Permit CITY OF TIGARD MECHANICAL PERMIT
1111111 • - COMMUNITY DEVELOPMENT Permit#: MEC2015 00232
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2015
Parcel: 2S104CA11400
Jurisdiction: Tigard
Site address: 13651 SW TAMAWAY LN
Project: Austin Subdivision: HILLSHIRE Lot: 114
Project Description: Installation of A/C and EAC
Contractor: ADVANCED HEATING&AIR CONDITIONING INC Owner: AUSTIN, RICHARD D
5825 SE FOSTER RD HERALD-AUSTIN, KATHLEEN M
PORTLAND, OR 97206 13651 SW TAMAWAY LN
TIGARD, OR 97223
PHONE: 503-774-0161 PHONE: 503-590-8078
FAX: 503-774-4391
FEES
Specifics: Description Date Amount
Air Conditioning 04/23/2015 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 04/23/2015 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/23/2015 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questio• •OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued :y: / Permittee Sig :lure: i
• Call 503.639.4175 by 7:00 a.m.for the next available ins:-ction date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received './
City of Tigard Date/By: 7 8-3 /;�, Permit Na.: ��' 15=Qp a 3
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 (� Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 �1 \, Date ReadylBy: Reis ® See Page 2 for
Internet: www.tigard-ocgov Y�N Notified/Method: Supplemental Information,C
f-"
C)t — Mechanical permit fees are based on the value of the work
❑New construction ®Addition/alteration/#18cdttent performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: ,,r t,V��� 14 mechanical materials,equipment,labor,overhead,and profit.
�}T -etQ Value:$
'''',.44:' CAS. .' GOIY' , ` tV::. 4i.'”.''''• R 1%13Q rk I r•t.', :.•
® I-and 2-family dwelling ❑Commercial/indt ■ Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description I Qty. Ea. I Total
49,E $I`I'Ia,III 4RMATION AND LOCATION . Heating/cooling:
Air conditioning 1 46.75
Job site address: 13651 SW Tamaway Lane Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,Oregon 97223 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
Flue vent for water heater or gas
fireplace 23.32
Installing a A/C system and EAC Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER O'TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Kathy Austin Range hood/other kitchen
equipment 33.39
Address: 13651 SW Tamaway Lane Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,Oregon 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)590-8078 Fax:( ) Attic/crawlspace fans 23.32
a:APPLICANT . tea' . ® CONTACT PERSON Other: 23.32
Business name:Advanced Heating&Air Conditioning,Inc
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Kristal Reed Furnace,etc.
Address:5825 SE Foster Rd. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland,Oregon 97206 Water heater
Phone:(503)774-0161 Fax::(503)774-4391 Fireplace
Range
E-mail:retrooffice @aol.com Barbecue
CON RACTOI[t. Clothes dryer(gas)
Business name:Advanced Heating&Air Conditioning,Inc Other:
MECHANICAL PERMIT FEES*
Address:5825 SE Foster Rd. Subtotal
City/State/ZIP: Portland,Oregon 97206 Minimum permit fee($90.00) 90.00
Phone:(503)774-0161 Fax:(503)774-4391 Plan review(25%of permit fee)
State surcharge(12%of permit fee) 10.80
CCB lie.:98573 4/451/(0 TOTAL PERMIT FEE 100.80
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signat ure
• Fee methodology set by Tri Coumy Building Industry Service Board
Print name: Kristal Reed Date: ut' ,----\'1`
\P
I-\Buildinu ermits 1 MEC_PennitApp_040!13 doc 440-4017T It 1/02/COM//W+EB)
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
13651 SW TAMAWAY LN, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00232
David Young
Minor label # ELS 460461
Violation Summary:
Inspector Contractor