Permit CITY OF TIGARD MECHANICAL PERMIT
11 q COMMUNITY DEVELOPMENT Permit#: MEC2022-01176
Date Issued: 12/22/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S110BD02900
Jurisdiction: Tigard
Site address: 14849 SW 116TH PL
Project: Sutton Subdivision: HELM HEIGHTS Lot: 6
Project Description: (1)wood fireplace insert with(1)liner kit.
Contractor: GO SALES INC Owner: SUTTON, SOHEE YOON
14210 SE STARK ST 14849 SW 116TH PL
PORTLAND, OR 97233 TIGARD, OR 97224
PHONE: 503-256-3473 PHONE:
FAX: 503-254-1011
FEES
Specifics: Description Date Amount
Wood Fireplace/Insert 12/22/2022 $23.32
Type of Use: SF Chimney/Liner/FlueNent 12/22/2022 $23.32
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/22/2022 $43.36
Occupancy Grp: 12%State Surcharge-Mechanical 12/22/2022 $10.80
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
Issued By: t> � Permittee Signature: .c.--te t"n'
'
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 pr()o 01.1.1( r I sr. O.l.l
City of Tigard R� �� V � Received
• 13125 SW Hall Blvd.,Tigard.OR 97223 pim ReY: f }, a�- j�� ,
illg
• Phone: 503.718.2439 Fax: 503.598.1960 q�q� Plan RcvicW
Inspection Line: 503.639.4175 DEC 2 g Date
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Internet: www.tigard-or.gov NDaooe6RdtB�: )2lj1j - ` Supplemental See Information
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Mechanical permit fees'are based on the value of the work
❑New construction t performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑Other:•
CA77SGORY 't741Y Value:S
-B 1-and 2-familydwellingI Tenet. nfOirisysTF. Mspus.
❑Commtsrciallindustrial ❑Accessory building For special lnformailoa use checklist
❑Multi-family 0 Master builder 0 Other: Description P Qty. Ea. Total
400 SITE INFOR1144UON.AND LOCATION Heating/cooling:
� 1' ,9 SW //.e- �� FAurnace
a conditioning 46.75
Job site address: 11`"' �`- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: yf_ _ / Ore .E 97 4' furnace 100,000+BTU(ducts/venn) 54.91
Hea
Suite/bldg./apt.no.: Project name; SLiL 1k1,) Duc
t pump 61.06
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,riot electric), -
in-wall,in-duct.suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Oar' 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
• DRECTOPTt o..Mfot1C Gas fireplace/insen 33.39
f �If /FFL,r{1 )�� . Flue vent for water heater or gas
/#s Noe. 0/j1Lf-/ ..ii--- fireplace 23.32
fn c / ' Log ghtee stove
23.329
•I ARC Wood/pellet stave 33.39
Wood fireplacelinsert i 23.32 Z3.37
Chimney/liner/flue/vent / 23.32 Z,•sz
0 PROPERTY OWNER 1 1 0 TE1'fAAT - - Other: 23.32
C Environmental exhaust and ventilation:
Name: c., iItJn) O Ct.. ��71 ZN%/l Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
J Ar,tcANT • • 0 co riiAcr ONF J. Other: 23.32
Business name: Fuel piping:
S14.15 for first four;S4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:
Water heater _
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
Clothes dryer(gas)
Business name: �J7 c, l �..,/ Other.
Address: �/C4. 19_, 416,0170r)if RIECHAMCAL IN[ MS*
/may <7T�r/ Subtotal �G ef
City/State/ZIP: jP ,/J� �Ihtn Minimum permit fee(590.00) qQ
Phone: /c�`l f' (/�- (/ / Plan review(25%of permit fee)
)/,5 ..3 F-�) /-/o / State surcharge(12%of permit fee) /Q4 0
CCB lie: 5 TOTAL PERMIT FEE /��. 0
This permit application expires if a permit h not atavism wld tMn 100
days after it has bees accepted as complete.
Authorized SlgnatU a Fee methodology act by Tn-County Building Industry Service Board
fPrint name: i f�„ Date: /2. 22 1
l'Autlding\Pernms.MEC PermjApp 04011 3.doc 440.4617T 11 Ii021COM/WEB{