Permit - , � ' CITY OF TIGARD MECHANICAL PERMIT
1 - . 9-1; 2 COMMUNITY DEVELOPMENT Permit #: MEC2009-00552
1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/20/2009
hTiG'ARD' 9 Parcel: 1S133DA08200
Jurisdiction: Tigard
Site address: 12653 SW SNOWBRUSH CT
Subdivision: Lot: 0
Project: Dyches .
Project Description: Duct out the pop -up exhaust fan from the base of fan to termination
Owner: FEES
DYCHES, SUZI Description Date Amount
12653 SW SNOW BRUSH CT Single Duct Exhaust (Bathrooms, Toilet, 10/20/2009 $23.32
TIGARD, OR 97223 Utility Rooms)
PHONE: 12% State Surcharge - Mechanical 10/20/2009 $10.80
Minimum Fee Adjustment - Mechanical 10/20/2009 $66.68
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 $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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
r
Issued By: jt-LCif Permittee Signature: ili•-- `^�� /,} �O L(
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.
; . • .
Mechanical Permit ApplicatrEc ElvED FOR OFFICE IS ONLY
City of Tigard Rcccived
F.
Date/8y: remit No.:0Uee...geVq- 00 ss"?—
1.
. 13125 SW Hall Blvd., Tigard. OR 97223 r , r , T ,
9 2009 pi., Review
I $ Phone: 503.639.4171 Fax: 503.59X.19611 l_, 9X.196 I .1. - Date/By: Other Permit:
TI G A RD Inspection Line: 503.639.4175
Dare Ready/Hy. ;uric. i 1=1 Sw. Page 2 for
lniernet: www.tigard-or.gov
CITY OF TIGARD Notified/me:nod: Supplemental information
... ' - • -7 : 7 :7-.. •,-,., .; . ,. ., „.., .P0 NMINf;',.-I.FNQ..INI...F.P . , , ,., .
.,,.:::::: ::'':''''.;.:':' ;,■''.:',, T. ' j:Y.PE,'-EttEzy ' -:°'...:.:7.1.';,":.:.':.,;.,::.'1,,,,::".:::7'.:':'::'....;':...! .::,e9rsafEKIKLTEv,:scpEpurx:,;:..:t1SE:.c7Tc$1.-Ig'.,,
Mechaniwl permit foes' arc based on the value of the work
D New construction AAddition/alteration/replacement
th
• performed. indicate the value (rounded to e nearest dollar) of all
0 Demolition 1111 Other: mechanical materials, eoui ment, labor, overhead, and .rofit.
: ..•'" •":::•=-:, ,:'•••••, ' . ""*;:.:!' C. --.7:, ..., , ,,,,,,-.., - '---. .:
. . .,.... ,. ..,. „..... .,..., ,.., ......... Value: S
.. ,.
RES!UDE.NTIAL;'.E6711PMEtitt,:;/:'kYFII:MTS•TEES!!j:::',:
X 1 - and 2 dwelling P Commercial/industrial 0 Accessory building
For _special information use checklist_
0 Multi-family 0 Master builder 0 Other: -
Description Qty. En. I Total ,
461; ii*"Ils t FCIR•tN'ii i iiiii4 . k , T4ii . :1 -. .ocycrtcpi.,,,!',.',' . ..1';.:" , ::; , ' :- :: • : • .::'','.. ,- ...: : -: ., Revin .
-
Air conditioning
Job site address: //6> Lc 11,/ o ii, GT" (reqnim site plan ahowing . 46.75
City/State/Z1P: fibri/d eL. 0' q1224- Furnace 100.000 BTU (ducts/vents) L 1 46.75
Furnace 100,000-1- BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: TR i 2,1 : 2., __
Heat pump ___I i 61.06
Cross streeUdinections to job site Duct work" 32
I i----
Flvdronic hot water system 1 23,32
Residential boiler (radiator or
• hydronic) 23.32
Unit heaters (fuel-type, not electric),
in-wall. in-duct suspended, etc. f 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: -
Other - .13.32
Tax map/parcel no.:
Other fuel a i hances
p
:: ;,
.. Water heater 2332
::4'..".'.!TA . 1 2
nsv...kar,11.TN,F . mt. , - , :-. :,: r
Gas fireplace 33.39
Flue vent for watea- heater o7gas
aut.& 0a-C -ch.e. pozy-e---,—yheuzyt—a747. ti lace 23,32
Loa lighter (aas) 7 3.32
IcOM rhZ ha-06 Or 1441 "f46) Tervkahott) Vv elIct stove 33.39
Wood fireplace/insert 23.32
0, L'''' ' ''' - - • - ,......,.....--"'" - ,,..-' •••,, ,„,,
.,,,,,,,.,:„....„
,.,,,, chimne /3.3
:',i;:;4,2A.,::;:.;A:1:',701•43.4**1:5",x1.,74",?f,:::::a, ;•!:::".• .'"!... ";:j.::-- Other: 23.32
Name: .tt Z.- , d ell - . _ Environmental exhaust and ventila ion
Range hood/other kitchen
AddresS:
eaubment 33.39
_
City/Stater/3P: (fain& - ez - /0 - b — ee._. Clothes dryer exhaust . 33.39
Single...duct exhaust (bathrooms,
Phon i
e: ( ) Fax ( ) 2g- g2
tOilet corn artrneroo 2
L1(-11"Kr:::.::r.■y.i.::.',;:t ,;;', t ;..).r.-:::'!:..:':'::;■ ,! ,,----;,,: ;; 23.32 i
Other: 23.32 1
Business name: J ef i MM • 1 Co" •
Fuel i U pp_p_g___
Contact name: 1 ,? ri - ea . etwo/e4_ S14.15 for first four: S4.03 for each additional
m
_
Adds: /20dg on/ ham .
o
) s_s_ re, too Furnace. etc.
Gas heat pump —Th . -
City/State/ZIP: ANIWM t i 0 ' 91%21- l/suspended/unit heater _
Phonelf )(pip
..
... .,/ , Fax: :01 )00-4144' Waterbeater
1
Fireplace
F.-mail: • lat , c on, homb.cont,... Range
•.-',.'...:.:';';.'"'::''''':''", CtOtht;t0t.Ok.:' :: ''.':, - `*:-.-::..::-:''.:::. ',.. -:'::' . : L: ;:,.-''''. Barbecue
-
ECIothes dryer
Other:
(aa_9
13usiness name:
Address: e, ao a4bv
0 6
;:::. ..:,. :1 :.... '. :.: ':' ' • ,'•
City/State/ZIP;
Subtotal
__ 1 2,gc g
— i_ _
Minimum permit fee (S90.00) qv. ov
Phone:( ) Fax;( )
Plan review (25% of permit fcc)
CCB lie.: 1,,04.7 y State surcharge (12% of pennit fee) MVP
TOTAL PERMIT FEE live?. ;JO
Authorized signatu - e, d - . / This permit sppliention expires if u permit n‘ not obtained wilhin IP
days after It has been accepted as compiet
Print name: w r g ..._ a i Date: , - / 4 - • Pe., methodolo set by Tii-Counry Building industry Servior Board
TAlluitditm 1 , PermitrAMEC-PettimAnadoc 10/0039 440-46171 ( 11 102/CONINIES1)
300/ZOCA 1.9€L: 01J1VNEHI 917L98GgeOg 1.17:01 800E/61./01.