Permit CITY OF TIGARD MECHANICAL PERMIT
.114
11. COMMUNITY DEVELOPMENT Permit#: MEC2020-00831
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2020
Parcel: 2S109AD03100
Jurisdiction: Tigard
Site address: 14605 SW 130TH AVE
Project: WHITE Subdivision: WOODFORD ESTATES Lot: 23
Project Description: Gas fireplace insert installation.
Contractor: OWNER Owner: WHITE, RANDALL&ANN-JEANNETTE
14605 SW 130TH AVE
TIGARD, OR 97224
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Gas Fireplace 12/22/2020 $33.39
Type of Use: SF 12%State Surcharge-Mechanical 12/22/2020 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/22/2020 $56.61
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 to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: " \ 1 � Permittee Signature: 0 op LG�'
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 Application FOR 0111( Iii t SE ONI li
City of Tigard Received
II 1
°I 13125 SW Hall Bli,d.,Tigard,OR 97223
Plan Review Il Phone: 503 711(2439 Fax: 503.598.1960 or:::::,,'
Other Yon& i
r 141 t ur, Inspection Line: 503 639.4175
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Date Readyilly: J Wt. El See Page 1 rut
- '''''-13 intoner: www.tigani-or gov
NotifmliMethod: : :',. ..,.. ,-, Supplemental Inferntatiett 1
,
OF WORK COMMERCIAL tEL SCREDDLE - USE CHECKLIST I
rot:
L — _
Mechanical permit fees*are based on the value of the vork
New construction :i1 Addition/alteration/replacement performed.Indicate the value(rounded to the neatest dollar)of all
E molition 0 Other:
mechanical materials,equipment,labor,oventeadi and profit.
' file
Value:S
CATEGORY OF CONSTRUCTION
RESIDTNTIAL EQUIPMENT isys-rEms',us.,
__.ot i-and 2-farroly dwelling p Commercial/industrial 1:Accessory building Far special infermaiian use checklist.
0 Multi-fd mily tp Master builder D Other: Description Qty, F)41 Total
Heating/tooling:
JOB SITE INFORNIATIt/N AND LOCATION . .
Air conditioning, 46.75
.., .
Job site address: ILI(DOS Six) (5.0 0" A*/r Furnace 100,000 BTU tilacisiiveres) 46.75
Furnace 100,000+BTU Oucts/vews) 54.91
Suitelbldg
City/State/ZIP: -1.-1 of i..c. 0 ik 617-2._2 q
./apt.no.: Project name: (5,,s 1 1„,,,5,,,_,1r-it
').----1-1 ffeat pump
Duct work
23.32
,.....
Cross street/directions to job site: 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 1
Flue/vent for any of above 23.32
Other: 1 23.32 I
Subdivision; Lot no.:
Other fuel appliances:
Tax mupipareel no:_
Water heater 23.32
BESCRIPTt 33,39 I. 1
ffiN or Flue vent heater or gas 1
,,,J„-V\ii3.1,eskt J 4.1.Si .1tesc ie r k 1 ,..1.(:, iit4Ys i.5 it‘it,Si fireplace 23.32
Log lighter(gas) 23,32
Wood/pellet stove 33.39
(6.i.i i :011‘,:ii 6-4- 1--t- fr---t-----) 117:' YV.7.7 ,-, , .. , W OW fireplace ins cr t 23.32
- fillltli li:4: ±7-1 7-, Chimney/liner/flue/vent 23.32
Other. 23.32 8 Phlt7PERTV OWNER i ' „„ - .1 • 0 TENANT ._._.,
Environmental exhaust and ventilation:
Name' R.Cs.VSC\11 ti,-)\Ai,1 Range hood/other kitchen
equipment 3339
Addicss. i Lt(aes si,„ (3 0 '1--- _Ay e
(limbos Oxyca exhaust 33.39
Single-duct exhaust(bathrooms,
City State'ZIP: -I-( pck OR ct-I 7-4 LI
toilet compartments.utility moms) 23.32
Phone:1 5-ei'i?) -7 $'ti--.0 0.5-3 Fax'( ) ,,---_,--„-"'„, ., , Attickrawtspace fans 23.32
.i'.-. RAIIBLICANT - • i. i i fl C ,N „ .i °theri 23.32
Fuel piping:
Business name:
514.15 fur first(oar:S4A3 for eachadditional,
Contact name: re,irkv‘cks, („,..)ifs,.( 4-0- FurnaCe.etc __
--,
Address: it- (si OS' (- Iti/ k3at- Av''' Gas heat pump
Wall/suspended-unit heater —
Cityi*State/ZIP: --1-1.. . a viaf ft.0 'C./-2-2 ii*-4 Water heater
)
Phone:(50 1 1 t irk .--.Q 05-7 Fax::( ) Fireplace
r ._...._
' - Range
, .
E-mail: V as's 4si ' ss.)VI'1-e c o,tA; It (' c--1 Baibecue
' 1 7
CONTRAC'TOlt Clothes dryer(gas)
Other,
Business name: -
MECILO4C..01.'elERMIT llf;1•.,S.s
Addrs:
'subtotal
1, Cif') StateZIP: Min a t$90,00) i
I P..
Plan review 125%,of pernin tee,
hone.t ) [
State surcharge 112%o/PC(11111 tee) ----A. A
CCB lie.:
TOTAL PERMIT FEE _ ,, .. •
This peiltikotkplicatiaa ealitro if..permit it not obtain:4 within 180
,tW days arta it has Li, accented as eamPlete.
, Authorized signature: t fee aterheikiair ma'hy DoConneY 0udlinaleleilli4O Se rt'll4 11 ,
, 1 Pratt rli -(A tr,A; f-c Dte' 11/ /LI/2.a
r .: ririiire...pgaukrkem Fff=atm- 4*-f 6 7*WO I I:,Cti'w: ' 'C. WEB) • , ,,,,, ,''`..:.,=''''-',.,- '),';„V) •--;'",.),W
',i _ , .'1'14'',..;t14:
Branden Taggart
From: #Building Permit Technicians
Sent: Friday, December 18, 2020 4:13 PM
To: Randy White
Subject: RE: Building permit application for gas insert: MEC2020-00831 - 14605 SW 130th Ave.
Attachments: Invoice.pdf
Hi Randy,
The Mechanical permit for the gas fireplace insert is ready to issue now. The balance due is$100.80, and I have
attached an invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(MEC2020-00831) in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and we will email the permit paperwork to you.
Thank you,
Brandon Taggart
ei City of Tigard
Senior Permit Technician
Community Development
TICA11111
13125 SW Hall Blvd
Tigard,OR 97223
(503}718-2449
brande ntktatigard-orgov
From: Randy White<randyjwhite@gmail.com>
Sent: Monday, December 14, 2020 7:00 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Re: Building permit application for gas insert
Caution!This message was sent from outside your organization.
It's already there.
On Mon, Dec 14, 2020 at 3:04 PM #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> wrote:
Hello Randy,
Are you also installing the gas piping to this insert or does that already exist?
Thank you.
1
Dianna L. Ornelas
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From: Randy White<randylwhite@gmail.com>
Sent: Monday, December 14, 2020 1:29 PM
To:#Building Permit Technicians<TigardBuildingPermitsCa@tigard-or.gov>
Subject: Building permit application for gas insert
Can you help me get this application process? I've attached the filled out form as well as some photos showing the
fireplace.
Thank you.
Randy
2
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City of Tigard em
d r Oregon Public Records
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