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Permit CITY OF TIGARD MECHANICAL PERMIT I COMMUNITY DEVELOPMENT Permit#: MEC2020-00716 Date Issued: 12/1/2020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111AD04900 Jurisdiction: Tigard Site address: 8930 SW PINEBROOK ST Project: Jacobs Subdivision: PINEBROOK TERRACE Lot: 72 Project Description: Replace bathroom exhaust fan. Contractor: OWNER Owner: JACOBS, R MARK&GLORIA E 8930 SW PINEBROOK BLVD TIGARD, OR 97224 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Mechanical Permit-RES 11/06/2020 $90.00 Type of Use: SF 12%State Surcharge-Mechanical 11/06/2020 $10.80 Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC(bey calling 503.232.1987 or 1.800.332.2344. Issued By: lYl 1 - n ) 7 C,. \/ Q 4.,0 Permittee Signature: � a pp 1; �`�Y1 lU/�I lYl L0.J l vw�Caall 503.639.4175 by 7:00 a.m.for the next available inspection date.F�T l This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. t c - lol t( Zo • EIVED Mechanical Permit Ann.ca f 1)it ill 11(I k Si. OVf.r City of Tigard q q RccelRd 7 �� j 6 2GLQ Dace111y: /7/,5' 7 ) 420 Permit No� 7� 242-©a li • 1312s s W Hall Blvd.,7 igatd, is 9T223' Plan Review Ge Other Permit (r Phone: 503 7182439 Fax 5Q35913 t�� Datertiy: i F,()Apt, Inspection Line: 503.639.b175' t f.�.J,f T I GAt Re tay: Jur* 0 See Page 2 far Inspection www.tEgmd o I LD I N G DIVISION Nntitred/Metind. 11 r Supplemental ltdormadue -� . _, ,."•- t,' ." 1`: �- - Mechanical permit fees"are based on the value of the work ❑New construction R Addition/alteration/replacement performed.Indicate the value(mended to the neatest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit GC112 tw,S'IRUCYI. .' -t-'" Value S _`'�'- "` z`-:�x t ,��" a< ° `"-. a ..w — ,1,t 's:11? 'lAltt�"12P�s($'1 �..�� 1-and 2-family dwelling ❑CoutmerciaU'industtial 0 Accessory building For specialen(ormedon use checklist. ❑Multi-family 0 Master builder ❑Other. Description I Qty. I Ea Total stiiiiikula. r' -r_ _ l pngi ; �7d,s , aw.1I eta. t f`et ® .-.. a "Sr Job site address: 8'93 It SW rr Air ace conditioning 46.75, �tn2br(JP�- j � Ftanrace100,000BTU(d+cnroens) _ 46.7s City/State/ZIP: 71 A rk, 0re-to) et r7' 9 7 Z `I Furnace 100,000+BTU(ducts/verts) 54.91 Heat pump 61.06 e SuitelbldgJapt.tto.: Project name: Ductwork 23.32 2.71 r ..i. Cross stteet/directiuts to job site: Hydronle hot water system 23.32 - - I. ) j f� n Residential holler(radiator or e/Ye..1j+ C�C.'Y[a+7 c' p4 SW el *l' et ✓.icY hydmnic) _ 23.32 Unit heaters type,not Pi i7 e b r'f1 D� 5 4 fn-wall,in»doct,suspended,etc.t�c)� 46.75 Flue/vent for any of above 23.32 23.,3 Z Subdivision f)ttrec 23.32 Lot no.: Other fuel appliances: Tax map/parcelno.: Water heater 23.32 . :;,I ..a ,, :;::f 4 o 4 : '''°—-r„ Il - _ Gas fireplace i sert 33.39 �j 'n� ) ry ') '` u Flue vent for water heater or gas t. .. 4 lei r ' pi f``P' .r.t jo, ej ,. P.e.-ta' 1 G..c ' fireplace ..--.. 23.32 )J .}. 7 � 17 e1.2,J Log lighterpellet stove 3339 ifP.-j I , /Y� ' -]-{i f✓ r-p-p- 1,,L/f f , Cqe, Woodfireplace/hsett 23.32 r Chimneyflinerlflu&vant 23.32 � . s`.;_ - --;�_-" -� *x NA _ Other. 23.32 lee=r E"*+} itti R , $4.//+ s;-ia�-0 TEN 1 - Environmental echaast and venttladon: Name: (Y)ct r 1Z ,..3 era..t.-rr 6.5 Range hood/other kitchen equfpmeot 33.39 Address: ` 9 3 0 < ),,f }?t v7Q.-rj e'O,k 54 Clothes dryer exhaust 33.39. City/State/ZFP: I � z...2.... y Single du t exhaust(bathrooms, I l 1.1 A./` 17/'$--� O"7toilet compartments,utility rooters) t 23.32 ° Phone:(5 85) (. 'I fi+ e1`5 5. Fatc( ) Attidcrawispace tam 23.32 '• <.: El APPLICAPZr° �-r"'"r' '///" iiig-i lat0O PA4�'", 1F�ON'''''''''f Other. 23.32 Fuel piping: Bisirers came: $14.15 for fine four,54.03 for each additional Contact name: rj a pi e, ft S p r-0, p Q.-t 4-!) p uJ h E'-�J Furnace,etc. Address: -at / //J Gas heat t Wall/suspended/unit beater City/State/ZIP: tt I/ Water heater t t Fireplace Plume:( ) Fax::( ) Range nicer mat I coo,-7 as cue E-mail: r tt � c,:abs i � � r<.. ➢r s. ' ... ;_t=;4X7 rifc-"` - ;,"1 ' ..z,F") 3� -. "- Clothes dryer(gas) % Other Busiress:tame: i{'J's'. ",..y: CHku:kcIi,ettMrrgcr !!'' -- t,.,$ Address' Subwtat 9}u ..6 _- t ➢" 0..... Minimum permit fee(590.00) 70. 4' City/State/ZIP: Ojj r tr° 4 Plan review(25%of permit fee) . Phone:( ) Fax:( ) State surcharge(12%of permit fee) `fi�gg. t tr i CC:B lic.: TOTAL PERMIT FEE '7 L.7(00 ;' ` /�(/�'J}, jr'J/�j/7/�(,�If{tI' This petard applkation espitn If a permit b nit obtained witaie 1� V ' 't fO�'"t`^' days after It has henaccepted a complete. Authorized signature: • Fee r�Jadeloey set by 7NLour2y Building ltaimoy Service Baud r'` 1 1 r Dianna Ornelas From: Mark Jacobs <rmarkjacobsl@gmail.com> Sent: Thursday, November 5, 2020 7:42 PM To: Dianna Ornelas Subject: Re: 8930 SW Pinebrook St Caution!This message was sent from outside your organization. Allow sender I Block sender Yes.The ducting thru the roof is for the bathroom exhaust fan. Sorry about my error on the form. I have talked with Arron regarding the work. Thanks, Mark On Thu, Nov 5, 2020 at 6:04 PM Dianna Ornelas<DiannaPtigard-or.gov>wrote: Hello Mark, I am processing your mechanical permit and need further clarification regarding the description of work. Is the 'new thru roof vent' a bathroom exhaust fan that is being replaced? Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e- mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 1