Permit CITY OF TIGARD MECHANICAL PERMIT
III
l''' COMMUNITY DEVELOPMENT Permit #: MEC2010 -00516
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/21/2010
Parcel: 2S112CB01700
Jurisdiction: Tigard
Site address: 8032 SW ASHFORD ST
Subdivision: ASHFORD OAKS NO. 2 Lot: 31
Project: Espenship
Project Description: Replace gas furnace.
Owner: FEES
ESPENSHIP, BRENT & KRISTA J Description Date Amount
8032 SW ASHFORD ST
TIGARD, OR 97224 Furnaces < 100K BTU 10/21/2010 $46.75
12% State Surcharge - Mechanical 10/21/2010 $10.80
PHONE: 503 - 968 -5896 Minimum Fee Adjustment - Mechanical 10/21/2010 $43.25
Contractor:
BEN'S HEATING & AIR CONDITIONING LLC
PO BOX 80607
PORTLAND, OR 97280
PHONE: 503 - 233 -1779
FAX: 503 - 651 -3345
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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 ' cation Cente . ho - rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or • ect questions to OU • T II' • . 503.246.6699 or 1.800.332.2344.
Agi
Issued By: L Permittee Sig tire: is� #E t �<c�
Call 503.639.4175 by 7:00 a.m. for an inspection that busingseilay.
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.
a
Mechanical Permit Application RECEN ' c..(m 01. 11,4.. ()NIA
City of Tigard Fit 1 pyrA FA u 0,11 te
II ..---- " 13125 SW Hall Blvd., Tigard, OR 97223 c.. 2 1 2.104sim Permit No.: li , ,
o
' II Phone: 503.639.4171 Fax: 503.598.1960 Other Pennit:
Inspection Lim 503.639.4175 coN OF G TIG • , , . IIN Ea set Page 2 for
Internet: www.tigard•or.gv
Supplemental Information
" -..' BUILDI DI 1 14
-r-
. . . . .
. . , • . TYPE.. OF WOW :'1 .:: Pi.;X•::L;;I:::,i,;', :..i 14.; : . . ' COMMERCIAL tt.EE.. SCHEDULE -. USE CRECKLIST
Mochanical permit fees* are based on the value of the work
El Ncw construction Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
I:=1 Demolition LJ Other; mechanical materials, equipment, labor,wert and profit.
• .
•. .: • CATEOORY. OF CONSTRUCTION ' :h 7 ;!:- .7 . 7-'-.-"" .! .. Value: $
1. and 2-family dwelling 0 CommerciaVindustrial 0 Accessory building
Multi-family 0 Master builder 0 Other: ..::: RESIDENTIAL EQUIPIONT / SYSTEMS FEES* •:.
O . .. .
Description . For special Information use checklist.
1 Qry. 1 Ea. 1 Total
. • .. . • •• ••••Joa. SITE INFORMATION AND .140 TION ''''..: '. Heatin
• .
Air conditioning
Job site address: SO:3a ._sco Ash pot - (requires site plan showing placement) 46.75
City/State/MI: ' 1 6,.. 0 Furnace Immo BTU (duets/venial / 46.75
Furnace 100,000+ 8TU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: '
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Ft !Ironic 1y lot water sWrI,_
Residential baiter (radiator or
hydronlc) 23.32
Unit heaters (lbel-type, not electric),
in-wall, in-duct, suspended, etc. _ 46.75
...,
Flue/vent for any of above / 23.32 ,
Subdivision; ,j Lot no.:
Other; 23.32
Tax mup/parcel no.: Other fuelapallancee
... . •DESCRIiTION '9F'‘.VC '" Y'..;';'. .: - .: . . : Water heater 23.32
. .
Gas fireplace 33.39
11e.444.44e--e•- Flue vent for water heater or gas
-•• -
_aye lace . 23.32 .
..._... Log lighter (gal) 23.32
Wood/pellet stove 13.39
. -
wood fireplace/insert 23,32
Chimney/liner/flue/vent 23.32
' ilr PROPERTY. OWNER • . .: ' I . :... '. :. v' ' '. ' •:: 0 . TENANT -...-
Other:
_ ---
Name:
674;40 Environmental exhaust and ventilation 23.32
Address: g0 3Z. -C' kJ 4sk&S Range hood/other kitchen
equipment 33.39 , _
City/State/'LIP: ..rt 1 C.)/ c1._1 c. Clothes dryer exhaust 33.39
- Single-duct exhaust (bathrooms,
Phone: (1 e & iv b Fax: ( ) toilet compartments, utility rooms) 23.32
,_ •-•, . ._
APPLICANT ' ' • • • • " ' ..: - '': :'i: PERSON . • Aitic/crawApacc fans 23.32
. .
Other: 1 23.32
Business name: •
uel pip
Fing _
Contact name: el (4/' e, tfti:10 S11.4.15 for first four; S4.03 fur each additional
Furnace ctc.
Address: -. .
Gas heat pump .
City/State/ZIP: Wall/suspended/unit heater
Phone: ( 7 i 3.,. 'Z 7 g 0 keg: : ( ) Water heater
Fireplace
I.-mail:
Range
. , ' ....:. .:..."-. ::•:: ..: ,- ...:: • CONTRAPOR,:!':.:' : ■;: ' .: Barbecue
(
Business name: l' e iv ,. il 41 4 „. 4 . I 4. - Clothes dryer (gas)
Other:
Address: • 0 4, _ • :i '. .. ' . MECHANICAL PERMIT.FEES" . •
.
City/State/ZIP: Per 154 ill"' 4 Of- q7 Z. V, inimum , Subtotal
'Ione; (-SS) a 3Z - )71 F ax: Or ) bsi 3 .s .--- -- _......________.
M permit fee ($90.00) •
Plan review (25% of permit fce) --63
-LB liC.: p S 7 State surcharge (12% of permit fee) _/,07V;
-
TOTAL PERMIT FEE
Authorized signatu la 1 p . nix permit application expires if a permit Ls not obtained within ISO
- days after 11 has been accepted as complete.
12=11 , Illr Ilk ir ".111 fl:Ttle7 /a/a, i be • Fee methodology set by Tri-County Building Industry Service Board
1A1JuihfirtePerrnitAMPC-PqrniiAp • Aix 10/01/09 440.4017T (11/02/COTH/V/213)
g 0 o e HI VON I I,V3H - S NH EI SteCTS9CO5 X1 90:60 OTOZ/TVOT