Permit " CITY OF TIGARD MECHANICAL PERMIT
111
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00124
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/24/2011
Parcel: 2S 112 BA08700
Jurisdiction: Tigard
Site address: 7820 SW BROOKLINE LN
Project: Tanner Subdivision: BONITA TOWNHOMES Lot: 23
Project Description: Range hood
Contractor: MONTOYA WOODWORKING INC Owner: TANNER, WILLIAM F JR
1235 34TH PLACE 8085 SW CHURCHILL CT
FOREST GROVE, OR 97116 TIGARD, OR 97224
PHONE: 971 - 235 -4918 PHONE:
FAX: 877 - 394 -4085
FEES
Specifics: Description Date Amount
Range Hood /Other Kitchen 03/24/2011 $33.39
Type of Use: SF 12% State Surcharge - Mechanical 03/24/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/24/2011 $56.61
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 No • enter. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dir: questions to O ' ' C • • tt
II g 503.232.1987 or 1.800.332.2344.
Iss ed By: /A Permittee Signat 11W • II 1 ( .
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.
03/24/11 01:35PM PDT Montoyawoodworking,INC -> City of tigard 5035981960 P
g 2/3
Mechanical Permit Aunlication
City of Tigard waived
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Ili ..„‘ 13125 SW liall Blvek, l'igard, OR 97223
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i: Plow 503.715,2439 Fax: Sr 9111960 Neetlt 1 1:3
1 , ,, , . inspeetion Line: 503.639,4171 Dike Rit - 1111 LEar2511
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t3 Demolition' IOther
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CATEGORY OF (XPOITINICTION • assiarrout.TIBMIENTISTITIMS FEW
d I- and 2.111autily dwelling 0 Commercial/inthuttrial 0 Acomeory building For moolottmbratienow roe olkallitiOt
Multi-liunily I: Mester builder 0 Other Description ___
XS STEIE Ihil011001,W1119 Al O 1,OCIAllON
Air oentlitionitm
Joh sit° eddPe 78%94 — 13 r 0 6 K. i :In )...4 a e. joippiass sits. plio siscimiop piaccalcou 46.73
Furnace 100 000 BTU ibwittiveob 111111113al
cit , t . I , ........... . a 2 ,,,
Putnam 100 000+ ow digikowds MS $4.91
SeitAltigirtpt. no.; Projout IIMINI: A P , lied PENIP
.
......................
Cross stratkliructions to job site < w '.... ' I ,
___, , ft . pi Doot mark 23 32
,,tirhusio hot wan Imam 23.32
5 tic, Iv e eki . f & Jr 4. a y Rodelestial boiler Badimor or
23,32
• trucc - tyRicot - iiit - eiiiit - ram
. ira.wall. MAK ateloteMlic.,,,
Plue/vmt for any ot above 2312 IIIIIII
. subakio,r1:. T:AW in!
Odom , 2 MINI
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Tax map/pared nu.: Other hod asslistmest
' aesriurtiiii "eiii" Wahl hulls 2332
084 5414:0. 33,39
e x it a tis ht, teciA';'. ..g....1.i...0.1.1 ,, ,....._......„ • Flue went in niter hater or am
1.11 r - oti *4 pen Maui ■ "''''''
Loji Lew WO
rldflejtSA _5_, Woodirilei stout 2 3 3 2 3 3 : 3 3 3 9
—
Wood Ormitodinsent 21,32
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a rivorturim °wool 1 0 : 0740 , 04 shism
.T.1••• 23, .32
2132
Nome: Environmental exhaust atad ventilation:
Address ROW hood/u kitchen
/
City/StatetZIP: Clothes dryer ordain( 3339
• Simile-dos exhaust (bosoms,
Phone: ( ) Fir ( ) toilet communes's, utility rooms) 23.32
)0 APPVICANT
• • :01 CONTACT pjj sioa AtriaraitisPaoe has 2132
Other 23.32
BUM' Ng 3.111}L':
• * ti Imo II a ' A. ' I.. ta Fuel pining:
Santaol mune: ::E: r.... L pt _ , IA , rt 4 . 0 lc, $1415 no km Awn $4.03 kr men anuttloant
Address: i 23 5 3 q i 11 p tot.e. pumice, eac
Gas Ism poem I
City/StatsZIP:_ G y • • ! , 4 WallfrouspeadeNsait heater
ti 9 1 8 • Tam 7 ( ) Was healer
E-ttaill:
----inail..h.,Y.0.30 ' ' , 4 4 ' , 0 . ,, A .• - 4 " , -E Ranite
CONTRACIOR • Barbecue
N
Bulimia name: idA k,.,,,, , Clothes drver (rat)
Other
Address: / t " 4 • a. . ,tar.tatattecLrookurnits. -- • ,,, ......
cay/soilteztP: "f; v-e.$ 4 _ci , R. 1 4 Minimum permit Inc ($90.00) 11117=
P haThe : ( 9 1 ) 23',5 - 4 / 9 i t .1 Ewe: (877) 3 9 'I . 4 /0 fIr5 ---- iiii;;;;;Tiiii - zpiemmilte)
............................,.....___ .
cv ue.: Le 9 1$ $3 t tirlit st.t... P.5.r.ift.....,)....../
TOTAL PERMIT FEE I eli Mulai
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Authorized signature: *;...'.... ••••-• , dap "lief It les ittett attepkil as cesoparto.
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