Permit CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2014-00219
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2014
T(t,}� O 9 Parcel: 2S102CD02606
Jurisdiction: Tigard
Site address: 9670 SW HILLVIEW CT
Project: Layton Subdivision: TWALITY HILL Lot: 6
Project Description: (1)gas furnace to replace oil furnace,(1)A/C and(1)bathroom fan. A/C unit must be placed per manufacturer's
requirements. 5/15/14:Reprinted permit to include gas piping for furnace.
Contractor: C D JOHNSON FURNACE SERVICE INC Owner: WILSON, LELAND J&TAMMIE L
9440 SW EDGEWOOD ST 9670 SW HILLVIEW CT
TIGARD,OR 97223 TIGARD, OR 97223
PHONE: 503-620-3636 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 05/08/2014 $46.75
Type of Use: SF Furnaces>=100K BTU 05/08/2014 $54.91
Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 05/08/2014 $23.32
Occupancy Grp: Utility Rooms)
Stories: 12%State Surcharge-Mechanical 05/08/2014 $15.00
Fuel Piping 05/15/2014 $14.15
12%State Surcharge-Mechanical 05/15/2014 $1.70
Fuel
Fuel Types:
Gas Pressure:
Total $155.83
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 sta -• within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow t, rules -doted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-01!• Yo /may ••tai a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or '111111110' 44.
Issued By: <1� -rmittee Signature: 1��..
AP-4111#
Call 503.639.4175 by 7:00 a.m.for the next available inspectio' date.
This permit card shall be kept in a conspicuous place on the job site until co pl- on of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application .h .. . . Y%
City of Tigard Date/By -5 /7 nit Nn Erc320/y_000 a,9
13125 SW'Hal)Blvd..Tigard.OR 97223 Plan Renew �`V _
Phone. 503.718.2439 Fax: 503-598.1960 Date/By• °t er Penn►t4 f 7_ 0/y eai06 91
1 1 4 d A I.,l) Inspection Line: 503.639 4175 MAY 8 2014 Date Ready/By: turd. 0 see Page 2 for
Internet: www.tigard-or.gov Notified/Method: -7-76_,/ /6_, Supplemental Information
CITY OF TIGAR J — --
TYPE OF WOILDINCDIVISIOR COMMERCIAL FEE° SCHEDULE - USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction ddition/alterationireplacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: a • • mechanical materials,equipment,labor,overhead,andprotit.
1 51
Value:S
CATEGORY OF CONSTRUCTION �� RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
I-and 2-family dwelling ❑CommerciaUindustrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description [ Qty. I Fa. [ Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: _.._ �-..-,--------`�_���5
�� �j Sc/ � v - . 1 Furnace 100,000 BTU(ducta/venu) 46.75
Furnace 100,000+BTU duets/vents 54.91
City/State/ZIP: v ( ) •4f
Ileac pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 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
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
'lax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplacr/insert 33.39
/� Flue vent for water heater or gas
( /" -7L-c• _/' fireplace _ 23 32
4----C-7----i4--C--- Lo / r(gas) 23.32
Wood/pellet stout 33.39
4 0( �.& '�j t-�/ G.a_. - Wood fireplace/insert _ 23.32 ,
rx dw I4 . Si f SP( _ in Chimney/liner/flue/vent 23.32
Other 23 32
PB PERTY OWNER I ❑ TENANT —__ __-,
—
— Environmental exhaust and ventilation:
Name: Range h43od/other kitchen
G!'1 /G ' �'/ l'4 equipment 33.39
Address: 9,7G'S/'.- Aft gfri h1v'. 1 )i...._. Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms.
�/,l ' ------ toilet compartments,utility rooms) / 23 32 a3 3a,
Phone;?co? .5- ` g3 •Y 7 " Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
___._-.. S14.IS for first four;S4.03 for each additional
Contact name: Furnace,etc. / iy,/5—
_ Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
_ Range
E-mail: Barbecue
NTRACTOR Clothes dryer(gas)
Other.
Business name:
' ez , e Sa'e 17,-;t2 exic' • c - MECHANICAL PERMIT nu.
