Permit CITY OF TIGARD MECHANICAL PERMIT
46"1 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00313
�= 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/11/2006
W a v ga, PARCEL: 2S112CA -07200
SITE ADDRESS: 07947 SW ASHFORD ST ZONING: R -7
SUBDIVISION: ASHFORD OAKS LOT: 026 JURISDICTION: TIG
Project Description: Replace gas furnace & add A/C.
CLASS OF WORK: OTR
FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CU) DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
GREG BOWEN Description Date Amount
7947 SW ASHFORD ST
TIGARD, OR 97224 [MECH] Permit Fee 7/11/200€ $72.50
[TAX] 8% State Surcha 7/11/200€ $5.80
Total $78.30
Phone:
Contractor:
WESTERN HEATING + A/C
14314 SW ALLEN BLVD
STE 220 REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97005
Contact #: PRI 503- 647 -5808
FAX 503 -543 -3693
Reg #: LIC 76978
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: ___E ) p
Call 503 - 639 -4175 by 7:00 a.m. for inspections 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.
.4
, Mechanical Permit Application FOR OFFICE t:sE'. ONLY /� /1! ry
City of Tigard ®� DaleBer: i-7)-8(--;m_ PermiiNo_ �4� I/637�
13125 SW Hall Blvd., Tigard, OR '� V �®
A hl Date/By:
Phone: 503.639.4171 Fax: 503.59:1960 Other Permit
Pl Review
Date/By:
inspection Line: 501639.4175 JUL 1 1 2006 .4 4 -,) I
sterner www.oi.tigard.orus ��u Date Ready/By: f V &7 See Page 2 for
Notified /Method: 7 Supplemental Information
CITY OF TIG�/'ACRD
BIt J �U®RfC °N COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
0 New construction ddition /alteration /replacement Mechanical permit fees" are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
and 2-family y g ❑ CommerciaUindustrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other. Description 1 Qty. ( Ea. i Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: lig �k,„....-- Air conditioning or heat pump
4J ��Z S� (requires site plan showing placement) I 14.00
City/State/ZIP: 77 ? p 7 7 2-2_ / Furnace 100,000 BTU (ductslvents) 1 14.00
Suite/bldg./apt. Furnace 100,000 +BTU (ducrs'vents) 17.90
no. : Project name:
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
. Unit hearers (fuel -type, not electric).
in -wall, in -duct, suspended, etc. 10.00
• Subdivision: Lot no.: t Flue /vent for any of above I 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater ] 10.00
r? J� /� Gas fireplace 10.00
- I l I A (c .9-� l eiz� - ~�C / 4fi O,./t� Flue vent for water heater or gas
_ fireplace 1 0.00
- Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
PROPERTY OWNER I ❑ TENANT Chimnerliner /flue/vent 10.00
Other: 10.00
Name: 471 ,Sa ,5 O 41
.4/s/ Environmental exhaust and ventilation
Adlire ��'i Q f Range hootl/other kitchen
.: _ equipment 10.00
City / State/ZIP: TI z-4 v / o 2 ? >2 z/ Clothes dryer exhaust 10.00
TI 1 Single -duct exhaust (bathrooms.
Phone: (503 F ax: ( ) toilet compartments, utility moms) 6.80
.APPLICANT ,r CONTACT PERSON Attic %raw]space fans 10.00
� $ y - nn � �f . 7 : r ( 10.00
Business name:
�i /�� J J Fuel pin
Contact name: V' QV f yam //
Ga..`✓ $5.40 for first four; $1.00 for each additional
e � �� _fie �l� Furnace, etc.
Address:
I , �� „_'..."--4.1.../ � Gas heat pump
City / State/ZIP: /3 1 t') J Cy �' e2 9 $ Wall/suspended/unit heater
Phone: (j? }), j ✓- ' try. .._ Fax: l : ( ) Water heater
E -mail:
Fireplace
Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas) J
1 ,E /// Other:
Address: Y MECHANICAL PERMIT FEES*
City/ State/ZIP: Subtotal
hone: Minimum permit fee ($72.50)
( ) Fax: ( )
I CCB lie.:
76-- �� ate Plan rch aw (25% of permit fee)
State surcharge (8 /o of permit fee)
TOTAL PERMIT FEE 7 3
Authorized signature: � This permit application expires if a permit is not obtained within 13D
days after it has been accepted as complete.
Print 0/ � ���� 7-----//
E name: . i K � _ Date: (/‘ s Fee methodology set by Tri County Building industry Service Board
is BuildingNcrmiSS \b1GC- PermitApp.dac 12/03 44440 -4617T (I V02!COM/WEn)
E'd C69 € uosleN 6noa e9Z:90 90 I. l. In('
Jul 11 06 06:28a Doug Nelson 503 - 543 -3693 p.1
8�
- -
CITY OF TIGARD . ., ..
BUILDING DIVISION PERMIT #: MEC2006-00313
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2006
Phone: (503) 639-4171 IL
Inspection Requests (24 Hrs.): (503) 639-4175 A-
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:02AM PAGE: 83
SITE ADDRESS: 07547 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS LOT #: 026 TYPE OF USE:
1 PROJECT NAME: BOWEN
DESCRIPTION: Replace gas furnace & add NC.
OWNER: BOVVEN, GREG PHONE #:
CONTRACTOR: WESTERN HEATING + NC PHONE #: 503-647-5808
1 I
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
I 1
Code # Inspection Description Confirm # Contact # Mes - • -
699 Mechanical final 038420-01 503-647-6808 V Ai r •
Corrections /Comments / Instructions:
do .
fr rA PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: CA/ P Date: I /1 a Phone #: (503) 718- _WIL
. .
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