Permit CITY OF TIGARD
MECHANICAL PERMIT
4 DEVELOPMENT SERVICES
- PERMIT #: MEC2005-00081
r �' ll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/2/2005
PARCEL: 2S112CB -03500
SITE ADDRESS: 08414 SW ASHFORD ST
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7
BLOCK: LOT: 049 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Remarks: Replace furnace
Owner: FEES
PEGGY MAROSTICA Description Date Amount
8414 SW ASHFORD ST [MECH] Permit Fee 3/2/2005 $72.50
TIGARD, OR 97224 [TAX] 8% State Surchaq 3/2/2005 $5.80
Phone: 503 635 - 0940 Total $78.30
Contractor:
SUNSET HEATING & COOLING
PO BOX 42289 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97242
Phone: 503 234 - 0611
Reg #: LIC 161085
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 ob - ::'-s of these rules or direct questions to OUNC by calling (503)246 -6699.
Iss ed By: k. , I i� �� _, �� Permittee Signat � `, ; OVII�l/2.1, -
/ /-
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next b s ess 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.
03/01/2005 03 :17 0000000 ABAB:AAAAAA AA PAGE 02/02
M ckhaii ;ical Permit .Application i i i l: i I 1 i 1 i i, , ,i (pm ,
City of Tigard S u
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� V� E® D,atem . 11��
13125 SW Hall Blvd., Tigard, OR 972 Flan
Phone: 503 - 639.4171 Pax; 503,598. l . r,. •„ _ Datc/By: Other sit:
Inspection Line: 503.639.4175 h �q ti,1. , i I - Date Ready/fir Ready/fir 8a Pam a for
Internet: www.ci.tigard.or.us �R1 U - Notifiod/Mothod: pplemenptltd(ormation
- ...1 / a TIGABU
t Mechanical It fees are based on the value of the work
❑ New construction •'.1 Ad. traon/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ . • er: mechanical materials a • i . men labor overhead and . root.
11- and 2- family dwelling ❑ Commercial /industrial 0 Accessory building
❑ Multi - family ❑ Master builder ❑ Other: Fo p - 1 ec
i . >,. ;! , r r• p.:;-,; 4: i t., c .. ' :.., :...; ^7a ^..:;•,:, Description a. Total
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e .. K(1�...: . � t ;.ut. � "i' <�
.. .,�..a, .. ...., ^., ,.. : , ,...._. , . :.. , ,:.. Heatincoolin+
Job site address: • .` Sc' (� Air conditioning or heat pump
� 1 is a 4 re.uires site .Ian ahowin ; .lacement 14.00
City/State /ZIP: i 1, 1 L -2, • Furnace 100 000 BTU ducts/vents Mill 14,00 MEI
/ . Furnace 100 000+' BTU ducts/vents 1790
Suite/bldg. /apt, no.: Project name: Man A Gas heat . urn. 14.00
Cross street/directions to job site: Duct work 14.00
H dronic hot waters stem 14.00
Residential boiler (radiator or
h (Ironic 14.00 MI
Unit heaters (fuel -type, not electric), Ell
in -wall in -due sus !ended, etc. 10.00
Subdivision: Flue/vent for an of above 10.00
Lot no.: other 10,00 OEM
Tax map /parcel :no.: Other fuel It . I lances
: 1 � . �?t.` Co- - �Qa� i T { ng :o :n5 ".Y%'e;y'r,.g �: .,77: - s :rz e3F it:r 1S " : o:r.,;a. .. , i .
k � sda�r :, , l
,{ W ater h ea ter
irs. a, r..w , e :r. 'S a<. uJf. : 10,00
t
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-.7..,,,.'..!:,'.
