Permit v CITY OF TIGA MECHANICAL PERMIT
. COMMUNITY DEVELOPMENT Permit #: MEC201000486
T I: G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/05/2010
Parcel: 2S104CB01200
Jurisdiction: Tigard
Site address: 13203 SW ASCENSION DR
Subdivision: HILLSHIRE WOODS Lot: 28
Project: Franklin
Project Description: Gas furnace replacement.
Owner: FEES
FRANKLIN, THOMAS A & PAMELA K Description Date Amount
13203 SW ASCENSION DR Furnaces < 100K BTU 10/05/2010 $46.75
TIGARD, OR 97223 12% State Surcharge - Mechanical 10/05/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 10/05/2010 $43.25
Contractor:
COMFORT AIR HEATING & COOLING INC
PO BOX 821484
VANCOUVER, WA 98682
PHONE: 360 - 891 -2665
FAX: 360 - 891 -2666
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: / Permittee Signature:
Call 50 .4175 by 7:00 a.m. for an inspection 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.
09/29/2010 19:35 3608912666 COMFORT AIR HEATING PAGE 01/01
Mechanical Permit Application IOFC OFFJ(F l.itil•: ONL)
City of Tigard 1C) ` cat211 ,, v 131SW H lvdTigard, OR 97223 ` P
g Phone: 503.639.4171 Fax: 503.598.19 C_ Date/By: Other Permit:
• ns ection Line: 503.639.4175 � run ic: 81 See P
r: i ;;� r, i I i 503 75
D 1 % 1� Dat Read /B � � ag e z for
Internet: www.tigard- or.gov NotiUed)Method' -/ Supplemental inrormanon
1'YpT .(11? w. 4kz':=:: i '.;) FC11Y1IE;`US)>#EC4)(57 .
❑ New construction ® Addition alteration /1 Mechanical permit fees* are based on the value of the work
❑ Demolition ❑Other: SZ:ov‘ rm
perfoed. Indicate the value (rounded to the nearest dollar) of an
mechanical materials. equipment, labor, overhead, and profit
'. :' .. .. CONSTI;10t.ti1V:::: ' : ' , .,:::....s;:.. .
R> SIh1' ix A A)E 'Jr (i'1MENT 3S1i s`EN15 )NEES
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea I Total
`! rJO SF1TE; lAltx'OkitickTXON A;bV t0.00 :' :;. , '., > ' ; ' -,,, . ;::.: Heatinp•/cooling
Air con
Job site address: 13203 SW Ascension Or conditioning
(requires site plan showing Dlaeemen!) 46,75
City /StateJZTP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 1 _ 46.75 46.75
Furnace 100,000+ BTU (ducts/venta) 54.91
Suite/bldg. /apt. no.: Project name: F�, ( 1 y J
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. _ 46.75
Subdivision: Lot no.: Flue/vent for any of above _ 23.32 ,
Other: 23.32
Tax map /parcel no.: _ Other fuel appliances
.: a heater ,.
Water at •
Gas fireplace _ 33.39
• Replace gas furnace Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert _ 23.32 ,
. VROPERTX OVYNER' . •;2 `. i:; : 1EN4.4;ti, :: ,, ` Chimney /liner /flue/vent 23.32
:• :;;
X.. . , . . , :: Other: 23.32 _
Name: - F Orrt r, F ki�r Environmental exhaust and ventilation
Address: w � e ; g . - .P� g ange pm hood /other kitchen 33.39
City/StateJZ1P: • Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( , ) J • r , # p Fax: ( ) toilet compartments, utility rooms) 23.32
:'.::;.. Egt:APPLICaivx < ;' : t 1 :to ,40: 0.00 .: ,:::.., fans
Attic /crawlspace
Other.
23.32
Business name: Comfort Air Heating & Cooling, Inc. . Fuel piping
Contact name: Victor Berezhnoy $14.15 for first four; $4.03 for each additional
Address: 12209 NE Fourth Plain Rd, Suite X Furnace, etc.
Gas heat pump
City /State/ZIP: Vancouver, WA 98682 , Wall /suspended /unit heater
Phone: (360) 891 -2665 I Fax :: (360) 891 -2666 Water heater .
Fireplace
E -mail: sales@comfortairnow.com Range -
'CO.MT C '(XR :..':;:: Barbecue
Business name: Comfort Air Heating & Cooling, Inc. Clothes dryer (gas)
Other:
Address: 12209 NE Fourth Plain Rd, Suite Y ,
;. >. . ::.. ::`;.:M1EOH:4NICAXORSt)f Fit- `,ES"', :; :`..
City/State/ZIP: Vancouver, WA 98682 Subtotal 46.75
Minimum permit fee $90.00) 90.00
Phone: (360) 891 -2665 I Fax; (360) 891 -2666 Plan review (25% ofyermit fee)
CCB lie.: 160705 r I State surcharge (12% of permit fee) 10.80
J ._ TOTAL PERMIT FEE 100.80
This permit application expires if o permit is not obtained within 180
j Authorized signature: , days after it has been accepted as complete
Print name: Victor Ber soy ! Date: 09/30/2010 • Fee methodology set by Tti -County Building Industry Service Board
r Buiidineormits \MEC- PetmitApp.doc 10/01/09 440 (11/oz/COM/WEB)