Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2021-00302
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/5/2021
T t[;q R Tl g Parcel: 2S109ACO2200
Jurisdiction: Tigard
Site address: 13108 SW FORAN HILLS CT
Project: Foran Hills,lot 14 AC Unit Subdivision: Lot:
Project Description: AC unit for new detached dwelling
Contractor: COMFORT ZONE HEATING&AIR COND Owner: BULL MOUNTAIN LLC
1032 NW CORPORATE DR 3115 SW STEPHENSON ST
TROUTDALE,OR 97060 PORTLAND, OR 97219
PHONE: 503-667-5595 PHONE:
FAX: 503-491-8252
FEES
Specifics:. Description Date Amount
Air Conditioning 05/05/2021 $46.75
Type of Use: SF 12%Slate Surcharge-Mechanical 05/05/2021 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 05/05/2021 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: How)," VcurvD&Wecje Permittee Signature: Owl Zi CCx I0y1
Pp
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
- els\Z\
i1 mechanical Permit Applicati ECEIVE
City of Ti and Received
S S�Z\ �1 Ma:Z. V-O Cs2
,� g Permit No..
13125 SW Hall Blvd.,Tigard,OR 97223 s Cta� Plan Review
a Phone: 503.718.2439 Fax: 503.598.1960 Other Permit
Date/By:
l 1 O1 Ii U Inspection Line: 503.639.4175 CITY OF TIGf\RCJ Dale Ready/By �'�'1Zt mds: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: "— Supplemental Information
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TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑X 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist
❑ Multi-family 0 Master builder 0 Other: Description Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
fob site address: 13108 SW Foran Hills Ct. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Foran Hills 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
�4"
Flue/vent for any of above n 23.32
Subdivision:Foran Hills Lot no.: 14
Other: 23.32
--- Other fuel appliances: �/
Tax map/parcel no.: Water heater ,, 23.32
DESCRIPTION OF WORK Gas fireplace/insert sr 33.39
Flue vent for water heater or gas
New, single family residence fireplace ...2:1' 23.32
A� Vv�,� \ Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/1iner/flue/vent 23.32
ll PROPERTY OWNER a TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Stone Bridge Homes NW, LLC Range hood/other kitchen
Address: 4230 Galewood St. Suite#100 a Clothesm fit 33.39
dryer exhaust -f 33.39
City/State/ZIP: Lake Oswego, OR 97035 Single-duct exhaust(bathrooms, (�
toilet compartments,utility rooms) H\ 23.32
Phone:(503)387-7577 Fax:( ) Anic/crawlspace fans 23.32
I1 APPLICANT ❑ CONTACT PERSON Other: _ 23.32
Business name: Stone Bridge Homes NW, LLC Fuel piping:
S14.15 for first four,$4.03 for each additional
Contact name: Permit Tech Furnace,etc. Cy.
Address: 4230 Galewood St. Suite#100 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Lake Oswego, OR 97035 Water heater (I}
Phone:( 503)387-7577 Fax::( ) Fireplace Ql
Ranee A(
E-mail: portlandpermits@stonebridgehomesnw.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Comfort Zone Other:
MECHANICAL PERMIT FEES*
Address: 1032 NW Corportate Dr, Subtotal
City/State/ZIP: 1032 NW Corportate Dr. Minimum permit fee($90.00)
Phone:( 667-5595 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: 110091 TOTAL PERMIT FEE __100.$Q
This permit application expires if a permit I not obtained within 180
".�7� days after it has been accepted as complete.
Authorized signature:DWVLG�/ a tn�t iL, ' Fee methodology set by Tri•County Building Industry Service Buried
Print name:David Heldstab Date: 5-5-2021
1111ulldirg/PermitslMEC_PermitApp 040113 doe 440.4617r(11,02/COM/WtrB)