Permit (36) MECHANICAL PERMIT
.r CITY OF TIGARD
Permit#: MEC2016-00406
g COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/07/2016
TIGARD Parcel: 1 S134AD03600
Jurisdiction: Tigard
Site address: 10980 SW 108TH AVE
Project: McRobert Subdivision: BLACK BULL PARK Lot: 10
Project Description: Replace furnace,NC and supply duct.
Contractor: ALL FIXED HEATING AND A/C LLC Owner: MCROBERT, MELVIN C&DEBORA J
PO BOX 83163 10980 SW 108TH AVE
PORTLAND, OR 97283 TIGARD, OR 97223
PHONE: 503-583-1600 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 06/07/2016 $46.75
Type of Use: SF Furnaces<100K BTU 06/07/2016 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 06/07/2016 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Alc2
‘°° —)1",LTre Permittee Signature: O^/ ff431,G%e'1-7jevi
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Annlication FOR OFFICE t SE O\Ll
Received I
Er City of Tigard ��. J� Date/By. r%//b Permit AfEC420/('D0 yc�t,
13125 SW Hall Blvd.,Tigard,OR CINE
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review E11'f/�.4 :
TIGARD Inspection Line: 503.639.4175 DateBy: erPermt:/YE-Gr 0/6'./C700/
Internet: www.tigard-or.gov J u N '7 2016 0'
Date Ready/By: Jwis: S See Page 2 for
Notified/Method: Supplemental Information
CITY OFTIGAItt _ . _ .. -.-
BUILDING DIVISION (� Q_._
z 4 I Address: F �� ki{p3
TYPE OF WORK E D�RSX _ ..._
t 7
New construction Addition/alteration/ lacemen City/State/ZIP:
i Demolition Other: i Phone: 6b3 Sg 3 )V o-,
7�. ( ) Fax: :
C 1TF.GORY OF CONSTRUCTION -717
E-mail:(y Kilo IY&*-Tr'V 6 Z61441L—4)L C ►w
d 2-family dwelling t' Commercial/industrial Accessory building CON'1'R1C'TOR
-=t _. Master builder Other:
JOB SITE INFORNLtTION AND LOCATION. Business name:
'Address:
Job site address:
r09$u S1„3 Cid$— .._ �_.
ICity/State/ZIP:
i City/State/ZIP: 170 d p,0 6R. cm Z23
Suite/bldg./apt.no.: Project name: ;Phone'( ) Fax ( )
CCB Itc: 0(
Cross street/directions to job site: ' 1 � 7 �l4
Authorized signature:
3
i ;Print name" "
1-- .
COMNIERCI4J FEE* SCI1J 1)111 — USE CHECKLIST
Subdivision: Lot no.:
Mechanical permit fees*are based on the value of the work
lax map/parcel no.: performed.Indicate the value(rounded to the nearest dollar)of
'-'71 .:: @ _" E all mechanical materials,equipment,labor,overhead,and
DE,SCRIPTION OF V1'ORK profit.
Value S
e440__Ale, f
RESIDENTIAL EQUIPMENT 1 SYSTE\IS FEES*
I
•
For special infirmarian use checklist
Description Qty. : Ea 1 Total
O;ERTY OWNP� ... Heating/cooling:_ _
Name: Mgt_. 1' 1 .7 1
�g� Air conditioning i46.75
Address: Au _. _. 1 ,_
City/State/ZIP: -77"44p �'1 1 2Z3 E Furnace 100,000 BTU(ducts/vents) ' 46.75
Phone:(9)'3) 6 .t) 4/046 Fax:( ) z
z Furnace 100,000+BTU(ducts/
A � 1« ER vents) 54.91
z
E
i Business name: I Veli) &Arr i!'�f(E? ,
I
Contact name: il Kwok, i FHeat pump i 61.06
1:\Building\Permits\MEC_PermitApp_040113.doc 440.4617T(11/02/COM/WEB)
Duct work 23.32 Other. 23.32
Fuel piping:
P per;
Hydronic hot water system 23.32
514.15 for first four;$4.03 for each additional
Residential boiler(radiator or
hydronic) 23.32
Furnace,etc.
Unit heaters(fuel-type,not $ I
electric),in-wall,in-duct,
suspended,etc. # 46.75 Gas heat pump
i , t
Flue/vent for any of above 23.32 Wall/suspended/unit heater
Other 23.32 ! i
Water heater
Other fuel appliances: I j
Fireplace
Water heater 23.32
, , s
Range
Gas fireplace/insert 33.39
3 's
Barbecue
Flue vent for water heater or gas -----
fireplace
_ ..n -
fireplace 23.32
Clothes (gas)
as)
Log lighter(gas) 23.32
Other:
Wood/pellet stove 33.39 \w(ll.AAl( 1.PER\IITFEFS*
Subtotal
Wood fireplace/insert 23.32 I
Minimum permit fee($90.00)
s �
Chimney/liner/flue/vent 23.32 I
Plan review(25%of permit fee)
State surcharge(12%of permit fee) //, 7�
Other: 23.32 TOTAL PERMIT FEE Q/ 7 r
Environmental exhaust and ventilation: j This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
Range hood/other kitchen * Fee methodology set by Tri-County Building Industry Service Board
equipment 33.39
{ i
Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Attic/crawlspace fans 23.32
2
I:\Building\Permits\MEC_PermitApp_040113.doc
1
Mechanical Permit Anolication - City of Tigard
Page 2- Supplemental Information
Commercial & Multi-Family Fee Schedule:
5' g
f Total Valuation. r Permit Fee t
$0.00 to$500.00Minimum 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
1 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.
3
I:\Building\Permits\MEC_PermitApp_040113.doc
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
10980 SW 108TH AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00406
Jeff Grove
Violation Summary:
Inspector Contractor