Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: MEC2015-00272
T E G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2015
Parcel: 25111 CA00700
Jurisdiction: Tigard
Site address: 9880 SW SATTLER ST
Project: PHOENIX REDEVELOPMENT INC Subdivision: ALDERBROOK FARM Lot: 10
Project Description: Gas furnace installation with gas piping for the furnace and range.
Contractor: PRO HEATING AND COOLING LLC Owner: PHOENIX REDEVELOPMENT INC
2095 NW ALOCLEK RD 516 SE MORRISON ST, STE 700
HILLSBORO, OR 97124 PORTLAND, OR 97214
PHONE: 503-270-1590 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 05/12/2015 $46.75
Type of Use: SF Fuel Piping 05/12/2015 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 05/12/2015 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 05/12/2015 $29.10
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: ��•i_..edz(zze.2=_ ___
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 I ,,I: O, I I( 1 I H I, ,, ,
City of Tigard
Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223
Date/By: 1', I S .. iL M
°� fi Phone: 503.718.2439 Fax: 503.598. CEI�ED �y Review a�Permit:
�\l Inspection Line: 503.639.4175 Date Ready/By: Buis: 13 See Page 2 for
Internet: www.tigard-or.gov 12 2015 Notified/Method: 'i""n� Supplemental Worming/on
MAY � Gv
TYPE OF Wetily OF TIGARCS COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees°are based on the value of the work
❑New construction ddition/altt h/��I f� performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ////❑]Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
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:
8 0 ,5 . 1 5a��r S'' Air Furnace 1 conditioning , 46.75
Job site address: W Furnace 100,000 BTU(ducts/vents) I 46.75 G[ -35—.e�
City/State/ZIP: 9 ac cji preq o v\ Cri-ZZy Furnace 100,000+BTU(ducts/vents) 54.91
b Heat pump 61.06
na
Suite/bldg./apt.no.: Project 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
LhS}a,\A-�t•n0 a '.S A. AS (1000e-• fireplace 23.32
4G
II a-L O n Of Z O s //n> lid r i Log lighter(gas) 23.32
T' ��"`J r Wood/pellet stove 33.39
e 'FU�t Vn 4 C-e- cf✓7- -r r>,-c .5 c c o rl g+ Ole- -Co r- Wood fireplace/insert 23.32
R CChimney/liner/flue/vent 23.32
()VI C_ R N G J e • Other: 23.32
❑ PROPERTY OWNER I ❑ TENANT
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 moms) 23.32
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. I
Address:
Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace �j
E-mail: Range ( /4.IS
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name l Other:
((V.1 ctel Q COO I l�q LL c MECHANICAL PERMIT FEES*
Address: 020 95 YU m A 1 o r I e-K Wd Subtotal a. q 0
City/State/ZIP: t C L ISIo r O Q C c7 V1 q.4-(ZY Minimum permit fee($90.00) 4�U
Plan review(25%of permit fee)
Phone:(��0.70 i 59 0 Fax:( ) State surcharge(12%of permit fee) /v_
CCB lic.: (i o 6 el TOTAL PERMIT FEE tr;I„4-j7
This permit application expires if a permit is not obta• wi 80
days after it has been accepted as complete.
Authorized signature: + Fee methodology set by Tri-County Building Industry Service Board
Print name• 7 --_ Er'C` ik„ Date: 5 • 1 .,2.06
I:Buildmg\Permas\MEC_Pem_..t)_040113.doc 440-4617T(11/02/COM/IVF8)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9880 SW SATTLER ST, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2015-00272
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9880 SW SATTLER ST, TIGARD, OR, 97224 May 19, 2015 at 1 :13:08 PM
Record Type: Record ID:
Residential - Mechanical MEC2015-00272
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor