Permit �! CITY OF TIGARD MECHANICAL PERMIT
°' � COMMUNITY DEVELOPMENT Permit #: MEC2011 -00307
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/30/2011
Parcel: 2S112CB03000
Jurisdiction: Tigard
Site address: 8270 SW ASHFORD ST
Project: VONPRESSENTIN Subdivision: ASHFORD OAKS NO. 2 Lot: 44
Project Description: A/C installation. Unit must meet 3 ft. minimum rear and side yard setbacks.
Contractor: A TEAM HEATING Owner: VONPRESSENTIN, MARK E
2307 PRATUM AVE NE 8270 SW ASHFORD ST
SALEM, OR 97305 TIGARD, OR 97224
PHONE: 503 - 365 -8326 PHONE:
FAX: 503 - 365 -8333
FEES
Specifics: Description Date Amount
Air Conditioning 06/30/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/30/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/30/2011 $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 952 -001 -0090. You may obtain a copy of the rules
or direct questions to OU by calling 503.232.1987 or 1.80
Issued By: / - Permittee Signature:
i
Call - • .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.
06/29/2011 02:38 5033658333 A TEAM HEATING PAGE 02/02
Mechanical Permit Application FOR Oi'1.ICE (SF: ()NIX
City of Tigard ved ' 13125 SW Hall Blvd., Tigard, OR J ?JC E 1VE D Date/By: '` /JL v �_� � i I
I P hone: 503.718.2439 Fax: 503.598.1960 Plan °" °"
Date/By: other Permit;
'1' rU n R n Inspection Line: 503,639.4175 9 Date Ready/8y: El See Page 2 for
Internet www.ti JUN v gard or.gov 201f Notified/Method: Supplemental Information
::y ^ `:eio ik P q);. ."� § A 7 a ti T �� e httR�, y A ti r : T e - ' r t, "'r9ps}rsZ.u�� -v , ,x,5,4,,,, d, ,%, `. t 'C :r';
• .:;z a.V4t ,, .' .�.. !f7' ' " •t" .3 rr /!yZ 7 '3 i t1 L` '1' � {{ C , 2.cik�S._ aa,?wCr�.S .r :k:,.t, � A::: 2a-4 ,
er .. ,SY r:{(;�.uP" §i! y F 'C .G n 6'' �, ti Y,7 N,l," § 5 (� -
❑ New consta ddition/aiteration/replaceme Mechanical perm fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, arld profit,
El Demolition ❑ Other:
,...,,,� -.� ,) y�.�y�. „, a � n � y 5 � 2 h ty Value: $
��,ryr. Lhl�17t `„ rG / �,� 7F gF' . W1 .[ �.�.3 Y�" ^.T„y � ' . fty t* ).4 . u • * ,. ':;qu 7 5 4.f r A ` " ;: ' ,r°.:+. aTw^ N `4,1 a' '� . r 1 4
iy ; , 3 t8 t i , th ( i � "., , y � c �Xs
�u + .�,a ✓� .:t» -, �.s�! �: "3'r3- rx�m..^.'S3F t „:,v m.:
! �
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
g]
For special information use theeklrsr
Multi-family 0 Master builder ❑ Other: Description
• 1 Qty. I Ea. Total
^�`, htf r et D4� "1 �� ... , �i l �' !;' ; O ;w w :t ,,,,, 9� b ,, dJ4( :4 w < 6 '; , Heating/cooling:
:; 3 , V3§- 3 nt. rcu.a3a er / k S ' 4" : 2? ks ' ,S i,Ci f ° t t 4 ys " ,;,, u Air conditioning
Job site address: IS a:/c) sc.) Pi5N ,, (requires site plan showing placement) , 46. 75 9 ( g; s
—
City /State %Z1P: �'" Furnace 100,000 BTU (ducts/vents) 46.75
' , -7 °a eat Furnace 100,000+ BTU (ducts/vents) 54,91
Suite/bldg. /apt. no.: Project name: Al t . Heat pump
(requires site plan showing placement) , 61.06
Cross street/directions to job site: Duct work 23,32
H dronic hot water s stem 23.32
Residential boiler (radiator or
h dronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
—
Subdivision: 1 t no. Flue /vent for any of above 23.32
Tax map /parcel no
Other: 23.32
Other fuel appliances:
. 1W t ` V., t ,t'- Y'V ` 4 ” * 41 A", C ` � xt ?; , P . y i ' a i ,
r :.4. a ,niPWit .a to ,r.1; C 4 , ' ,,a'�. -SI U °w 1 �' ! at r '', Water heater 23.32
� g ( OA C , Gas fireplae 33.39
t!� -t�\ Flue vent for water heater or gas _
fireplace _ 23.32
Log lighter (gas) 23.32
Wood/pellet stove 3339
Wood fireplace/insert 23.32
fi '� a x ,. wo Ak 6 F:C4.:� ; . , �tiG , V. ^ � : Chimney /liner /flue/vent
2332
tgf `ct to-3' , ' a L igiN ;�^c.;a!1F
Other: 23.32
1 L .�s ,>♦ Environmental exhaust and ventilation:
Address:0 tf A. 5 .f Range hood/other kitchen
equment 33.39
City /State /ZIP: i . 09_ G1 a Dc f Clothes dryer exhaust 33.39
Phone:
exhaust (bathrooms,
(�" 01,_,4 Fax ( ) toilet compartments, utility rooms) 23.32
r a P l.` H'9 � x` §ME e x n
N,�i,r a.T r`'' : nimeli e w c tz.tzti G'�s s e '� �I. Attic /crdwlspacefans 23.32
Business name: +— y t � - �1 Other. 23.32
Fuel piping:
Contact name^ / C � ,4
1 _ $14.15 for first four; $4.03 for each additional
6,-m-
Address: i t -. d. , . ln� vv L Lie. Fu etc.
City /State /ZIP: 1 r;� C
Gas. heat pump
"�.�1� � � -'�- -* r? 3
Wail /suspended/unitheater
Phone: ( l ( ..0 %( ..0 % -- - �l • , „ _ e.s , Fax: : (— ) ( Water heater _
E -mail: Fireplace
w ,<„ 1" o r { l 3" } Ran, e
Y ta sx$a` .
." to „> ,� ^ ...2 .A. N A tii• t ` ' l e W. i t v r w'' �
Business name: -
`
Address: � *7
I J A, L. g.• .Yfrr: �ti t =. ' vr. r ) r �5 � „� ,: r ,
l �-."+ ` r. a ;d„ ,
City /State /ZIP: V r t Subtotal "j S
Phone: ( ) Fax: ( ) • t t ► d •
CCB fie.:
nil 1 -, �}
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Authorized signature: //nom ,„ ' This permit application expires it s permit is not obtained within 180
days after it has been accepted as complete.
Print name .. Date: Ce- r 9 . Fee methodology set by Tri -County Building Industry Service Board
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