Permit CITY OF TIGARD MECHANICAL PERMIT
'PIs COMMUNITY DEVELOPMENT Permit#: MEC2023 00694
Date Issued: 8/22/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC23600
Jurisdiction: Tigard
Site address: 15204 SW FLATCREEK LN
Project: River Terrace Crossing,Lot 101 Subdivision: RIVER TERRACE CROSSING Lot: 101
Project Description: Heat pump installation for new detached dwelling.
Contractor: COMFORT ZONE HEATING&AIR COND Owner: STONE BRIDGE HOMES NW LLC
1032 NW CORPORATE DR BY CHICAGO TITLE COMPANY OF OREGON
TROUTDALE, OR 97060 ATTN KEARNEY, MOLLY
1500 NW BETHANY BLVD STE 301
BEAVERTON, OR 97006
PHONE: 503-667-5595 PHONE:
FAX: 503-491-8252
FEES
Specifics:
Description Date Amount
Heat Pump 08/22/2023 $61.06
Type of Use: SF 12%State Surcharge-Mechanical 08/22/2023 $10.80
Class of Work: NEW Type of Const: Minimum Fee Adjustment-Mechanical 08/22/2023 $28.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center osee rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy es
Issued By: (/PLi� Permittee Signature: I
(211/f-----
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicatioBECElVE I FOR OFFICE USE ONLY
City of Tigard JUN 83E Receivedy 6 V�W'US•Yl� PermitTlu.: MGVWVl oUb��
Dare/B 0V
13125 SW Hall Blvd.,Tigard,OR 97223 plan Review O r Other Penult
is Phone: 503.718.2439 Fax: 503.598.1960 Date/By: V
TIGARD Inspection line: 503.639.4175 CITY OF TIGARD Date ReadyBy: kris'. El See?age2for
Internet: www.tigard-or.gov BUILDING DIVISION Noti ied,"-tethod: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCJLPDULE— USE CRECKLLST
Mechanical permit fees*arc based on the value of the work
[XI New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For ape injormesion use d,ecklitt
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION Air conditioning 46.75
Job site address: 15204 SW Flatcreek Ln. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 1 61.06
Suite/bldg./apt.no.: Projectnatne:River Terrace Crossing Ductwork 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
•
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: River Terrace Crossing Lot no.: 101 Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Gas fireplace/insert 33.39
DESCRIPTION OF WORK Flue vent for water heater or gas
Adding heat pump for a mini split fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
® PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: Stone Bridge Homes NW, LLC Range hood/other kitchen 33.39
equipment
Address:4230 Galewood St. Suite#100 Clothes dryer exhaust 33.39
ry g OR 97035 Single-duct exhaust(bathrooms,
City/State/ZIP:Lake Oswego, toilet corn ems,utilityrooms) 23.32
Phone:(503) 707-9340 Fax:( ) Attic/crawlspace fans 23.32
U APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Comfort Zone Heating and Cooling S14.15 for first four;54.03 for each additional
Contact name:David Heldstab Furnace,etc.
Gas heat pump
Address: 1032 NW Corporate Dr. Wall/suspended/unit heater
City/State/ZIP:Troutdale, OR 97060 Water heater
Phone:(503)667-5595 Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:Comfort Zone Heating and Cooling MECHANICAL PERMIT FEES*
Address:1032 NW Corporate Dr. Subtotal
Minimum permit fee($90.00)
City/State/ZIP:Troutdale, OR 97060 Plan review(25%of permit fee)
Phone:(503)667-5595 Fax: ) State surcharge(12%of permit fee)
CCB lie.: 110091 TOTAL PERMIT FEE
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:David Heldstab Date:8-22-2023
tlauilding\Pounds 3MEC PemtitApp_040113.doc 440-4617T(11/OZICOM/WEB)