Address: c, 41(47, . �^ /,_e �,��c. [, Subtotal 4�.13
City/State/ZIP: y �7 's Jl Minimum permit fee($90.00)
��� (O Q Plan review(25%ofpermit lee)
Phone: _26�/ Fax:( ) State surcharge(12%,of permit fee)
CCB lie.: '// 3 3 Ct' 2/// t;vy TOTAL.PERMIT FEE 139.'c
! J This permit application espires if a permmit is not obtained within 1110
days after it bas been accepted as complete.
Authorized signatu : • Fee methodology set by Tn-County Building Industry Service Board
Print name: Da - ' 40/1
illIr
I'Jiudding'PermiteMEC PermiiApp 040113 d oc 4I 1/02/COM/WEB)
CITY OF TIGARD MECHANICAL PERMIT
: COMMUNITY DEVELOPMENT MECHANICAL
MEC2014-00219
TI G A R L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2014
Parcel: 2S102CD02606
Jurisdiction: Tigard
Site address: 9670 SW HILLVIEW CT
Project: Layton Subdivision: TWALITY HILL Lot: 6
Project Description: (1)gas furnace to replace oil furnace,(1)A/C and(1)bathroom fan. A/C unit must be placed per manufacturer's
requirements.
Contractor: C D JOHNSON FURNACE SERVICE INC Owner: WILSON, LELAND J&TAMMIE L
9440 SW EDGEWOOD ST 9670 SW HILLVIEW CT
TIGARD, OR 97223 TIGARD,OR 97223
PHONE: 503-620-3636 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 05/08/2014 $46.75
Type of Use: SF Furnaces>= 100K BTU 05/08/2014 $54.91
Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 05/08/2014 $23.32
Occupancy Grp: Utility Rooms)
Stories:
12%State Surcharge-Mechanical 05/08/2014 $15.00
Fuel
Fuel Types:
Gas Pressure:
Total $139.98
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules ado! • by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtai opy of the rules
or direct questions to OUN • ailing 503.232.1987 or 1.800.332.2344. �Iss ued By: / - PermitteeSignature: - A/
v r •
Call 503.639.4175 by 7:00 a.m.for the next available inspection .ate.
This permit card shall be kept in a conspicuous place on the job site until co plet.n of the project.
Approved plans are required on the job site at the time of each i - •-ction.
Mechanical Permit Application FoR t)Frl( I: l SE ONL1
RECEIVES
Received / • ��6 /y .401 402/9
City of Tigard Date/By: G / ��• it N p�(l
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
� Date/By: OtherPermitqSra20/ /)/
f I n It l Inspection Line: 503.639.4175 MAY 8 2014
Date Ready/By: luris: 65 See Page 2 for t/5/(!/
Internet: www.tigard-or.gov Notified/Method: -7-7/CCTT_ Supplemental Information
CITY OFTIGARD
TYPE OF WOl3WILDING DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
F/ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
/❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
Air conditioning x) 46.75
Job site address: 9' 7 _ 11, Al///v/-e- i/ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Ny7 4, c? 723 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 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
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
n it _-1-0 61F.4 --440., fireplace 23.32
�� / /i �y Y ` Log lighter(gas) 23.32
r=f !/T` , Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
�+�`t 6/G7/-la✓I, equipment 33.39
Address: 9/7G Ski /�/ /,'I�4� Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
�/ et- toilet compartments,utility rooms) / 23.32
Phone:V�/ .5' r" y 75' Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc. /
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range _
E-mail: Barbecue
NTRACTOR Clothes dryer(gas)
�' Other:
Business name:
+ /6 K Saw ' ;n elaC-40 t ,A MECHANICAL PERMIT FEES*
Address: e tit‘i,0, s-�,,/>��/ ��� Subtotal
City/State/ZIP: �J �—`7 97 2 2S Minimum permit fee($90.00)
`O ! Plan review(25%of permit fee)
Phone:Sc� Q _ / '7 6 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 07/ 3 3 J 7/// /7 TOTAL PERMIT FEE /3'9,��
/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatur ' Fee methodology set by Tri-County Building Industry Service Board
Print name ,/ )A�j.. g.�'t Dat /i L
I:\Building\Permits\MEC__PPJJA�pp_4113.doe 4 (11/°2//COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2