Permit CITY OF TIGARD MECHANICAL PERMIT
p
111 g ° COMMUNITY DEVELOPMENT Permit#: MEC2016-00139
T EGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2016
Parcel: 25111 DB03700
Jurisdiction: Tigard
Site address: 9160 SW SUMMERFIELD CT
Project: CAMPBELL Subdivision: SUMMERFIELD NO.8 Lot: 423
Project Description: (1)exhaust hood and gas line to range.
Contractor: DANNYS HEATING AND COOLING INC Owner: CAMPBELL,VIRGINIA L/DAVID
16303 NE 36TH ST 9160 SW SUMMERFIELD CT
VANCOUVER,WA 98682 TIGARD, OR 97224
PHONE: 503-914-8058 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 03/01/2016 $33.39
Type of Use: SF Fuel Piping 03/01/2016 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 03/01/2016 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 03/01/2016 $42.46
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r-�
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Issued By: Permittee Signature: t
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application _ 1.0k t)F1 1t 1 1 tiI cl\I 1
Received
City of Tigard 0)\-
Date/By:
RISME Permit No.: . r( , _.+ /
lig13125 SW Hall Blvd.,Tigard,OR 9 � Plan Rev];
l
0 Phone: 503.718.2439 Fax: 503.59 i v T^ DateBy: Other Permit:
I R;n I;I> Inspection Line: 503.639.4175 + `�,%\ Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov MP� 1 �xj) Notified/Method: Supplemental Information
TYPE'OF"WORK#3 �� COMMERCIAL FEE* SCB EDULE—USE CHECKLIST
Mechanical permit fees*are based on the value of the work
ElNew construction ®Addition/alteratioQ�i � ent performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition El Other: D11 mechanical materials,equipment,labor,overhead,and profit.
Value:$
s., CATEGORY OF CONSTRUCTION
x RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION ANIIt LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:9160 SW Summerfield Ct 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:Campbell 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
Flue vent for water heater or gas
Gas line to range,l hood exhaust fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
181 PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:David&Virgins Campbell Range hood/other kitchen
equipment 1 33.39
Address:9160 SW Summerfield ct Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 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)9842783 Fax::( ) Fireplace
Range 1
E-mail:TLRemodel@yahoo.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Danny Heating&Cooling Inc Other:
MECHANICAL PERMIT FEES*
Address: l&3 0 3 E 3 64'`"` St" c� Subtotal
City/State/ZIP: ‘i".4.coyvsLN OC.. 1:1/C?6)0 2- Minimum permit fee($90.00) 10.t1,
Phone:(s-D3 ) y/4/ Fos-g• Fax:( ) Plan review(25%of permit fee) —
State surcharge(12%of permit fee) , ._CCB lic.: 1q 75 i'T TOTAL PERMIT FEE/I_r
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 TriCounty Building Industry Service Board
.7'..
Print name: 1 3 'til/ Date: 3////‘
1:\Building\Permits\MEC_PermitApp_040113_doc 440-4617T(I I/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
9160 SW SUMMERFIELD CT, TIGARD, OR,
97224
Residential - Mechanical
615 Mechanical rough-in
PASS
MEC2016-00139
Jeff Grove
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
9160 SW SUMMERFIELD CT, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00139
Jeff Grove
Violation Summary:
Inspector Contractor