Permit d CITY OF TIGARD f MECHANICAL PERMIT
1111 • COMMUNITY DEVELOPMENT • Permit#: MEC2014-00271
Date Issued: 06/05/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ��
Parcel: 25111 CD04600
Jurisdiction: Tigard
Site address: 15970 SW BRENTWOOD CT
Project: Gattuccio Subdivision: SUMMERFIELD NO.9 Lot: 505
Project Description: Install(3)bath fans,hood vent,dryer vent and fireplace insert. 9/15/14,adding(1)furnace and(1)a/c.
Contractor: DANNYS HEATING AND COOLING INC Owner: GATTUCCIO, ROSEANN
16303 NE 36TH ST 15970 SW BRENTWOOD CT
VANCOUVER,WA 98682 TIGARD,OR 97224
PHONE: 503-914-8058 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Water Heater 06/05/2014 $23.32
Type of Use: SF Flue Vent for Water Heater or Gas 06/05/2014 $23.32
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: Wood Fireplace/Insert 06/05/2014 $23.32
Stories: Range Hood/Other Kitchen 06/05/2014 $33.39
Clothes Dryer Exhaust 06/05/2014 $33.39
Single Duct Exhaust(Bathrooms,Toilet, 06/05/2014 $69.96
Utility Rooms)
Fuel Piping 06/05/2014 $14.15
Fuel 12%State Surcharge-Mechanical 06/05/2014 $26.50
Fuel Types: Air Conditioning 09/15/2014 $46.75
Gas Pressure: Furnaces<100K BTU 09/15/2014 $46.75
12%State Surcharge-Mechanical 09/15/2014 $11.22
Total $352.07
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 No' - -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir= questions to OUN• .y calling 503.232.1987 or 1.800.332.2344.
I-sued By: Permittee Sign lure:
Call 503.639.4175 by 7:00 a.m.for the next available inspec ion 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.
CITY OF TIGARD MECHANICAL PERMIT
: COMMUNITY DEVELOPMENT Permit#: MEC2014-00271
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2014
Parcel: 25111 CD04600
Jurisdiction: Tigard
Site address: 15970 SW BRENTWOOD CT
Project: Gattuccio Subdivision: SUMMERFIELD NO.9 Lot: 505
Project Description: Install(3)bath fans,hood vent,dryer vent and fireplace insert.
Contractor: DANNYS HEATING AND COOLING INC Owner: GATTUCCIO, ROSEANN
16303 NE 36TH ST 15970 SW BRENTWOOD CT
VANCOUVER,WA 98682 TIGARD, OR 97224
PHONE: 503-914-8058 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Water Heater 06/05/2014 $23.32
Type of Use: SF Flue Vent for Water Heater or Gas 06/05/2014 $23.32
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp:
Wood Fireplace/Insert 06/05/2014 $23.32
Stories:
Range Hood/Other Kitchen 06/05/2014 $33.39
Clothes Dryer Exhaust 06/05/2014 $33.39
Single Duct Exhaust(Bathrooms,Toilet, 06/05/2014 $69.96
Utility Rooms)
Fuel Piping 06/05/2014 $14.15
Fuel 12%State Surcharge-Mechanical 06/05/2014 $26.50
Fuel Types:
Gas Pressure:
Total $247.35
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: / i O 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.
Mechanical Permit Application i ,,i: ()i I I i 1 I i'.1 1
City of Tigard . . Date/By: (, / A; � Permit Noll'� egOi`/MA"7/
lig 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 By: Other Permit:
i 1 k r. Inspection Line: 503.639.4175 Date Ready/13y:
Internet www.tigard-ougov Notfed/Mahod: Iffill 0 See Page for
9appleoattal Information
TYPE OFIVIkfili ; COMMERCIAL FEE• SCHEDULE—USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction tri'Addition/aiteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
. Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
lal Multi-family ❑Master builder ❑Other: Description I Qty. I Ea 1 Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION Air conditioning 46.75
Job site address: 1 C\70 S W Gmri t,,,,„A el, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Ti�J x. f�g, c\-721.9 Furnace 100,000+BTU(ducts/vents) 54.91
t Heat pump 61.06
Suite/bldgJapt.no.: Project name: Z3 j f71 Duct work 23.32
Cross street/directions to job site: l7 f e n4.W v Od1 C If f 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
Other
Subdivision: Lot no.: - 23.32 _
Other fuel appliances:
Tax map/parcel no.: Water heater ✓ I 23.32
DESCRIPTION OF WORK Gas firrplacclinsert " l 33.39
0 (� Flue vent for water heater or gas
,x 3 a0. / j / bile-1 v ohs /-es,C c Q�•,1C, fireplace ✓ I 23.32
t Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
at PROPERTY OWNER I ❑ TENANT Other: _ 23.32
Environmental exhaust and ventilation:
Name: P9SGol.N, G. r}ln,c'C l0 Range hood/other kitchen
Address: Q equipment 1 33.39
15/7,;� J `� CT • Clothes dryer exhaust ,,. j 33.39
City/State/ZIP: " 1. (3 c 17 t/ Single-dud exhaust(bathrooms, E
�I ) toilet compartments,utility rooms) ✓
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT y CONTACT PERSON Other. 23.32
1 l Fuel piping:
Business name: -1-1_, e $14.15 for first four;$4.03 for each additional
Contact name:11 vv\ I_ot b t,,,,c k j Furnace,etc.
n ' 1 C c i Gas heat pump
Address: �( `j`�
(]�J
Wall/suspended/unit heater
City/State/ZIP: L G((e ,e Z! 035 Water heater
Phone:( ) p Fax::( ) Fireplace ✓ /
Sa3 1S�• Zj/83 0� d'3
- Range
E-mail: TL (eycao(ci Cl' ye • Cos, Barbecue ,/ f .
CONTRACTOR Clothes dryer(gas)
Business name: n Other.
1-' Kifvp Neal-J.-5 ) CAUI j, MECHANICAL PERMIT FEES'
Address: +a o?, NE .3e) SI-. J Subtotal ‘,„2,2,d.J,j
City/State/ZIP: L/a - rn L.tvc.r 1„/ 4 g C S L Minimum permit fee($90.00)
Phone:(..5-b ) q/y 0 051 Fax:( )
Plan review(22%ofpermit fee)
State surcharge rcharge(12°h of permit fee) ,2( SO
CCB lic.: •Sr; - 'TT / TOTAL PERMIT FEE .2 y7, 3$
'Mb permit application expires if a permit is not obtained within 180
days after it has bees accepted as complete.
Authorized signature: / • Fee methodology set by Tri-County Building Industry Service Board
Print name: Dots ,,y 21~ Yin)1./ I Date:d'/*//K
l:'build oujPamitMEC ParmitApp_O4O113.doc 440-46171(11A2/COMIWFB)