Permit � CITY OF TIGARD MECHANICAL PERMIT
I - I �. -• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00211
T1GAD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04!26/2012
R
Parcel: 2S102CA00224
Jurisdiction: Tigard
Site address: 13227 SW ASH AVE
Project: Bonge Subdivision: VIEWCREST TERRACE Lot: 21
Project Description: Replace gas furnace and install A/C; modify ductwork to relocate furnace into crawl space. NC unit must meet 5'
minimum rear and side yard setbacks.
Contractor: SKY HEATING & AIR CONDITIONING, INC Owner: BONGE, TRESA K
1637 SE NEHALEM ST 13227 SW ASH AVE
PORTLAND, OR 97202 TIGARD, OR 97223
PHONE: 503 - 235 -9083 PHONE: 503 -475 -7984
FAX: 503 - 235 -0454
FEES
Specifics: Description Date Amount
Air Conditioning 04/26/2012 $46.75
Type of Use: SF Furnaces < 100K BTU 04/26/2012 $46.75
Class of Work: ALT Type of Const: Duct Work 04/26/2012 $23.32
Occupancy Grp: 12% State Surcharge - Mechanical 04/26/2012 $14.02
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $130.84
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.
Issued By: Permittee Signature: 0A /- /90/°4. /
Call 503.639.4175 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.
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04/25/2012 16:39 5032350454 SKY HEATING AND AC PAGE 02/03
Mechanical Permit ApplicatiRE F ! r �: (i i I I ( 1 . I ,1:+) .
CI of Ti rd ' ' '. Q Received PrnnitNo.;
�' + Date/By: / .iZ i -ovo2/
1 h SW 03. Fax: Tigard, OR APR 2 5 2012 Daffy: Other Permit
i R.; A i, 11 Inspection
nt ernet www ti 503.639.4175 CI Date Ready/By: - -
. TY OF TIGARD Net;fi :
BUILDING Divi.SLrI
El New construction ®Additi(m /alts ration/ (acernent performed. permit fors• arc based on the value of the work
neD pernred. Indicate the value (rounded to the ecareat dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
Value: 5
.
a r;
® 1 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Forapedalbifnataatlonraeedleen&
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I En. I Total
Air conditioning
lob site addrega:13227 SW ASR AVENUE (requires * plan ahowina plumnem) 1 46.75 46.75
Furnace 100,000 BTU (disco/ vein) I 46.75 46.75
City/State/ZIP: TIGARD, OR 97223 Furnace 100.000+ BTU (dacts/venta) 54,91
Suite/bldg./apt. no.: i Project name: BONGE Heat pump
(regahea see plan ahowtng placement) 61.06
Cross street /directions to job site: Duct work 1 23.32 2332
Rydrunic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel type„ not electric),
in-wall, induct. suspended, etc. 46.75
Subdivision: I Lot no.: Rue/vent liar any of above • 2332
Other. 1 23.32
Tax map/parcel no.: Other fuel appliance=
• . . : , D>� RON :Ofi. . •• • , • , . , . W ater he ater J 23 .32
•
REPLACE GAS FURNACE AND INSTALL AIR CONDITIONER Flue vets f DUCTWORK Gas fireplace ant t r 33.39
or wooer heater or gas
MODIFICATIONS TO RELOCATE FURNACE INTO THE CRAWL SPACE. fireplace 2332
Log lighter (gas) 23.32
Wood/pcttct stove 33.39
Wood fireplace/insert 2332
Chimney / iner /flue/vent 23.32 ... •:�.:p'E1�'�. f . .. Q.7�3'�R1V'1<' '_ Other 2332
Name: TRESA BONGE L Environmental exhaust and vemilatlon:
Address: 13227 SW ASH AVENUE Range kitchen
equipment 33.39
City/StateJLIP: TIGARD, OR 97223 Clothes dryer exhaust 33.39
Single - duct exhaust (bathrooms.
Phone. (503)475 -7984 Fax: ( ) toilet compartments, utility rooms) 23.32
. El AY' 11 nt ' (I' CONTACT . Ttite4ON . v Auidcrawlspacc fans 23.32
Business name: SKY HEATING & AC, INC. 23.32
F, 'ph .
Contact name: TAMT RAGEMAN 514.15 fair That fbar, $4.03 for each additional
Address: 1635 SE NEHALEM ST - Furnace, etc.
Gas heat pump
Ciity/State2IP: PORTLAND, OR 97202 WalVaumended/(mitheater
Phone: (503) 235-9083 1 Fax:: (503) 2354454 Water heater
Firrrtace
E -mail: TAMI@SKYR.EATING.COM
Range
° �_ Barbecue ^
Business name: SKY RENTING & AC, INC. Chow dryer (gam)
Address: 1635 SE NEHALEM ST Other
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City/State/M. :.PO.RTLAND, OR 97202 Subtotal 116.82
one: (503) 235-9083 Fax: (503) 235-0454 Minimum permit fee ($90,00)
Plan review (25% of permit fee)
CCB lie.: 50244 Stale rtdr
. argc (1 of permit fee) 14,02
TOTAL. PERMIT FEE 130.84 h/
Authorized signature: This permk.pplaentan expires if a permit iii® not obtained within tea
days after Ithoe been accepted as complete.
Print name: TAM1 RAGEMAN babe: 4/25/12 • Ice methodolou set by TN- Comity .Building Wintry Service Board
r: 18m O /0Win 44446I7r(II/02/COMfWF,a)
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