Permit CITY OF TIGARD MECHANICAL PERMIT
= COMMUNITY DEVELOPMENT Pe MECHANICAL
MEC2021-00386
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/9/2021
T 1 trA R � Parcel: 1 S125DD09200
Jurisdiction: Tigard
Site address: 9670 SW VENTURA CT
Project: Williams Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 100
Project Description: Replacing(3)bathroom exhaust fans and(1)laundry fan.
Contractor: CLEANLINE CONSTRUCTION LLC Owner: WILLIAMS,THOMAS JUSTIN
9370 SW 146TH TERRACE 9670 SW VENTURA CT
4 TIGARD,OR 97223
BEAVERTON,or 97007
PHONE: (503)799-4736 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 06/07/2021 $93.28
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 06/07/2021 $11.19
Occu anc Grp: Investigation Fee 06/07/2021 $90.00
P Y
Stories: Investigation 12%State Surcharge 06/07/2021 $10.80
Fuel
Fuel Types:
Gas Pressure:
Total $205.27
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,j,f vow,De,W Permittee Signature:
� o w AppltcatFan
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received _
g r Date/By:: r Permit No.:
il :II • 13125 SW Hall Blvd.,Tigard OR��T C E I V E D y ��� Y ��I �� Ali
• Phone: 503.718.2439 Fax: 503. 8. Plan Review Other Pe rn t: _
Inspection Line: 503.639.4175 Date By. /Yts �'Qa
I 1 G i\It I t p MAY
i r6 2021 Note Notified/Method:
S See Pent i for
Internet: vnvw.tigatd-or.gov '( A (j L L Date Ready/By: Supplemental Inforormatio¢
St
. : ..,. OF TIGARG �
TYPE OF RK 'COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
4 . '-" - ` Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/re lacement`} P performed.Indicate the value(rounded to the nearest dollar)of all
.` ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT'/SYSTEMS FEES*
® 1-and 2-family dwelling 0 CommerciaUindustrial 0 Accessory building For special information use checklist
`1 0 Multi-family El Master builder 0 Other: Description Qty. Ea. Total
\„ . JOB SITE INFORMATION AND LOCATION Heatin>;/caoling:
Air conditioning 46.75
Job site address:9670 SW Ventura Court City/State/ZIP:Tigard, OR 97223
Furnace 100,000 BTU(due s vents) 46.75
Furnace 100.000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Projectname:Home Remodel Duct work 23.32
el 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
Flue/vent for any of above Other: 23.32
Subdivision: Lot no.: 23.32
Other fuel appliances:
Tax map/parcel no.:1 Si 25DD09200 Water heater 23.32
�. DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
'Replace 3 bath exhaust fans; 1 laundry fan - properly vent outside. fireplace 23.32
t I Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ElTENANT Other: 23.32
Environmental exhaust and ventilation:
`I Name:TJ Williams Range hood/other kitchen
I t.\ Cl
Address:9670 SW Ventura Court oth 33.39
Clotheess dry exhaust 33.39
3 City/State/ZIP:Tigard, OR 97223 Single-duct exhaust(bathrooms,
Phone: toilet compartments,utility rooms) 4 23.32 93.28
( ) Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT' PERSON Other: 23.32
Fuel piping:
Business name:Clean Line Construction, LLC $14.15 for first four;$4.93 for each additional
h Contact name:David Grbavac Furnace,etc.
Address:9370 SW 146th Terrace N4 Gas heat pump
Wall/suspended/unitheater
City/State/ZIP:Beaverton, OR 97007 Water heater
Phone:(503)799 4736 Fax::( ) Fireplace
JJJ Range
E-mail:cleanlineconstruct@gmail.com Barbecue
4
CONTRACTOR Clothes dryer(gas)
Business name:CleanLine Construction, LLC Other:
MECHANICAL PERMIT FEES* r
ih Address:9370 SW 146th Terrace N4 Subtotal 93.28
City/State/ZIP:Beaverton, OR 97007 Minimum permit fee($90.00)
Phone:(503)799-4736 Fax:( ) Plan review(25%of permit fee)State surcharge(12%of permit fee) , r ii,I q
CCB lie.:208213 TOTAL PERMIT FEE y3e:5r/ tj 4
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:17a4,44;e �y Date:5/18/2021 w� '67) �)
I:IBuilding\remitsU�C_PennitApp 40113.doc 440-4617T(I 1/02/COM/WEB)
7oS•?7
Branden Taggart
From: #Building Permit Technicians
Sent: Wednesday, June 2, 2021 4:43 PM
To: 'David Grbavac'
Subject: RE: 9670 SW Ventura Court Tigard, OR 97223 - Mechanical Permit Application:
MEC2021-00386
Attachments: 9670 SW Ventura Court Tigard - Mechanical Permit.pdf; Mechanical Permit Invoice.pdf
Hello David,
We received all of the permit applications needed to remove the parcel lock, so I have created the Mechanical Permit
for 9670 SW Ventura Court. The balance due is$205.27, and I have attached an invoice above for you to
reference. These fees can be paid online now at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for
the permit record number MEC2021-00386 under the Building tab. There is a 3%service fee for credit cards, but e-
checks do not have a service fee.
Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this
permit and email the permit paperwork to you.
Thank you,
Branden Taggart
111 q City of Tigard
M , Senior Permit Technician
Community Development
ticAito
13125 SW Hail Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or,gov
From: David Grbavac <cleanlineconstruct@gmail.com>
Sent:Tuesday, May 18, 2021 6:03 PM
To: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: 9670 SW Ventura Court Tigard, OR 97223 - Mechanical Permit Application
Caution!This message was sent from outside your organization.
To Whom it may concern,
Please find the attached mechanical permit application. Please let me know if there is anything else you need.
Thanks!
David
David Grbavac
CleanLine Construction, LLC.
CCB #208213
503-799-4736
1