Permit CITY OF TIGARD MECHANICAL PERMIT
,111111
_ COMMUNITY DEVELOPMENT Permit#: MEC2020-00352
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2020
T I�; l R f) 9 Parcel: 1S134DB13600
Jurisdiction: Tigard
Site address: 11194 SW 114TH PL
Project: Brightwood,Lot 8 Subdivision: BRIGHTWOOD SUBDIVISION Lot: 8
Project Description: Installing NC unit. Placement of NC unit must meet manufacturer's requirements.
Contractor: COMFORT ZONE HEATING&AIR COND Owner:
1032 NW CORPORATE DR
TROUTDALE, OR 97060
PHONE: 503-667-5595 PHONE:
FAX: 503-491-8252
FEES
Specifics: Description Date Amount
Air Conditioning 06/10/2020 $46.75
Type of Use: SF 12"k State Surcharge-Mechanical 06/10/2020 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/10/2020 $43.25
Occupancy Grp: Investigation Fee 06/10/2020 $90.00
Stories: Investigation Mechanical 12%State 06/10/2020 $10.80
Surcharge
Fuel
Fuel Types:
•
Gas Pressure:
Total $201.60
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ` Permittee Signature: cr T.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
t
Mechanical Permit Application FOR OFFICE tESE'. ONLY
Cityof Tigard E tVED Received /�/���
g ,. . Dale/I3 L �y
IIIi r 13125 SW Flail Blvd.,Tigard,OR 97 3 ail
Plan Review
Phone: 503.718.2439 Fax: 503.598,1960 J 2 zoo otherYermlt
1 Detc/By:
T I G A R D Inspection Line: 503.639,4175 UN Date Ready/By: liens: 68 See Pnge 2 fur
Internet: www.tigard-or.gov _ _ Ira At"i'D Nod fied2vlelhnd: Supplemental Information
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TYPE OF W( COMMERCIAL FEE" SCHEDULE —USE CHECKLIST
Mechanical permit fees'are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
® 1-and 2-family dwelling ❑ Conunerciali»dustrial ❑Accessory building For special information awe checklist.
❑Multi-family ❑Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning '1 46.75
Job site address: 11194 SW 114th PI. Furnace 100,000 BTU(duets/vents) X 46.75
City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suitcibldg.iapt.no.: Project name:
Duct work 23,32
Cross slreetidirectious to job site:SW North Dakota&SW 114'PI Hydronic hot water system 23.32
Residential boiler(radiator or
hydronie) 23.32
Unit heaters(htel-type,not electric),
in-wall,in-duct,suspended.etc. 46.75
Flue/vent for any of above X 23.32
Subdivision:Brightwood Lot no.: 8 Other: 23.32
Other fuel appliances: ''
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
F�/ A fk, Air
-. fireeplace
venace for water heater or gas
!/f/ ��lilll/i• fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
e
Chimney/liner/Rue/vent 23.32
NI PROPERTY OWNER I 0 TENANT Otter. 23.32
I Envirormtental exhaust and ventilation:
Name:Stone Bridge Homes NW,LLC Range hood/other kitchen
equipment 3339
Address:4230 Galewood St,Suite 100
Clothes dryer exhaust 33.39
City/State/ZIP: Lake Oswego,OR 97035 Single-duct exhaust(bathrooms.
toilet compartments,utility rooms) 23.32
Phone:(503)387.7517 Fax:(503)387.7615 Attic!crawlspace fats 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:same as above
$14.15 for first four:$4.03 for each additional i
Contact name:Deirdre Britt Furnace,etc.
Address: Gas heal pump ,
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Riri c •—'
E-mail:dhrittnstone Mid gehomesnw.cum Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Comfort Zone Other:
ME(71ANICAL PERMIT FEES'
Address:1032 NW Corporate Dr. Subtotal
City/State/ZIP:Troutdale,OR 97060 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)667.5595 Fax:(503)491.8252 State surcharge(12%of permit fee)
CCB lie.:110091 _ TOTAL PERMIT FEE.
This permit application expires if a permit is not obtained within 180
t'- `4 days alter it has been accepted as complete.
Authorized signature: , ' - -- - - * Fee methodology set by Tri-County Building Industry Service Board
Print name:David Heldstah Date: 6/2/20
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