Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00125
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/11/2008
PARCEL: 1 S133CD -04300
SITE ADDRESS: 13598 SW ASHBURY LN ZONING: R - 25
SUBDIVISION: COTSWALD MEADOWS LOT: 041 JURISDICTION: TIG
PROJECT: GOODALE
Project Description: Replacing electric furnace.
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:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING" UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ANDY GOODALE Description Date Amount
13598 SW ASHBURY LN
TIGARD, OR 97223 [MECH] Permit Fee 3/11/200E $72.50
[TAX] 12% State Surch 3/11/200E $8.70
Total $81.20
Phone: 503 - 521 -0168
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 557 -2220
FAX 503- 557 -0919
Reg #: LIC 72623
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 By: Permittee Signature: Gl/7 \ Z
Call 503.639.4175 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.
MAR' -2008 08:25A FROM: TO:5035981960 P.1
- "Mechanical Permit Application R)R ICI FI �' i�cr_ or i.
�- _- City of Tigard OEN � Reaceivyd 3 LL/Lt� i l �1l�/J e-r)
g ' ^°" Date/B Permit No • : C �'�
II
9 13125 SW Hall Blvd., Tigard,OR ' ? " ' �
Phone: 503.639.4171 Fax: 503.54.1'. t� 8 y 00 D a eBy eW Othci Permit.
T I G A K D Inspection line 503 639.4175 MAR Date Ready /By: lure SI See Page 2 for
Internet www.tigard-or.gov �1w ®CT'rABD Notified/Method: Supplemental Information
8t� ` �Q ',lfla l �� '
TYPE OF COMMERCIAL FEE* SCHEDULE - USE CHECIC LST
Addition/al
Addition/al teration/replacement Mechanical permit fees* are based on the value of the work
❑ New construction X
performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
1- and 2-family dwelling ❑ Commercial/industrial e ❑ Accessory building
Multi- family Master builder ❑ Other: RESIDENTIAL EQUIPMENT /SYSTEMS FEES* For special information use checklist.
Description I Qty, I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 135 � \(' J .Pehb V Air conditioning or heat pump
w (requires site plan showing placement) 14.00
City /State /ZIP: - f V t 4 j3 Z Furnace 100,000 BTU (ducts /vents) 1 14,00
t /L 7-VJ�, Furnace 100,000+ BTU (ducts /vents) 17.90
lLi
Suite/bldg. /apt. no.: Project name: 0/ /y Gas heat pump 14.00
Cross street/directions to job site: `� Duct work 10.00
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
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
iVair. , M Gas fireplace 10.00
�r I'Ir" /L u (,{ -, fireplace[ for water heater or gas 10.00
- Log lighter (gas) 1000
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
•
!1 PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
I e l� Other. 10.00
Name: 0• O 11 Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10,00
) Q - Single -duct exhaust (bathrooms,
Phone:
) 52-1, 0 bQ U Fax: ( ) toilet compartments, utility rooms) 6.80
A APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10,00
Business name: Other: 10.00
Fuel piping
Contact name: V M 11 $5.40 for first four; $1.00 for each additional
Vat, �.t /T
Furnace, etc.
Address:
Gas heat pump
City /State /ZIP: Wall /suspended/und heater
Phone: ( ) F x :: ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name:, (`/� { � r �' h 1 f`(�, Clothes dryer (gas)
[3 [6a 6, MC I v�.•i W� r v Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: ov <�c ®� oe_ 1& 7)- Subtotal ' •'�
/ `^ Minimum permit fee ($72.50)
Phone: (60 557 Fax: ( 557 penel Plan review 25% of permit fee'
( p ,
CCB lie.: 12.14Z State surcharge (12% of permit fee' i�
�4 / TOTAL PERMIT FEE LIJ
Authorized signature:
d This permit application expires if o permit is not obtained within tao
days after it has been accepted as comp _ e.
Print name: blah J�a5DYi Date: 311)10:6 • Fee methodology set by Tn- County Building Industry Service Board
I \Buitding\Permits1MEC•PermitApp doe 01/19/07 440.4617T (11 /02/COM/WEB)
CITY: OF TIGARD
BUILDING DIVISION PERMIT #: MFC2008 -001 5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/13/2008 TIME: 7:02AM PAGE: 38
SITE ADDRESS: 13698 SW ASHBURY LN CLASS OF WORK:
SUBDIVISION: COTSWA[ D MEADOWS LOT #: 041 TYPE OF USE:
PROJECT NAME: t OODALE
DESCRIPTION: Replacing electric furnace.
OWNER: GOODALE, ANDY PHONE #: 503.521 -0168
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 50:-557 -2220
Inspection Request Scheduled For: Date: 3/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6i00 Mechanical final 066640 -01 603.5572220 Y
Corrections /Comments /Instructions:
ELtc 164- la.►,1.,.a� ti L A C - 5 14-S z, . . 6 ✓
•
J �
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. Inspector: Date: j -7/3 Phone #: (503) 718 - -4-4 -j