Permit CITY OF TIGARD MECHANICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit#: MEC2014-00341
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/08/2014
T[[_�:1 R C7 9 Parcel: 2S110BB02800
Jurisdiction: Tigard
Site address: 12334 SW CHANDLER DR
Project: FRIDLYAND Subdivision: ARLINGTON RIDGE Lot: 5
Project Description: Gas piping for generator.
Contractor: AGAPE GASWORKS LLC Owner: FRIDLYAND,ALEKSANDR&MARINA
8940 SE CLINTON ST 12334 SW CHANDLER DR
PORTLAND, OR 97266 TIGARD, OR 97223
PHONE: 503-570-9722 PHONE:
FAX: 503-775-1007
FEES
Specifics' Description Date Amount
Fuel Piping 07/08/2014 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 07/08/2014 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 07/08/2014 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0i• . Y.0 may obtai, a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued /irer7nittee Signature: ` -_
Call 503.639.4175 by 7:00 a.m.for the next available inspectio`e.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE, USE ONLY
y Received ,
City of Tigard e, Receive =� Permit No.: s ,1 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
: . Phone: 503.718.2439 Fax: 503.598.1 rktc.\\1141)
% V'\4 Date/By:
Other Permit:
1 I c i,\1i 11 Inspection Line: 503.639.4175 �4,
U` Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov n t�� ®Notified/Method: Supplemental Information
t\t (`TN '` COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
TYPE OF WORIV r ..
Mechanical permit fees,are based on the value of the work
❑New construction ,Addition/alteration/teplacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use check list.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
1 Air conditioning 46.75
Job site address: /,a 3 3 y S W G he r A `e'C/ b d. Furnace 100,000 BTU(ducts/vents) 46.75 ,
City/State/ZIP: �1 Rel c q'7 a a L.1 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
,� r Flue vent for water heater or gas
1\re i,) I l ms -p, 1 ! co 1(1,.., me-4 e --A fireplace 23.32
r C Log lighter(gas) 23.32
a n K(->.t Gene o.L S+a y -re tile+°kk- Wood/pellet stove 33.39
a S r Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ❑ TENANT Other: 23.32
- - Environmental exhaust and ventilation:
Name: y4 r Range hood/other kitchen
/D ! c w C k- .Y e 1) Clothes dryer 33.39 .
Address: ( Clothes d er exhaust 33.39
City/State/ZIP: T t r,qt t 0- ( 7a2a- j Single-duct exhaust(bathrooms,
J r toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans _ 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: 4 Pe G aS wor rs I 1c_ $14.15 for first four;$4.03 for each additional
Contact name: T i r'YN ( mac Ke v qC l Furnace,etc.
Address: ( JS- C �(,� S`(- Gas heat pump
��� J Wall/suspended/unitheater
City/State/ZIP: 7-ro4.l•-claC,e O \• C--)n Water heater
r Fireplace
Phone:(C7>/)��S/-2(dam Fax::( )
Range
E-mail: ‘.1r-u L. (_ 5-6. Q r ryt<k t l_ Coo', Barbecue .
CO TRACTOR Clothes dryer(gas)
Business name: Et 5°�3 e5 6 c r_s LLC Other: (;ta„e +� ��/-/�
J MECHANICAL PERMIT FEES*
Address: t c�s 5 (I S-f Subtotal //"5 jsi
City/State/ZIP: --nroL.4-faj t(,P G�_ Q� a(, Minimum permit fee($90.00) 7�.
i Plan review(25%of permit fee)
Phone:(4r)()a l -2.-Co0C) Fax:( ) State surcharge(12%of permit fee) a.' T
CCB lic.: )7 Li(/- / TOTAL PERMIT FEE /WV)
This permit application expires if a permit is not ob ned within 180
L days after it has been accepted as complete.
Authorized signatu V a e L`1 C On C\--1_ . Fee methodology set by Tri-County Building Industry Service Board
Print n Date:--2' g- /V
I:\Building\PermitsVMEC_PermitApp_040113.doc 440-4617r(I 1/02/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.
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1:\Building\Permits\MEC_PermitApp_0401 I3.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
12334 SW CHANDLER DR, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00341
George Heimos
Gas piping only.
Violation Summary:
Inspector Contractor