Permit F
CITY TIGARD MECHANICAL PERMIT
lir DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00352
`�'�" ° �J li 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 7/28/2006
PARCEL: 2S 112 BC - 03500
SITE ADDRESS: 14680 SW 83RD AVE ZONING: R -4.5
SUBDIVISION: HAMBACH PARK LOT: 019 JURISDICTION: TIG
Project Description: Installation of attic fan.
CLASS OF WORK: OTR 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTO UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: , FEES
RICHARD & WALKER Description Date Amount
14680 SW 83RD AVE
TIGARD, OR 97224 [MECH] Permit Fee 71281200E $72.50
[TAX] 8% State Surcha 7/28/200E $5.80
Total $78.30
Phone:
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.
Issued By: Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections 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.
ylecfi anical Permit ,_,..•., _tion FOR • : �. .
Cy of Tigard It 1 °
tY r•- it �s 7 :2 10 g r`, permit ma. \\N6 •. • i - a03S "
13125 SW Hall Blvd„ Tigard, OR 9 �' Plan Review
' Phone: 503.639.4171 I?tix 503.598.1960 J ;; * ;• _ • ri Date/By: Other Permit 1nspeetionline; 503.639.4175 t Vi i , 4..���I Daterteady/By 7wia 0 See ram 2 ru. •
Intranet www.ci.tigard.or.us JUL 27 Z 00
Notified/Method: Suppleatcatal information
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❑ New construction tl n . er Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition . ❑ Other: mechanical materials. equipment, labor, overhead. and profit.
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®1 -and 2-family dwelling ❑ Commercial/industrial [] Accessory building For special Information use checklist.
❑ Multi- family. 3 ❑ Master builder ❑ Other: Description J Qty. I Ea. 1 Total
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Job site address r Air conditioning or heat pump
r y b a . (requires $ite ptiin showier placement) 14.00
City/State/7/P: - g •_ a O • aLf
Furnace 100.000 BTU (ducts/vents) 14.00
Furnace 100 000+ BTU deers/vests 17,90
Saiteibldgiapt. no.: Project mane: A. I ^ c Gas heat p 14.00
Cross street/directions to job site: Duct work 14.00
flydronic hot water stern 14,00
Residential boiler (radiator or
hydronic) 14.00
. Unit beaters (fuel -type, not electric),
in -wall. in-duet, suspended. etc. 10,00
Flue/vent for any of above 10.00
Subdivision Lot no.: Other 10.00 _
Tax map /parcel no.: Other tuellppliances
, rt a 1 3 ,� ;!.7 s •,cq 41 '� o T "� , c'' =■'r Water heater 10.00 l
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I , ` II, IllA S Flue vent for water heater or gas
. fireplace 10.00
Log lighter (gas) r 10.00
Wood/pellet stove 10.00
Wood ftreplacc/inscrt 10.00
� r J � v � y , r h ' eq , .r 1..tu r7y Chimney /linet /fludve 10.00
$r�l� �f`r 4iPl, nr ) ��e r o n u ' i' <r a r t G� ° � , Qh ,• �`.� e,S:l�s 10.00 ,.cs,rr C,„, , .,.r. s.. :, „,, .T.I .4th L.), Z/U, p Uthe _
Name: IL, . `ih J., ii g 4 . f Environmental exhaust and ventilation !
Range hood/other kitchen r
Address: .4: , . r i 1 equipment 10.00
a il i Clothes dryer exhaust 10.00
� Singlc -duct exhaust (bathrooms,
Phone: ( ) Fait ( ) toilet compartments, utility rooms) 6.80
. ,m,y' t, L �y }�� 1. I ,, I+r °mil u 1 �µµJI F•uw a' x 1 Attic /crawls ace fans _ 1 10,00 /0. CO
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11f �Nl ICJi^" (]Ijj Other: 10.00
Business name: , • ♦ Q } • - '. Fuel piping
Contact mute: - u . A r a $5.40 for first four, $1.00 for each additional
Furnace, etc.
Address: Gas heat puma
City/State/ZIP: WalVsuspended/unit heater
Phone: ( ) Fax :: ( )
Water heater
Fireplace
E -mail: • 1 a ou t. t4: 1 $ Range
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ry Clothes dryer (gas)
B usiness dame: ` it'
1 `�� r\' r �� Other:
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Address: � t . m 0 ,. ,... .._. ,: ,. .
City/Stater/1P: • M _ Subtotal S
�� �. • O ` Minimum permit fee ($72.50) -y .. � ` 1
Phone: ('1 ") _ i ! • • -- Fax: • ) a Pain review (25% of permit fee)
LCC13 11e - State surcharge (8% of permit fry) 1 l
Y' N_ 'l.r ,t
T OTAL PERMI , 30 I
> This pertain application txpitts if a permit is not obtained within 130
Authorized Signa(tlre: - / = r` � ,rt,J days atter It tans been accepted us complete -
`. Date: 1- ?' Go • Fee methodology set by Tri -County Building industry Scrap; Board
i Print name: �- �, 1 Y h ' r C V
,N�.yiinp.Pennit MrC•PennitApp.d0 12/03 44a 46i7T(l /02 /CU thn1
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005-00351
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 7/28d2006
Phone: (503) 639 -4171 .'
Inspection Requests (24 Hrs.): (503) 639 -4175 ! irje .
INSPECTION WORKSHEET FOR DATE: 8/7/2006 TIME: 7:02AM PAGE: 80
Lt N
VC).
SITE ADDRESS: 14680 SW 83RD AVE CLASS OF WORK:
SUBDIVISION: HAMBACH PARK LOT #: 019 TYPE OF USE:
PROJECT NAME: WALKER
DESCRIPTION: Installation of attic fan.
OWNER: WALKER, RICHARD & MARY PHONE #:
CONTRACTOR: ANCTIL SHEET METAL CO. PHONE #: 503-281-0752
Inspection Request Scheduled For: Date: 8/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 • Mechanical final 03435501 503 -620 -0481 N
Corrections /Comments /Instructions:
M R° L Q- S 19 -6d
11(0_%>__
N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ -.AL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
C�N4P Date: 8 7 �� Phone #: (503) 718Z‘, Inspector: ( )