Permit q CITY OF TIGARD MECHANICAL PERMIT
3 COMMUNITY DEVELOPMENT Permit#: MEC2015 00344
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2015
Parcel: 2S110DD05700
Jurisdiction: Tigard
Site address: 10660 SW HIGHLAND DR
Project: FLETCHER Subdivision: SUMMERFIELD NO.4 Lot: 157
Project Description: A/C and furnace installation.
Contractor: THOMAS SHEETMETAL& HVAC LLC Owner: FLETCHER, GILBERT J&ARLENE F
22960 NE TRANQUIL LN 10660 SW HIGHLAND DR
NEWBERG, OR 97132 TIGARD,OR 97224
PHONE: 503-537-7363 PHONE:
FAX: 503-554-9231
FEES
Specifics: Description Date Amount
Air Conditioning 06/04/2015 $46.75
Type of Use: SF Furnaces<100K BTU 06/04/2015 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 06/04/2015 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure.
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or .800.332.2 `,
Issued By: •.'ttee Signature. K-
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLI'
City of Tigard RDee ed
• 13125 SW Hall Blvd.,Tigard,OR 97223 y ' �" t 0 e
Plan Review Other Permit:
= Phone: 503.718.2439 Fax: 503.598.1960 4t') 'I. Date/By:
I I G A R I) Inspection Line: 503.639.4175 A 4, • Date ReadyBy: RN la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
. .
Mechanical permit fees*are based on the value of the work
❑New construction Other: n/alteration/ropla(ge eat C` performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: , )1�11101 mechanical materials,equipment,labor,overhead,and profit.
���� Value:$
..
-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. 1 Total
Heating/cooling:
Job site address: Air conditioning / 46.75 LIlr7s
`Q C ' W \�\d�\li. V Furnace 100,000 BTU(ducts/vents) 1 46.75 N(r.7)
City/State/ZIP: ` (4 c CQ C3 :—1 \ Furnace 100,000+BTU(ducts/vents) , 54.91
V` ` C Heat pump 61.06 _
Suite/bldg./apt.no.: Project name: � .j am • /Ill Duct work 23.32
Cross street/directions to job site: r� 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK _M Gas fireplace/insert 33.39
Flue vent for water heater or gas
G 14 -7‹,��Ce ,i'y./ J fireplace 23.32
/ "` Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
l' 'OPE;1
Environmental exhaust and ventilation:
Name: 6,9._ `_ ,--K-tv_. , Range hood/other kitchen
Q 5w, l 1 1 \� Clothes dryer exhaust 33.39
City/State/ZIP: Avg, r,....t.., �� Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(5 3 — Fax:( ) Attic/crawlspace fans 23.32
Other: 23.32
Business name: /, gyp Fuel piping:
/-�
f ' al 6
� ,,,v,e_ $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address: - -
Wall/suspended/unit heater
City/State/ZIP: Water heater
•
Phone:( ) I Fax::( ) Fireplace
Range
E-mail: Barbecue
`` ll �l 0 y 1 p Clothes dryer(gas)
Business name:
o v\A✓4j# S 1).�2 � V Other:
Address: . CI C C L(2 Q.■. .9...va. ,_,I V TT Pk)V `,�\\^ , 4 ($ Subtotal G'(10„CN
City/State/ZIP: I)�� vi- ��` t t 3 \ Minimum permit fee($90.00)�l`"' Plan review(25%of permit fee)
Phone:( 9 3?, 3 Fax:( ) State surcharge(12%of permit fee) if_ y9-
CCB lie.: wp(n�L� TOTAL PERMIT FEE Of.-21
""'� ! This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signs • Fee methodology set by Tri-County Building Industry Service Board
Print name� � • �4 Date: 4 i
I:\Building\Permita\MEC_PermitApp_040113.doc 440-46177(I1/OVCOM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
$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.
I:\Building\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
10660 SW HIGHLAND DR, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
June 23, 2015 at 9:48:17 AM
MEC2015-00344
David Young
Correction done.
Violation Summary:
Inspector Contractor