Permit CITY OF TIGARD MECHANICAL PERMIT
' �! ' COMMUNITY DEVELOPMENT Permit#: MEC2015-00492
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/21/2015
Parcel: 2S111DB08700
Jurisdiction: Tigard
Site address: 15430 SW OAKTREE LN
Project: Thorne Subdivision: SUMMERFIELD NO.10 Lot: 548
Project Description: Install(1)dryer vent and(2)exhaust fans.
Contractor: DANNYS HEATING AND COOLING INC Owner: THORNE, CLIFFORD D JR
16303 NE 36TH ST THORNE, STEPHANIE E
VANCOUVER,WA 98682 15430 SW OAKTREE LN
TIGARD, OR 97224
PHONE: 503-914-8058 PHONE: 503-936-5342
FAX:
FEES
Specifics: Description Date Amount
Clothes Dryer Exhaust 07/21/2015 $33.39
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 07/21/2015 $46.64
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 07/21/2015 $10.80
Stories:
Minimum Fee Adjustment-Mechanical 07/21/2015 $9.97
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , / 9 Permittee Signature: rf, J '7
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application_ 1 ()IZ O 1 11( I I ',I ON I 1
1111 City of Tigard RECEIVE Date/By:Received ? A /6-- 04 Permit No.: , `/ T-tb 9 Air
:: • 13125 SW Hall Blvd.,Tigard,OR 97223
S Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 JUL 21 2015 Date/By: t Permit.
I i k ;\RI, Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
B WORK�_n f N G ;1�l�f pM
TYPE OF wo COMMERCIAL FEE* SCHEDULE—Use CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FT'S*
® 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:
Air conditioning 46.75
lob site address:15430 SW Oak Tree lane Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: �J'�Q4) 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
Other: 23.32
Subdivision: Lot no.: -
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
2 exhaust fans,1 dryer vent fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER I El TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Cliff Thorne Range hood/other kitchen
equipment 33.39
Address:15430 SW Oak Tree lane Clothes dryer exhaust I 33.39
City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 2 23.32
Phone:(503)9365342 Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name:TL Remodel&Construction Inc
$14.15 for first four;$4.03 for each additional
Contact name:Tim Labunsky Furnace,etc.
Address:PO Box 1996 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Lake Oswego,OR 97035 Water heater
Phone:(503)984-2783 Fax::( ) Fireplace
Range
E-mail:TLRemodel @ yahoo.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Dannys Heating and Cooling Other:
MECHANICAL PERMIT FEES*
Address:16303 NE 36Th st.Vancouver WA 98682 Subtotal 6p
City/State/ZIP:Vancouver,WA 98682 Minimum permit fee($90.00) t,e,
Plan review(25%of permit fee) -----
Phone:(503)9148058 Fax:( ) State surcharge(12%of permit fee) ,o,gQ
CCB lie.: 197549 TOTAL PERMIT FEE /a,, fro
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
l;n * Fee methodology set by Tri-County Building Industry Service Board
Print name:Danny Zubanov Date:1/19/15
I:\Building\Pamits\MEC_PermitApp_040113.doc 440-4617T(I1/02/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
15430 SW OAKTREE LN, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00492
David Young
Violation Summary:
Inspector Contractor
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
11050 SW SUMMER LAKE DR, TIGARD, OR,
97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00495
Jeff Grove
Minor 486905
Violation Summary:
Inspector Contractor