Permit 111111 CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC201500603
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/01/2015
Parcel: 1S133CC70012
Jurisdiction: Tigard
Site address: 14100 SW BARROWS RD 2
Project: Davies Subdivision:SCHOLLS VILLAGE CONDO STAGE 6 Lot: 1-2
Project Description: Installation of a/c unit. Placement of unit must comply with manufacturer's clearance requirements.
Contractor: HONKE HEATING&AIR CONDITION INC Owner: DAVIES, BARBARA A
840 NE CLEVLAND 14100 SW BARROWS RD 1-2
GRESHAM, OR 97030 TIGARD, OR 97223
PHONE: 503-666-3725 PHONE: 503-521-0590
FAX: 503-666-0589
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 09/01/2015 $176.51
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/01/2015 $21.18
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 09/01/2015 $1.00
Stories: 11x17)
Project Valuation: $3,950.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $198.69
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct qu-: ••ns o•. C by calling 503.232.1987 or 1.800.332.2344.
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Issue. By: , ' // ,, Permittee SignaRure:
Call 503.639.4175 by 7:00 a.m.for the next available inspe 'on date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Aug 27 15 03:07p Honke Heating 503-666-0589 p.1
Mechanical Permit A ir-tSVE FOR OFFICE sF.°v1,)
• City of Tigard r� Received. 4 3 /49 Permit No.: H �!5� �3
■ J3125 SW Hall Blvd,Tigard 4.2 3 1 2015 Plan Rev icy./
Phone: 503.718.2439 Fax: 3S 1460 DateBy. Other Penman
T I G A R D Inspection Line: 503.639.4175 , �y Da1c Qty/By; mut: 01 See Rate 2 for
Internet svwtv.tigard-orgc�11 Y Of I`lA 11 Noti tied Method: Supptenwittal Information
BUILDING D1V1S1O1'
. 1.1 t*'WORK COM14ERCIAL FEE" SCHEDULE-USE..ci i LIST
Mechanical permit fees*arc based on the value of the work
❑New constnrction Addition/alteration/replacement performed Indicate fire value(rounded to the nearest dollar)of all
❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit.
value:$ :e 55O r `'-
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
-fattli y -citing ❑Commercial/industrial ❑Accessory building For spacial injorn.abote rase chisckii c
(�Iblulti-ftunily ❑Master builder ❑Other: Description Qty. I Eu. Total
%JOB SITE INFORMAT]ONl AND LOCATION Heating/eoolbig:
Q h Air conditioning 1 46.75
Job site address: I q/00 51� 8 a /Z-L get-5 t� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: cry- q 1? Furnace 100,000+BTU(ductstvents) 54.91
Heat po
Suite/bldg./apt no.: , _ Project name: m .32
p 2
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
Flucivent for any of above 23.32
Other: 23.32
Subdivision:
Lc*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
glace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood ftreplaocfmsert 23.32
Chirnney/liner/flue/vent 23.32
Other: 23.32
PROPtr . O WN1;R ❑ TENANT Environmental exhaust and ventilation:
Nom: /1 „ e L,0 � 11/4,0 Range hood/other kitchen
I--- f)WZ NJ , 1_ - equipment 33.39•
Address: + 6 a t.JV .� _ Clothes dryer exhaust 33.39
ry 1 , (.7Y- 1� -���2 Single-duct exiraust(bathrooms,
Ci /StaterZlP: J toilet compartments,utility rooms) 23.32
Phone:($Z 3)_621'—,05(10 Fax:( ) Attic/crawlspace fans 23 32
❑ APPLICANT • ❑CONTACT PERSON Other: 23.32
Fuel piping:
Business name: $14.15 for first four,$4.03 fur 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
CTOR . Clothes dryer(pas)
f tt Other
Business name: jtJz . ,1 CHA ilei LPWI T :ItS"
Address: D ti C ( . frig, . _ subtotal .I? , .
City:State/ZIP: r l 101 9 7 7 (� Minimum permit fee($90.00) -
/494960—�r �, ' ` Plan review(25%of permit fee) - ' '
Phone:()3) 39-5 Ll Fax:(57, ( 4'—O5Et7 State surcharge(12%of permit fee) 4,21 a l g
CCB tic.: "7 ("7( T _ TOTAL PERMIT FEE t •Oil
This permit apps after it aspires accepted is not
p
i - daysrNcr it has been aottpted a complete.
Authorized signature: /241../360 • Fee methodology set by Tri-Couray Budding Industry Scrruce Board
Print name: I-i, } PPIIQ� I Date: l 25/% I 11 /q. 'ow I
BIiaikrmeeanita'M C_PermdApp_Dt0113.dee 440.46171(II/02/C014'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
14100 SW BARROWS RD 2, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00603
David Young
Minor label # ELS 486079
Violation Summary:
Inspector Contractor