Permit o CITY OF TIGARD MECHANICAL PERMIT
Fl °: COMMUNITY DEVELOPMENT Permit#: MEC2013-00495
T I G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/27/2013
Parcel: 2S104BB10700 •
Jurisdiction: Tigard
Site address: 14032 SW WALNUT CREEK WAY
Project: Spath Subdivision: WALNUT CREEK Lot: 24
Project Description: Install air conditioner. Placement of a/c unit must comply with manufacturers clearance requirements.
Contractor: TRI COUNTY TEMP CONTROL INC Owner: SPATH, RYAN M
13150 S CLACKAMAS RIVER DR 14032 SW WALNUT CREEK WAY
OREGON CITY, OR 97045 TIGARD,OR 97223
PHONE: 503-557-2220 PHONE: 904-517-6523
FAX: 503-557-0919
FEES
Specifics: Description Date Amount
Air Conditioning 08/27/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 08/27/2013 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/27/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
•
•
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct qu ons to NC b calling 503.232.1987 or 1.800.332.2344.
Issued y: / ; I • Permittee Sig A,irirx2-j
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
AUG-22-2013 11:41A FROM: TO:5035981960 P.1
Mechanical Permit Applicati ECEI\E 1 fOI(014'11'1:.U.S F.(1i\1.1'
Received ®�� Permit No.:
City of Tigard Jto2ol3-�4/PS
lig • 13125 SW Hall Blvd.,'fi ard,OR 97223 AUG 2 2 2013 Re eiv : b' ►!
Phone: 503.639.4171 Fax: 503.598.1960
y law Other mit:
Inspection Line: 503.6394115 CITY OF TIGARD
Plan p
I I c A u u
Dale Ready/By: ice:.. ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Me hod: /� Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USECHECKLIST
❑New construction ®Addition/alteration/replacement Mechanical permit foes'are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment.labor,overhead,and profit
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building
For special informarlon use dreck/isr.
❑Multi-family ❑Master builder ❑Other: 'Description , Oty• 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 14062 gw wa31 u ( l.` Air conditioning 1(requires site plan showing placement) 1 46.75
City/State/ZIP: TI(�( COM Furnace 100,000 BTU(duets/vents) 46.75
Q Furnace 100,0004 BTU(duct vents) 54.91
Suite/bldg./apt.no.: Project name: Heat pump , 61.06
Crass street/directions to job site: Duct work 23.32
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
Subdivision: Flue/vent for an+�of above 23.32
Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Flue vent for water heater or gas
1 nm/lA U UIaloV fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood ftreplace/insen 23.32
Chimney/liner/flue/vent
PROPERTY OWNER ' ❑ TENANT Other: 23.32
Name: gt aMOgila Environmental exhaust and ventilation _
Bayne) hood/other kitchen
Address: equipment 3339
City/State/ZIP: Clothes dryer exhaust , 33.39
Single-duct exhaust(bathrooms,
Phone:(a&4))(7.IOW Fax( ) toilet compartments,utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic/crawispace fans 23.32
Other: 23.32
Rosiness name:Same as contractor Fuel piping _._
Contact name:Diane Mason 514.15 for first four;$4.03 for each additional
Furnace,etc.
Address: Gas heat pump
City/State/ZIP: _Wall/suspended/unit heater
Phone:( ) Fax::( )
Water heater
Fireplace
E-mail: Range
CONTRACTOR Barbecue
Clothes dryer(gas)
Business name:Tri County Temp Control Other:
Address: 13150 S Clackamas River Drive MECHANICAL PERMIT FEES*
City/State/ZIP:Oregon City,OR 97045 Subtotal
Minimum permit fee($90.00)
Phone:(503)557.2220 Fax:(503)557.0919 Plan review(25%of permit fee)
CCB lie.:72623 State surcharge(12%of permit fcc) + O
TOTAL PERMIT FEE 1�►� _
This permit application expires it a permit is not obtained within 180
Authorized signature: ,,��n� days after It has been accepted as complete.
Print name: IQX11v moon f Date: 61 tb ' Fee methodology Oct by Tri-County Building Industry Service Board
i Jildina\Permits\MEC.PermItApp,doe 10/01/09 440-4617T(I