Permit CITY OF TIGARD MECHANICAL PERMIT
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° COMMUN ITY DEVELOPMENT Permit #: MEC2010 00666
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/22/2010
TIGARD Parcel: 2S 112CA08000
Jurisdiction: Tigard
Site address: 7668 SW ASHFORD ST
Project: Minniti Subdivision: RENAISSANCE WOODS Lot: 6
Project Description: Replace furnace.
Contractor: SUNSET HEATING & COOLING Owner: MINNITI, EDWARD & TERESA
0607 SW IDAHO ST 7668 SW ASHFORD ST
PORTLAND, OR 97239 TIGARD, OR 97224
PHONE: 503 - 234 -0611 PHONE: 503 - 624 -7101
FAX: 503 - 234 -0439
FEES
•
Specifics: Description Date Amount
Furnaces < 100K BTU 12/22/2010 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 12/22/2010 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 12/22/2010 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 95 - - 90. You may obtain a copy of the rules
or direct ions to • • C b . ling 503.232.1987 or 1.800.332.2344.
• Issued By: , / Permittee o % i' ;64 � r�—
Call 503.639.4175 by 7:00 a.m. for the next availabl- nspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Mechanical Permit Applies CE�ED h it r0 i'Icr, Y161 ONLY
City OF T>IgAC(� �` , Permit No.: . 64O'eO
W q 13125 SW Hall Blvd., Tigard, OR 972230 E C 2 1 20lo
Phone: 503.639.4171 Fax: 503,598,19
Inspection Line: 503.639.4175 CI .�, OF TIGARD Date Ready /By: El &c hip 2 for
I "lL nitD p Notified/Method: Supplentenwl Information
ov
Internet: www.tigard-or.gov DIVISION ±:c9 M.Pg ' ° RE "V: i.3l;E:,' -iuWcri�v.c:14i }.:
Mechanical permit fees* are based on the value of the work
0 New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit__
Value: S'
, . . „ .• .: .... ... �. lf' Q � � LN i� . , , , ,
•:..::.- .:., .:....:. .. ...�,9'�;k,,C�t,Q� . , .. , . , ... .. � . � IvLE 'N' /‘58'.:1`-''N$ 1
.. ....... ... •.. ,�.........._
f t - turd 2- family dwelling ❑ Commercial /industrltil 0 Accessory building For special Information use checklist.
❑ Multi - family 0 Master builder 0 Other; Description I Qty. I Ea. Total
', ? t-feati lcuu _
1
� PRj►�/ �. �1± : ;;i A . Q >1,•. „ Air conditioning
1 (1 n a ' .1 t'e4uiree situ trlgn eh owin plunt) 46.75
Job site address: �uJ o S ucem °• _ _ ,
.
j /vests) 1 _ •• 46.75_ " _� _.._
City/State/ZIP: �' R'j Furnace 100.000 OTU (due
-
y Furnace IUO,000+ BTU lduuta/venta) �4.�11
Suite/bldg./apt. no Project name: ivi, t1 ,(+1 - Hen,!pump 61.96
Duct work 2; {.'
Cross street/directions to job site: — " "' -- -- -
I•lydronic hot water systeln 23.32 --- -.,......._..
Residential boiler (radiator or
h dronic —_ —.- 23.32 -- _
Unit heaters (fuel -type, not electric),
in - wall, in -duct, suspended. etc. 46.75 _____
Plue/vent for e of a bove 23,32
Subdivision: Lot no.: Other:- rat 23.32
Tax ma /parcel no.: Other fuel appliances _ -- .. -..,
R � 23:;!2 Y-
.— .._....,,
�:.. h: :'.f��. {. '�� ` .:!.T.,',;yA.!; ? , p�:1lv 1 : �;,I P + ' I a C `
,..... -.,. , : � ......: :..:. . _ ., ,., Gas fireplace - ,
I lue vent for water heater ur gas
111E a� A ../ fireplace 23 .._ ._..._...._.. ,.•.
Lod lighter (gas) _ 23._1'2
Wood/pellet stove ,.,� _— ..____•
— _. _... -
Wood fire lace /insert 23 . 3 2_ _.__..._..........
.. Chimnu /liner /flue/vent 23,32
,...� 23l
fr,,,: O 1i..1"i Wi *l✓ . -�"1I'i '4.. ., .. ...', :, . .. —_.., -;32
y,: '11iIY.. ��. '� ...�`? .....,.1�,�,;:;; ; :.ti .,.. .... .. ''� „! ' ; Other:
Name: ' 1 M1 VU Environmental exhaust and veutilatiou
Range hood /other kitchen
Address: ;/ IA . equipment 33.312
Clothes d er exhaust „.. 33.39 •_ _�_
City e: : toilet
Single-duct exhaust (bathrooms,
l5u� V mnpurtments rooms) 23.32 __,.
23
Phone: ) tI - true fans J... .:i ,„ a Attic/crawls
�] Ar • . ,.:.,. . , . � .. ;,:,:.: Other: �_
�a'��:t '� ?', SQI� � , :” 23.32
Business name: Fuel piping -
$14.15 for first four $4.03 fur each additional
Contact name:
Furnace, etc.
AddrosS: Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Water heater
Phone: ( ) Fireplace
RanLe .1111
Qarbecue
,. ' Clothes IIIIIIIM
Business name: Jt.t_r) . ei. 1- Ie.et.7 -- tIN 4. (.,t) 'Other: IIIIIII NM
1:CS �'i� -� is nu "' i �� F; • , , : ., ..
Address: OtPCO 50) I GL U'lt) Sillee ` tc tlP:NI �r>(:. M1'<' ... - .;
Subtotal � ,� 6. City/State! LIP: 0yc P l �Ll t i Ai 2-31 Minimum permit fee ($90.00) I '6
phone: ( 1)J) 25 4 - tfl;t 1 l Immilli Plan review (25% of permit tee)
State surcharge (12% of permit fee) II .rigO
TOTAL PERMIT FEE *1r • All
r � � This penult application expires if u permit is trot obtained within 180
, �
Authorized signature: days after it has hew accepted us complete.
Print name: , .' - •, e '•'il71b1' 1IS ,
Date: ► "Ob D • n.,-0 methodology set by Tri -County Building Industry Seivicu Board
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