Permit q CITY OF TIGARD MECHANICAL PERMIT
IN 1
' COMMUNITY DEVELOPMENT Permit#: MEC2015-00198
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2015
Parcel: 2S115AA03900
Jurisdiction: Tigard
Site address: 10579 SW KENT ST
Project: Selland Subdivision: DOVER LANDING NO.2 Lot: 78
Project Description: Replace gas furnace with like kind.
Contractor: BUDGET HEATING Owner: SELLAND, JACK A&VIRGINIA E
13885 SE 177TH CT 10579 SW KENT ST
DAMASCUS, OR 97089 TIGARD, OR 97224
PHONE: 503-233-3133 PHONE: 503-968-8096
FAX: 503-558-9050
FEES
Specifics: Description Date Amount
Furnaces< 100K BTU 04/09/2015 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 04/09/2015 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/09/2015 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct que s to O by calling 503.232.1987 or 1.800.332.2344. /
Issued y: � / Permittee Signature: �`111rre; -�
i
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Cl of Tigard EIVED Received PermitNo.: ?
IN —•
-
City g DateBy: N�� f 5 �
13125 SW Hall Blvd.,Tigard,
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 APR 9 2015 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
1S1ON COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
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:
Air conditioning 46.75
Job site address: /0_577 S ■ l / 4t Furnace 100,000 BTU(ducts/vents) J 46.75
City/State/ZIP: p!r fix,✓1 d, / 77 2.Zt 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
5as / ç/2CA[ /
Flue for water heater or gas
d.S �/l0ll� fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/men 23.32
Chimney/liner/flue/vent 23.32
L`4 PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: V C geikt vie/ Range hood/other kitchen
Address: c t ' 67 equipment
Clothes dryer exhaust
33.39
33.39
City/State/ZIP: 4/CA.✓1 01 Or 7 7Z 211- Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) _ 23.32
Phone: 7K8-A).� 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.
Gas heat pump
Address: -
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
nJ 7 Other:
Business name: /71601,.,77 P-16.. MECHANICAL PERMIT FEES*
Address: fs �g- /7 Subtotal
City/State/ZIP: � C' 2110rit r Minimum permit fee($90.00) Lb
Plan review(25%of permit fee)
Phon ) Z - '/ j' Fax:( ) State surcharge(12%of permit fee) /O
CCB lie.: /V 7T-� TOTAL PERMIT FEE / ). w)
/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: =a/�' /'�r* ' Fee methodology set by Tri-County Building Industry Service Board
Print name: �< U �`P j/� Date: Q y �� �j�
1:1Building\Permits\MEC_P. tApp_040I13.doc /( 440-461 (II/ 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.
1:1Building\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
10579 SW KENT ST, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
FAIL
MEC2015-00198
George Heimos
1. No one home, please recall inspection when access can be provided. No inspection
made.
scottdetweiler@yahoo.com
Violation Summary:
Inspector Contractor
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
10579 SW KENT ST, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
April 13, 2015 at 12:07:56 PM
MEC2015-00198
David Young
Minor label # ELS 453541
Violation Summary:
Inspector Contractor