Permit (29) IliCITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2016-00330
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2016
Parcel: 1 S125DD09100
Jurisdiction: Tigard
Site address: 9674 SW VENTURA CT
Project: RYAN Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 99
Project Description: Replacing(1)bath fan and(1)exhaust hood.
Contractor: DAVE SQUARED ENTERPRISES LLC Owner: RYAN, ROBERT T
PO BOX 877 WOOD, SARA G
NORTH PLAINS, OR 97133 9674 SW VENTURA CT
TIGARD, OR 97223
PHONE: 503-936-6886 PHONE:
FAX: 503-647-5084
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 05/09/2016 $33.39
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 05/09/2016 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 05/09/2016 $10.80
Stories: Minimum Fee Adjustment-Mechanical 05/09/2016 $33.29
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.4. /
Issued By: l Permittee Signature. �� /ft/ /
Call 503.639.4175 by 7:00 a.m.for the next available inspection date
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE 011.1
Received
- City of Tigard Date/By: Permit No.: r
13125 SW Hall Blvd.,Tigard,OR 97223 "'�r� �"_ CD-_a ' i
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Ne Date/By: Other Permit/1133, A/(0 I,
Ti G A R D Inspection Line: 503.639.4175 E� Date Ready/By: Permit/113r,
See Page 2 for
Internet: www.tigard-or.gov R 9 gp16 Notified/Method: AVM Supplemental Information
TYPE OF WORK �c."�‘ a fa Q • COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
sl, Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alter,t performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: 1V` mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:9674 SW Ventura Ct Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: 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
Replace existing bath fan and ducting fireplace 23.32
Replace existing exhaust hood and ducting Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 1 33.39 33.31
Address:9674 SW Ventura Ct Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32 a23.3Z,
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Dave Squared Enterprises
$14.15 for first four;$4.03 for each additional
Contact name:Dave Saalfeld Furnace,etc.
Address:PO Box 877 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:North Plains,OR 97133 Water heater
Phone:(503)936-6886 Fax::( ) Fireplace j
Range
E-mail:dave_saalfeld@msn.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Dave Squared Enterprises Other:
MECHANICAL PERMIT FEES*
Address:PO Box 877 Subtotal
City/State/ZIP:North Plains,OR 97133 Minimum permit fee($90.00) e.)p ,Cd
Plan review(25%of permit fee) ---
Phone:(503)936-6886 Fax:( )
State surcharge(12%of permit fee) 0 et)
CCB lie.:188575 TOTAL PERMIT FEE 1(J d.eD
"114 1 l This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signal i. ffit iI * Fee methodology set by Tri County Building Industry Service Board
Print name:Dave Saa • . 1j Date:5/9/2016
I:\Building\PermitsUMEC_PermitApp_040113.doe 440-4617T(11/02/COM/WEBI
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
9674 SW VENTURA CT, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00330
Jeff Grove
Violation Summary:
Inspector Contractor