Permit •
CITY OF TIGARD MECHANICAL PERMIT
;F 1 g • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00383
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/11/2013
Parcel: 1 S125DC07500
Jurisdiction: Tigard
Site address: 7041 SW ASH CREEK CT
Project: Mendez Subdivision: ASH CREEK ESTATES Lot: 8
Project Description: Replace a/c unit. Placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: TRI COUNTY TEMP CONTROL INC Owner: MENDES, RYAN
13150 S CLACKAMAS RIVER DR BUSEY, MARAH
OREGON CITY, OR 97045 MENDES, JEFF & PATRICIA
7041 SW ASH CREEK CT
TIGARD, OR 97223
PHONE: 503 - 557 -2220 PHONE:
FAX: 503 - 557 -0919
FEES
Specifics: Description Date Amount
Air Conditioning 07/11/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/11/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/11/2013 $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 BCK)C Permittee Signature: t (L�J
JJJ 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.
JUL -10 -2013 12:57P FROM: TO: 5035981960 P.1
Ai
r
Mechanical Permit Applicatit r t)IruH R I'.l 1
I: 1)NI . of Tigard i ,
City EIVED - Received ri Receiv Date/By: 7//o / 3 Pit No.: Heaeyg - ea 3g3
• 13125 SW Hall Blvd., Tigard, OR 97223 1 Plan Review
I S Phone: 503.639.4171 Fax: 503.596.1960 U L 1 ® O 3 may Other Permit:
- 1' 1 c; A tc I) Inspection Line: 503.639.4175 - Date Ready /By: Juns El See Page 2 for
Internet: www.tigard- or.gov CITY OFTIGARD Notified/Method. Supplemental Information
BUILDINGnivISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - -USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ®Addis ion /aheration / replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. _
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL IAL EQUIPMENT / SYSTEMS FEES*
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
- For special iufnrmarion use checklist.
❑ Multi- family ❑Master builder
❑ Other: Description
Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 7041 g A6r 1 CrreK Air conditioning pla I
( requires res site plan showing placement) 46.75
City/State /ZIP: I lW v 1� rn
- Furnace 1 00,000 BTU (ducts/vents) 46.75
Suite/bldg. /apt. no.: � Project name: Ni 6 fvID e 7\ Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 61.06
Cross street/directions to job site: Duct work _ 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric), '
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Loin Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23 - 32
Gas fireplace 33.39
Flue vent for water heater or gas
Pt ()k ,eo air Cori rt b YrY fireplace 23 32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood flreplace/insert 23.32 _
Chimney /liner /flue /vent 23.32
(PROPERTY OWNER ❑ TENANT Other: 2332
(Jame: R , i 11` Environmental exhaust and ventilation
Address: s Range hood/other kitchen
equipment 33,39
City/State /ZIP: Clothes dryer exhaust 33,39 ,
Single-duct exhaust (bathrooms,
Phone: ( 8 4 a,l r Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic/crawispace fans 23.32
Other: 23.32
Business name: Same as contractor
Fuel piping
Contact name: Diane Mason $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump _
City/State/ZIP: Wall /suspended/unit heater _„ __
Phone: ( ) Fax:: ( )
Water heater
Fireplace
E- mails -- Rage .
CON'PRACTOR Barbecue
Business name: 'Fri County Temp Control Clothes dryer (gas)
Other: ,
Address: 13150 S Clackamas River Drive MECIIANICAL PERMIT FEES*
City /State /ZIP: Oregon City, OR 97045 Subtotal
Minimum w (25% of fee ( mit Fee
Phone: (503) 557.2220 Fax: (503) 557.0919
Plan review (25 %of permit fee)
CCB lie.: 72623 State surcharge (12% of permit fce) IAA A
TOTAL PERMIT FEE
JJ - This permit application expires if a permit is not obtained within 180
—
Authorized signature: ,,) (lays after it has been accepted as complete. 000000 ����'''"'
Print name: vane, moon Date: /1)011S * Fee methodology set by Tri- County Building Industry Service Board
' �
Iauilding \Permite \ MEC- PcnItApp.do° 10101/09 440-46 I TT( I VovCOM/WEO)