Permit CITY OF TIGARD
MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00535
'll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/9/2004
PARCEL: 2S 112CB -03600
SITE ADDRESS: 08438 SW ASHFORD ST
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7
BLOCK: LOT: 050 JURISDICTION: TIG
CLASS OF WORK: OTR 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: AC install.
Owner: FEES
HEISERMAN, RICHARD H + JOAN NE Description Date Amount
8438 SW ASHFORD ST [MECH] Permit Fee 8/9/2004 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 8/9/2004 $5.80
Phone: 503 639 - 7477 Total $78.30
Contractor:
ROBBEN + SONS HEATING
2214 SE 8TH AVE
PORTLAND, OR 97214 REQUIRED INSPECTIONS
Phone: Cooling Unt Insp
hone: 233 5841
Final Inspection
Reg #: LIC 1884
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 t• OU �, by calling
(503)246 -6699.
Issued By: I � � Permittee Signaturea< i
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business •ay
. . .
. .
Mechanical Permit Application - -' FOR OFFICE USE ONLY •
City �f Tigard • ,,, Date/By: Received b i, , r /
Permit No.: , , ..
13125 SW Hall Blvd., Tigard, OR 97223
A Plan 7 el/
Review -P . :
..: ..... cm 0 , 0 1, 6
Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960
.1 I 'l" Date/By:
Inspection Line: 503.639.4175 Al i Date Ready/By: Juris: a r ..., 0 See Page 2 for
Internet: www.ci.tigard.or.us ,,, Notified/Method: , ILA Supplemental-Information
-I
K INriat(2011RIPI
New construction Addition/alteration/replacement
Mechanical permit fees* are based on the value of the work
El [E]
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition El Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
MA-WW- (:)t4bNS/,C , ,, ,, .,,,,,, ,,, ,,,,,, ,
' Y'RkSITiENTIALTOLIIPMENtreS,Y$TEIYISY,EE
[S] 1 and 2 dwelling 0 Commercial/industrial I=1 Accessory building
For special information use checklist.
0 Multi D Master builder 0 Other:
Description Qty. Ea. Total
67164, Heating/cooling
Air conditioning or heat pump ' i tjegi
Job site address: 8438 SW ASHFORD ST. 1 14.00 / 1
(requires site plan showing placement)
City/State/ZIP: TIGARD , OREGON 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg/apt. no.: Project name: HEISERMAN
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: . Other fuel appliances
- Water heater
111171714•41"'-'44:**#7**: NV*7141111!"1"4"7"*"; f'''232 10.00
Gas fireplace
10.00
INSTALL AJC Flue vent for water heater or gas
fireplace 10.00 .
Log lighter (gas) 10.00 •
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
itr%.nnar Chimney/liner/flue/vent 10.00 liltrO#N4A1111" >..W ': '.ii,R,--ig:PAY:MII,WOR',t•'PL5i: Other, 10.00
Name: JOANNE AND RICK HEISERMAN Environmental exhaust and ventilation
Range hood/other kitchen
Address: 8438 SW ASHFORD ST.
equipment 10.00
City/State/ZIP: TIGARD , OREGON 97224 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (503)639 7477 Fax: ( ) toilet compartments, utility rooms) 6.80
'1,Wern,„Iii4OZOW:ATUTTF:721 A;iiiii0124,TOWEXt;*Tm04,404.1
''''' 4 Attic/crawlspace fans 10.00
Other: 10.00
Business name: ROBBEN AND SONS
Fuel piping
Contact name: RANDLE NELSON $5.40 for first four; $1.00 for each additional
Address: 2214 SE 8TH AVE Furnace, etc.
Gas heat pump
City/State/ZIP: PORTLAND , OREGON 97214 Wall/suspended/unit heater
Phone: (503) 233 5841 Fax: : (503) 238 8849 Water heater
Fireplace
E-mail: Range
1144,1 -0;i'iittiig, itIOM:;:f:7''':'FIERIEMitr,: Barbecue
Clothes dryer (gas)
Business name: ROBBEN AND SONS
Other:
Address: 2214 SE 8 AVE '14-140;14::#48NIMAIRVW-77:7•7
City/State/ZIP: PORTLAND , OREGON 97214 Subtotal
Minimum permit fee ($72.50) 7
Phone: (503) 233 5841 Fax: (503) 238 8849
Plan review (25% of permit fee)
CCB lie.: 1884 State surcharge (8% of permit fee)
TOTAL PERMIT FEE 715
Authorized signature:
This permit application expires if a permit is not obtained within 180
6(1 / / ' days after it has been accepted as complete.
Print name: RANDLE NELSON Date: 08/09/04 * Fee methodology set by Tri-County Building Industry Service Board
iM3uilding \ Perrnits \ MEC-PermitApp doe 12/03 440-4617T (11/02/COM/WEB)
•
R®bben & Sons, Inc.
Site Plan
Prepared by: Mart r Date: 7/4 a y
Customer Name: ()dd e / i°rsenr - Address: V3A -SW &hy 5
Try -i-d, O/Z .97z f
Customer Phone: C) / 7
Property Boundary Line
U
i/cir
1.1
House
Street
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received p Date Requested — l 3 AM PM BUP
Location q Suite MEC 07064- - 00 - 35
Contact Person (�n Ph ( ) Z3 3 -5 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
S e Dampers
in
ART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: I Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date / o`Z / s y Inspect _ • Ext
Other:
Final DO NOT REMOVE this inspection record rom th = ob site.
PASS PART FAIL