Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00291
T [ G AR L3 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/03/2013
Parcel: 2S 111 DC01600
Jurisdiction: Tigard
Site address: 15960 SW ALDERBROOK CIR
Project: Bare LLC Subdivision: SUMMERFIELD NO.8 Lot: A
Project Description: Gas line for range.
Contractor: BRITTANY HOMES INC Owner: BARE LLC
22275 SW SCHOLLS - SHERWOOD RD 22275 SW SCHOLLS - SHERWOOD RD
SHERWOOD, OR 97140 SHERWOOD, OR 97140
PHONE: 503 - 628 -3518 PHONE:
FAX: 503 - 628 -5421
FEES
Specifics: Description Date Amount
Fuel Piping 06/03/2013 $14.15
Type of Use: SF ,12% State Surcharge - Mechanical ' 06/03/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 06/03/2013 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types. Natural Gas
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: - 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.
May 29 13 12:59p Brittany Homes, Inc 5036285421 p.1
Mechanical Permit ApplicationRECEIVED FOR OFFICE LSE ONE
City of Tigard Receives
IN
131 Hall Blvd., Tigard, OR 97223 MAY 2 9 ?313 DatcBy - /3 g ., - Permit No. M�C 3 _(tn 1
[: Plan Review /W1
Phone: 503.718.2439 Fax: 503.598.1960 Date/By Other Permit-
Ti C A R D Inspection Line: 503 639.4175 CITY OF TIGARD Date ReadyBy. Lurie &! Sec Page 2 for
Internet: www.[tgard No tified/Method. Supplemental Information
BUILDING DIVISIO 3
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction ® Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor. overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklisr.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 15960 SW Alderbrook Circle 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
SuitefbldgJapt. no.: Project name: It r'C.. 1-1—C_ Duct work 23.32
Cross street/directions to job site: Durham Road 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
Subdivision: Summerfield lib I Lot no.: 463 Other. 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 3339
Flue vent for water heater or gas
fireplace 23 32
Updating to gas range Log lighter (gas) 23,32
Wood/pellet stove 33.39
Wood fireplace/insert 23,32
Chimney /liner /flue/vent 23.32
® PROPERTY OWNER I ❑ TENANT Other. 23.32
Name: BARE LLC Ar A �(,,* - /j' Ili ,Environmental exhaust hood/otherkitchen and ventilation:
L� �Address: 22275 SW' Scholls- Sherwood Road ,� `4 equipment' 33.39
U1 \p Clothes dryer exhaust 33.39
City /State/ZIP: Sherwood, OR 97140 t d#-W / s5 Cc, Single-duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: (503 -)628 -3518 Fax: (503)628 -5421 Attic/crawlspace fans 23.32
El APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Brittany Homes Inc. Fuel piping:
$14.15 for first four, $4.03 for each additional
Contact name: Jeff Luedloff Furnace, etc.
Address: 22275 SW Scholl- Sherwood Road Gas heat pump
Wnll!suspended/unit heater
City /StateJZIP: Sherwood , OR 97140 Water heater
Phone: (503) 628 -3518 Fax: : (503) 6285421 Fireplace
Range I 14.15 14.15
E-mail: jeff@brittanyhomesinc.com Barbecue
CONTRACTOR Clothes dryer (gas)
Business name: Brittany Ilmoes Inc. _ Other. '
MECHANICAL PERMIT FEES*
Address: same
Subtotal 14.15
City /State/ZIP: Minimum permit fee (590.00) 90 00
Phone: ( ) Fax ( ) Plan re. iew• (25% of permit fee)
State surcharge (1 of permit fee) /13
CCB lic.: 38248 ,/ TOTAL PERMIT FEE L .9frfix),bd
This permit application expires ifs permit is not obtained within 180
, days after it has been accepted as complete.
Authorized signature: ' S/ g // 3 • Fee methodology set by Tri- County Building Industry Service Board
/ API
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15960 SW ALDERBROOK CIR, TIGARD, OR,
97224
Residential - Mechanical
610 Gas Line
06/05/2013 00:00
MEC2013-00291
PASS
Standard pressure verified 10 lbs 15 min
Violation Summary:
Inspector Contractor