Permit CITY ' of f TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00092
DATE ISSUED: 2/12/2007
.AD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S101DB-00606
SITE ADDRESS: 07710 SW CHERRY ST ZONING: R - 3.5
SUBDIVISION: ROLLING HILLS LOT: 011 JURISDICTION: TIG
PROJECT: GILES
Project Description: Replace furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
GILES, PHILIP W LOIS R Description Date Amount
7710 SW CHERRY DR
TIGARD, OR 97223 [MECH] Permit Fee 2/12/20W $72.50
[TAX] 8% State Surcha 2/12/2007 $5.80
Total $78.30
Phone: 503- 466 -1989 X105
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
PORTLAND, OR 97217 -2952 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 281 -0752
FAX 503- 282 -5722
Reg #: LIC 8897
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
_ eh_ge i efizati L s_ _
Issued By: ' Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections that business i a r
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.
1Vleciia ®ical Permit Ap lication _ , , t•.. Y '° 7:---'7, ., .
City. of Tigard . c - I I r /a7 0 1 5 5 N °
. 13125 SW Hall Blvd., Tigard, OR 97 „.. , ` 6 =i' t ` p� Revie
Phone: , 503.639.4171 Fax: 503.598.1960 �. Other Pemut:
Inspection Line: 503.639:4175 . n n n � _ ' i Da R loos: !a See Page 2 for
Internet: www.ci.tigard.or.us. FEB r 0 J L " ("=- ` Notified/Method: a Red /By: Su pp
Da lemental Information
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' - igr • " ' • Mechanical permit fees' are based on the value of the work
❑ New construction VA ' fion/aL : on / replacement Y performed. Indicate the value (rounded to the nearest dollar) of all
AI I ❑ Demolition . . • Other: mechanical materials, equipment, labor, overhead, and profit.
. i r� n t Ct „ x :>. ..... .. _.., , �^ l �`� ! S,*n o �, t t45i ! .duiiiw; Value: $
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P.I 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ^ A91.{ti� F1K. 5Sx �- .. �`� „'Di
isc; t:2w ter y �,�� d �: : • -
For special information use checklist.
Multi ❑ Master builder ❑'Other: Description 1 Qty. I Ea. 1 Total
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Iob site address: A ,' / ,/ Air conditioning or heat pump
a (/I a1 l t.' (requires site plan showing placement) 14.00 _
City/ State/ZIP: i • / i / ' 9„e? - 3 Furnace 100,000 BTU (ducts/vents) ` 14.00 t9 , W
t>. � J Furnace 100,000+ BTU. (ducts/vents) 17.90
Suite/bldgJapt.no.: Project name: ,- .1 � as 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 L 10.00 ro,a)
Other: 10.00
Tax map /parcel no.:. Other fuel appliances
l t r Water heater 10.00
i ti L, - , «r�J,ITi�I�i4rFh I a w�{UH : .virrur :.t 4 ^c rro � ri"I"�l�a {'• 1.• 4�t�[!f} �t�Ht` sllfi@7' 11 � o p 7E �llk ,°'`iffi7i{NNlirlf�[
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_.._ . �...__L.,.. , ....,...�1._: Gas fireplace 10.00
IlM ill / �, e Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
-
Wood fireplace/insert 10.00
Itla ,: r;rl d s r Jw� 1:414 , y "' i 1 i �,mt.Zlfkr y6;4 {'at : :L. 44 n Nii;i - ,zi •,:Vit Chimney/liner /Due/vent 10.00
,.... .c,.. .,,.. `_` 4-` 11iw,w a »�i!asx rablma iiifiat : %iiilia' a,i61 Other. 10.00
Name: • y Environmental exhaust and ventilation
Address -'11 P w ...41 ei I Range hood/other kitchen
equipment 10.00
City/ State/ZIP: , i � Clothes dryer exhaust 10.00
r . Single -duct exhaust (bathrooms,
Phone: ( t (,� , , -- r /g ` I . Fax: ( ) toilet compartments, utility rooms) 6.80
F -1 ri 4! G
Yr .ti! a 1 f ti i v x� iYtu941� Vi a �ti41lt:a: , , ,Kn x t ru . .rtt y � u r "''" 4r,` f{ : ! :i ' ' V#;. Attic/crawlspace fans 1 0.00
_ ." 'q3 .ArT s . a a 4a{gii , 3i , t f t.a S•�k .CM' f '!
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Business name; ■ Other: 10.00
. 1 i : . -. - Fuel piping
Contact name: ' _ A I a i ` t $5A0 for first four; $1.00 for each additional
Furnace, etc.
Address: r . A. . a �/ Gas heat pump
City/State/ZIP: g ` p I Wall/suspended/unit heater
Phone: ir,- ) �1, j 0 . "p or , Water heater
Fireplace
E -mail:
Al � . .wr! al AL- ,. � - � Range F Z-Pl' l` - i =a&v,uv s-n ,' , , , K .f 1;11 a ,fy , ,trr , t 811 w s pir l ifi l l A V ie t..if �" •s.M9. 1':60 Barbecue
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Business name: 1 , A ,1 I 4-
t ( i00 .� -. Clothes dryer (gas)
Other:
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Address: . a:t�t H r t , 1 i 4 1 1:t "..€ 'S r131 Qi 4. t,� l4 , ;;;.r t Hd tyt 1 t ,
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City/State/ZIP: • D Subtotal t 0 ar
Phone: ( ) r Fax: ( ) Minimum permit fee ($72.50) - .
Plan review (25% of permit fee)
ei State surcharge (8% of permit fee)
• • TOTAL PERMIT FEE t
Authorize r
d signature: � n 2 .A J � � j "� � . This permi a pplication expires it a permit is not obtained within 180
s �' * ��.e - .p J / � days after it has been accepted as complete.
(. Print name: Nnet5 k i At , b/)�f i�• 1 Date:aI I 0 I • Fee methodology set by Tri-County Building Industry Service Board
is\ Buildslg1PermitablE C- PnmitAPp.doc 12/03 1 �" ' 440 (tvOZCOavwse)
7.00/T001$1 Xd.d 0£ : ST LOOZ /60/Z0