Permit q CITY OF TIGARD MECHANICAL PERMIT
1,11 s . COMMUNITY DEVELOPMENT Permit#: MEC2015-00310
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2015
Parcel: 2S111AB02900
Jurisdiction: Tigard
Site address: 9345 SW MOUNTAIN VIEW LN
Project: Goodhouse Subdivision: ELROSE TERRACE Lot: 25
Project Description: Replace gas furnace with new and replace a/c with heat pump. Placement of heat pump must comply with
manufacturer's clearance requirements.
Contractor: WILLAMETTE HEATING&AIR CONDITIONING INC Owner: GOODHOUSE,JOHN JAY
4760 SW HAMILTON 9345 SW MOUNTAIN VIEW LN
PORTLAND, OR 97221 TIGARD, OR 97224
PHONE: 503-284-3740 PHONE: 971-212-7533
FAX: 503-284-2821
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 05/28/2015 $46.75
Type of Use: SF Heat Pump 05/28/2015 $61.06
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 05/28/2015 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $120.75
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 qu-: ins to•. C by calling 503.232.1987 or 1.800.332.2344.
Issued = /� Permittee Signature: /
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 I SF ()\I.1
ed
City of Tigard Received 5pj
Permit 4/S 3/e.
E C E I /E D DateB : —,-
13125 SW Hall Blvd.,Tigard,OR 97219 1/ Plan Review
i Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
T I G A R D MAY 2 8 2015 Date Re
Inspection Line: 503.639.4175 Date Ready/By: luris El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE oFBOICOING EVASION 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.
CATEGORY OF CONSTRUCTION Value:S
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building
For special information use checklist.
❑Multi-family ❑Master builder ❑Other:
Description 1 Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning t+ eat pump
Job site address:
Ai.Mt-_, p I - - (requires site plan s∎. •• I- , .t) 14.4e Y(,
City/State/ZIP: f e �` J J_, ....../. Furnace 100,000 BTU(ducts/vents) I 14.00 4/l.76'
Furnace 100,000+BTU(ducts/vents) 17.90
Suite/bldgiapt.no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler(radiator or
hydronic) 14.00
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 10.00
Subdivision: l Lot no.:
Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
/, _ _ _�__ , " y ,Or Flue vent for water heater or gas all
_
fireplace 10.00
r • _ �./ t _ S e r Log lighter(gas) 10.00,
•. `
6t-'11 Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00
Other: _ 10.00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four;S1.00 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) I Fax::( ) Water heater
Fireplace 1
-
E-mail:
Range
CONTRACTOR Barbecue
Business name: adi t(I i'f?„, ,u,,,(tJ Clothes dryer(gas)
Other:
444
Address: y 7/ 0 MECHANICAL PERMIT FEES*
City/State/ZIP: eR� Subtotal 607,s/
Phone: �,/ nom/ Fax:( ) Minimum permit fee(572.50) ��
( )/�$ [ L Z ! Plan review(25%of permit fee)
CCB lic.: �rj L/ `'j' �//,7 State surcharge(8%of permit fee) t�.•91/
,/ l ✓` TOTAL PERMIT FEE MC..15-A
Authorized signature: ,r / , This permit application expires if a permit is not obtained within 180
_ _ /.. • ►- days after it has been accepted as complete.
Print name: �A � Date: ! • Fee methodology set by Tri-County Building Industry Service Board
I auildineermits.MEC-PermitAppdoc 04/06/06 440.46177(II/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to$2,000.00 Minimum fee$72.50
$2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30
for each additional$100.00 or fraction
thereof,to and including$5,000.00.
$5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and
$1.80 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,001.00 to$50,000.00 $231.50 for the first$10,000.00 and
$1.35 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and
$1.25 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first$100,000.00 and
$1.10 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\MEC-PermitApp.doc 12/30/05 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
9345 SW MOUNTAIN VIEW LN, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00310
David Young
Violation Summary:
Inspector Contractor