Permit n CITY OF TIGARD MECHANICAL PERMIT
1111 - 2 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00198
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/05/2011
Parcel: 2S 103CC06300
Jurisdiction: Tigard
Site address: 13775 SW 124TH AVE
Project: Thenell Subdivision: WHISTLERS WALK Lot: 10
Project Description: Adding gas line for new dryer.
Contractor: THE PLUMBERS INC. Owner: THENELL, DAN
15808 SW UPPER BOONES FERRY RD 13775 SW 124TH AVE
LAKE OSWEGO, OR 97035 TIGARD, OR 97223
PHONE: 503 - 519 -6644 PHONE: 503 - 799 -9223
FAX: 503 - 684 -1202
FEES
Specifics: Description Date Amount
Fuel Piping 05/05/2011 $14.15
Type of Use: SF 12% State Surcharge - Mechanical 05/05/2011 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 05/05/2011 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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 . ification : ter. 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 Ct questions to O \ C - • .• • 503.232.1987 or 1.800.332.2344.
Iss -d By: 11. I �■ a/WA/Li Permittee '• ature: eill)
i
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.
May 05 2011 7:43AM The Plumbers Inc. 5034694540 p.2
Mechanical Permit Analic EIVED 1 tilt t 11.1 I( I- I SI t/1.1 1
Received
City of Tigard nate/s S �
14 u 13125 SW Hall Blvd., Tigard, OR 97 Y 5 2 11 Plan Review
", Permit No.: HteAOM CO` q g
Phone: 503.718.2439 Fax: 503.598.1 Date/B Other Permit:
i ) i , A r• t : Inspection Line: 503.639.4175 Date Ready/By: M See Page 2 for
Internet: www.tigard- or.gov CITY O Notified/Method: Supplemental Information
RtIILDING DIVISION M
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Mechanical permit fees* are based on the value of the work
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❑ New c onstruction -
® Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
? 1 t�A Tli� (Ft aS.i'�ie:.+ - 7Si1�i 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 I Qty. I Ea. I Total
aa' t i al an «t „ 5 Heating/cooling:
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Job site address: 13775 sw 124 ave (requires site plan showing placement) 46.75
City / State/ZIP: tigard, OR 97223 - Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,0004- BTU (ducts/vents) 5491
Suite/bldg. /apt. no.: I Project name: thenell 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
Subdivision:
Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
, - "'tl: ri • .�., u ' lt i .-A- p - .:4:- ,w III t ' 11-:-.''' ; ':400 4 ... ; u Water heater 23.32
Gas
adding gas line for new dryer in laundry fireplace 33.39
Flu 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
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sa Chimney /liner /flue/vent 23.32
i n : ,' 7r' ' , it ti e^i '.,. s . _ .. .. -'.4i.4 1til .. N3Nsr . a. Other: 23.32
Name: Dan Thenell Environmental exhaust and ventilation:
Address: 13775 sw 124 ave Range hood/other kitchen
equipment 33.39
City/State/ZIP: tigard, or 97223 Clothes dryer exhaust 1 33.39
Single -duct exhaust (bathrooms,
Phone: (503)7999223 Fax: ( ) toilet compartments, utility rooms) 23.32
l- I ` r,l, is (3v , ., `* t '1N ., ' : » • ,�-4g6 f, Attie/crawlspacefans 23.32
s hit '.::.it.:“ :a, : a , . a , ,' µ - i i3.i � tinrat aLai.u:.. .- ir, L 4 ,,
Business name: ThePlumbersIne Other: 23.32 _
Fuel piping:
Contact name: Judah Hamnes 514.15 for first four; S4.03 for each additional
Address: 15808 sw upper boons ferry road Furnace, etc.
Gas heat pump
City / State/ZIP: Lake Oswego, OR Wall/suspended/unit heater
Phone: (503) 5196644 I Fax:: (503) 6841202 Water heater
Fireplace
E -mail: info��theplumbersinc.net Range
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Barbecue
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Business name: ThePlumbersIne. Clothes dryer (gas) '
Other:
Address: 15808 ws upper boons ferry road , 41 ttl " ' €` it
City /State/ZIP: Lake Oswego, OR Subtotal
Minimum permit fee (590.00) 90.00
Phone: (503) 5196644 Fax: (503) 6841202 Plan review (25 %of permit fee)
CCB lic.: 177214 State surcharge (12% of permit fee) 10.80
TOTAL PERMIT FEE 100.80
' ` This permit application expires If a permit is not obtained within 180
Authorized signature: �� I ` days after it has been accepted as complete.
. Fee methodology set by Tn- County Building Industry Service Board
I Print name: Judah Ha , es Date: 5/5/11
Cl aviidine \PermitrlMEC- PermitApp.doc 09!09/7 440.4617T O1(ee/COMLwnB)