC 168049
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B =�� i Permittee Signature: � ,0 .
� �
Call ! . .4 75 by 7:00 a.m. for inspections that business day. /
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 Application OR OFFIC sE oiv
> Rec eived
City of Tigard Permit No.n
a, 13 r •
0 Phone: 503.639.4171 Fax: 503 SW Hall Blvd., Tigard, OR 7 23 R J Plan Review
Date/By: _ MINIM )/�C� , t —
A. v
:5 60 Other Permit:
a►'i;� Inspection Line: 503.639.4175 Z ` ∎0 . Date/By:
',TI G n RD, . \\\ \\�J yy: Date Ready/By Juris: ® See Page 2 for
.*.i, a Internet: www.tigard or.gov Jv O � ` \V' ®� Notified/Method: Supplemental lnformation
TYPE, OF WOI Q l� aT COMMERCIAL 'FEE, SCHEDULE - USE CHECKLIST
❑ New construction Addition /alteratielt� placement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION - • Value: $
• RESIDENTIAL EQUIPMENT /SYSTEMS FEES"
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ lti- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
. JOB SITE INFORMATION AND LOCATION . Heating/cooling
Job site address: \, '5 7 ASMO Air conditioning or heat pump
(�� P� (requires site plan showing placement) 14.00
. I
City /State /ZIP: 1 r- V 1� � �A�3 Furnace 100,000 BTU (ducts /vents) 14.00
/ Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name:
5a /L16 Cu Z Gas heat pump 14.00
Cross street/directions to job site: Duct work , VCS
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
. DESCRIPTION" OF- WORK , • Water heater. [ 10.00 (f}, (JO
,r ( , ! ," g Gas fireplace 10.00
roe low v�Jc *e4r e a* - ; r V 1-t t/ t oAd — J ( 0 V) Flue vent for water heater or gas
�� ro �� (. f ` fir
o eplace 10.00
' l y� j Log lighter (gas) 10.00
r 1 t Y 'r, `,),- Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
ROPERTY OWNER . I ❑ TENANT
Other: 10.00
Name: pc," J/� ��p �' y _f r /l j� ,t Environmental exhaust and ventilation
Address: L 3g `j 7 � " l ( f Range hood/other kitchen
equipment i menn[ 10.00
City /State /ZIP: I al P / , Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (11 I ) 3)_, sh5bi Fax: ( ) toilet compartments, utility rooms) 6.80
Er ❑ CONTACT PERSON' Attic /crawlspace fans 10.00
Other: 10.00
Business name: Fuel piping
/�
Contact name: [�htl � rea ��� / pY1n� /j `� ^ a ,e� $5.40 for first four; $L00 for each additional
Address: ' I "v 1 C ('mil r ttt��� Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) I Fax:: ( )
Water heater ( 2i
Fireplace
E -mail: Range
CONTRACTOR Barbecue
_ ' , •
f p / /) Clothes dryer (gas)
Business name: (- � f V f� ( rte/ / / / � / J � i h Vs. �� Other:
Address: / O'7 7 �/ ZKId i c MECHANICAL PERMIIT:FEES*
City /State /ZIP: U»-(( 6/k1 W / e �3 y Subtotal
Phone: ( )'h(t(1v_a I Fax: ( ) Minimum permit fee ($72.50) - 7 4 ),
Plan review (25% of permit fee)
CCB lic.: 4I State surcharge (12% of permit fee) � �
TOTAL PERMIT FEE t , at') /, i This permit application expires if a permit is not obtain within 180
Authorized signature: � � , '�/� �J` ' / days after it has been accepted as complete.
Print name: 4_, , A l I 11 E Date: Al 01 / * Fee methodology set by Tri- County Building Industry Service Board
I:\Building\Permits\MEC -PermitApp.doc 01/19/07 I 440-4617T(t1/02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee: . •
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $ 141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$1 0,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2