Permit 1y p CITY OF TIGARD MECHANICAL PERMIT
11 s COMMUNITY DEVELOPMENT Permit#: MEC2014-00447
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2014
Parcel: 2S102CA00238
Jurisdiction: Tigard
Site address: 13210 SW ASH DR
Project: Elliott Subdivision: VIEWCREST TERRACE Lot: 7
Project Description: Replace furnace,(2)bath fans and(1)exhaust hood.
Contractor: G M H HEATING, INC. Owner: ELLIOTT, KEVIN
18606 SE TIBBETTS CT 13210 SW ASH DRIVE
GRESHAM,OR 97030 TIGARD, OR 97223
PHONE: 503-481-9352 PHONE:
FAX: 503-912-3775
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 08/20/2014 $46.75
Type of Use: SF Range Hood/Other Kitchen 08/20/2014 $33.39
Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 08/20/2014 $46.64
Occupancy Grp: Utility Rooms)
Stories: 12%State Surcharge-Mechanical 08/20/2014 $15.21
Fuel
Fuel Types:
Gas Pressure:
Total $141.99
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain : copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued y: i. Permittee Signature: Jr��
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of e project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application RE
II IC
FOR OFFICE USE ONLY
EriCity of Tigard 2A U G 2 0 2014 D�/B / 4341 Permit No.: 2 y ���7
" 1 3125 SW Hall Blvd.,Tigard,OR 972 3 Plan Review
Phone: 503.718.2439 Fax: 503.598 Date/By: Other Permit:
T I G R Il Inspection Line: 503.639.4175 503.598 OF FIGARU Date ReadyBy: orris: la See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-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:
Job site address: J lXJ
/ 3 w '5 '`I ' 2\ Air conditioning 46.75
1 Furnace 100,000 BTU(ducts/vents) 46.75 yG 7‹
City/State/ZIP: f / 647,2_1.. Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Z. Heat pump 61.06
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: _
Subdivision: Lot no.:
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
��//1- -�-•J ,� fireplace 23.32
Log lighter(gas) 23.32
0...y �` 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: 4<e J, rJ E. LC_!p77— Range hood/other kitchen /
equipment 33.39 53.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms, ��11
toilet compartments,utility rooms) d-- . 23.32 1/4.46q
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 _
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$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 .
CONTRACTOR / Clothes dryer(gas)
1 / // , 7)< ( ( �� - Other: .
Business name: /`�/ j`y` y MECHANICAL PERMIT FEES*
Address: `S6D S� �I g8�% C�- Subtotal /0210.71
City/State/ZIP:G c, D,Q 9-71.o0� Minimum permit fee($90.00) -
Plan review(25%of permit fee)
Phone:(� /-- 9 � Fax:( ) State surcharge(12%of permit fee) I .2/
CCB lic.: / . 6 .tom i1/4/11, TOTAL PERMIT FEE / f,r'7
/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: •�� * Fee methodology set by TO-County Building Industry Service Board
Print name: rJ� �42 G Q Date: Oce�-Lp /4
I:\Building\Perm�i tEC_PermitApp_040113.doe 440-4617r(I1/02/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.
L\Building\Permits\MEC_PermitApp_040I 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
13210 SW ASH DR, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00447
George Heimos
Timer in bathroom fans not required, pre existing wiring. Both bathrooms
Violation Summary:
Inspector Contractor