Permit CITY OF TIGARD MECHANICAL PERMIT
,•- COMMUNITY DEVELOPMENT Permit #: MEC2009 -00493
I'1 GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/18/2009
Parcel: 2S 104BA02600
Jurisdiction: Tigard
Site address: 13916 SW CRIST CT
Subdivision: Lot: 0
Project: Thomas
Project Description: Replace existing gas furnace, install attic fan and vent for furnace.
Owner: FEES
THOMAS, BARRY Description Date Amount
13916 SW CRIST CT
TIGARD, OR 97223 Air Conditioning or Heat Pump 09/18/2009 $14.00
FlueNent For Any of Above 09/18/2009 $6.80
PHONE. 503-521-8932 Attic /Crawlspace Fans 09/18/2009 $10.00
12% State Surcharge - Mechanical 09/18/2009 $8.70
Contractor: Minimum Fee Adjustment - Mechanical 09/18/2009 $41.70
ANCTIL HEATING & COOLING
4320 N WILLIAMS AVE
PORTLAND, OR 97217
PHONE: 503 - 281 -0752
FAX: 503 - 282 -5722
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $81.20
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.
Issued By:
4:1
i Permittee Signature: // ftAA./ elz
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 ApplicatiRECEIVED - - - FOR OFFICE USE t)N1.r
1114 City of Tigard Received i f Permit No
"' 13Ia5 SW Hall Blvd„ Tigard, OR 97223 S E P 16 2009 Date/By: g c� �iQ —120V9
Other Pc
Plan Rcvr Permit; ' t` a Phone: 503,639,4171 Fax: 503,598,1 960 D,urB
,_ A R Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By; al see Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: i 0 Supplemental Information
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Mechanical permit fccs arc based on the value of the work
❑ New construction ® Addition /alteration /replacernent
performed. Indicate the value (rounded to the nearest dollar) of all
9 D { rte + ❑ Other: mechanical matmals r uipment, labor, overhead, and profit. .
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to .t ifi �� � i ,t,..'i dltrifil % n ,lff r y [t r a st g +urouart : i r
1 - and 2- family dwelling 1:1 Commercial/industrial ❑ Accessory building
For special inforrnattoai use checklist,
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea, Total
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Job site address: 13916 SW Crist Court Air conditioning or heat pump
ro.uircasite •iansbowin; •tacement I4.00
City /State/ZIP: Tigard OR 97222 Furnace 100,000 BTU (duetarvents) 1 14.00 14.00
__.,..,.,.,. • Flimace 100,000+ BTU (ducts/vente) 17.90
Suite/bldg. /apt. no.: Project name: #28332 Gas heat pump 14.00
Cross street/directions to job site: Duct work 10,00
Ifydronic hot water system _ 14.00
. Residential boiler (radiator or
h dronic 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00 Mil
Flue/vent for any of above 1 6,80 6,80
Subdivision: Lot no,. pthcr: 10,00
Tax map /parcel no.: Other fuel appliances
4tY tzka
t " t ' ,: p b ) tl y W atcr heater 10.00
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A!Y /l �'�l5{117UZ�t,'A"+�iv�i, r .nrFOa.Ixy�l�, v' A Ir L e , 8h d�� ., ., .
Gas fireplace 10,00
Push /pull gas furnace Flue vent for water heater or gas
Install attic fan fireplace 10.00
Loa lighter (gas) 10,00
Vent furnace Wood /pellet stove 10.00
Wood fireplace/insert 10.00
,A nn.:,,. +6h,p..ew,,,, ,i'V:l' ".j Fy Y ";'' ery vM'i ra'.r a, t ^vcra ru it, , r ,• Chimney /liner /flue/vent 10,00
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Other: 10.00
Name: Barry Thomas Environmental exhaust and ventilation
Range hood/other kitchen
Address: 13916 SW Crist Court equipment 10.00
City /State /ZIP: Tigard OR 97222 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)521 -8932 Fax: ( ) toilet compartments, utility rooms) 6.80
w . t .. 7 _. at. u W rw a o . (NV T Rtaf 'r" t•
h. r�yl 40 ' � d'! fF "G ' I t : ' i ! ; A cc fans 1 1000 10.00 .
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Other, 10.00 _
Business name: Anctil Heating and Cooling - Fuel piping
Contact name: Christine Barton $5.40 for first four; $1.00 for each additional
• Furnace, etc.
Address: 4320 N Williams Avenue -°-
- • -. Gijs heat urt
City/State/ZIP: Portland OR 97217 Wall/suspended/unit heater
Phone: (503) 281 -0752 . Fax: : (503) 282 -5722 Water heater
„"• Fireplace
E-mail: Install@anctillwae.com
Range
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Business name: Anctil Heating and Cooling _Clothes dryer (gas) ., - Othea:
Address: same as above --- li� li�Ga�y�l7r� '! 1 .ryr ,{ le+ y. ! ti °:I �'�s j-f l,q
fir;` ::( <h' -)” lrV �� xt ;� r .;.r , �4ri• ,, ;:.,'�
City /State/ZIP: Subtotal 30.80
Phone; f ) Fax: ( ) Minimum perntit fcc ($72.50) — 72.50
_._.,._...•..,.,.,__..- Plan review (25% of permit fee)
�CC13 lie,: 8897 ✓ State surcharge (12% or permit. fee 8,70 j
L TOTAL PERMIT FEE 81.20
Authorized signature: / application expires if a permit Is not obtained within 180
I. ���It. ✓ � This permit after it has been accepted n. cumprete.
I Print name: Christine Barton { C)trte: 9/16/09 • Pee mcrltodelogy set by 1'1'1-County Building Industry Servic.: i 30 rd
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