Permit CITY OF TIGARD MECHANICAL PERMIT
$ COMMUNITY DEVELOPMENT Permit#: MEC2015-00412
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2015
Parcel: 1S126DB05700
Jurisdiction: Tigard
Site address: 9448 SW 92ND AVE
Project: Vester Subdivision: MONTAGE Lot: 28
Project Description: Installation of a/c. Placement of unit must comply with manufacturer's clearance requirements.
Contractor: BULL MOUNTAIN MECHANICAL Owner: VESTER, MATTHEW S
6520 ROSEWOOD ST 9448 SW 92ND AVE
LAKE OSWEGO, OR 97035 TIGARD, OR 97223
PHONE: 503-612-6677 PHONE:
FAX: 503-692-3084
FEES
Specifics: Description Date Amount
Air Conditioning 06/25/2015 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 06/25/2015 $10.80
Class of Work: NEW Type of Const: Minimum Fee Adjustment-Mechanical 06/25/2015 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility : • Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or• ect questions to. NC • •.fling 503.232.1987 or 1.800.332.2344.
Issued By: I / Permittee Signature: / i 1. Cif jam` —
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLI'
City of Tigard `/ Received /I / /�
13125 SW Hall Blvd.,Tigard,OR 97 2
I Y E Date/By: Li' �l7 I`�! Permit No.:}/ �L� JS �C V /�
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit:
T I G A K D Inspection Line: 503.639.4175 JUN 2 5 2 015 Date Read /B `luris:
Internet: www.tigard-or.gov Ready/By: Supplemental See Page 2 for
Notified/Method: Supplemental Information
CITY OF 11C, A"RD -
E o ° -" '' • COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder
❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
(]I"I,L-6 n Air conditioning 1 46.75•Job site address: q O 9 2 ,,L1`v.2 , Furnace 100.000 BTU(ducts/vents) 46.75
£
City/State/ZIP:?or- _I �� _ 7 2 3 Furnace 100,000+BTU(ducts/vents) 54.91
'r
I
1 !� 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
6\0(-( G t t 1 Flue vent for water heater or gas
v� _-_ fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
VI PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: A. 1/Q 4p - Range hood/other kitchen
Address: / G �� h equipment 33.39
9 b _ Clothes dryer exhaust 33.39
City/State/ZIP: (. r T\Ayyrrk (512- 9 } ZZ ft Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(C�t 1) oZ 3 1 6 s 3 Fax:( ) Attic/crawlspace fans 23.32
ID 'APPLICANT ❑ CONTACT PERSON Other:
23.32
Business name: S S�S�V Fuel piping:
`1 l���h •� L ��_ _ $14.15 for first four;$4.03 for each additional
Contact name�A.�1L C D•_ Furnace,etc.
Address: g 1 te I, G - -t Gas heat pump
w �W �JO 1 Wall/suspended/unit heater
City/State/ZIP.---1-1. 0\ 012._ q'1zz Water heater
Phone:( �2.) i� 12 6 to 1_1_ Fax::($0.9 6,5 2_.. '3 O e[t Fireplace
E-mail: r II / Range c o e \,,,,,\\,,,,91/4.,VN.i(�21 r ��c-h • (..0 O .■ Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: l�\\ o"n` , eN\t, „��. , �a5,\, ��� Other:
r 1 S 1L.\ , j�c t Cv MECHANICAL PERMTS FEES*
Address: g) 10 b�\ _
11ftiw_ Subtotal
City/State/ZIP. _J
� t"r � '1. '�Z� Minimum permit fee($90.00) �+ f�.
Phone: Plan review(25%of permit fee) ,O.Qv
Ia... Is Fax:( p 3o g
( �� ��Z •` State surcharge(12%of permit fee)
CCB hc.: I S 1 8 114
TOTAL PERMIT FEE /ta at
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by T6-County Building Industry Service Board
Print name? -'.e1oz 11/1 HA1.,S t H Date:/2 'fi ) 15
I-Budding Prrnuts MEC-Permit App_040113 doc 440-4617T(11'02'COM/WEB)
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
9448 SW 92ND AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
FAIL
MEC2015-00412
George Heimos
1. Electrical Permit required for installation of new AC unit.
2. No Minor Label posted on electrical panel for electrical connection, no electrical permit
has been pulled at City.
3. New electrical permit required to be pulled at City of Tigard.
4. Recall Mechanical Final after electrical inspection has passed final inspection.
All else ok
Violation Summary:
Inspector Contractor