Permit 14 a CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00180
TIGA 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/11 /2012
Parcel: 2S102CA00211
Jurisdiction: Tigard
Site address: 13225 SW ASH DR
Project: Pessia Subdivision: VIEWCREST TERRACE Lot: 9
Project Description: Replace gas furnace.
Contractor: AAA HEATING & COOLING INC Owner: PESSIA, PERRY
5017 NE GRAND AVE 13225 SW ASH DR
PORTLAND, OR 97211 TIGARD, OR 97223
PHONE: 503 - 284 -2173 PHONE: 503 - 624 -7947
FAX: 503 - 284 -1552
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 04/11/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 04 /11/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 04 /11/2012 $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 que UNC by calling 503.232.1987 or 1.800.332.2344.
Issued B • k - A0 � Permittee Signatu . #4
Call 503.639.4175 by 7:00 a.m, for the next available inspecti 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.
From: 04/09/2012 09:44 1f988 P.002/002
Mechanical Permit Applicatio DCEIVED , Finit U1 I 1 r tl.ti1; ONLY,
E
City of Tigard Re«ived
. e 13125 SW Hall Blvd., Tigani, OR 97223 Da1e/By Y : mi Pa+mii No. j f�a _J� J
Phone: 503.639.4171 Fax: 503.598.1960 APR 9 2 012 an
pt
T i G AR l Inspection Line: 503.639.4173
�g Orher Permit
Internet. www.tigardor.gov CITY OF TIGARD S see Pa for
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Ri TH I)IN(x DIVISIO raformatlor
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• ...- . _ ._. _ ij'l'1fP `WORK': `;, _
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❑ New construction
Addition /alteration/replacexnent j Meeonical permit fees are based on the value of the wank ' . .•
❑ Demolition D Other pafotmeel. Indicate the value (rormded w the nearest dollar) of all
mechanical materials, equipment, labor, overbead, and profit.
CAtiTE(;OR_ au . +r - ;i:',.•;,��f„t "��= Valuer s
I - and 2 -famif dwelli
Y g ❑ Commercial/industrial ❑Accessory building
❑ Multi- family ❑ Master builder .❑ Other Forspectal l5►formaptwr use drECkli
..,_,.tom,:•. ^-�•- re�:rr;;;_v: 1)5j_ I Q I �" I opal
1.,E 4. °i``c.•{
: i s.:: i;yfi�; iTbB:;611EtTiO>V;�i�x ,>:,'�:: _,. ".cu�tt5�;; Heat1 ngcodflng
Job site address: 3 'Z -i- S Qs U�► v e., ,
• n>acem) 46.76
City/State/ZIP: `g � tR grl'i2 3 FUnlaco 100,000 BTU (dreWverp) 46.75
Suitc/bldgJapt no.: Project name: P S S 1 Furnace 100,000+ BTU (dmmr/verm) 54.91
Fkat p,UflIP 61.06
- Cross a to job site: Ductwork _ 23.32
cF r� cS 6`tsK j g. 3 V�Q 9r►4O.VA' R Ibmc(ra or _2332
S sd ) 2332
Unit banters (fuel{ype, not electric),
in -well, m.duct, ceded, ate. 46,75
Subdivision: 1 �t Flu&veat for any of above 2332
Tax map/parcel no.: 1 Other- - 23.32 _
Otbez Ord applLaew
Water beater
23
p p �r _.K' S:.,4:a �1� rtE•a�'� 32
i ►�..Li 8t1[i� �SteF�ce 33.39
( � V f a Plue vert for water heter err ges
fireplac _ 2332
Log t (gas) 23.32
Wood /pe nit stove 3339
wood fireplace/insert 2332
ClumneYflner/Eae/v®t 23.32
�, H.vY : J� V�TST}O'��i7tCit�Ylnt�'FI�H:CS �t� 4T */ AS� r , '
Name: � -- •,..- °«CTei 2332
3 l Eavhroumental exhaust and ventIlatlon
Address. "l " oL. L`� ' Range hood/otherkltchm
t ..,, ^ CZ �• equipment 3339
City/State/ZIP: 1 t vs'� Y? & Cj - a 3 Clo hea dryer exhaust 33.39
Plmne: (5d�3) to'7 t4 . ¶k Fax: ( ) S;agloduet exhaust utfli t roo s,
r�����r�•.�` :�:_..:#"�?PI� � Y�'"„ � �� �,,,,.,-, ,.,,�,.: g toilet . utiliy moms) 23.32 !
AthdctewlspaCe fona 23,32 1
Business name: AAA Heating & Cooling , 2332 S
• Fnd plphtq
Confect name: + ��` (7_ 4)r e, , $14.15 for first four; $4,03 for meh additlooal i
Address: see below V` \ W Furnace, etc.
City/State/ZIP: C3as beat pump
_ Wall/suspmdedhmit heater
Phone: (jy 3�'L 2(p 2. j Fax:: ( ) Waterhester
E-mail: R
:<Cp •.
11TIRi►
.. .. .... .. :... . .. .. .. Barbecue
Business name: AAA Heating & Cooling Inc ~ - _Clothes dryer (Pas)
Address: 5017 50 NE Greed Ave
C ddress: 5 17 Portland A 97211 . „ ' sec.
' 3abtotal
Phone: (503) 284 -2173 I Fax: (503) 284 -1552 Minimrmn pew fee ($90.00) 5`p
Plan review (25% of permit fee
t:CB S O F ' )
lic.: 222 I o f 27 /13 -
F • P ! /� /iY State surcharge (l2% 12% of permit fee, .o. �o ,
TOTAL PERly1T FEE
Authorized signature\ . , 1 Tb6 _id�q.flo
_ permh applteadoo e:plra trap l p rot oblalard vdtbin to
�� days after if ha, bean accepted m complete. h - �r?1:►�'a� ! [�1 7 _'�7 rate: • Fee meuiwdoln set by Tri•Counl Buildin • Indu
_ • w_ � � tip •- -�.Z.- NY )' t_ sir)' Strvice Boord
I Buildn, Pnmes • 11I;f " -I'. nnii:..� rM1 In nl R) f I t 1 n] r ,T i , \'FHI
7V 6 fry /E LIn/)4' 9 /J %2—
From: 04/09/2012 09:43 9988 P.001/002
. , � —
Ai_ FAX COVER
` AAA Heating & Cooling Inc
H EATING Aj 1 g g 5017 NE Grand Ave Portland, OR 97211
Phone: 503-284-2173 Fax: 503-284-1552
. To: Ptnv►. - Co v,e, From: V■10.Mc -
Fax: S S ? ir. / 9 6 o Pages: .
Phone: Date: Si- 9- 2o,'.
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