Permit (14) CITY OF TIGARD MECHANICAL PERMIT
111
COMMUNITY DEVELOPMENT Permit#: MEC2016-00171
TIG A R o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/14/2016
Parcel: 1S136DD07601
Jurisdiction: Tigard
Site address: 11905 SW 69TH AVE
Project: PARSA LLC Subdivision: WEST PORTLAND HEIGHTS Lot: 36
Project Description: (1)new 2.5 ton gas pack with duct work,(1)range hood,(1)clothes dryer,(4)bathroom fans,and gas piping for
furnace,fireplace,and range.
Contractor: LIQUID TIGHT PLUMBING Owner: PARSA LLC
PO BOX 642 1510 6TH ST
BORING, OR 97009 WEST LINN, OR 97068
PHONE: 503-807-6850 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Fumaces<100K BTU 03/14/2016 $46.75
Type of Use: SF Range Hood/Other Kitchen 03/14/2016 $33.39
Class of Work: ALT Type of Const: Clothes Dryer Exhaust 03/14/2016 $33.39
Occupancy Grp: Single Duct Exhaust(Bathrooms,Toilet, 03/14/2016 $93.28
Stories: Utility Rooms)
Fuel Piping 03/14/2016 $14.15
12%State Surcharge-Mechanical 03/14/2016 $26.52
Fuel
Fuel Types:
Gas Pressure:
Total $247.48
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.
Nur
Issued By: / •- •--e Signature:
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.
Inspections Required for Permit No.:
IVR Code t'�`Type- )hermit Description.' .n. E :ISR Code't Type : Petiat Description-
01 BUP Building—structural 07 SIT Site Work
02 ELC Electrical 08 SWR Sewer Conn ction
03 ELR Restricted Energy 09 FPS Fire Prote ion
04 MEC Mechanical 10 RER Re-Roo
05 MST Master—residential combination 11 CMS Corn ,ercial Manufact.Structure
06 PLM Plumbing 12 SFM Si :e-Family Manufact.Structure
J
R- 'd _ `' Code. Itts i e tion Descri tion. ,:J Req'd F<:? Code _ "v ection Description q, k:_ $„
Building (struc, al) Inspections Elect 'cal Inspections
205 Footing 10. Underground/slab cover
210 Foundation w:lls 0 Temporary electrical service
215 Footing drain 115 Electrical service
220 Slab 120 Electrical rough-in
225 Post/beam structur. 125 Wall cover
230 Underfloor insulatio 130 Ceiling cover
240 Exterior shearwall 135 Low voltage rough-in
242 Interior shearwall 140 Sign installation
245 Firewall 145 A/C or heating unit circuit
250 Roof nailing 150 Hot tub/spa/pool
255 Wtr proofing basement walls 195 Misc. inspection
260 Tilt-up panel 198 Low voltage final
265 Masonry 199 Electrical final
270 Reinforcing steel(rebar)
275 Framing Mechanical Inspections
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough-in
289 A.•roach/sidewalk 620 Hydronic piping
295 Misc. inspection 625 Duct work
299 Final inspection 630 Fire damper
635 Smoke detector shutdown
Fire Protection System Inspe. ions 640 Exhaust hood
905 Sprinkler underfloor/s1.• 645 Grease duct test
907 Sprinkler hydro test 695 Misc. inspection
910 Sprinkler rough-in/ st 699 Mechanical final
915 Fire alarm rough-'
920 Suppression trip est Plumbing Inspections
995 Misc. inspectio 305 Plumbing underslab
998 Alarm final 10 Crawl drain
999 Sprinkler fi 1 3 • Backwater valve
315 Post/beam plumbing
Site Work Inspe tions 320 Plumbing rough-in
405 Excay. on 322 shower pan
410 Fill 330 :ter service
415 Gra'm: 335 Ra' drain
420 'Winkler su..1 lines 340 Storm ewer
495 IF isc. ins section 345 Culve atch basin
499 rFinal ins.ection 350 Septic tan
395 Misc. inspe,tion
Ero:ton Control Ins.ections 399 Plumbing fin.
