Permit • J.
,� CITY OF TIGARD
'" MECHANICAL PERMIT
! COMMUNITY DEVELOPMENT Permit #: MEC2009 -00139
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/01/2009
Parcel: 2S112CB03000
Jurisdiction: Tigard
Site address: 8270 SW ASHFORD ST
Subdivision: ASHFORD OAKS NO. 2 Lot: 44
Project: Von Pressentin
Project Description: Install gas furnace.
Owner: FEES
VONPRESSENTIN, MARK E Description Date Amount
8270 SW ASHFORD ST Furnaces < 100K BTU 04/01/2009 $14.00
TIGARD, OR 97224 12% State Surcharge - Mechanical 04/01/2009 $8.70
PHONE: Minimum Fee Adjustment - Mechanical 04/01/2009 $58.50
Contractor:
ALL FAMILY HEATING & COOLING INC
P.O. BOX 7977
SALEM, OR 97303
PHONE: 503 - 393 -4328
FAX: 503 - 363 -4614
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue
Total $81.20
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 -0100. You may obtain a copy of the rules
■
Issued By: gAe in Permittee Signature: / , ! / e
Call 503.639.4175 by 7:00 a.m. for an inspection that business 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.
1
*,,,03/ A / 2009 14:12 5033634 `;1' ALL FAMILY HEATING PAGE 02/ 02
Mechanical Permit Applica For: o1; F:Ic l: US
R 312009 >.E •
City of Tigard MA R eceived •
Date/By: 3 • 3 \ - • I Permit No-
13125 SW Hall Blvd., Tigard, OR 97223 - vii � � � `
14
to Phone: 503.639.4171 Fax; 503.598.19��Yp T1GAR� Ilan Review
1 1 9 �� p Date/Sy: Other Permit:
T I G A ti t i Inspection Line: 503.639.4175 DIVISION
BOLDING Date to ® pent for
Internet: www.tigard�r.gov Notie
fd/lv/Methlethod: Supplemental 2 Llrormation
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Mechanical permit fees" are based on the value of the work
❑ New construction ` pAddition /alteration/replacemerit
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, e ui.ntettt, labor, overhead and .rofit,
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1 1- and 2- family dwelling ill CI building s''S
r Multi - family ❑ Master builder D Outer: For special information use checklist.
Description J Qty. I Ea. I Total
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.ml ��, i nR✓rooliop
1 Air conditioning or heat pump
Job site address: ' i r • wires sits .1.v p howin • lacement -- 14.00
City /State/21P: 7 r f . • • Furnace 100,000 BTU (ducts/vents) 14.00 ''
Furnace 100,000+ BTU (duets/vents) 17,90
Suite/bldg./apt. no.: Project name: I
IC.. Gas heat pu.LP 14.00
Cross street/directions to job site: Duct work 10.00
Hydrortic hot water system_ 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in -wall, to -duct, suspended. etc. 14,00
Subdivision: Flue /vent for any of above 6.80
Lot no.: -
Other: 10.00
Tax map /parcel no,: Other fuel appliances
fi 4 *" ; (E r 1%4l 7�r "1k \ 1 i' :o' : e M J , ' M > T' Water heater
.. lr,�.l ;h, •'' c t '' '!,' a e." ;lfd, :15i� ES t w ;l Ra Ja ia, 10.00
Gas fireplace 10.00
a.�r.. i ! - ,L. 1 I L, r Flue vent for water heater or gas
fireplace 10.00
M
Log lighter (gas) 10,00
Wood/pellet stove 10.40
per' • Wood fireplace/insert 10,00
a ,, �o h . a ■ 1
,;.„ ° x r 7: Chiinn�/ltner /iue/vent 1Q.00
�t ,r:r .r. ,. `fr~,s t, " 3 p 8 ?i TiE a� i441dT' � 1 a s ; ' 17
A
-'°' °� " ' e ' G
t Other: 10.00
- , .� Or, 4 - a _ Environmental exhaust and ventilation
Address: S �� 1 _ Range hood/other kitchen
`�1 X11[! - equipment 10.00
City /State /ZIP: ±' c , - + on_ on a Clothes dryer exhaust ' 10.00
Single -duct exhaust (bathrooms,
Phone: (5133 '3 C'a -- t C- i Fax: ( ) toilet compartments, utility rooms) 6.80 _
lsr i , M iiiP. , ; � ; a s � ` y R "yt w p u rw717,":4, Attic /crawlspace fans 10.00
a,: on' e,, .J�cet .:SuYd.'air. Via.r,x,.l" t.
Business name: `' ' '' YVtt .,' a Fuel _ 10.00
_ Fuel piping
Contact name: 1) 4Q a # $5.40 for first four: 51.00 for each additional
Address: p6 Q -- urnace, etc.
Gas heat pump
City/State /ZIP: r bO e ' Wall /suspended/unit heater
Phone: (.93-1-3 "' L 3`"` Fax_ _ ( ) "(a L A I L\ Water heater _
E-mail: Fire •lace
Range
";.,^ A sJ ' t ip1 n k; W'rtr ^"7 ���;� q fi�e,' "'> ' .Ya" � rNe.
.,..,J, a „1 vr4r .. tlr ^�'M �.+ i.,. � :-Q44 •
'�. roWr:a�t Xg - 1 i� yy � Barbecue
Business name: �` ��'�L Clothes dryer (gas) _
O ther:
Address: --t '•'l �' `� , l ,,, y" ^�,-" ,° .el . v` � �-� e ;ar, t : •,(,
1 (mar ;� 1° a� i ' k ti ,.. ,, j ., ,,,g A IL N r 4 ., %r ri� „
City /State /ZIP: _ , u oz- Gl --1303 Subtotal
Phone: e 1 Minimum permit fee ($72.50) 7 , r `5(;
(� ) 3— 3� �Fax: (c tip) 3� 3 04 Plan review (25% of permit fee)
CCB lie.; \ V` \ _ State surcharge (12% of permit fee)
_ TOTAL PERMIT F EE '',''
Authorized signature: y �'� This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
W!°.~. J Date: ?ji il ' Fes methodology :et by Tri- County Building industry Service Buard
1 '.\ Build ing\PC ,nits\5iEC- Perr,itApp.dnc 0111447 440 -461 (1 1/02 /COMAVE9)