Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: MEC201400316
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2014
Parcel: 25111 CA13300
Jurisdiction: Tigard
Site address: 9700 SW DARMEL CT
Project: Saries Subdivision: DARMEL NO.2 Lot: 35
Project Description: Upgrade gasline for existing(3)outlets and add(1)new outlet for range.
Contractor: STAN THE HOT WATER MAN Owner: SARIES,TYLER
PO BOX 33157 3955 CROISAN MOUNTAIN DR S
PORTLAND,OR 97292 SALEM,OR 97302
PHONE: 503-760-2992 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Fuel Piping 06/25/2014 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 06/25/2014 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/25/2014 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100 80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 da
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the J adopted by to •rego
Utility Notifica' Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0B:•. ou obtain a co, 'of e -s
or direc estions to NC by calling 503.232.1987 or 1.800.332.2344.
lss ed By: D,(/ Permittee Signature: � /
�j
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application l OR 0111( 1. 1 SE O\1.1
/,,
City of Tigard Date/By: CP -
• 13125 SW Hall Blvd.,Tigard,OR 97223 Received Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/Ry. Permit No.:fit of 3/
Permit:
l t t ,\I\l� Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
sr1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 017 eo 5 L AI246L C7- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: �jf�(- �Z /7 22?? Furnace 100,000+BTU(ducts/vents) 54.91
��II�T7V I ! 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert _ 33.39
V /1 r rte, Flue vent for water heater or gas
PuA�6 qhs L 1 F 7, P �t. SI s6 Tvv fireplace 23.32
T/A 4/ rV1a�IV dd ( ;ow&L.- Log lighter(gas) 23.32
S N �� / /'t Wood/pellet stove 33.39
Lig 5 '-n--3 ,q 3 /Z,a 44 Wood fireplace/insert 23.32 .
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) 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 I
Phone:( ) Fax: :( ) Fireplace /
Range /
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: STAN( 'Apo. /4„,,,. A/ ` �/40� MECHANICAL PERMIT FEES*
Address: t3f 1C '�/G
B 3 3/�� _ Subtotal ?Q,cr-)
City/State/ZIP: i 4 7 L'y 0¢N A f/�j 5)'72't 2 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone3) .740_2i-1.2 Fax:(5j) 76/=O/.5-7 State surcharge(12%of permit fee) /d.XD
CCB lic.: /30 (p Pe/ /l0 ' TOTAL PERMIT FEE /QO• ro
.��� This permit application expires if a permit is not obtained within 180 iill i
days after it has been accepted as complete.
Authorized signatur 1/4-i(�I1 `/ • Fee methodology set by Tri-County Building Industry Service Board
Print name: lam' / _ S®EIR
I.\Building\Pennits\MEC_PermitApp_040113.doe 440-4617T(II 02/CO B)
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
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
9700 SW DARMEL CT, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00316
George Heimos
Test at 10psi/15min pass
Violation Summary:
Inspector Contractor