Permit CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2014-00172
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2014
TIGARD g Parcel: 2S 110AA00900
Jurisdiction: Tigard
Site address: 14050 SW PACIFIC HWY
Project: Breast Friends Subdivision: KING CITY TERRACE CONDO Lot: 3-6
Project Description: Replacing(1)RTU.
Contractor: TRI COUNTY TEMP CONTROL INC Owner: ELLINGSON REVOCABLE INTERVIVOS T
13150 S CLACKAMAS RIVER DR BY ELLINGSON,JOSEPH M&JEAN E TRS
OREGON CITY, OR 97045 420 W LASSEN AVE
CHICO, CA 95973
PHONE 503-557-2220 PHONE:
FAX: 503-557-0919
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 04/23/2014 $263.41
Class of Work: ALT Type of Const: Vg Plan Review 04/23/2014 $65.85
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/23/2014 $31.61
Stories: Info Process/Archiving-Sm$0.50(up to 04/23/2014 $5.00
Project Valuation: $6,970.00 11x17)
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $365.87
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B � Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
banditilt 'A l C LOir.• '011
Mechanical Permit Application •OR(11 I It t: USE ONE)
City of Tigard
RECEIVE, 4 i t Pei im I No
.71.-- • 1.3125 SW Hall Blvd.,Tigard,OR 972 II 1:-. .-..... 0 —.0,•
Plan Rom- ',...•=1
: . 111 . Phone: 503.639.4171 Fax: 503.598. DatelBY AL.• i' * 230 7L.
..,tz.,, Inspection Line: 503.639.4175
Date Ready/By /y! kris ill Set Page 2 for
s Internet: n•ww.tigard-orgov APR 21 2014 Notitied/Methml 4 supple...I kfunnation
PE OF WartOrriGARD
TY —
COMMERCIAL FEE* SCHEDULE - USE CHECKLIKM
Ei New construction El Additionialte51=WORII0 Mechanical permit tees*are based on the I,aloe of the work--
performed.Indicate the value(rounded to the newest dollar)of all
De.molition 0 Other: imechanical materials.etiuipment,labor,overhead,fulfforits__
....
Vale!$ 6211704:-__--
CATEGORY OF CONSTRUCTION• RESIDEN111A1 EOl'IPMENT/SYSTEMS FF:F:S*
,., Nsi El 1-and 2-tiunily dwelling 0 Commercial/industrial 0 Accessory building _......... .._.....
For SpeCiai Utlarrnuiron use checklist.
t •-• 0 Multi-family 0 Master builder 0 Other:
; A Description I Qty. I lia 1 TOtal
JOH SITE INFORMAllON AND LOCATION /iff4./.910'.9(1/1!R
Air
Job site address: 14060 4,1vNi ki,cific, tivvki
( conditioning requires seeidan shown plat...omit') 46 75
—•••-••••••
City/State/ZIP: Ti. t 0 3122.6 Furnace 100,000 13 11)Wiwi:es...fast 46 75
IS Furnace 100.000+BTU(durssistrus) 54 91
Suite/bldg./apt.no.: I Project name: ; , 2 r-nri•
i "0, _.......____....•......... 1 ---- '..... Heath...imp 61 06
•
Cross street/directions to job site: Duct wort 23 32 ---4
Hydrortic hot water system 23 32
Residential boiler tradition-or
,
' 1 hydronic) 23 32 .._.
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46 75 .......1
•L
. Subdivision Lot no.: Flue/vent for an•of above 2332
.'. C1 :
--" •-•••
23.32 t
•
t. Other: —
Tax map/parcel no.: Other fuel appliances I
••• DESCRIPTION OF WORK
•- OIL*' C015 .A....... -ro910tAin . Water heater
Gas fireplace
Flue vent for water heater or gas
' 23.32
• . .
23.32
ii 44- • I kt. ____ fireplace
-- Log lighter(gasj 23 31 —1
• .. •
jk PROPERTY' OWNER 1 0 TEN ANT Wood/pellet stove
Wood firrpiace/in.sert 2332
Chimney/liner/flue/vent -i .3 3 39
2.
132
_..........;
23 32
.............................___
Name: E6P rOrfit* Environmental exhaust and ventilation
..i
Address: =IS olaritral foint mad ---1 Range hoodiother kitchen
33.39
-
City/State/Z1P: tql(00 Clothes dr .1 yer exhaust 3.1 39 .—....... .
.,. S inglc-duct exhaust(bathrooms. :
Phone 45431 24& I'1'? Fax:t 1 toilet compartments.utility nxims) 23.32 . •
•
(8) APPLICANT 0 CON't-AcT PEKSON Atnekrawlspace fans 23.32
Other: 1
.1. , 23.32_ .; .
Rosiness name: as contractor
Contact name:Diane Mason 514.15 for first four;$4.03 for each additional
— Fumam tc. i
' Address: e -4--
• ,
. . _Gas heitpump _____
• Citv/State/Z1P: ...Wall/suspendcd/unit heater
.
Wolin-heater
, .........
Phone t 1 Fax :I 1
_ __.... ••• ••••• ............... ....... _ Fireplace . .
.
E-mail: Rowe 1 •
------- --.—
' .--• --;
CONTRACTOR Btabeeue •
__ ................._....................................
.......
Clothes dryer fps)
Business name:Tri County Temp Control
_______________________________________________..._ _..„........__.__. Other II_____
—
: (i) Adclress:13150 S Clackamas River Drive
City/State/IP:Oregon City,OR 97045 i
_.... ____________ MECHANICAL PERMIT FEES*
Subtotal
•
—, Minimum permit fee(590 001 . I
Phone: 503)557.2220 . Fax:(503)557.0919
Plan review(25%of permit fer I I
---..._ . _ . ...—.........--.......
....... .........
CUR tic.:72623 State surcharge(12%of permit fee)
•"""'' —- ' TOT.AL PERMIT FEE I... i
._...
-thi%perinit application cspires ir*permit is nnl abtai:ted uttlian isa
Authorxi signature: Ata-17 - 0901-4(7X--...
days after it has been accepted as complete,
. .. ... .. ..........._ ......__-
• Fee me liodOlogy set 1.,c, I it-kounts fioddlep ledlisir,',mum Ft tot
Print name: Di anC, li40,0Cy i I Date: 16 14- ____ __I
......_
•fluildtnipftnrits.IVIECYermitApp ckw IOSII•lis, ■,iii,So I Tr I I 0,2,COMNatil
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14050 SW PACIFIC HWY, TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
May 12, 2014 at 12:53:22 PM
MEC2014-00172
Chip Barnett
Violation Summary:
Inspector Contractor