Permit CITY OF TIGARD MECHANICAL PERMIT
Ii COMMUNITY DEVELOPMENT Permit #: MEC2013 00021
T 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/14/2013
Parcel: 2S104CA10000
Jurisdiction: Tigard
Site address: 13745 SW JENNA CT
Project: Taylor Subdivision: HILLSHIRE Lot: 100
Project Description: "(1) venting for range hood and (1) gasline to range
•
Contractor: ANCTIL HEATING & COOLING Owner: TAYLOR, GERALD P & BETH
4320 N WILLIAMS AVE 13745 SW JENNA CT
PORTLAND, OR 97217 TIGARD, OR 97223
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PHONE: 503 - 281 -0752 PHONE: 503 - 524 -5457
FAX: 503 - 282 -5722
• FEES
Specifics: Description Date Amount
Range Hood /Other Kitchen 01/14/2013 $33.39
Type of Use: SF Fuel Piping 01/14/2013 $14.15
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 01/14/2013 $10.80
•
Occupancy Grp: Minimum Fee Adjustment - Mechanical 01/14/2013 $42.46
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 by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: a t ► f PLI 1 — r 1 VkL
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.
Mechanical Permit Applicati CENED FOR OFFICE t °SF ONLY
City of Tigard Received Pen M * pp
Dat IN , 13125 SW Hall Blvd., Tigard, OR 97223 may: t t �' ( 3 I C dO / 3 - t0V
a . Phone: 503.718.2439 Fax: 503.598.1960•` '' '. 1 U LU I Date/By: B Review
DateBy: y: Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Jug: ® See Page 2 for
Internet: www.tigard- or.gov CITY OFTIGARD Notified/Method: 11 G Supplemental Information
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Mechanical permit fees* are based on the value of the work -
❑ New construction ® Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
- ".f. - ten:._ Value: $
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® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi- family ❑ Master builder ❑ Other. Description 1 Qty. I Ea. ' Total
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conditi g
Job site address: 13745 SW Jenna Ct (requires site plan showing placement) _ _ 46.75
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City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 46.75 -
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldgJapt. no.: Project name: Jerry Taylor Heat pump
(regimes site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydonic hot water system _ 23.32 ,
Residential boiler (radiator or
hydronic) 23.32 _
-
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above _ 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
'.: I ? Water heater 23
r .`.- : i " :- '�'ry Fi •t .�. -t.�.r� -,j.'' 01'4;•'' ;g3 `1:
vc 1 - _ (; 2332
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Gasline to range, and venting for range hood. Gas fireplace 33.39
Flue vent for water heater or gas
_ fireplace 23.32
Log lighter (gas) _ 23.32
Wood/pellet stove 33.39
Wood fireplacelmsert 23.32
w . ,.' ,..... k•... •,c:�:...- .; -_v- Ri r- i_"":..�'':i ,".v'r.:.- -_ :'` -.5 rJ: x.4•:114': Chimney/liner/flue/vent 23.32
Other: 23.32 _
Name: Jerry Taylor Environmental exhaust and ventilation: _
Address: 13745 SW Jenna Ct Range hood/other Iatchen
equipment 1 33.39 33.39
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 3339
Phone: (503)524 -5457 Fax: ( ) toilet compartments, exhaust (bathrooms,
utility rooms) 23.32 ,
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it ' �; i '' .d A :•* , :- .''"sl 4 i t :1 13 ,, a .:, ter^ un e �:, y;p Attidcrawlspace fans 2332
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•
Business name: Anctil Heating and Cooling Other: 23.32
Fuel piping:
Contact name: Brian P Murphy $14.15 for first four, $4.03 for each additional
Address: 4320 N Williams Ave Furnace, etc.
Gas beat pump
City/State/ZIP: Portland, OR 97217 Wall/suspended/unit heater
Phone: (503) 281 -0752 Fax: : (503) 282 -5722 Water heater
- Range
E -mail: brian@anctilhvac.com nge
_ �° R 1 14.15
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Business name: Same as Above Clothes dryer (gas) -
Other:
Address: eg�' C 1 ° ^,z�r�z§-W
City/State/ZIP: Subtotal 47.54
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) 90.00
Plan review (25% of permit fee)
CCB tic.: 8897 State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
This permit application expires if a permit is not obtained within I80
t
Authorized signature: F days after 't has been ac r ed as complete.
I Print name: Brian P Mu by Date: 1/102013 Fee methodology set asi Board
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