Permit CITY OF TIGARD MECHANICAL PERMIT
" COMMUNITY DEVELOPMENT Permit #: MEC2012 -00501
T f G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/02/2012
Parcel: 2S112CB02100
Jurisdiction: Tigard
Site address: 8072 SW ASHFORD ST
Project: Bresaw Subdivision: ASHFORD OAKS NO.2 Lot: 35
Project Description: (1) gas furnace replacement
Contractor: ABLE HEATING & COOLING LLC Owner: BRESAW, JANET
16285 SW 85TH AVE #105 8072 SW ASHFORD ST
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503 - 579 -2250 PHONE: 503 - 341 -2153
FAX: 503 - 620 -3980
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 10/02/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 10/02/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 10/02/2012 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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.
Issued By: jiLlAb.tt jn,L6. Permittee Signature: 04 4 r p 64 no d
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.
Mechanical Permit AnDli Q
� R i FOR OFFI( LSE ONLY of Tigard fl 1. . ` .1 .., Cr, -, F. wed
13125 S W hall Blvd., Tigard, O 97 r DI d � — Permit No
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7,� Net Jar.) - 005
R Phone: 503.718.2439 F 503.59s 1' a T 0 1 2012 Plan Review
TIGARD Inspection Line; 503.639.4175
Date/I3y: Other Permit:
Internet: www.tigazd -0r.gov Date Ready,By: luris: El See Page 2 far
C i i mow' r t".";Aliu Notified:Method: /
( ♦' � Srppternenlat Information
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TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Mechanical permit fees* are based on the value of the work
® A dditiorualteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other:
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For
❑ Multi family ❑ Master builder spedal fgjormalPon use y9eaklisf.
❑ Other: _D e s cription ' Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heafing/coohug:
Job site address: 8072 SW ASHFORD Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP: TIGARD, OR. 97224 Furnace 100,000 BTU (ducts/vents) I 46.75 46.75
Furnace 100,000+ BTU (duuslvrnu) _ 54.91
Suite/bldg./apt. no.: Project name: BRESAW Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work
23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 2332
heaters ful -c
in - wall Unit , in-duct (e su not d, et tric), 46.75
Subdivision: I Lots: Flue/vent for any of above 23.32
Tax map /parcel no.: Other: 23.32
Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
REPLACE EXISTING GAS FURNACE Gas fereplace/inseri 3339
Flue vent for water heater or gas
fireplace • 2332
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER 1 ❑ TENANT Chimneyrliner /Fue/vent 23.32
Name: JAN BRESAW Offer. 23.32
Environmental exhaust and ventilation:
Address: 81)72 SW ASHFORD Range hood/other kitchen
equipment 33.39
City/State/ZIP: TIGARU, OR 97224 Clothes dryer exhaust 33.39
Phone: (503)341 - 2153 Fax: ( ) Single -duct exhaust (bathrooms,
❑ APPLICANT toilet compartments, utility rooms) 23.32 -
❑ CONTACT PERSON Attic /crawlspace fans 2332
Business name: Other. 2132
Contact name: Fuel piping:
514.15 for first four; 54.03 for each additional
Address: Furnace, etc.
City/State/ZIP: Gas heal pump
Wallisuspended/unit heater
•
Phone: ( ) I Fax: : ( ) Water heater
E -mail: Fireplace
• Range
CONTRACTOR Barbecue
Business name: ABLE HEATING & COOLING LLC Clothes dryer (gas)
Address: 16285 SW 85 AVE. SUITE 105 Other:
MECHANICAL PERMIT FEES"
City/State/ZIP: TIGARD, OR. 97224 Subtotal 46.75
Phone: (503) 579 -2250 I Fax: (503) 620 Minimum permit fee (590.00) 90.00
Plan review (25% of permit fee)
CCB tic.: 184392 rrr/// State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE I 100.80
Authorized signature: Thi p ermit appliation expires Ira permit is not obtained within 180
days after it has been accepted as complete.
Print name: KELLY WIL I Date: 10 - I ' Fee methodology set by Tri-Comity Building Industry Service Board
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