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�{ ' CITY OF TIGARD MECHANICAL PERMIT
' �7 := COMMUNITY DEVELOPMENT Permit #: MEC2009 -00505
T1G ARIA 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/24/2009
Parcel: 2S112CA10800
Jurisdiction: Tigard
Site address: 7551 SW ASHFORD ST
Subdivision: RENAISSANCE WOODS Lot: 34
Project: Swift
Project Description: Replace gas furnace with like kind.
Owner: FEES
SWIFT, CHRISTOPHER D & JOYCE C Description Date Amount
7551 SW ASHFORD ST
TIGARD, OR 97224 Furnaces < 100K BTU 09/24/2009 $14.00
• 12% State Surcharge - Mechanical 09/24/2009 $8.70
PHONE. Minimum Fee Adjustment - Mechanical 09/24/2009 $58.50
Contractor:
HEAT RELIEF CO
13122 NE DAVID CIR #800
PORTLAND, OR 97230
PHONE: 503 - 261 -9915
FAX: 503 - 261 -9814
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuanc- : • - , is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Util . otification Cen :. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
o• direct questions to 0 - '"" , /. .�y�alling 503.246.6699 or 1.800.332.2344. .) , •
Issued By: I � / � Permittee Sig �� ,i
/ Call 503.639.4175 by 7:00 a.m. for an inspection that busi • s day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applic ii ' . FOR OFFICE USE ONLY
City of Tigard &. /` � Received ^ PemtitNo.: �J�At ,��s
q " Date/By: Q'( a (vv/1[wwe,
13125 SW Hall Blvd., R 9722 )
I - Phone: 503.639.4171 Fax: 5034,9$ y � Plan Review
0 ! j�'' Date /By: Other Permit:
TIGARD Inspection Line: 503.639.417 a �ji +-
Date Ready /By: 1 H See Page 2 for
Internet: www.tigard- or.gov 1 G • 4 r. Notified/Method: i Supplemental Information
��' a ` �' .�: ..s.: �- ;? '' -.... �ry�'p'�n � """�` -° .;'�:. " -1•.� � .;.a mss, � .'�.Y, :- :..�:"s�e" .� . !^�SN';,;. ,�, t.�
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Mechanical permit fees* are based on the value of the work
ID New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
t; �_ & .- 4 � .* G tVIA, it, , 4 TRIT e:;f4; ,- r Value: $
� SIDF I1`t EN`T ;{ 'STF�MS ftkIte "
El I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building " "�` "' "�' "�
® Multi family 0 builder ❑ Other: For special .information use checklist.
Description on I Qty. I Ea. Total
y -; «� O , t ',Q I(} i i b . 'I'I s
tt
_ - _ _ _ . •, > -� :.. ,� - „__ ��� ��.. . .,� �-�,�- �.-- . -..... � -. � - . _. � ,::1 Heating/cooling
Job site address: SC I to Sh. rd. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: M encazt CO ' �... Fumace 100,000 BTU (ducts/vents) 1 14.00 )(1--
Suite/bIdg./apt. no.: I Project name: M :4 Fumace 100,000+ BTU ( ducts/vents) 17.90
i ( 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 heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.:
Flue/vent for any of above 10.00
Other. 10.00
Tax map /parcel no.: Other fuel appliances
' £ 5 ' t , ► ; O o ORIC � �' t~ Water heater
,�' cis ' n /� Gas fireplace 10.00
`tl✓ "U�] i' ” . p L'L ' - • (LS / Ti - J C..2- Flue vent for water heater or gas ' •
11 fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
A p tv- �; t� - Chimney /liner /flue/vent • . 10.00
d '�iP r eft "i' ,a � l • " '1t .. , ,
c' '4 Other: 10.00
Name: , ..3'W / -4 Environmental exhaust and ventilation
Address: nQ li Range hood /other kitchen
►'
��l.I n � ���XJ � t_. equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) . Fax: ( ) • toilet compartments, utility moms) 6.80 ,
t a , M s +I Attic /crawlspace fans 10.00
Business name: HEAT RELIEF Other: 10.00
Fuel piping
Contact name: MARK DEFRANCISCO $5.40 for first four; $1.00 for each additional
Address: 13122 NE DAVID CIR DR # 800 Furnace, etc. I I _ .1
Gas heat pump
City/State /ZIP: PORTLAND, OR 97230 Wall/suspended/unit heater
Water heater
Phone: (503) 261 -9915 I Fax: : (503) 261 -9814
Fireplace
E -mail: Range
�� _` °�'. �, Barbecue
t "� SOIL
Business name: HEAT RELIEF Clothes dryer (gas)
- Other:
Address: 13122 NE DAVID CIR DR # 800 f t` X.
City/State/ZIP: PORTLAND, OR 97230 Subtotal /4/---
Minimum permit fee ($72.50) 7517
Phone: (503) 261 -9915 Fax: (503) 261 -9814 Plan review (25% of permit fee)
CCB lie.: 122424 surcharge (12% of permit fee) p5.;,-",
� TOTAL PERMIT FEE 8-1
This permit application expires if a permit is not obtained within 1 0
Authorized signature: 222,0414 " y days after it has been accepted as complete.
Print name: MARK DEFRANCISCO Date:
* Fee methodology set by Tri-County Building Industry Service Board
I anuilding\Permits'MEC -Pe mitApp.doc 04/06/06 440-4617T (I1 /02 /COM /WER)