Permit 14 CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit#: MEC2015-00408
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/24/2015
TI>:a It.O Parcel: 251128809900
Jurisdiction: Tigard
Site address: 14385 SW FANNO CREEK LP
Project: Dalton Subdivision: COLONY CREEK ESTATES NO.3 Lot: 81
Project Description: Installation of a/c unit. Placement of unit must comply with manufacturer's clearance requirements.
Contractor: WESTERN HEATING&COOLING INC Owner: DALTON, DANNY ERVIN&SHIRLEY J
50618 COLUMBIA RIVER HWY 14385 SW FANNO CREEK LOOP
SCAPPOOSE,OR 97056 TIGARD, OR 97224
PHONE: 503-543-5599 PHONE:
FAX: 503-543-3693
FEES
Specifics: Description Date Amount
Air Conditioning 06/24/2015 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 06/24/2015 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/24/2015 $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 Not' Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 %. -.,190. You may obtain a copy of the rules
or dire questions to O b -fling 503.232.1987 or 1.800.332.2344.
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Issue By: 002_44/U1-4-4 Permittee Signatu /
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 01 1 1( I. I SI:0NL1
City of Tigard �EiVED w"y Cote Permit No.; ,y£ , /s- i604/o
.71.- 13125 SW Hall Blvd..Tigard,O Plan Review
• ' Phone: 503.718.2439 Fax: 503.598.1960 Davy: Other Pennit:
I 1, A It n Inspection Line: 503.639.4175 JUN 2 3 2015 Date Ready:'By: ture' 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: SupphmentnlInformation
CITY OF TIGARD
TYPBk111&1tilka'DIVISION COMMERCIAL PEE* SCHEDULE- USE CHECKLIST
r 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.
- Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS PEES'
® 1-and 2-family dwelling El 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:
Air conditioning 1 46.75 46.75
Job site address: 14385 SWFANNO CREEK LOOP Furnace 100,000 BTU(dueta've»ts) 46.75
City/State/ZIP:TIGARD,OR 97224 Furnace 100,000+BTU(ductsiventa) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Dalton purl 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
REMOVE AND REPLACE EXISTING AIR CONDITIONER fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
IR PROPERTY OWNER ❑ TENANT Other 23.32
Environmental exhaust and ventilation:
Name:DAN DALTON Range hood/other kitchen
equipment 33.39
Address:14385 SW FANNO CREEK LOOP Clothes dryer exhaust 3339
City/State/ZIP:TIGARD,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)620-2194 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT ❑ CONTACT PERSON Other: 23.32 _
Business name:WESTERN HEATING&COOLING INC Fuel piping:
$14.15 for first four,$4.03 for each additional
Contact name:DARCY NELSON Furnace,etc.
Address:50618 COLUMBIA RIVER IIWY Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:SCAPPOOSE,OR 97056 Water heater
Phone:(503)543-5599 Fax::(503)543-3693 Fireplace
Range
E-mail:DJNELSON@WESTERNHEATING.COM Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:WESTERN HEATING&COOLING INC Other
MECHANICAL PERMTTFEES"
Address:50618 COLU,BIA RIVER HWY Subtotal 46.75
City/State/ZIP:SCAPPOOSE,OR 97056 Minimum permit fee($90.00) 90.00
Plan review(25%of permit fee) 0.00
Phone:(503)543-5599 Fax:(503)543-3693 State surcharge(12%of permit fee) 10.80
CCB lic.:76978 1/f (P TOTAL PERMIT FEE 100.80
f This permit application expires if a permit is not obtained within Igo
days after it has been accepted as complete.
f Authorized signature: v/�)%.____ • Pie methodology set by Tri-County Building industry Service Board
Print name:DARCY R NELSON I Date:6-16-2015
I,Buitdieg\Permit MEC rermitApp_0401 tt.doe 440-4617T(11102 COMMMEB)
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
14385 SW FANNO CREEK LP, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
FAIL
MEC2015-00408
David Young
No electrical permit on file, no minor label posted on site for ac re- connect.
Electrical permit required from city of tigard for ac re-connect, no minor label allowed for
work done without permit. Investigative fee to be paid for electrical work done without
permit prior to any further inspections.
Violation Summary:
Inspector Contractor