Permit (3) CITY OF TIGARD MECHANICAL PERMIT
`F COMMUNITY DEVELOPMENT Permit#: MEC2023-00851
Tf{a 1R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2023
Parcel: 2S 114AB 13400
Jurisdiction: Tigard
Site address: 16225 SW 93RD AVE
Project: Kirch Subdivision: KNEELAND ESTATES NO.2 Lot: 113
Project Description: Mechanical for remodel: (1)A/C unit, (1)duct work,(1)range hood,(1)clothes dryer exhaust,(1)bathroom
exhaust fan,and fuel piping for range and clothes dryer.Placement of NC unit must comply with manufacturer's
installation instructions.
Contractor: ABSOLUTE HEATING AND COOLING SOLUTIONS LL Owner: KIRCH FAMILY TRUST
614 NE 105TH ST BY KIRCH, RALPH E III&
VANCOUVER,WA 98685 KIRCH, NATALIE L TRS
16225 SW 93RD AVE
TIGARD, OR 97224
PHONE: 503-521-5355 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 10/30/2023 $46.75
Type of Use: SF Duct Work 10/30/2023 $23.32
Class of Work: ALT Type of Const: Range Hood/Other Kitchen 10/30/2023 $33.39
Occupancy Grp: Clothes Dryer Exhaust 10/30/2023 $33.39
Stories: Single Duct Exhaust(Bathrooms,Toilet, 10/30/2023 $23.32
Utility Rooms)
Fuel Piping 10/30/2023 $14.15
12%State Surcharge-Mechanical 10/30/2023 $20.92
Fuel
Fuel Types:
Gas Pressure:
Total $195.24
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: ��� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Y5C20Z3-OO4LQO
Mechanical Permit Application p FOR OFFICE'.USE ONL\
City of Tigard I �/ l ' y �x�� �., 1
13125 SW Hall Blvd.,Tigard,OR 97223
. Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Dete/By: Other Permit: S - ,,C]
T l(,A R D Inspection Line: 503.639.4175 OCT0 2023 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: � SlupplementalInformation
Ei
CITY OF TIGARD
TYPE OF WORKBUILDING DIVISION COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
ew construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION y RESII<EI1TL4,E Mtm` trAirims k
41-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
rd Air conditioning 1 46.75 4(00 5
Job site address: r, n 2 Gl �r1 . a 3 Ave, Furnace 100,000 BTU(ducts/vents) 46,75
City/State/ZIP: Ti a ar d,cQ " 1-i/1 AtFurnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: J Project name: V", ,,,V'CJ( 1(' Heat pump 61.06
Duct work l 23.32 23.52,
Cross street/directions to job site: ma r -\' 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
Oth
Subdivision: Lot no.: er' 23.32
Other fuel appliances:
Tax map/parcel no.: 2 S`l1} A-45 t 3 40D Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
n Flue vent for water heater or gas
rc'e on 21 fireplace 23.32
bt cf,, Log lighter(gas) 23.32
i)C(Li Wood/pellet stove 33.39
i a..l t_ I;
V() l'A . , i/e )
p (,1.1u, � yL U,g, \—imm Wood fireplace/insert 23.32
6 Chimney/liner/flue/vent 23.32
okV V 4 . _
v 0 PROPERTY OWNER T 0 TENANTOther: 23.32
Environmental exhaust and ventilation:
Name: �l a4--AL t e a l 1'tO t A /,1(Y'C Range hood/other kitchen
equipment 1 33.39 33.39
Address: t ti 22 s c�7(ji ^(i sr n Ave , Clothes dryer exhaust 1 33.39 35r_
T l U.Y(a l "11 ZZ 4 Single-duct exhaust alum rooms)
s,
City/State/ZIP: � (b
/ toilet compartments,utility ro , 23.32 1111
Phone:(f33 bm)r`D, Fax:( ) Attic/crawlspace fans 23.32
PPLICANT 0 CONTACT PERSON Other: 23.32
L s 1.�1.J� m mes Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: SO Furnace,etc.
Address: 1 S 51 S S W -14t.. Avg bi 2 Gas heat Pump
Wall/suspended/unit heater
City/State/ZIP: -1-1 Q ay.d, C)� a, 224 Water heater
Phone:( ) ! Fax::( ) Fireplace
E-mail: Range i
Barbecue
1 CONTRACTOR C. 1 Clothes dryer(gas) 1
AbsaikiLs �A WI GiA1d \.81l1144 . J C Other: * 14.15
Business name: J! "AlJ
MECHANICAL PERMIT FEES
Address: 2.WO N L ' e I (�t F) Subtotal �
City/State/ZIP: Witt uve.r'/ W A 9 el La.0( Minimum permio f permit
fee)Plan review(25/o of permit fee) r
Phone:( 1 5 L..t — W l Fax:( ) State surcharge(12%of permit fee)CCB lic.: Le0 3 I 1i 7 Co S 6 TOTAL PERMIT FEE - T;c
/� This permit application expires if a permit is not obtain ' 180
days after it has been accepted as comple /et
Authorized signature: * Fee methodology set by Tri-County Building Industry S Board
Print name: (f(�(,Q e al.eS Date: Q-0 ge5
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