Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/12/2012
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Parcel: 2S112CB03900
Jurisdiction: Tigard
Site address: 8469 SW ASHFORD ST
Project: WOODARD Subdivision: ASHFORD OAKS NO.2 Lot: 53
Project Description: Gas furnace replacement.
Contractor: OREGON AIRE INC Owner: WOODARD, DANA C & BEVERLY A
7715 NE 33RD DR STE A 8469 SW ASHFORD ST
PORTLAND, OR 97211 TIGARD, OR 97224
PHONE: 360- 423 -1966 PHONE:
FAX: 360- 423 -1978
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 01/12/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 01/12/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 01/12/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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 OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: Signature: 0
e—
Call 503. 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.
Jan. 12. 2012 2:03PMy OREGON- AIRE,. 503 335 -9977 No, 4538 P. 1
Mechanical Permit Appl ,
City of Tigard Rued Pemri1 No.: 13125 SW Hall Blvd., Tigard 2 E `10' y: 1 n - a f �-aj} i j.._600 i1
9 Plan Review
' Phone: 503.718.2439 Pax; 50 ,0 � � ‘7,,,,C\,. , Dale/Dy: OtherPenni':
r 1 i.,' A R D
Inspection Line: 5 3.639 0 ` °'' ( Date Ready/By: Inds: M See Pagel for
Internet: www.tigard- or.gov J .A� NolifiedJMethod: Supplemental
TYPE OF WOh% °` COMMERCIAL FEE* SCHEDULE — USE CIlECKLISr
�,+ Mechanical permit fees" arc based on the value of the work
El New construction ® Addition /alterat perfonned. Indicate the value (rounded to the nearest dollar) of all
C] Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ S3,446.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMSFEES*
EI 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special bwfonn01101, rise Cheekilsi.
❑ Mu lti-family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Hcaling/cooliii ;
Air conditioning
Job site address: 8469 SW ASHFORD ST (requires she plan showing placement) 46.75
' Furnace 100,000 BTU (ducurvenls) 1 46.75 46.75
City/State/ZIP: PORTLAND OR. 97224 Furnace l00,000-t BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: WOODARD Heal pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23,32
Hydronic slot water system 23,32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no,: Other Orel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33,39
REPLACE GAS FURNACE Flue vent for water healer or gigs
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER I ❑ TENANT Chimne /liner /fiue/vent 23.32
Other: 23.32
Name: DANA WOODARD Environmental exhaust And veut1lal
Address: 8469 SW ASHFORD ST, Range hood/other kitchen
equipment 33.39
City /State /ZIP: PORTLAND OR, 972/4 Clothes dryer exhaust 33.39
Single-duct
Phone: (503)624 -8762 Fax: ( ) l compartments, l
utility toilet rooms) 23.32
APPLICANT ❑ CONTACT' PERSON Attic /crawispacc fans 23.32
Business name: OREGON -AIRE INC Other; 23.32
Fuel piping:
Contact name: RON STRONG 514.15 for first four; S4.03 for each additional
Address: 7715 NE 33 DR. STE A Furnace, etc.
Gas heat pump
City /State/ZIP: PORTLAND OR. 97211 WaIl/suspended/unit heater
Phone: (503) 335 -1111 Fax; ; (503) 335 -9977 Water heater
Fireplace
E-mail: rstrong @oregon- airc,co►n Rwtge
CONTRACTOR B arbecue
Business name: OREGON -AIRE INC. Clothes dryer (gas)
Other:
Address: '7715 NE 33" DR. STE A MECHANICAL PERMIT FEES*
City /State/ZIP: PORTLAND OR 97211 Subtotal 46.75
Minimum permit fee ($90.00) 90.00
Phone; (503) 335 -1111 - ex: (503) 335 -9977 Plan review (25% of permit fee)
ilf - - CCB lie.: 64235 i State surcharge (12 %ofpermit fee) 10.80
TOTAL PERMIT FEE 100.80
Authorized signatu Alera _ This permit application expires if a permit is n ot obtained within 180
days after h has been accepted as complete.
Print name: RON STRONG
If 1/11/12 * Fee menhodotogysea by Tri- County Building Industry Service Board
t:\Buuldinatemuln\J uEC•PermiiApp•daa 09109110 440 -46171 mu/cowmen