Permit CITY OF TIGARD MECHANICAL PERMIT
n Permit #: MEC2013 -00359
2 ' - - COMMUNITY DEVELOPMENT
Date Issued: 07/01/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 25112CA09100
Jurisdiction: Tigard
Site address: 7528 SW ASHFORD ST •
Project: Quinge Subdivision: RENAISSANCE WOODS Lot: 17
Project Description: Install gas furnace.
Contractor: ANCTIL HEATING & COOLING Owner: QUINGE, DARRYL
4320 N WILLIAMS AVE 7528 SW ASHFORD ST
PORTLAND, OR 97217 TIGARD, OR 97224
PHONE: 503 -281 -0752 PHONE:
FAX: 503 - 282 -5722
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 07/01/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/01/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 07/01/2013 $43.25
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 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 ttoo/OOU/�NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: S�, �/ l7_4._ Permittee Signature: 6 At mop L l e %76
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.
06/27/2013 11 : 01 FAX 5032825722 Anctil Heating & Cooling IZ10001 /0002
Mechanical Permit Applies rF s,iF FOR OFFICE USE ONLY
1
.City of Tigard Received
40 ,
Date/By: -2 i l• Permit N9/41E —eo , Sy
1114 q 13125 SW Hall Blvd., Tigard, OR 9722311 ,
' sl •
Phone: 503.718.2439 Fax: 503.598.19 2 7 2013 Plan Review
Date/By: Other Pennit:
Inspection Line: 503.639.4175
TIGARD Date Ready/By: Juris 63 See Page 2 for
Internet: www.tigard CriY OF TIGARD Notified/Method: 61 Supplemental Information
SUILDING DIVISION
-.- :., :... • -•:.: .. -- ,•-•...• : ti!E;O:;:i4TO.kki;i::..,.; . : '''' :.; '' ' '''. :.;'.",.. : ' '; :. 1 : : : : " !
Mechanical permit fees* are based on the value of the work
0 New construction E Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
' : '. Y '''.-:" .6,e000::WO.i■i§:ii#OfOisl:: ..„,„..„.,.....:.„ _. Vs ,...........,....,..„._ ., . _...._ _. ,. .
' • ' - ' - . • . •, . .."' . . --.',: .. - • ''---..-' ,',,. Fcg,gpr.:Ew :Fxgo:P.mElq■isysTEms.ccEs....
El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special inforrnation use checklist
0 Multi-family 0 Master builder 0 Other: Description I Qty. Ea. Total
• - ' • - SOB - SITE -.s iNFORmATION:AND-LOCON'' '.:';'''. ::.: •.:....; ':'''' ;:-:':::'''• Heating/cooling:
" ' - Air conditioning
Job site address: 7528 SW ASHFORD STREET (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
City/State/ZIP: TIGARD OR 97224
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: #40836 Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic 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
Flue/vent for any of above 23.32
Subdivision: I Lot no.:
Other. 23.32
Tax map/parcel no.: Other fuel appliances:
• ,- • . - - . . . • 13EKRIPTION„:0F.:791K*K i'-. :::':'.: •.: ii.• ,.:.::.•:. Water heater 23.32
. ... ... .. .. ...,... .. ...
Gas fireplace 33.39
INSTALL GA S FURNACE •
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
PROPERTY
Chimney/liner/flue/vent 23.32
. . .13 OWNER : . :.:. - :::. ": 1:'''.::..'.•••'1.ir'''"'',1,'''t.41.:1*'"'',::::!::!..::-:.:!!'',:; Other:
23.32
Name: DARRYL QUINGE Environmental exhaust and ventilation:
Address: 7528 SW ASHFORD STREET Range hood/other kitchen
equipment 33.39 -
City/State/ZIP: TIGARD OR 97224 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( )503-970-6013 Fax: ( ) toilet compartments rooms) 23.32
.: 21 APPLICANT :., . - ..::::::„ '::'::::,.. ,::;:,::,..,::.0 -,0*:irlAo:Josoi4,::!:::i:::::!:Li::. Attic/crawlspace fans 23.32
Business name: ANCTIL HEATING AND COOLING Other: _ 23.32
Fuel piping:
Contact name: CHRISTINE BARTON $14.15 for first four; $4.03 for each additional
Address: 4320 N WILLIAMS AVENUE Furnace, etc.
Gas heat pump
City/State/ZIP: PORTLAND OR 97217 Wall/suspended/unit heater
Phone: (503) 281-0752 Fax: : (503) 282-5722 Water heater
Fireplace
E-mail: INSTALL@ANCTILHVAC.COM l
Range
• .: , .'"..CONTRACTOR : .. . •:.':::. • ,'1-: ::' .2 ,:: 'I ''.• Barbecue
Business name: ANCTIL HEATING AND COOLING Clothes dryer (gas)
Other:
Address: SAME AS ABOVE ..:,-• -.,::'. - '''IVIECittNICAkPERMITEEES* „ ' .- •
City/State/ZIP: Subtotal
Minimum permit fee ($90.00)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
CCB lie.: ?I '7 spopy State surcharge (12% of permit fee)
TOTAL PERMIT FEE /Op ,k0 I
This permit application expires if a permit is not obtained within 180
Authorized signature: A . ., liana days after it has been accepted as complete.
Print name: CHRISTINE BARTON Date: 6/27/13 • Fee methodology set by Tri Building Industry Service Board
i \R■■■1.1;nn \ Dn...nite% hAFr-Pfn-fn■tAnn .4., fromonn