0 Initial erosion control
752 LIDA on-site facility inspection Sanitary Sewer Inspect .ns
755 Regular erosion control 505 Sanitary sewer
797 Final LIDA inspection 585 Misc. inspection
798 Final erosion control 599 Final inspection
Manufactured Structure Inspections
810 MFG-Structure set-up
899 MFG-Structure final
I:\Building\Forms\Inspection Cards\AOP Insp Card By Case\InspCard_All_061814.docx
Mechanical Permit Application Folz of i i is FSI:()NIA
City of Tigard REiew
ived
G Penni[No.: ri 13125 SW Hall Blvd. Tigard,OR 97223 V -
Phone: 503.718.2439 Fax: 503.59:10`is Other Permit:
Date/By:
l I G.1 I:l) Inspection Line: 503.639.4175 `�Q�% Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov �nU Notified/Method: r_ Supplemental Information
Gilik"
' �' �' ,=F. _` .e ,�, 'fix �:.,,«.� ., ..w.,,.1,^.. ,t,.,; � � M :r �.�%ts.� M w w�'.�t r ,;._ ":!2',.,:.-
M ec hanica 1
!2 -Mechanical permit fees*are based on the value of the work
0 New constructionAddition/alter. • :le'.
cementIsi performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
F' :-4W r � { y Value $
�,.. .... .�c..x-sae y-nwo.
l-and 2-family dwelling ❑ Commercial/industrial 0 Accessory building For special information use checklist.
Multi-family 0 Master builder ❑Other: Description I Qty. I Ea. I Total
!: '. e. , €..,, k d st ' »
y+ . t a7,
Heating/cooling:
°I''''''''''''''''''N ..... » . ' .�44.177674.'i
.. ,� �..'tib �M ,.�..' , '''''''''.4"411-;''''4'''''';'' Air conditioning
46.75
Job site address: 1 os S `� �
Furnace 100,000 BTU(ducts/vents) 46.75 i.lG.-zg'
City/State/ZIP:7-; 6 45.42„.0 OYN. Furnace 100,000+BTU(ducts/vents)4 54.91
r , Heat pump 61.06
Suite/bldg./apt.no.: Project name: PC&4 ss-� -1-� Duct work 23.32
Cross street/directions to job site: r! 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: 1 Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
) C1011OJJ f)*r('I( Gas fireplace/insert 33.39
"" '' Flue vent for water heater or gas
t-l--) "i'17 ---t-k-, &A& D .. ) t, .1 fireplace 23.32
, IL J A i it Log lighter(gas) 23.32
`� F- 1 PG K I Wood/pellet stove 33.39
�f e"N. ` % L �- 6 A5' C Al e Wood fireplace/insert 23.32
'11-b 170 x.40-41J¢ k (P Chimney/liner/flue/vent 23.32
t ) Other: 23.32
;ROPrE" ;O+I j ,-,,', -,,.;;.-,,,,i,:',7!„::,:,,,, .
Environmental exhaust and ventilation•
Name: Range hood/other kitchen
equipment 33.39 33.3`/
Address: Clothes dryer exhaust 1 33.39 33-N
City/State/ZIP: Single-duct exhaust(bathrooms,
y toilet compartments,utility rooms) '1 23.32 'T3,)...ir
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
~40iIcM4T ❑ CONTA r P tiN Other: 23.32
.. . Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: s. if\ / Furnace,etc. t
Address: Gas heat pump
Wall/suspended/unit heater 111'15-
City/State/ZIP:
y,i5-City/State/ZIP: Water heater
Phone: V`.5 9';,<S"';,<S" .C 0 )3 Fax: :( ) Fireplace L
V` Range '
E-mail: Barbecue
€ - / 0 `' ' ,0` � t 'x < . ry (gas)
., ..�� r c..� -.,Kis+,.z,b.�. ,- -ws:,. ?P bT.,5�...t 'r,s' µ�i�s��u..?.'rs .. r..�i Clothes d ei aS
Business name: L.� l.1 � 0 d--t-i p I `
� � 1..11 .,� Other:�v‘ (],
& j
m4��'� � � . 't ::7 1Ylt� il
Address: t� , Qr 6kt?
Subtotal __t' .16
City/State/ZIP: f6.‘s,e-� C.,>•-- "-) 00 7 Minimum permit fee($90.00)Plan review(25%of permit fee)
Phone:(Sb3 '-'1'�s'-9 O I 3 Fax:( ) State surcharge(12%of permit fee)t ,/-
5;1
CCB lie.: 1 69 D 6 �j 3J/'j /6 TOTAL PERMIT FEE i t
i J This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: \ GZt * Fee methodology set by Tri-County Building Industry Service Board
Print name: `VA-1-7tyy1 ate:')i k 1
I:Building,.Permits'MEC_PermitApp_040113.doc 440-4617T(II COMWEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\M EC_PennitApp_040113.doc 2