Permit h CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00111
Date Issued: 03/18/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112CA08100
Jurisdiction: Tigard
Site address: 7598 SW ASHFORD ST
Subdivision: RENAISSANCE WOODS Lot: 7
Project: Vandehey
Project Description: Install gas furnace.
Owner: FEES
VANDEHEY, STAN & MARY H Description Date Amount
7598 SW ASHFORD ST Furnaces < 100K BTU 03/18/2009 $14.00
TIGARD, OR 97224 12% State Surcharge - Mechanical 03/18/2009 $8.70
PHONE: 503 - 670 - 0270 Minimum Fee Adjustment - Mechanical 03/18/2009 $58.50
Contractor:
THERMAL FLO INC
7236 SW DURHAM RD 100
PORTLAND, OR 97224
PHONE: 503 - 670 -8343
FAX: 503 - 598 -6746
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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 B / ' i _ � Permittee Signat • / `itt 7`
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.
0•I,3/150/2009 13:38 5035986746 THERMALFLO #0092 P.002/002
Mechanical Permit Application ED ‘ FOR OFFICE USE ONLY
,
- . City of Tigard RECETV ESIIVareg I Permit NI): f l ge , ‘ „ e _..„ 9 , ) ,(//
Phone: 503.639.4171 ax:
• , ...-. 13125 SW Hall Blvd., Tigard, OR 97223
' 2 • lax: 503.598,1960 1 6 2009
IN Plan Review
Datc/By: ocher Permit: •
TIGARD Inspection Line: 503.639.4175 13-ale ittady/By: 0 S ee o 2 fur
internet: www.tivard-Or.gov Notifiedilviethock Ell Pa Supplemental information
..
' CITY (IFTIGP
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Mechanical permit fees* are based on the value of the work
• New construction Addition/alteration/replacement
performed. indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit,
. , .. . ........ ...., . „ , . Value:
,• • :•••••:,••I.:.!.:..:.:... ',....• :-::::'::::•:-.::.:,:.::. •
CATEGORY '0,0913*,;•CiF••:,01■010itiotstkii I:IIIIII: •TI: I ,..II :: • :::-;
II •• I z•IIIIit 1i) 7 II '"'•
' XI- and 2-family dwelling D Cornmercia1/induStrial 0 Accessory building
For special itdormatian use checklat.
0 Multi-family U Master builder 0 Other: ,
DeituriptiOa Qty. Ea. Total
-,-.-.- .
:::::•••:,... ..., , .II :II - II - III II . :IIII011•:':.SIT.i. , .INFORMATION ::ANv400:4:31*.:: , •:4'.:.: : ::' , ' Heatiiwcooiing
Job site address: 7 0 q & /bat/ k Air conditioning or heat pump
(reclaims site alai) showinv placement) _ 14.00
,_, 0
City/State/ZIP: 7-igietr-de.412A 9122 Af-- Furnace 100.000 BTU (ducts/vents) i 14.00 tiy 42 ""
— Furnace 100,000+ BTU (ducts/vents) , 17.90
Suite/bldg./apt. no.: Project name: 4 / 2”2.-7
Gas hear pump 14.00
Cross street/directions to job site: Duct work 10.00
-- .
Hydronie hot water aystern 14.00
, .
' 41 • Residential boiler (radiator or
. ge f
• ti e-'* 1-7.-.. hydronit)
Unit heaters (fuel-type, not electric), 14.00
_ / •
in-wall. in-ducL suspended. etc. 14.00 • .
I Flue/vent for arty of above _1.. 6,80
Subdivision: ! Lot no.:
Other: 1 10.00_
_
Tax map/parcel no • Other fuel appliances ,
1) .... -k§oki p t i o r ,4,.;,: ( 44,..,wi t ikk:::....;....:.,;: , ,;:::: : : : ::;::: : ...... ; ; ::;::::,..:..: Water heater • 1000
Gas fireplace 10.00
. . Flue vent for water heater or gas . .
'igiit,/ G&& Fax/laze, fireplaee
Lou iliatItCr (gas) I 10.00
i 10.00
. • i Wood/pellet stove 1 10.00
• Wood fireplace/insert 1 0.00
•
10.00
-----.:,..,..-
.,:•: :: ..:‘,. otbcr,
----
Name: aryLo Kindebeir 1;"...nvironmential exhaust and veniilation
_
Range hood/other kitchen I .
Address: _equipment 10.00 I .
City/State/ZIP: (5 1 a/6 g15 ;lie- Clothes dryer exhaust I 10.00
-
Sinsic-cluct exhaust (bathrooms,
• Phone JO . 0 -' 0 /I 0 • Fax: ( ) toilet compartments. utility moms) 6.80 • .
: I •••,,,•::: E : ,,,kt,.p.t i ct:i:.:,..;.::.:; : " . '.,f;.::....::;:.:,;;:::.:::::::::E.,,:oNtzw.r:.:atk;s6:•::::1;::::::..::; A tu eferawisPace fans 10.00
Other: I 10.00
Business name: Fuel piping, _.
_
i igagiff _ _ _....,.._.......,._--..-••-•—_....- __
amulet name : $5_40 for first four; S1_00 for each additional
---_-- ---,..._
r
V . ,..-- -
f • i ''. •
. Puma= etc.
I Address: • a /
City/Slate/ZIP: • ill Nil I Gas heat pump
I Wall/suspended/unit heater
. .
. 1 Water heater
Phone: ( ) Fax: : ( )
Fireplace I .
E-mail: A gg r iA3r ,:.I
...
Range • '•
ccria,kiiittok: , .:::::::: : : : :: : ::: :: •: :: :: : : : :: :: ::::: :: ::, : : : ::: , ,:':.- - ;:::'::..7:' ':'.. ::.::.:.:.. Barbecue • I
— I
Business name! 7VeLf / f/t' riled.; . . -- Clothes dryer (ass) • 1
______
. Other: I - 1 I
-
Address: / Do, o MO
b , .... • :•• • •I • . I •II ... ::MECHANiCkLPEii4114.11ES* •• :. 1• :
• :. '...' • ..;'
- .... • .". . .. ..
I Subtotal
Phone: ,/
City/State/ZIT': • f , .. g, 47 f...0- .I -
,- ..4p Fax o bir-izoo4- ,
_._..,._ fcc ($72.50) 1 i 2, 96)
Plan review (25:I400f patmit fee) I
CCB lie.: ibietf-1 . State surcharge (12% of permit fee) I # / /
......
L_ .
• TOTAL PERMIT FEE ""fr ,i, '' 1
, .
This permit application expires if a permit is not ot;rainerl within tau I
Authorized signatu ,. , / Ada. ...... 1 ; i ,. . . • I
d.vic oiler it hiss been accepted es complete.
I Print name; yefie. CAMefey , Date: & ' fee methodology set t,t TO -County Buildia Industn Sarvict Board