s ,:,..: .d :,,.,,,�.,, el>ai: r>:, F "' ctr , :;1 ^,
Gas fire.lace 10.00
- Flue vent for water heater or gas
fire. lace 10.00
Lo• li• ter ras 10.00 MEI
Wood/. ellet stove 10.00
Wood fire.lace/insert - 10.00
., .. rt� ..�.. (r:5;Y5, ,n . Inn
i�� � � ' S '��� �'- �+ ^;,;n Chimne ni e / uc /vent 10. 0
' � " • % }" : � 3 „ \ � ' t ` v.,% �'r•,i� ` 2.. J FSt;FS - . aa .r�.�N•y!Y: R -
. r'ig ll,:� I •I,i'l V r r ;:`. y, , ye:J;'i' + , ,: . r r e, ,4 , e3Y. : ,
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ri., Y:'.C; , :r ay.:dw..:;, . :., .Yt::" , `<`tiM.., �rr.a�t; + «ka . .^`:a�� y. .. ' ,i,�' �a��;.•t8:,. ,r ;:,
,� ,•.., ':'' ; ,:• ; . ^.,: -:. Other: 10.00
Name: P r / g / 0 t' Cam.. Environmental exhaust and ventilation
Address: r t �. Ran hood/other kitchen
b ) A e.ui. TIMM 10.00 E
City /State /ZIP: r t• 0 I G Clothes d er exhaust . 10,00
I Single -duct exhaust (bathrooms,
Phone: (S03) r 1 D Fax: u t ili rooms
toilet corn artments
6.80
.vf ^4!T +[sl, "•: # * Y;rys� � p�rn;�;.^.ar. � ..ur• -` t •' T4: "q : : :: � : - +:r.^•,rr% -
+_ , ., :H,. a " ;. r,<N Attic/crawls f
n i' . +t:• ,. ,,� �8a .'Y • y.;y ` :y;. :. , )',i�h:l rts 10.00
,. -. ...,..,0 . o. vs.. ....: �. �@ .,. �'. �Crl�1 : .'.� 6.,.e r ::,6. 1'a�T� „'+�.7:e , .: ;o��, ... .. :... . . ,.. . +`�ff�a ],",l -:va9
Business name: Other. 10.00
Contact name: $5.40 for first four; 51.00 for each additional
Address: Furnace etc, MOM
City /State /ZIF: Wall /sus.ended/unit heater __ MEI
Phone: ( ) Fax: ; ( ) Fire • le heater � MI
MO
E -mail: Firelace
p�{ �y ly�r Ilan • c _ _
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t p ul a ' �tt� r+i�i.� i si1ain:. r,l •a43'> i rhe . ' � �� w it i cA � : i5 r xi 2 if ts . itli s �f Barbecue � �
Business name: Sunset Heating and Cooling Clothes d er :as)
Other: Mil
Address! PO Box 42289 + t"S�i "° a"j t�'w�id'4 ^ ;.. ; t <
�girigranlnrinwG h.ri :e�E,:,�1H6fa+cu .r£�S.a.�x.✓,j rJl't�rk�, 'N } zf,: ars '°�.; '.. -5
City /State/ZIP: Portland, OR 97242 Subtotal 14 ›t.
Phone: (S03) 234 -0611 Fax: (503) 234 -0439 Minimum permit fee ($72.50) I . -SD
Flan review (25 a of permit fee) `�
CCB lie.: 161085 State surcharge (% of rmit fee
-
TOTAL PERMIT FEE
Authorized signature: K� T his permit application expires if v permit is not obtained within 180
r�
daya after it has been accepted as complete.
Print name: Shaurta D'Ambrosia Date: 0/, i /pc ' Fee methodology set by Tri - County Building Industry Service Board
i \ euilding ■PerreitSWIEC- PermitAoo.doc 42/03 .,...1 er.', - r .. m+L,.ummn,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC005 00081
, 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/2/2005
Phone: (503) 639 -4171 �" uyp;�@I)° "I
Inspection Requests (24 Hrs.): (503) 639 -4175 ...,_,NV ' -- I..
INSPECTION WORKSHEET FOR DATE: 3/14/2Q05 TIME: 7:11AM PAGE: 65
SITE ADDRESS: 013414 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 048 TYPE OF USE:
PROJECT NAME: MAROSTICA
DESCRIPTION: Replace furnace
OWNER: MAROSTICA, PEGGY PHONE #: 503-636-0940
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503.2340611
Inspection Request Scheduled For: Date: 3/14/2005 Pour Time: - IC
Code # Inspection Description Confirm # Contact # Message �""
tif
699 Mechanical final 001335.01 503-639-0940 N
Corrections /Comments /Instructions:
'PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
j FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dat-: - Phone #: (503) 718 -